marjoriemac

marjoriemac LPN

nursing home care

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All Content by marjoriemac

  1. coping with end of life care and a full LTC caseload

    marjoriemac replied to adrienurse's topic in Geriatric, LTC

    We have regular training courses with local hospices to promote palliative care in our care homes. The nurses in the hospice even recognise that palliative care is about more than cancer, and for...

  2. Families!

    marjoriemac replied to marjoriemac's topic in Geriatric, LTC

    Had a family today whose mother play acts when they come in, no doc so far has found anything wrong with her. Daughter phones today to complain she is still in pain (only when family are in!) and then...

  3. Families!

    marjoriemac replied to marjoriemac's topic in Geriatric, LTC

    I know but when you know your place is real good you wish you could get it into the heads of these families that some places are real

  4. What a life...

    marjoriemac replied to amanda1229's topic in Geriatric, LTC

    I think there comes a time when families need to let go and allow their loved ones to pass in a peaceful and dignified manner. I believe that everyone has 'their time' and there is nothing worse than...

  5. Good Activity Staff

    marjoriemac replied to fultzymom's topic in Geriatric, LTC

    There was a really good activity person in one home I worked. It was a religious home and as well as viditing rooms of residents to speak casually and about faith issues, she regularly done baking...

  6. TV in dementia unit

    marjoriemac replied to lilybean's topic in Geriatric, LTC

    My residents love the tv, you have to remember most of them would sit in front of the tv for hours if they were at home. They often show interest in the news and on naff chat shows (kind of like jerry...

  7. Is there a state rule on how to count narcotics?

    marjoriemac replied to Ms.RN's topic in Geriatric, LTC

    We have always had 2 nurses counting and verifying the amount of controlled drugs. Then both sign the book to

  8. How is this okay?

    marjoriemac replied to amanda1229's topic in Geriatric, LTC

    I think the rash should have been reported to the doc asap anyway as it was not a recognised past medical condition. Anyone with shingles should be in a seperate room and it is a common enough...

  9. Why Take A Bath, Change Clothes, etc.

    marjoriemac replied to NurseHotFlash's topic in Geriatric, LTC

    If she doesnt want to bath, you could suggest it as a treat (a la beauty therapy!) or just encourage a full wash down and take her to the hairdressers for regular hair care (also try dry shampoo). As...

  10. Just a question!!

    marjoriemac replied to gt4everpn's topic in Geriatric, LTC

    I would inform the GP but if patient feels ok then leave it with him. Perhaps check BP regularly for a week to see if the meds are the

  11. showers on nightshift and time for residents to get up in the morning?

    marjoriemac replied to FROGGYLEGS's topic in Geriatric, LTC

    We do not get residents up until at least 7am and even then they usually want to get u then. The majority of residents don't get up until 8am onwards, some stay in bed until 11am. Our night shift can...

  12. Feeding and toileting

    marjoriemac replied to SouthernLPN2RN's topic in Geriatric, LTC

    When you gotta go, you gotta go. Imagine being told to hold it in until old Betty (the slowest of all eaters) finishes her meal, I'd be suicidal! There should be enough staff to allow someone to...

  13. Most common wound care creams

    marjoriemac replied to April_LPN's topic in Geriatric, LTC

    Will probably confuse all you lot across the atlantic since drug names etc seem to differ BUT we use conotrane, sudacrem, cavillon most

  14. Who Takes Care of Things that Happen at Shift Change? (long and chatty)

    marjoriemac replied to flashpoint's topic in Geriatric, LTC

    I guess at handover, the nurse doing the next shift will usually end up dealing with any incident unless the nurse going home is feeling really nice that day. It sounds terrible but I have known...

  15. Drug Screening

    marjoriemac replied to Inquisitive one's topic in Geriatric, LTC

    Never heard of a facility doing drug screening, I think they would have a hard time introducing

  16. Feeding Residents

    marjoriemac replied to pat8585's topic in Geriatric, LTC

    It takes as long as it takes. Just remember that reheating hot food too many times is not good, try a plate warmer to keep food warm for longer. Try prompts, make sure the resident likes the food, try...

  17. Alzheimers and cancer

    marjoriemac replied to momcat107's topic in Geriatric, LTC

    Perhaps the kicking etc may be because of

  18. Please Reply. I Need Your Input

    marjoriemac replied to sister--*'s topic in Geriatric, LTC

    The least number I have worked on night duty is 1 nurse, 1 carer for 15 30 residents and it was

  19. 3-11 shift any suggestions on how to change?

    marjoriemac replied to JentheRN05's topic in Geriatric, LTC

    Just started my new job, after moving around a bit the past few months. I think I'm gonna stay put! The late shift (4-10) is quiet and plenty of time with the residents. The early shift (7-4) not too...

  20. Do you have time to cut diabetic toenails?

    marjoriemac replied to Blackcat99's topic in Geriatric, LTC

    Fully agree, podiatrist only allowed to cut diabetic toe nails over here in UK although in saying that our local podiatry team are so bad, you are lucky if they come out once a

  21. PICCs in LTC

    marjoriemac replied to CritterLover's topic in Geriatric, LTC

    Wow, never seen PICC lines used in care homes over here! We would def need in house training first, but then again we rarely even use subcu fluids never mind IV ones over

  22. Thinking of LTC

    marjoriemac replied to mamamccoy's topic in Geriatric, LTC

    Go on, join the LTC community! It is rewarding and you get to use your own brain (not a docs!) and interpersonal skills! Weekends are good to work as they are more laid back but it's not as easy to...

  23. Bed rails up only during bedside care = restraint?

    marjoriemac replied to zooz's topic in Geriatric, LTC

    Bed rails are a hot issue over in the UK just now. All bed rail use must be care planned and family sign authorisation. In UK many homes are changing to beds with built in bed rails too as opposed to...

  24. New grads in your workplace?

    marjoriemac posted a topic in Geriatric, LTC

    Hi, Just out of sheer curiousity, how many of your nurses are newly graduated (say up to 2 years after graduating as a fully fledged angel!). I am 5 years graduated but always worked in long term care...

  25. Charting Time of Death

    marjoriemac replied to SouthernLPN2RN's topic in Geriatric, LTC

    Yeah most times someone has died in homes I have worked, the nurse would proclaim the TOD. Doc would come to verify but that isn't always quick, so he usually writes TOD on his documentation as when...