eternalsunshine

eternalsunshine

Oncology, Palliative care

Member

  • Content

    162

  • Visitors

    3,939

  • Followers

    0

  • Likes

    2

All Content by eternalsunshine

  1. Hospice/Palliative care nursing certification

    eternalsunshine replied to Melnee's topic in Hospice, Palliative

    Hi Melnee I have to agree with Oceansunset on this, I have been a Hospice & Palliative care RN for a number of years, both in the UK & USA. This is not an easy exam & I recommend that you...

  2. fungating facial wound

    eternalsunshine replied to NC29mom's topic in Hospice, Palliative

    Oh my gosh, poor lady, must be so awful for her What about using some Vaseline gauze? i had the exact same problem with a fungating wound on a leg recently, and it was causing it to bleed when...

  3. fungating facial wound

    eternalsunshine replied to NC29mom's topic in Hospice, Palliative

    Could you use a topical opioid? I have used these in the past with very good

  4. management of bone ca pain

    eternalsunshine replied to aging1's topic in Hospice, Palliative

    I currently have a patient who I have had ongoing challenges with managing bone pain. He is now on Decadron along with scheduled Methadone which appears to be

  5. Hiccups, Hiccups and more Hiccups!!

    eternalsunshine replied to Sweeshynurse's topic in Hospice, Palliative

    Prochlorperazine and Chlorpromazine can also be used

  6. Roxanol/Ativan cocktail

    eternalsunshine replied to ajitamamasita's topic in Hospice, Palliative

    I get a little concerned when I hear nurses doing this, my first point would be, when you assess the patient (particularly if they are non verbal or minimally responsive), are they agitated or anxious...

  7. Anyone read the new book by Ira Byock?

    eternalsunshine replied to Vtachy1's topic in Hospice, Palliative

    Wow, Atul Gawande's article is very long but interesting! There is one statement in there that stood out for me: "You live longer only when you stop trying to live longer". I will be checking out that...

  8. ABHR topical

    eternalsunshine replied to Vtachy1's topic in Hospice, Palliative

    As one of the posters points out, the evidence is mixed. I think there are other factors which depend on its absorbency, skin type, diaphoresis etc. Also I was once told that it is carried in a...

  9. inpatient hospice nurse/pt ratio

    eternalsunshine replied to clite's topic in Hospice, Palliative

    I work as an RN in an In patient unit. I have six patients, with one CNA who works with

  10. hospice RN certification

    eternalsunshine replied to weavrvirgorising's topic in Hospice, Palliative

    Jonga, many thanks for the recommendations :) Have got the first 3 you list, but have not heard of the handbook for Mortals so will check that one out. Thank you!

  11. waiting for a train when dying

    eternalsunshine replied to angila1's topic in Hospice, Palliative

    Angila, so sorry to read your story I highly recommend the book "Final Gifts", it talks a lot about how patients nearing the end of life use symbolic statements such as your father did. I had a...

  12. hospice RN certification

    eternalsunshine replied to weavrvirgorising's topic in Hospice, Palliative

    jonga, can you recommend any good books you read? I am always looking out for new reads

  13. Need info on Butter soft scrubs

    eternalsunshine replied to OMJNURSELVN's topic in Scrubs, Uniforms, Gear

    I have two pairs of these scrubs and would say that their sizing is pretty accurate

  14. PO meds can be given rectal?

    eternalsunshine replied to rnbackagain's topic in Hospice, Palliative

    I recently had to give a patient Methadone rectally. he had an order for this in case he began to experience Dysphagia, which he did. The rectal dose was lower than the oral dose & our Medical...

  15. Pedal Pulse

    eternalsunshine replied to nsgstudent007's topic in Nursing Student Assistance

    I know this is an old post, but for any other newbie nurses who are looking to find answers to this question, here is a great video!

  16. appetite stimulants in hospice

    eternalsunshine replied to dalmos's topic in Hospice, Palliative

    I think it depends on the patient and if they actually want to eat. Toward end of life, giving food can actually cause more discomfort with bloating, cramping etc. The body does not need food at this...

  17. Lip care for patient on oxygen

    eternalsunshine replied to MissIt's topic in Hospice, Palliative

    I second the olive oil, that is what we use. I also love Burt's Bees - fabulous

  18. Extreme anxiety

    eternalsunshine replied to Vtachy1's topic in Hospice, Palliative

    Fentanyl patch seems like a strange way of pain control for someone nearing end of life in Hospice . I would definately look at switching this in case this is causing the problem. I wonder if a PCA...

  19. Mesothelioma pt.

    eternalsunshine replied to ajitamamasita's topic in Hospice, Palliative

    I think education is a big thing here, there is so much negative portrayal of opioid type drugs etc in TV programmes etc. that people seem to assume that they will become an addict if they take it. I...

  20. How to.....

    eternalsunshine replied to whereisrebecca's topic in Hospice, Palliative

    here it is, just click on the link to open up the Handbook: http://www.nbchpn.org/DisplayPage.aspx?Title=Candidate%20Handbook Check out the sample questions for the RN on page 24. You will see that...

  21. How to.....

    eternalsunshine replied to whereisrebecca's topic in Hospice, Palliative

    I am looking at taking the exam sometime later in the year, but I do have Hospice & Oncology experience. I chatted with a Hospice DON about this qualification; she told me she recommended to all...

  22. OMG! My relief staff keeps pushing the "Coming to Jesus" fact..

    eternalsunshine replied to SoCalRN1970's topic in Hospice, Palliative

    Wow! I am shocked too!! I don't blame you for being miffed! , I think I would be too! Do these two nurses report to you? I think they perhaps need to do a refresher course on what compassionate...

  23. Routine meds for hospice use

    eternalsunshine replied to trodden's topic in Hospice, Palliative

    I am curious to note that you all refer to drugs by their trade name rather than the generic name. Is that the common practice in the

  24. Average Hospice NP pay per visit

    eternalsunshine replied to v1cky84's topic in Hospice, Palliative

    wow that sounds like a good pay to me. But I guess it depends on how many visits per day, if its only 2 visits per day, that's not great! And also are they taking in to account that you are a

  25. Getting into hospice nursing

    eternalsunshine replied to mlisk589's topic in Hospice, Palliative

    Eagle, congrats first on being a survivor! You will be in a far better position than most nurses when it comes to the empathy, as you have been there yourself, so you can truly and genuinenly...