pumpkinspice

Latest Activity

1. Does anyone know of any nurses who were fired because they did too much overtime?

   pumpkinspice replied to Blackcat99's topic in Geriatric

   How would this be a sign of diverting narcotics? Please elaborate, I don't understand.

2. Can a confused resident refuse care?

   pumpkinspice replied to pumpkinspice's topic in Canada

   I was thinking that would only be battery if the patient is oriented. This pt is confused so not necessarily able to make best choice for himself. To be clear, I provide a lot of encouragement until he allows me to apply the NP. But resident will...

3. Can a confused resident refuse care?

   pumpkinspice posted a topic in Canada

   A resident in LTC in Ontario is confused and has COPD. They are often noncompliant with their supplemental oxygen and constantly removing nasal cannula. Consequently there O2 sat frequently drop to mid 70s with no resp. Distress noted. Do they have...

4. Administration of PRN narcs too close to scheduled meds??

   pumpkinspice replied to pumpkinspice's topic in Medications

   Thank you for your replies! Yes both same dose of 1mg. I know it wouldn't be detrimental to give that low dose 2 hrs apart but just was wondering the proper way to administer

5. Administration of PRN narcs too close to scheduled meds??

   pumpkinspice posted a topic in Medications

   Hello, I've been unable to find a clear answer for this scenario despite my research efforts. I'd really appreciate any input! Thanks in advance! A resident has prn dilaudid q4h and scheduled dilaudid at 0600hrs. If she requests the prn at 0400...

6. coping with difficult pt in LTC

   pumpkinspice replied to pumpkinspice's topic in Canada

   I think you're right. Thanks:)

7. coping with difficult pt in LTC

   pumpkinspice posted a topic in Canada

   I've been trying to cope with a residents difficult behaviors and am scared I will jeopardize my license because of her actions. She is pill seeking and requests prns frequently despite reminders she needs to wait. She often rings call bell for v...

8. Is this ethical?

   pumpkinspice replied to pumpkinspice's topic in General Nursing

   Thanks for input

9. Is this ethical?

   pumpkinspice replied to pumpkinspice's topic in General Nursing

   Yes, that's what I'll do. Thank you:)

10. Is this ethical?

    pumpkinspice replied to pumpkinspice's topic in General Nursing

    I'm in canada

11. Is this ethical?

    pumpkinspice replied to pumpkinspice's topic in General Nursing

    Psw. Not private duty

12. Is this ethical?

    pumpkinspice replied to pumpkinspice's topic in General Nursing

    Kept awake through activities. But the client has very limited interests and attention span due to cognitive impairment. It's very difficult to keep her awake by continously introducing new activities and redirecting her repeated requests to nap

13. Is this ethical?

    pumpkinspice replied to pumpkinspice's topic in General Nursing

    No, this isn't homework. I'm not a student. I personally feel it's wrong to refuse to allow someone to nap, especially someone in the state of health. I was hoping to hear reasoning from someone who feels otherwise because I just don't understand ho...

14. Is this ethical?

    pumpkinspice posted a topic in General Nursing

    Hypothetical situation: A 90+ year old woman with advanced dementia and cancer wants to nap during day. However, POA insists she does not sleep and be engaged entire day. Would you consider not allowing her to nap unethical?

15. Therapeutic Communication question

    pumpkinspice replied to pumpkinspice's topic in General Students

    Hi, Thank you so much for your input:) I didn't consider giving her more control..These are all great points that I will apply in my clinical practice and will be very compassionate and empathetic. Understanding and support can go a long way...