coogabooga

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1. Computer charting in hospice

   coogabooga replied to coogabooga's topic in Hospice

   The program's name is laptor. It was developed by our company (first mistake).

2. Computer charting in hospice

   coogabooga posted a topic in Hospice

   Now before some may see this thread and think "another nurse, not computer savvy, complaining of computers..." think again. I've worked with computers all my life and charted with computers throughout my experience in the hospitals. Some good, some b...

3. No bm in over a week and half??

   coogabooga replied to coogabooga's topic in Hospice

   Yes her bowel habits obviously changed, but most of the time she can't take her meds. Can a body stop making stool of it's only clear liquids they're taking in?

4. No bm in over a week and half??

   coogabooga posted a topic in Hospice

   If a patient has only been taking clear liquids for several weeks +, should u still be having bm's?? I have a 74yo ovarian CA that hasn't had a bm in over a week and a half. She's not impacted, stomach concave, soft, and very hypo active bowel sounds...

5. Colon cancer and diarrhea

   coogabooga replied to mslavender1982's topic in Hospice

   Yikes, with 8 feet of colon it doesn't seem like there really is much to do. I wonder why they just give her a colostomy? What does your medical director suggest? Maybe u just need to play with doses and find a happy medium? Let me know how that wor...

6. Destruction of Narcs/CS

   coogabooga replied to rnholly's topic in Hospice

   Not a pharmacist or a chemist, but wouldn't the narcs being excreted through the urine be broken down into simpler forms, as though they pretty much no longer take the form of the drugs themselves? I haven't done much to speak of the issue, but I do ...

7. "younger" CA hospice patients

   coogabooga posted a topic in Hospice

   I'm struggling in general with therapeutic communication... Especially younger patients and their families. I've found myself in those awkward silences where I NEED to tell the families what to expect and those symptoms of dying, but then what?? They...

8. IVF excessive?

   coogabooga replied to coogabooga's topic in Hospice

   Eh?...

9. Vita; signs and infections...

   coogabooga replied to MomRN0913's topic in Hospice

   I think it's really dependent on the situation.. Remind yourself what are the goals? In a perfect nurse world, that patient would have been turned q 2 hours BUT this is hospice. The goals are equally as important to the patient as it is to their fam...

10. Lifting in hospice?

    coogabooga replied to gorgenurse's topic in Hospice

    Haven't been a hospice nurse very long, but I will say I do MUCH less lifting than in the ICU, for example. I understand, however, that I must be prepared for the occasional 250+lb body that needs post mortem care.... A lot of times it seems appropri...

11. IVF excessive?

    coogabooga replied to coogabooga's topic in Hospice

    Funny, I had no idea that I developed such an awesome debate issue ;-) Please, take my title to another thread. I'm sure it would be helpful there too :-D

12. IVF excessive?

    coogabooga posted a topic in Hospice

    I've been reading a few posts on iv therapy with patients on hospice and I'm a bit confused.,,,why? Our company considers it "aggressive" but too me it's not so much aggressive as it is another thing for families to focus on aside from just comfort.....

13. A Time to Die

    coogabooga replied to aging1's topic in Hospice

    "the specter of death has a way of distilling what’s important in life" Wow, couldn't of said it any better

14. Glucose control in hospice

    coogabooga replied to coogabooga's topic in Hospice

    Those are great responses. I often find it isn't the patient obsessing over the sugars, but the caregiver. Teaching (over and over again) about the hospice objective is imperative.

15. Above & Beyond....Special Touches?!?

    coogabooga replied to mhowell's topic in Hospice

    I too have only been in hospice for several months and I like using humor... Very light hearted and even a little goes a long way.