BeExcellent

BeExcellent

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All Content by BeExcellent

  1. Should I take this job? Please help!

    BeExcellent replied to RiaRN's topic in Hospice, Palliative

    If I could be a new grad again , I would look for a position in a large teaching hospital that had an new grad internship program that rotated you through different area of the hospital. Man, that...

  2. Managing symptoms for a �good death�

    BeExcellent replied to NRSKarenRN's topic in Hospice, Palliative

    That's what makes all this so GOOD. Some art, some science and mostly intuition. In the end, the only ones to ask are those left behind. Sometimes, WE are the only ones left behind. We juggle managed...

  3. Managing symptoms for a �good death�

    BeExcellent replied to NRSKarenRN's topic in Hospice, Palliative

    Families are always like herding cats. I try to figure out the one most likely to have a hard time healing the heart and I put that one in charge of something. Sometimes I ask them to check the...

  4. What to do??????????secretions.....

    BeExcellent replied to AtlantaRN's topic in Hospice, Palliative

    Personally, I do discourage suctioning and yes, really many, of not most, of the things we do is for us and the folks. When I carefully and s-l-o-w-l-y review the contents of the comfort kit, day 1...

  5. What to do??????????secretions.....

    BeExcellent replied to AtlantaRN's topic in Hospice, Palliative

    I think of Indiana Jones saying, "It had to be snakes." Nothing worse than juicy secretions. "It had to be

  6. What to do??????????secretions.....

    BeExcellent replied to AtlantaRN's topic in Hospice, Palliative

    Hang in there. Hospice is often much more art than science. If pt did better after you suctioned then that is that. Pt was better. It is so hard to be new in hospice because you develop what you...

  7. Managing symptoms for a �good death�

    BeExcellent replied to NRSKarenRN's topic in Hospice, Palliative

    The hospice art is being able to ascertain who is dying and who is still working toward dying and offer succor as appropriate. Decreased LOC, terminal agitation, audible respiratory secretions and...

  8. Managing symptoms for a �good death�

    BeExcellent replied to NRSKarenRN's topic in Hospice, Palliative

    Micheal and all, the daughter didn't say anything about a dream. In fact, it wasn't as wonderful as it sounded. Daughter woke up with a start and without even looking at her Mom yelled "I killed...

  9. Managing symptoms for a �good death�

    BeExcellent replied to NRSKarenRN's topic in Hospice, Palliative

    River1951 I have been "under the bed" myself. I was sorry to read about your co-worker. That stinks. That is what makes truthful hospice such a challenge to us. We don't work hospice. Hospice...

  10. Managing symptoms for a �good death�

    BeExcellent replied to NRSKarenRN's topic in Hospice, Palliative

    The point being that it really is the dying person and their personal dance with death. It isn't about a mediction. I usually ask pt and family what they think will help and whatever they suggest...

  11. Hospice Pharmacia- wounds

    BeExcellent replied to nurselearner's topic in Hospice, Palliative

    Sorry, I don't know about THIS service. I did talk to a wound care rep recently, though and he was all for selling us very high end products i.e. silver impregnated stuff, cell growth promoter.....

  12. Recommended Reading for Hospice Nurses

    BeExcellent replied to introspectiveRN's topic in Hospice, Palliative

    To reconnect back to pt involved death journey. (Not just meds, meds meds) Read early Ram

  13. Managing symptoms for a �good death�

    BeExcellent replied to NRSKarenRN's topic in Hospice, Palliative

    Sorry I haven't read each and every entry here but I agree with Req_Read posting way back in 11-06. I very much miss the very real and dignified process of conscious transition to death that included...

  14. Hospice Calls when I'm NOT on Call

    BeExcellent replied to AtlantaRN's topic in Hospice, Palliative

    Is this a start up hospice? If so, no matter what is promised you will be the "go to " nurse for everything at any time. You probably won't be let go if you protest but but then the not so subtle...

  15. How many pts do you care for?

    BeExcellent replied to FrankieJane's topic in Hospice, Palliative

    AAhhh. I always feel better about my job when I come back to the hospice forum. I had sustained a high census over the holidays (15-19). That's to be expected in hospice. People are sicker, more...

  16. The Worst

    BeExcellent posted a topic in Hospice, Palliative

    Just when I thought I had experienced most everything..... I had a pt have a miserable time before death because of a dosage error in a infusion pump. Instinct told me the dose was wrong and indeed...

  17. Help with Sarcoma Wound - Warning, graphic description!

    BeExcellent replied to Wildbriar's topic in Hospice, Palliative

    An "old school" hospice nurse turned me on to a product called Icthammol 20% ointment. I have never seen a wound product work better including the silver impregnated products and the granulation...

  18. nebulized ms

    BeExcellent replied to doodlemom's topic in Hospice, Palliative

    Hey Old coot and Doodlemom. Long time no post. I just read a blurb about neb MS and it basically said efficacy was variable at best, BUT the comment made about what the pt/family THINKS is important....

  19. courses online for Hspice Case Mngmnt

    BeExcellent replied to RNDYN2CU's topic in Hospice, Palliative

    Just reading your schedule made me out of breath. I had an opportunity to have a team "partner" but I declined. I watched a co-worker have a melt down when she was looking at a huge case load and a...

  20. What's the difference?

    BeExcellent replied to req_read's topic in Hospice, Palliative

    Interesting and thoughtful. i just finished reading a group of essays on the meaning of death to the pt, the nurse, the family and loved ones. One essay focused in on the degree of control the people...

  21. What's the difference?

    BeExcellent replied to req_read's topic in Hospice, Palliative

    How do you respond? I am not always quick to intervene with mild restless that seems to come from some mental or emotional "work". I think, too, we really do try to interpret too much. Lovely man...

  22. So, pick one already!

    BeExcellent replied to brainnurse's topic in Hospice, Palliative

    Tough decision. Here's the skinny. All will have good and bad points. The superviser u like may change jobs and King Kong takes his place. At Hospice A u start out with a light case load and...

  23. What's the difference?

    BeExcellent replied to req_read's topic in Hospice, Palliative

    Is it important what is spiritual and what is religious as long as we hospice nurses don't confuse our issues with theirs? I have seen many in that private moment of release from life. The mother...

  24. on call nightmare

    BeExcellent replied to pixienurse's topic in Hospice, Palliative

    Of course that's just crazy. Those things happen when hospice's are run by bean counters. Fly little pixie,

  25. Temp and dying....

    BeExcellent replied to luvmy2angels's topic in Hospice, Palliative

    O, i forgot 'til just now. Someone gave a 'temp tip" a few months back to use peppermint soap spongebath to bring temps down. I found peppermint soap at healthfood store and peppermint lotion...