river1951

river1951

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About river1951

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  1. LVNs in hospice

    Thanks to you all for your helpful replies. river
  2. LVNs in hospice

    Hi, We are evaluating how adding LVNs to our staffing could help stretch our RNs. Since we have no experience, if I could hear from anyone who uses LVNs this way it would be very helpful. Thank you in advance! river
  3. Question about fentanyl patch

    As far as utilazation goes, the patient who revokes loses the rest of that benefit period, which is fairly meaningless since there is no limit on numbers of benefit periods. You have to find a good fit with your team, it is your mothers' death, she g...
  4. symptom management for dummies

    People who have pain can have high pain and still talk- some folks will always rate their pain as a 10. But we still must treat- I would use immediate release morphine elixir and have them give him enough to knock the pain back- get a range from the...
  5. methadone therapy for cancer pain?

    Methadone can work very well for cancer pain. Best of luck to you and your brother. River
  6. March 17, 2007 CHPN exam

    It is the certification in hospice and palliative care.:welcome:
  7. March 17, 2007 CHPN exam

    Way to go all of you!
  8. hospital admissions

    It sounds ridiculous and stupid, if I understand you correctly. So they are transferring the patient to the inpatient hospice unit to preserve their stats? I get their rationale, but their hearts must be stone. It is different if folks are begging to...
  9. What does it mean...

    Yes, it is different things to different people, sorta like the parable about the blind men and the elephant. For me, it is about letting folks know they do not walk alone, and then being there for them in the way they need. River
  10. do you feel powerless, strongest no 5-4-3-2-1 i can't solve the problem so i feel powerless 5-4-3-2-1,strongest no i feel overloaded 5-4-3-2-1 3 my job interferes with my personal life 5-4-3-2-1 4 too much to do and too little time 5-4-3-2-1 4 emo...
  11. Patient doesn't tell she is getting cataract surgery

    This is totally unrelated to her hospice diagnosis, so I'm pretty sure hospice would not be billed for it. Medicare sshould still cover it, just as it would any other unrelated diagnosis. River
  12. Managing symptoms for a �good death�

    Michael et al, Fatigued with it, I know was being a wise butt being fatigued with human nature- it is very limiting. That of course is why we just need to help each other along thru this difficult life. Aberrancy? Michael- that's harsh. River
  13. Question about dyspnea

    "Your hospice should not be revoking the patient during this procedure. It is related to the patient's comfort and should be paid for by your hospice. The procedure is not that expensive and should not require an overnight in the hospital." Right on!...
  14. Managing symptoms for a �good death�

    Point well made. I am so simplistic, that at times I have thought the lack of caring equals lack of being able to put yourself in another's place, not the denial you will ever be in that place yourself. Sounds very convoluted but I know what I mean. ...
  15. Palliative sedation position paper

    Over medicated? If she had no symptoms. I don't understand why any hospice nurse would medicate. So you will have to tell me more so I can understand what you mean. Hospice doesn't mean medicating patients to oblivion; palliative sedation is only con...