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We usually try Haldol 5mg sub q every 2 hours prn and every 4 hours routinely. Ativan sometimes helps as well. Good luck..

I have3 recently had to patients with fungating tumors. Metrogel, applied sparingly BID works wonders with the odor and sometimes helps to decease the drainage. For heavy drainage I like alginate pad, covered with 3m' tegagen with the foam center. Can be left inplace longer and is really absorbent I agree these are horrible and unhealable woundws

i've been a nurse for almost a decade and i can truthfully say, i'm a nurse from the heart. after 7 years in a snf i've now gone to hospice nursing, one of the most rewarding and satisfying things i've ever done in my life. the pay is great but money isn't everything. unfortunately here in south florida there seems to be a dearth of nurses who are only in it for the paycheck!!! especially in ltc. have to say tho, the people i work with in hopice all work from the heart.

Medicare regs require a visit once every 14 days or you are out of compliance. If you make attempts to contact and/or visit unsuccessfully, you must document this.

Dying patients frequently see people that are no longer living, as a hospice nurse and previously in geriatrics, I've seen it alot. I find it comforting that someone is waiting for us when we cross over.