jwelhwel

jwelhwel

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About jwelhwel

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  1. Self-Assessment of Your Beliefs About Death and Dying

    I've been a hospice nurse for 23 years and most doctors are not good about telling families that treatment will do more harm than good. Hospice has had for all the years I've been working in the field, the problem of getting "late" referrals which me...
  2. Should I be mad at Hospice? My mother...

    It is unfortunate that the hospice nurses did not explain what was happening to your mother.Nausea and agitation are common symptoms in hospice and sometimes more pronounced when the liver is affected by the disease process. Haldol is often used in h...
  3. How Do I Know If I Can Handle Hospice?

    You won't know until you try it! As a hospice nurse of 20+ years, I can tell you it is one of the most rewarding types of nursing that you can do. None of us by ourselves is emotionally or spiritually strong enough to do hospice work but that is why ...
  4. Hospice Nurse Burnout

    Sadly, burnout isn't always dealt with well in hospice agencies. I have done a lot of hospice education and the first thing I tell new hospice workers is that in order to prevent burnout, they must SET BOUNDARIES for themselves. People who do not hav...
  5. A Serious Problem

    Advice from a hospice nurse of 20+ years: Set some boundaries with your employer. Having a case load of 30 hospice patients is insane. (The average should be no more than 10-15.) Most hospices do not accept pateint that live further than 50 miles fro...
  6. Who or what...

    Many Hospice nurses get into the field after having been inspired by a personal experience of someone who provided wonderful care to a loved one. I, too, considered labor and delivery at one time.(And I've been in Hospice nursing for over 20 years.) ...
  7. I Need A Fresh Start, Please Advise

    Consider Quality Assurance. Lots of paperwork and you can make a difference in patient care. jwelhwel
  8. wonderful extras in hospice

    At one hospice where I worked, there was a volunteer who, after the death, would ask for an item of the patients clothing (shirt, dress, etc.) and make a teddy bear out of it. The families loved the gentle reminder of the one who died and were very a...
  9. Getting my own cases now.

    I would request that the charts of the patients you are getting be audited so that errors, omissions would be corrected before you are responsible for the charts and to make sure all information is current. It is also good patient care for you and th...
  10. considering career in hospice

    I have been a hospice RN for 15 years. Outpatient clinic would be an excellent background for hospice since you have been dealing with all kinds of patients. Onocology background is not necessary but helpful. A sensitivity to people is as important a...
  11. How much do you make?

    Worked in hospice 15 years. $22.hr but I haven't had a raise in almost 4 years! Go figure.
  12. use of Cadd pumps in pain management

    The hospice I work for almost never approves the use of a CADD pump for the administration of morphine due to the high cost of using a pump. I feel that sometimes we are providing inadequate pain control because of this.What is the experience of othe...