Laurell28

Latest Activity

1. What To Do When Family and LTC Facility NOT On Same Page.....

   Laurell28 replied to tencat's topic in Hospice

   I think it would helpful to request a meeting with the DON and hospice team members to air concerns on this man and his comfort (or lack thereof). This facility is in desparate need of education.

2. Can I keep going.....

   Laurell28 replied to webblarsk's topic in Hospice

   Sometimes you get a patient that becomes very special to you and when they die they take a little piece of your heart with them. I've had people say "you work for hospice what do you expect" but those I work with understand. I tell myself that its ...

3. When do you say enough is enough?

   Laurell28 replied to bethin's topic in Hospice

   Please report what this lady is saying to the nurse and the social worker. What they can do is try to set up a meeting with the patient, the family and hopefully the MD/NP to voice the concerns and offer solutions. Hopices will give informational me...

4. Does "snowing" really exist?

   Laurell28 replied to heyday's topic in Safety

   There is a perfect statement on the HPNA website regarding opioids at the end of life, particularly regarding respirations. It says no conclusive proof exists that opioids at the end of life will hasten death. I'll try copying the link, but honestly,...

5. Dealing With Lay Curiosity

   Laurell28 replied to Anhelo Impedio's topic in Hospice

   I get the same reactions about Hospice too and welcome the opportunity to educate people if they are really interested. It amazes me how much education and preparation go into a birth, but when it comes to death, little information is available and ...

6. Parameters for Morphine

   Laurell28 replied to CapeCodMermaid's topic in Geriatric

   I would hold the Ativan but I would give the MS to maintain the comfort level that she had. If someone is premorbid or actively dying you would expect to see less responsiveness and lowered respirations. The attitude of the hospice nurse concerns m...

7. Anyone else get good news in the mail?

   Laurell28 replied to RnRatchet's topic in Hospice

   Congratulations!!! I got mine back today and passed too. WaHoo. That was one tough test.

8. Why do I allways feel guilty??? (Parent nurses)

   Laurell28 replied to estrogen's topic in General Nursing

   20 yrs from now will you be saying to yourself "I wish I had spent more time with my children when they were young" or "I wish I had put more hours in working"? Your kids are only young for a short time. Enjoy them as much as you can.

9. A few questions for the "older" new nurses...

   Laurell28 replied to adiliegro's topic in General Nursing

   GO FOR IT Once your wife sees that you are serious and working hard, she should come around and give you the support that you'll need. A person who is happy in their work has a happier home life.

10. Please share with me your experiences with this....

    Laurell28 replied to *LA*'s topic in Hospice

    I'm getting chills going up and down my spine reading these posts. I can't count how many times I've had pts report this to me and families find it comforting to know that there will be someone to help their loved one cross over. I'm a hospice nurs...

11. Physician assisted suicide

    Laurell28 replied to texas_lvn's topic in Hospice

    What a person does at the end of their life is their own choice but I am not comfortable with physician assisted suicide. I can see the right to die turn into an obligation to die (to save money or ease burden of family members) or an excuse to euth...

12. Allowed to die

    Laurell28 replied to nettie01's topic in Geriatric

    Antibiotics do not always cure infection especially if someone has chronic infections and has been on them repeatedly. Also the side effects can be quite uncomfortable. So an infection can be a "terminal" condition. Allowing someone to die with dign...

13. Have you ever done/wanted to do this?

    Laurell28 replied to DutchgirlRN's topic in Med-Surg

    Have you considered that the pt is doing so well because their pain is being successfully managed and without the pain meds they know they would be miserable?

14. Has a patient asked you to help him/her die?

    Laurell28 replied to Brian's topic in General Nursing

    I am a hospice nurse and I have been seriously asked this question many times. I tell them that I can't do that. I believe that these people are not afraid of death itself, but the dying process and loss of control. When assured that everything po...

15. Need recommendations for RN to BSN programs in Minnesota?

    Laurell28 replied to minneRN's topic in Minnesota

    I have a friend who is in the program at Metro State and she thinks its great. There always the U of M too. Welcome to Minnesota.