catlvr

catlvr

Geriatrics, Hospice, Palliative Care

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All Content by catlvr

  1. Some advice on morphine admin

    catlvr replied to pharmgirl's topic in Hospice, Palliative

    Metastatic bone cancer = pain pain pain. Thank you for caring out the order, and relieving this poor gentleman, since that was his wish. I, too, have been considering hospice, and am so grateful...

  2. Common LTC no-no's (part vent, part question)

    catlvr replied to Zergasaurus's topic in Geriatric, LTC

    Finallydidit, if I could give you 100 kudos for this post, I would! LTC is full of dilenmas, and staff is often too short to do the right thing *every time*. Our facility is pretty good - we've got...

  3. Is this fraud?

    catlvr replied to adlockwood's topic in MDS Coordinator Information

    We've had several short term rehab patients bring their own supply of oral chemo meds...I didn't know that it might be a problem. Often, they are in for reconditioning after another unrelated event...

  4. Why is the fact that we CAN'T DO IT not relevant?

    catlvr replied to abooker's topic in LTC: Directors, Assistant

    I work a hall mixed ltc and short term rehab, and do pretty much what CapeCodMermaid said (wish that I worked for her - what a fantastic DON!): when they come in, I take bp before the med and record...

  5. What have other nurses done that have freaked you out?

    catlvr replied to texas_lvn's topic in General Nursing

    Not sure if this qualifies as the scariest, but maybe it does because it made me so angry, I was probably scary to be around: we had a respite hospice patient for two weeks; he had advanced dementia,...

  6. Aspiration: Help request

    catlvr posted a topic in Geriatric, LTC

    Hi, I work in LTC, and we have a gent with advanced dementia (full code, *sigh*) who we suspect has been aspirating on his puree food and honey thick liquids. He coughs when eating, but remains...

  7. When a patient dies

    catlvr replied to Michelle123's topic in Hospice, Palliative

    Hi Michelle, I work in LTC/subacute 3-11, and am probably pretty inappropriate with my last rounds - I tell all of my residents that I love them, and if they are open to it, I give them a kiss on the...

  8. Terminated from 1st job :(

    catlvr replied to *Blessed2BaNRS*'s topic in General Nursing

    Ugh, it sounds like a nightmare shift, and we've all had them. I'm a bit disgusted that your charge nurse didn't take any of the flack for this. I agree - get an attorney review. Do you have...

  9. Aspiration: Help request

    catlvr replied to catlvr's topic in Geriatric, LTC

    Yes, speech is involved and they just shake their heads. Unfortunately he is not responsive enough to chin tuck or double swallow. *sigh* I'm grateful for the ideas and the empathy, and will...

  10. Great article on hospice/end of life

    catlvr posted a topic in Geriatric, LTC

    This is one of the best articles that I've read in a looong time: Hospice medical care for dying patients : The New Yorker (I hope that the link works). I am a relatively new nurse (almost three...

  11. Aspiration: Help request

    catlvr replied to catlvr's topic in Geriatric, LTC

    Thanks, Suesquatch. It sounds like we're doing everything except the "no ship" protocol. I check his temp at the start of my shift and again before bed, and give a breathing treatment after dinner...

  12. Aspiration: Help request

    catlvr replied to catlvr's topic in Geriatric, LTC

    Hospice would be terrific; staff would be happy with palliative care...but the family is adament: NO. NO. NO. Nothing but a full code for fear that we will just "let him die". Every type of...

  13. Aspiration: Help request

    catlvr replied to catlvr's topic in Geriatric, LTC

    Yes, much better people than I have done so! The wife is adamant that the problem is that we feed him too large of mouthfuls of food; that may be partly because a few weeks ago, her daughter fed him...

  14. Great article on hospice/end of life

    catlvr replied to catlvr's topic in Geriatric, LTC

    It has given me so much to think about, not just professionally (I'm an LPN and work in LTC, and am always amazed at the number of residents with severe dementia or multiple serious health conditions...

  15. PGH nurses...Please help LTC question

    catlvr replied to CoffeeRTC's topic in Pennsylvania Nursing

    Hi Michelle, I hope to move back to Pittsburgh (from Philadelphia) in the next six months or so, and have the same questions as you. Did you get any help? I like my current facility (it is owned by...

  16. Questions for Veteran LPN's..

    catlvr replied to PfromFL's topic in LPN, LVN Corner

    I work in a skilled nursing facility, side by side with RNs. We do the same thing in this setting, with the exception of central lines (our facility does not hang blood). I'm fortunate that they all...

  17. Work bag, suggestions?

    catlvr replied to RNJRA's topic in Scrubs, Uniforms, Gear

    I have a Lesportsac Everygirl shopper; just love that bag (I also have the Everygirl Deluxe in the same print for overnight trips). Lesportsac bags are a bit pricy, but they last forever and look...

  18. Who has completed "College Network" LPN to RN?

    catlvr replied to SmartyRN's topic in Excelsior College

    Hi, Newlpn, I'm slowly slogging my way thru LPN-RN using TCN. And while i was aware before I started that I could probably do the program without a service like TCN or Rue, I signed up specifically...

  19. My first ranting

    catlvr replied to tokebi's topic in Geriatric, LTC

    Tokebi, took me a bit of time to finish this thread, but may I say how inspired I am by the graceful way that you handled yourself? We all take shortcuts (the insulin thing I would never consider,...

  20. Longterm care nightmare job

    catlvr replied to Vonique's topic in Geriatric, LTC

    It is a mystery, how some people manage to sleep at night. How can your brain rest while you know that you are lying, cheating, stealing, and mistreating your patients? HOW? I hope that if I ever...

  21. Longterm care nightmare job

    catlvr replied to Vonique's topic in Geriatric, LTC

    I am sorry that you (and so many other people) are in such bad situations. I am really sorry for the residents who have to endure such bad care, but that's another story. Definately do what others...

  22. So I made a med error....

    catlvr replied to blessedmomma247's topic in Geriatric, LTC

    I'm sorry that you made the med error, but please - pat yourself on the back for recognizing it and taking the proper action. (I'm assuming that the patient is okay, or you would have told us that.)...

  23. Why aren't nursing homes doing 12 hour shifts???

    catlvr replied to GRAB1's topic in Geriatric, LTC

    I'd LOVE 12 hour shifts as well! I work 3-11, and never get to see my "regular" friends anymore. I think that starting at noon - midnight would be a terrific shift, and make a pretty fair share of...

  24. feel incomplete b/c I never worked in hospital.

    catlvr replied to smartnurse1982's topic in Nursing Career

    I've been an LPN for almost three years (yipes!) and had hopes of being the rare one who could find a hospital job - so that I could learn. I work in subacute/ltc, and have learned quite a bit, but...

  25. New LPN to LTC need organizational tips

    catlvr replied to Brookenicole84's topic in LPN, LVN Corner

    I have a cllp board with assorted "cheat sheets", commonly used forms (neuro checks - ugh, etc) and my report sheet - and the report sheet is where I keep all pt info. If someone tells me that a...