pmabraham BSN, RN

Hospice, Palliative Care

Follower of Jesus • BSN, RN serving others as a Hospice RN Case Manager • Lifelong Learner • https://compassioncrossing.info/

Member

About pmabraham

pmabraham has 7 years experience as a BSN, RN and specializes in Hospice, Palliative Care.


Follower of Jesus • BSN, RN serving others as a Hospice RN Case Manager • Lifelong Learner
https://compassioncrossing.info/



 

Latest Activity

  1. pmabraham

    Question on End Stage Parkinsons

    Question on End Stage Parkinsons Problem Statement: Over the past 4.5 years between two separate hospice agencies there has been a pattern of admitting patients for Parkinsons Disease where the result is frequent discharges for failure to decli...
  2. pmabraham

    Changing Careers At 42

    Then there's home health and home hospice where you are not working 12-hour days 😉
  3. pmabraham

    Changing Careers At 42

    I went back to school at the age of 50 to become a nurse, got my associate in nursing science, passed my NCLEX-RN boards, then went for my BSN. You can do it if this is your dream.
  4. pmabraham

    Lowest Dose of Morphine To Cause Death

    0.25 ml = 5 mg of morphine. The max daily dose of morphine is 1,600 mg. As a hospice nurse, I've had pancreatic cancer patients on 960 mg morphine daily and still talking. Morphine is not a euthanizing agent.
  5. pmabraham

    Morphine for Hospice Patients: What Nurses Need to Know

    The 4 drops of clonazepam DID NOT speed up the dying process
  6. pmabraham

    Hospice agency shutting down - help!

    As a visiting hospice RN case manager, I don't know how much I would trust cameras in order to be able to properly see the condition of the patient. While vital signs, in my experience, are often not the main factor for me to determine estimated end...
  7. pmabraham

    Morphine for Hospice Patients: What Nurses Need to Know

    It comes from experience and I'm not trying to be snarky. I've articles on medium dot com that go over how to recognize terminal restlessness, when someone is within two weeks or less (does not include sudden death syndrome), etc. but the last time ...
  8. pmabraham

    Morphine for Hospice Patients: What Nurses Need to Know

    Cheyene stokes and Kussmaul are among the common end of life breathing patterns, but nothing you wrote came across as excessive. We are called to use critical judgement and you used yours. Morphine and Ativan are not euthanizing agents; you did the...
  9. pmabraham

    Morphine for Hospice Patients: What Nurses Need to Know

    Let's start off with just a little background of how hospice is supposed to work with families. What I'm sharing is per Medicare guidelines and that means every hospice nurse and provider should be following what I'm about to share but I'll put it ou...
  10. pmabraham

    Morphine for Hospice Patients: What Nurses Need to Know

    It’s frustrating do you have anyone who is a healthcare professional think that hospice uses morphine for euthanasia. Prior to becoming a hospice nurse I worked on the cardiac floor where are they increasingly gave me more and more hospice patients. ...
  11. pmabraham

    In Hospice are RNCM's Ever Paid Hourly Instead of Salary?

    Check https://careers-brightspring.icims.com/jobs/intro?hashed=-626002160 as they own Grane for whom I work as an hourly RN Case Manager.
  12. pmabraham

    In Hospice are RNCM's Ever Paid Hourly Instead of Salary?

    Grane Hospice pays hourly. They are owned by BrightSpring so it is possible other BrightSpring branches for hospice also pay hourly.
  13. pmabraham

    On-call hospice nurse

    "Tuck-ins" are calls or visits to see if the patient is OK, needs supplies, etc. More often they are phone calls but can be a visit if a change in physical location such as nursing home discharged to home or home going to a nursing home (respite or ...
  14. pmabraham

    On-call hospice nurse

    Hi: Tuck-in calls and visits should be doable by LPN/LVN/RN et al as it is just a routine visit or call to check in on the patient. Pre-admission evals typically require a good understanding of LCD's and what makes a patient terminal from a nursin...
  15. pmabraham

    On-call hospice nurse

    "I have been told that I do not have a set number of patients to see, nor will I have a list of "regulars" or appointments. I was hired to be a go-between for families and patients who already have scheduled visits during the day, but feel/know that...