Allow Mystery

Latest Activity

1. Managing symptoms for a �good death�

   Allow Mystery replied to NRSKarenRN's topic in Hospice

   Thanks zenman, interesting philosophy! May you recommend some 'further reading' on Shaminism and more particular "death rites". As a Hospice Nurse, I have developed my own philosophy, and "spiritual practice", and also believe that "the body knows h...

2. New to Forum & Hospice

   Allow Mystery replied to grbrico1's topic in Hospice

   Keep the LOL's! Best wishes!

3. Hospice Inpatient Unit

   Allow Mystery replied to Rnmomajmj's topic in Hospice

   In reviewing these older postings, I'm getting many answers

4. inpatient hospice facility question

   Allow Mystery replied to MT RN's topic in Hospice

   Hi all, I'm contemplating working in-patient as opposed to out-patient case management. I've been advised that working in-patient may entail up to an 8 patient load with a CNA, and acuity will not factor in. Pros for in-patient include (1)less trav...

5. Managing symptoms for a �good death�

   Allow Mystery replied to NRSKarenRN's topic in Hospice

   I apologize for my blanket criticism of Msws and Chaplains in a previous posting, obviously I had a bad day. I, too, appreciate the team concept of Hospice, and I've seen good outcomes as a result. finn and Michael, I enjoy your postings and continu...

6. Congestive Heart Failure

   Allow Mystery replied to Monica Zilko's topic in Hospice

   no signs of constipation .... what signs are you looking at have you done a rectal exam?

7. Comfort / E-Kit Contents

   Allow Mystery replied to AtlantaRN's topic in Hospice

   standard kits here; thorazine, vistaril, scopalamine injectibles

8. Managing symptoms for a �good death�

   Allow Mystery replied to NRSKarenRN's topic in Hospice

   Hey finn I'm with you about these msws', I find them as useless as tits on a bull; they want the cush; info visits when they can assure that the nurse will be available at their beck and call; please don't let be get started; and how about those cha...

9. Fentanyl Patch

   Allow Mystery replied to Brightonrn1's topic in Hospice

   Recommended Initial Dose Conversion to Duragesic Patch (Jansen-Ortho 2006) 25 ug patch = 60-134 total oral morphine daily dose Many Fentenyl lawsuits out there for overdosing. Best Wishes!

10. Fentanyl Patch

    Allow Mystery replied to Brightonrn1's topic in Hospice

    Not to be disagreeable, but not wanting anyone to be misinformed. You may wish to check with yor pharmacist/MD for equivalency of morphine with fentenyl 12 mcg. Best wishes!

11. Fentanyl Patch

    Allow Mystery replied to Brightonrn1's topic in Hospice

    Yes, I too have seen this reaction to a Fentenyl patch. I suggest you stop the patch and see if the patient perks up. The 12 mcg patch is equivalent to approx. 40-55 mg of morphine/day. Best wishes!

12. Managing symptoms for a �good death�

    Allow Mystery replied to NRSKarenRN's topic in Hospice

    Dear Req_read My condolences on the death of your father, thank you for sharing your intimate thoughts and feelings, your self awareness is extraordinary Dear finn11707 I'm sorry for your stress with the lack of support from your team, I applaud you ...

13. TPN in hospice setting?

    Allow Mystery replied to AtlantaRN's topic in Hospice

    Admitted a pt on TPN against my objections (no other hospice would take pt and mgmt thought would be good PR). The day I admitted I gave two week notice. Pt suffocated with fluid and died the night before my two weeks were up, a miserable two weeks a...

14. Pancreatic Ca and Nausea

    Allow Mystery replied to SCgirl1962's topic in Hospice

    Leslie, You mention sc continuous infusion; what medication do you use for the infusion? Thanks

15. new nurse- hospice case manager

    Allow Mystery replied to weavrvirgorising's topic in Hospice

    They're testing you, draw your line in the sand and don't let them across. Best wishes!