CarterHolly

I find how you present things is important. Don't ask sweetly saying, "Ms Jones, would you like a bath??". Nope. I say this is what we're gonna do, come on let's go. They might balk about it or whatever, but it's other's rights just as much not to smell filth! Sometimes you gotta treat them like a 2 yo. I'm sure someone won't like that. That's fine, but I'm being truthful

Very seriously doubt he suffered any long-term consequences. Lots of things have antectodal evidence that never comes to fruition in most settings. If he'd have tissue necrosis, or whatever, pretty sure you'd have been contacted by now. Just take as a learning experience

Hi, I've been a home health hospice RN for the last 10+ years. I've dealt with every cancer probably known to man, but being in hospice obviously we haven't administered chemo etc. In home health we did a lot of at home long-term ABX and even some 5FU takedowns, but no chemo. Is this a good choice? I'm burnt to a crisp after going on 11 years of driving two counties, hospice/home health charting, and call! I'd love to be back in a 12 hr/3 day a week position with the same population I'm used to dealing with on a daily basis!

That sounds more like private duty than home health. Home health is pretty much guaranteed. There's always gonna be sick pts. I've been with my company for 10 years and I'm a single mom and make far more salaried than I would at the hospital. Trust me, it's not just a job for a little extra spending money.

It has been my full time job for 10 years. I make VERY good money and am salaried. I make far more than i would in the hospital. 🤔🤔🤔🤔

I'm imagining it's a bit different in the ICU setting. At home I have some time to prepare the pt and families, and I explain that it's a process, much like being born. Just sorta in reverse, if you will. Make sure they understand if you're medicating for dyspnea or tachypnea that they understand those are very uncomfortable feelings, and that Morphine isn't "killing" their family member. Some struggle with that idea, and then there's always the husband's cousin's wife's ex brother in law's 3rd cousin removed who calls up the pts family after not talking to them for 20 years and tells them not to allow me to administer any of that. That's always fun. Hopefully at least you won't have to encounter that. Explain how cheyne-stokes are normal and what that looks like. I explain no need to feed as there's not much calorie expenditure if they're bed bound and unresponsive. There's so much more I could post, but I hope this small snippet helps some!