EmptytheBoat

EmptytheBoat

Med-Surg, Rehab, MRDD, Home Health

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All Content by EmptytheBoat

  1. Palliative sedation position paper

    EmptytheBoat replied to IDidIt2007's topic in Hospice, Palliative

    I'm not sure I buy into the palliative sedation concept, and I believe that such a concept may be misused and misconceived. My hospice experience, both personally and professionally, has demystified...

  2. What to do??????????secretions.....

    EmptytheBoat replied to AtlantaRN's topic in Hospice, Palliative

    Linda, you did well, suctioning with a yanker should be routine to clear oral cavity of excess

  3. Managing symptoms for a �good death�

    EmptytheBoat replied to NRSKarenRN's topic in Hospice, Palliative

    thanks for sharing your story earle58;and it brings this thread full circle; re: managing symptoms for a "good death". you managed the patient's symptoms (with medication) and allowed him to...

  4. Time spent at visits and other things!

    EmptytheBoat replied to mc3's topic in Hospice, Palliative

    I'm with the others, your Doc is slow on the medication. Roxanol 20mg/ml may give a ml q 1 hour, Roxanol has a much shorter life than q 4 hours. Ativan 1 mg q 4 hours usually works for me, and this...

  5. Is it always better to die at home?

    EmptytheBoat replied to Jo Dirt's topic in Hospice, Palliative

    Thanks Sabby, I've not run across much cultural diversity in my Hospice career. Agnosticism, but not much

  6. What to do?

    EmptytheBoat replied to AtlantaRN's topic in Hospice, Palliative

    AtlantaRN, you did well, you explained what Hospice could do in the home, you backed away to allow the patient and husband to discuss, you spoke to your mentor about options, and you plan to followup...

  7. Is it always better to die at home?

    EmptytheBoat replied to Jo Dirt's topic in Hospice, Palliative

    motorcylce mama, I'm sorry if you took my reply(s) as an effort to impress my beliefs on you or others. I'm sharing my personal opinion, I believe this is what this forum is about. I'm a Hospice...

  8. Is it always better to die at home?

    EmptytheBoat replied to Jo Dirt's topic in Hospice, Palliative

    Ilg, as I read your post it is apparent to me that your mother did die at home. Home, as I refer to in my posts, is not necessarily a physical address, but home is wherever thy heart lies. God

  9. Is it always better to die at home?

    EmptytheBoat replied to Jo Dirt's topic in Hospice, Palliative

    Well, motorcycle mama, stick with your home health, Hospice wouldn't be for you. I hope you peace up under a

  10. Is it always better to die at home?

    EmptytheBoat replied to Jo Dirt's topic in Hospice, Palliative

    Dear earle58, I know of no ideal situation when if comes to end-of-life. I know you don't believe in capitalization , so please forgive me my anal-attentive reply. Let's see how you feel in 20-30...

  11. Is it always better to die at home?

    EmptytheBoat replied to Jo Dirt's topic in Hospice, Palliative

    Dear Zena231, I acknowledge your personal preference, was not dying at home your mother- in-law's prefernece? Was she surrounded by loved ones in a private room when she died at the hospital? Are we...

  12. Is it always better to die at home?

    EmptytheBoat replied to Jo Dirt's topic in Hospice, Palliative

    Ilg, Per Sabby_NC, and cultural differences, I apologize for not allowing the opportunity for you and Sabby to expound. What culture(s) are we speaking of? Please share with us cultural differences....

  13. Is it always better to die at home?

    EmptytheBoat replied to Jo Dirt's topic in Hospice, Palliative

    Dear Ilg, I respect cultural differences, my post was not in response to your posting, but was my viewpoint to answer the original post. My mom died last year of cancer, in her home, with my dad and...

  14. Is it always better to die at home?

    EmptytheBoat replied to Jo Dirt's topic in Hospice, Palliative

    When I first read the original post, I thought it may be a tester, especially since it was posted on the Hospice forum. I decided to sit back and see how others would respond. I was very surprised!...

  15. Managing symptoms for a �good death�

    EmptytheBoat replied to NRSKarenRN's topic in Hospice, Palliative

    req reader, I'm not sure where you want to get to, but obviously you are not getting there. You certainly have a right to your opinion and to share your experiences, but I don't think you should...

  16. Managing symptoms for a �good death�

    EmptytheBoat replied to NRSKarenRN's topic in Hospice, Palliative

    Thanks req red and earle58 for sharing your thoughts and experiences. I've only been in Hospice 3 years and still learning much. I've had patients that had very challenging symptoms i.e. pain,...

  17. Managing symptoms for a �good death�

    EmptytheBoat replied to NRSKarenRN's topic in Hospice, Palliative

    earle58 and req reader, clearly you are over my head and somewhere that I may be someday, but for now, you lost me with your rhetoric. Until I get to where you are, I'll continue to equate a "good...

  18. How to decide visit frequency?

    EmptytheBoat replied to twigmaster99's topic in Hospice, Palliative

    Ditto doodlemom! I have seen a flow chart/algorhythm for CNA/HHA visits, but not for nurses, and I'm not smart enough to even envision this being done. I make a weekly schedule and try to follow but...

  19. Managing symptoms for a �good death�

    EmptytheBoat replied to NRSKarenRN's topic in Hospice, Palliative

    I disagree with you on this one req read. This is an excellent article and much needed for Hospice nurses. They don't teach this in nursing school. I believe the goal of the Hospice nurse is to...

  20. LPN job despriptions

    EmptytheBoat replied to bornfree's topic in Hospice, Palliative

    Dear sunnilynn: You did not offend thee, I was just adding my thoughts about the team approach to Hospice, and the insignificance of titles. Take care and much success in your career. By the way, for...

  21. Managing symptoms for a �good death�

    EmptytheBoat replied to NRSKarenRN's topic in Hospice, Palliative

    Thank you for the

  22. LPN job despriptions

    EmptytheBoat replied to bornfree's topic in Hospice, Palliative

    I personally believe a CNA (HHA) may be the most important element of the team, and the most needed by patients and families. My biggest rewards in Hospice have usually been performing ADL's and...

  23. My experience with hospice

    EmptytheBoat replied to CityKat's topic in Hospice, Palliative

    Dear StudentNurseBean: Thank you for sharing, it's refreshing to read about your positive experience, nurse J is to be commended for taking the time to make sure of that and I hope you shared your...

  24. opiate withdrawal

    EmptytheBoat replied to medsurgnurse's topic in Hospice, Palliative

    If pt had long history of opiate abuse, opiates may not have been effective or appropriate. Methadone is frequently used in these cases with effectiveness, scheduled and prn for BTP, titrate scheduled...

  25. When do you need an order to increase dosage of med?

    EmptytheBoat replied to Libralady's topic in Hospice, Palliative

    Don't be so hard on yourself, it appears to me that you did an excellent job, you kept your patient comfortable and that's what matters. Most of the time the hospice physicians that I've dealt with...