weavrvirgorising

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1. wondering if a complaint will be filed against me

   weavrvirgorising posted a topic in General Nursing

   I am a nurse in trouble with a capital T! I was terminated from a new job. I think I got caught up in the politics at this facility with lots of behavioral homeless residents and just did not focus on the people who were probably short term and mu...

2. Update: Dilaudid tx for Cancer pt

   weavrvirgorising posted a topic in Hospice

   Thanks to everyone who wrote last week. It has helped immensely, since I have had very little support within my hospice company, except for one other nurse. Last Monday, I respectfully requested removal from this client's case and asked for a replac...

3. Dilaudid tx for cancer pt

   weavrvirgorising posted a topic in Hospice

   I have a 46 yr old client with Multiple Myeloma who has intractable pain. We started him on a Morphine Sub Q drip within weeks of admission but due to long term administration of MS Contin PO, the Morphine did not help with pain relief. The MD then...

4. Alcohol abuse, liver disease and hospice

   weavrvirgorising posted a topic in Hospice

   Our hospice has just signed on for the second time a patient who has cirrhosis and still abuses alcohol. She refuses most visits and I am thinking that she and her husband are just working the system for free drugs like Ativan and Morphine. When I ...

5. Leaving one company for another question

   weavrvirgorising replied to AtlantaRN's topic in Hospice

   This is an unfortunate situation for all involved. It sounds like there are already some problems with the director and that you have chosen the correct path. Obviously, the director is not thinking about anyone except self here. Don't look back.

6. hospice RN certification

   weavrvirgorising posted a topic in Hospice

   Our director asks that each of the RN's, after two years employment, take the hospice certification test. Has anyone taken the test? What is the best way to study for it? And is it valuable? If we pass the employer will re-imburse for the test, o...

7. How do you assist one who refuses all medications

   weavrvirgorising replied to weavrvirgorising's topic in Hospice

   Thanks so much, what you have shared has helped immensely. Maggie

8. How do you assist one who refuses all medications

   weavrvirgorising replied to weavrvirgorising's topic in Hospice

   Thank you for your quick reply. This is a very strong of faith and kind-hearted woman of 88yr old. I could communicate more about what may happen in the disease process but she always refuses meds and says "I'm alright, Maggie." Her daughter just w...

9. How do you assist one who refuses all medications

   weavrvirgorising replied to weavrvirgorising's topic in Hospice

   Thank you yes the whole interdisciplinary team is involved: Social worker, chaplain, music thanatologist, volunteers, CNA's. As our founder has recently told me, there is always more that you can do-discover it.

10. How do you assist one who refuses all medications

    weavrvirgorising replied to weavrvirgorising's topic in Hospice

    Thank you so much...the decision is the patient's based on her strong beliefs; although now that the symptoms are more obvious there are perhaps fears and doubts getting translated from everybody involved. This forum is wonderful and for a new hospi...

11. How do you assist one who refuses all medications

    weavrvirgorising replied to weavrvirgorising's topic in Hospice

    Thank you so much for your kind words. Tomorrow our founder will go with me to make sure that enough has been said but also to validate her beliefs and assure her we will be there to help. I am new to hospice but sure this is my niche, so appreciat...

12. How do you assist one who refuses all medications

    weavrvirgorising posted a topic in Hospice

    I am working with a client with Abdominal CA who refuses medications based on her faith. Things went well until the realization hit that faith was not keeping symptoms of persistant diarrhea at bay. Now the client and family has c/o but still refu...

13. hospice burn out

    weavrvirgorising replied to bewell2's topic in Hospice

    I am a relatively new nurse but pushing sixty yr old, also new hospice nurse. Last week, I was confronted with the same sense from other nurses I work with. Words of advise I am trying to live. Define and stick to your boundaries! I am currently ...

14. 1 week older as a new Hospice nurse, and three deaths later

    weavrvirgorising posted a topic in Hospice

    I am still wondering what the general philosophy is out there re: time off and imminent deaths. In the last week, three of my people have passed and two more are close to being imminent and here I am at the end of my week. The other two nurses I wo...

15. new nurse- hospice case manager

    weavrvirgorising posted a topic in Hospice

    Hi all, I am just learning the dynamics of hospice nursing in a relatively small community (80,000 pop.). I am only 6 weeks into the job and already sensing that nurse case managers are the 'go to person, 24/7' here at this company. This was not c...