river1951

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1. LVNs in hospice

   river1951 replied to river1951's topic in Hospice, Palliative

   Thanks to you all for your helpful replies.

2. LVNs in hospice

   river1951 posted a topic in Hospice, Palliative

   Hi, We are evaluating how adding LVNs to our staffing could help stretch our RNs. Since we have no experience, if I could hear from anyone who uses LVNs this way it would be very helpful. Thank you in...

3. Question about fentanyl patch

   river1951 replied to sukichaz's topic in Hospice, Palliative

   As far as utilazation goes, the patient who revokes loses the rest of that benefit period, which is fairly meaningless since there is no limit on numbers of benefit periods. You have to find a good...

4. symptom management for dummies

   river1951 replied to captain morgan's topic in Hospice, Palliative

   People who have pain can have high pain and still talk- some folks will always rate their pain as a 10. But we still must treat- I would use immediate release morphine elixir and have them give him...

5. methadone therapy for cancer pain?

   river1951 replied to ceelynncee's topic in Hospice, Palliative

   Methadone can work very well for cancer pain. Best of luck to you and your brother.

6. March 17, 2007 CHPN exam

   river1951 replied to chris_at_lucas_RN's topic in Hospice, Palliative

   It is the certification in hospice and palliative

7. March 17, 2007 CHPN exam

   river1951 replied to chris_at_lucas_RN's topic in Hospice, Palliative

   Way to go all of

8. hospital admissions

   river1951 replied to hcan's topic in Hospice, Palliative

   It sounds ridiculous and stupid, if I understand you correctly. So they are transferring the patient to the inpatient hospice unit to preserve their stats? I get their rationale, but their hearts must...

9. What does it mean...

   river1951 replied to jerseyRN's topic in Hospice, Palliative

   Yes, it is different things to different people, sorta like the parable about the blind men and the elephant. For me, it is about letting folks know they do not walk alone, and then being there for...

10. I'm getting ready to grad. from the nursing program in 2 weeks and i need your help

    river1951 replied to weatherby's topic in Hospice, Palliative

    do you feel powerless, strongest no 5-4-3-2-1 i can't solve the problem so i feel powerless 5-4-3-2-1,strongest no i feel overloaded 5-4-3-2-1 3 my job interferes with my personal life 5-4-3-2-1 4...

11. Patient doesn't tell she is getting cataract surgery

    river1951 replied to AtlantaRN's topic in Hospice, Palliative

    This is totally unrelated to her hospice diagnosis, so I'm pretty sure hospice would not be billed for it. Medicare sshould still cover it, just as it would any other unrelated diagnosis.

12. Managing symptoms for a �good death�

    river1951 replied to NRSKarenRN's topic in Hospice, Palliative

    Michael et al, Fatigued with it, I know was being a wise butt being fatigued with human nature- it is very limiting. That of course is why we just need to help each other along thru this difficult...

13. Question about dyspnea

    river1951 replied to sukichaz's topic in Hospice, Palliative

    "Your hospice should not be revoking the patient during this procedure. It is related to the patient's comfort and should be paid for by your hospice. The procedure is not that expensive and should...

14. Managing symptoms for a �good death�

    river1951 replied to NRSKarenRN's topic in Hospice, Palliative

    Point well made. I am so simplistic, that at times I have thought the lack of caring equals lack of being able to put yourself in another's place, not the denial you will ever be in that place...

15. Palliative sedation position paper

    river1951 replied to IDidIt2007's topic in Hospice, Palliative

    Over medicated? If she had no symptoms. I don't understand why any hospice nurse would medicate. So you will have to tell me more so I can understand what you mean. Hospice doesn't mean medicating...