eternalsunshine

eternalsunshine

Oncology, Palliative care

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About eternalsunshine

eternalsunshine specializes in Oncology, Palliative care.


Latest Activity

  1. Hospice/Palliative care nursing certification

    Hi Melnee I have to agree with Oceansunset on this, I have been a Hospice & Palliative care RN for a number of years, both in the UK & USA. This is not an easy exam & I recommend that you have some practical experience before you undertak...
  2. fungating facial wound

    Oh my gosh, poor lady, must be so awful for her What about using some Vaseline gauze? i had the exact same problem with a fungating wound on a leg recently, and it was causing it to bleed when removing dressings, this worked fantastic and the dress...
  3. fungating facial wound

    Could you use a topical opioid? I have used these in the past with very good results.
  4. management of bone ca pain

    I currently have a patient who I have had ongoing challenges with managing bone pain. He is now on Decadron along with scheduled Methadone which appears to be effective.
  5. Hiccups, Hiccups and more Hiccups!!

    Prochlorperazine and Chlorpromazine can also be used :)
  6. Roxanol/Ativan cocktail

    I get a little concerned when I hear nurses doing this, my first point would be, when you assess the patient (particularly if they are non verbal or minimally responsive), are they agitated or anxious because they are in pain or they have Dyspnea? I ...
  7. Anyone read the new book by Ira Byock?

    Wow, Atul Gawande's article is very long but interesting! There is one statement in there that stood out for me: "You live longer only when you stop trying to live longer". I will be checking out that Ira Byrock book too, thanks!
  8. ABHR topical

    As one of the posters points out, the evidence is mixed. I think there are other factors which depend on its absorbency, skin type, diaphoresis etc. Also I was once told that it is carried in a pleuronic agent, so it should for maximum effect, be app...
  9. inpatient hospice nurse/pt ratio

    I work as an RN in an In patient unit. I have six patients, with one CNA who works with me.
  10. hospice RN certification

    Jonga, many thanks for the recommendations :) Have got the first 3 you list, but have not heard of the handbook for Mortals so will check that one out. Thank you! :)
  11. waiting for a train when dying

    Angila, so sorry to read your story I highly recommend the book "Final Gifts", it talks a lot about how patients nearing the end of life use symbolic statements such as your father did. I had a patient recently who spoke of "going home" but he was...
  12. hospice RN certification

    jonga, can you recommend any good books you read? I am always looking out for new reads :)
  13. Need info on Butter soft scrubs

    I have two pairs of these scrubs and would say that their sizing is pretty accurate :)
  14. PO meds can be given rectal?

    I recently had to give a patient Methadone rectally. he had an order for this in case he began to experience Dysphagia, which he did. The rectal dose was lower than the oral dose & our Medical Director explained that absorption was higher rectal...
  15. Pedal Pulse

    I know this is an old post, but for any other newbie nurses who are looking to find answers to this question, here is a great video! ?