oncalllorraine replied to LeLeeFNP's topic in Career Support
Hands down, my vote is for hospice care. Either in home, or facility. Preferably a non-profit. There is a learning curve, of course, but not so much technical knowledge, as it is a totally different mindset. I liken it to 'labor and delivery', at th...
oncalllorraine replied to AngelfireRN's topic in General Nursing
yes, there is sometimes what i call the smell of death. i am hospice nurse. i have never known it to be anything but pungent, and one of the nicest things i have ever learned from a loving aide was the value of 'covering up that smell', so it does no...
oncalllorraine replied to cooliegirl's topic in General Nursing
[c o lor=darkorange] for acne, try megadosing flaxseed oil capsules, (sam's club). this also works for constipation. another constipation remedy, when all else fails, is 'vaseline cookies'...you roll little balls of vaseline (marble size) in sugar...
oncalllorraine replied to oncalllorraine's topic in Hospice
i am thinking the tachypnea was compensatory, and without it ,there would be no drive, and using roxanol to that point for that finish would take a heck of alot of roxanol to shut off the autopilot i do believe he was comfortable, and never doubted t...
6 years as a hospice nurse, and i recently had a new situation tha36-5t i was not sure how to handle symptom control. this patient was actively dying, peaceful,unresponsive,pain-free,afebrile...yet, so tachypneic! his respiratory rate, though non-la...
oncalllorraine replied to WaynesvilleRN's topic in General Nursing
thank you for putting the words to 'why hospice' so well! families always ask 'how can you do this', and the best answer i have found is simply-IT IS A PRIVILEGE. the demands of the job are certainly less than the rewards of being there for the famil...
oncalllorraine replied to UM Review RN's topic in General Nursing
:redpinkhe:redpinkh hey, don't be too upset.get this: i called the cops myself,on my own husband,also a nurse, who came home 'early' one night (our anniversary!)... i heard the 'break in'...and...the chaos began.the police came in full force,mainly b...
oncalllorraine replied to NightOwl0624's topic in General Nursing
i truly believe in the natural process and know 95% time it can be peaceful and comfortable with all that is available-i.e.hospice. i look at the "end", as the "beginning"-and an exciting journey, that i hope i am ready to take,whenever. i can see wh...
in hospice it is not unusual to have patients 'see' and talk with people- unseen by the caregivers. i have noticed that it is often been a 'mother'--as in one OLD lady who was calling out for her mother several nights in a row, when, on her last nit...
oncalllorraine replied to Limegreen's topic in Hospice
just had such a case! we had him on morphine subcutaneous, but his pain was intractable. in retrospect i feel he would have obtained more relief with a dilaudid drip. there are always those few pts.who's pain is worsenend by morphine, and they are ...
oncalllorraine replied to spoiled28's topic in Hospice
i like haldol, sublingual, and have been very impressed with it, as well as addition of levsin, sometimes (hycosamine). i have also heard that those wrist bands work well in other hospices, but have yet to try. they are under 10$ in most drug stores....
hello there all you seasoned nurses who travel - i have a couple general ???? as we face a soon emptying nest we are dreaming of travel nurse jobs. his experience is critical care-i.e er and icu. mine is er and hospice-hospice being my strong prefere...