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Search Results Type: Posts; User: eternalsunshine

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  1. Hospice/Palliative care nursing certification
    Hi Melnee I have to agree with Oceansunset on this, I have been a Hospice & Palliative care RN for a number of years, both in the UK & USA. This is not an easy exam & I recommend that you have...
    Nov 8, '13
    Forum: Hospice Nursing
  2. fungating facial wound
    Oh my gosh, poor lady, must be so awful for her :( What about using some Vaseline gauze? i had the exact same problem with a fungating wound on a leg recently, and it was causing it to bleed when...
    Feb 14, '13
    Forum: Hospice Nursing
  3. fungating facial wound
    Could you use a topical opioid? I have used these in the past with very good results.
    Feb 14, '13
    Forum: Hospice Nursing
  4. management of bone ca pain
    I currently have a patient who I have had ongoing challenges with managing bone pain. He is now on Decadron along with scheduled Methadone which appears to be effective.
    Feb 14, '13
    Forum: Hospice Nursing
  5. Hiccups, Hiccups and more Hiccups!!
    Prochlorperazine and Chlorpromazine can also be used :)
    Feb 14, '13
    Forum: Hospice Nursing
  6. Roxanol/Ativan cocktail
    I get a little concerned when I hear nurses doing this, my first point would be, when you assess the patient (particularly if they are non verbal or minimally responsive), are they agitated or...
    Feb 14, '13
    Forum: Hospice Nursing
  7. Anyone read the new book by Ira Byock?
    Wow, Atul Gawande's article is very long but interesting! There is one statement in there that stood out for me: "You live longer only when you stop trying to live longer". I will be...
    May 16, '12
    Forum: Hospice Nursing
  8. Baxter the therapy dog
    oh my gosh! how precious! And as for that music! couldn't have been a more perfect song!
    May 16, '12
    Forum: Hospice Nursing
  9. ABHR topical
    As one of the posters points out, the evidence is mixed. I think there are other factors which depend on its absorbency, skin type, diaphoresis etc. Also I was once told that it is carried in a...
    May 16, '12
    Forum: Hospice Nursing
  10. inpatient hospice nurse/pt ratio
    I work as an RN in an In patient unit. I have six patients, with one CNA who works with me.
    Dec 31, '11
    Forum: Hospice Nursing
  11. hospice RN certification
    Jonga, many thanks for the recommendations :) Have got the first 3 you list, but have not heard of the handbook for Mortals so will check that one out. Thank you! :)
    Sep 18, '11
    Forum: Hospice Nursing
  12. waiting for a train when dying
    Angila, so sorry to read your story :( I highly recommend the book "Final Gifts", it talks a lot about how patients nearing the end of life use symbolic statements such as your father did. I had a...
    Sep 18, '11
    Forum: Hospice Nursing
  13. hospice RN certification
    jonga, can you recommend any good books you read? I am always looking out for new reads :)
    Sep 18, '11
    Forum: Hospice Nursing
  14. Need info on Butter soft scrubs
    I have two pairs of these scrubs and would say that their sizing is pretty accurate :)
    Aug 25, '11
    Forum: Nursing Scrubs / Uniforms / Gear
  15. PO meds can be given rectal?
    I recently had to give a patient Methadone rectally. he had an order for this in case he began to experience Dysphagia, which he did. The rectal dose was lower than the oral dose & our Medical...
    Aug 25, '11
    Forum: Hospice Nursing
  16. Pedal Pulse
    I know this is an old post, but for any other newbie nurses who are looking to find answers to this question, here is a great video! :) http://www.youtube.com/watch?v=QQIiB51IWMU
    Jul 6, '11
    Forum: Nursing Student Assistance
  17. appetite stimulants in hospice
    I think it depends on the patient and if they actually want to eat. Toward end of life, giving food can actually cause more discomfort with bloating, cramping etc. The body does not need food at this...
    Jul 2, '11
    Forum: Hospice Nursing
  18. Lip care for patient on oxygen
    I second the olive oil, that is what we use. I also love Burt's Bees - fabulous products! ;)
    Jul 2, '11
    Forum: Hospice Nursing
  19. Extreme anxiety
    Fentanyl patch seems like a strange way of pain control for someone nearing end of life in Hospice :confused:. I would definately look at switching this in case this is causing the problem. I...
    Jul 2, '11
    Forum: Hospice Nursing
  20. Mesothelioma pt.
    I think education is a big thing here, there is so much negative portrayal of opioid type drugs etc in TV programmes etc. that people seem to assume that they will become an addict if they take it. I...
    May 8, '11
    Forum: Hospice Nursing
  21. How to.....
    here it is, just click on the link to open up the Handbook: http://www.nbchpn.org/DisplayPage.aspx?Title=Candidate%20Handbook Check out the sample questions for the RN on page 24. You will see...
    May 1, '11
    Forum: Hospice Nursing
  22. How to.....
    I am looking at taking the exam sometime later in the year, but I do have Hospice & Oncology experience. I chatted with a Hospice DON about this qualification; she told me she recommended to all...
    May 1, '11
    Forum: Hospice Nursing
  23. OMG!  My relief staff keeps pushing the "Coming to Jesus" fact..
    Wow! I am shocked too!! I don't blame you for being miffed! :eek:, I think I would be too! Do these two nurses report to you? I think they perhaps need to do a refresher course on what...
    May 1, '11
    Forum: Hospice Nursing
  24. Routine meds for hospice use
    I am curious to note that you all refer to drugs by their trade name rather than the generic name. Is that the common practice in the US? :confused:
    May 1, '11
    Forum: Hospice Nursing
  25. Average Hospice NP pay per visit
    wow that sounds like a good pay to me. But I guess it depends on how many visits per day, if its only 2 visits per day, that's not great! And also are they taking in to account that you are a NP?
    Apr 18, '11
    Forum: Hospice Nursing


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