TLDey

Latest Activity

1. tracking narcotics

   TLDey replied to TLDey's topic in Private Duty

   Thank you for your support! Yes, there's two staff present (a nurse and an aide) 24/7. I did address it with the Business Manager for the agency (whose daughter actually owns the company), and she assured me she'd hold the "managing" nurse accounta...

2. tracking narcotics

   TLDey posted a topic in Private Duty

   Hi, I've been working on a private duty case for the past several months. There are several nurses in the home. When I first started on the case, the nurse I took over for full-time, an LPN, advanced to become the clinical nursing supervisor for th...

3. Deceptive firing practices

   TLDey replied to TLDey's topic in Private Duty

   Thanks to all for the wise words. I have been concerned too, because the client's husband came in to talk to the aide I was working with, and myself, re: another aide that was "let go"... the husband said he didn't understand why my company had gott...

4. Deceptive firing practices

   TLDey posted a topic in Private Duty

   I am a Private Duty nurse with a home client who requires both an aide and a nurse 24/7. Both the client and her spouse have mood and temper fluctuations, and they are frequently requesting staff replacements. The company I work for replaces staff...

5. Continuous Care for unMANAGED symptoms?

   TLDey replied to TLDey's topic in Hospice

   I'm sorry I sound so bitter... the SW I worked with was always accusing that I didn't have the compassion to persevere with the repetitive education approach, despite "umpteen" attempts (and I've been a nurse for 26 years- I don't think I would have ...

6. Continuous Care for unMANAGED symptoms?

   TLDey replied to TLDey's topic in Hospice

   In this scenario, SC won't step in because family says "no". SW is off doing one informational after another; SW has seen family once and "didn't notice any problems" so, it must be my problem...Home health aide, is as concerned as I am (even more ...

7. Continuous Care for unMANAGED symptoms?

   TLDey posted a topic in Hospice

   Does anyone work at a hospice that supports the use of continuous care for a family who is in denial, or having ineffective coping that's preventing them from being able to manage symptoms properly? If so, where (& what state)- I want to come wo...

8. Imposing compassion?

   TLDey replied to TLDey's topic in Hospice

   Dear Steeleworks, have you used these interventions in a hospice setting, and can you get effective relief without narcotics? Is there such a thing as a holistic/naturopathic hospice practitioner? I'm so humbled... TL

9. Imposing compassion?

   TLDey replied to TLDey's topic in Hospice

   "I will always advocate for bringing families with unrealistic or even inhuman ideals of "comfort care" into the IDT meeting." Hi Tewdles, Do you mean, actually inviting them to come sit in at the meeting to discuss their case with the IDT members? ...

10. Imposing compassion?

    TLDey replied to TLDey's topic in Hospice

    I might add too, that the woman who thought we were insane to tell her she needed to turn her husband, also did not believe she needed to manage his pain. He said he wanted narcotic, and she said of course she would give it to him, but she did not. ...

11. Imposing compassion?

    TLDey replied to TLDey's topic in Hospice

    Hi all, I know I read an article, I think from one of the hospice associations, that said caregivers (even though they may have the legal DPOA, which I think some people are power-tripping with), they are still accountable to the society at large wit...

12. Imposing compassion?

    TLDey replied to TLDey's topic in Hospice

    Thank you for responding. Did you wonder, with your client who only wanted herbals & adjunctives, whether there was an element of self-abuse involved (psych/emotional problems)? (Or, whether the pt really wanted relief, but was afraid to go aga...

13. Imposing compassion?

    TLDey posted a topic in Hospice

    A hospice agency I recently worked for struggled with the idea of holding families accountable for compassionate care. Because I thought we should hold families accountable, I was looked at as narrow-minded. For example, I cared for a dementia pati...