Pammy

Pammy

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  1. Severe uncontrolled N&V

    Thanks everyone for the ideas... unfortunately, like I said, my client is not absorbing well topically, and is too dehydrated to absorb any more rectally; can't swallow PO, too dehydrated for IV (wouldn't last). I do like the idea of the scopalamine...
  2. Severe uncontrolled N&V

    My client has Lung CA with mets, and has had increasing nausea and vomiting ... to the point that it is now almost hourly. He is bedbound, has had no PO intake for over two weeks with only very small sips of water on occasion. He also has moderate pa...
  3. Advice please!

    I agree with aimeee that you need to spend more time working on your skills, before you try hospice. In this profession, you are kind of out there on your own; and these people look to you for everything! Hospice patients are not all terminal cancer ...
  4. Pain, as we all know, is highly subjective; and "normal" and "expected" outcomes of pain medications will vary for each individual. In my line of work, I deal with pain management daily. When I assess my clients, I dig to determine what "type" of pa...
  5. Ultram in combination with other narcotics?

    We have been using Ultram along with narcotics, since Ultram has proven itself more effective in arthritic pain with many of our clients. A patient on a Duragesic patch continued to c/o bilat knee pain; we started the Ultram and had no further compla...
  6. If You've Ever Given Birth...

    I delivered 5 children, 4 of which were born "naturally". My oldest is now nearly 24, and while I don't remember ever detail of the birth, I remember the devastating pain that was involved!! I am a very petite person, and my daughter weighed 8 and a ...