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jr4jc

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  1. i challenge all--medical and not to look up online or in books and see haldols uses, side effects, precautions, overdosing, PDR or google haldol there are so many other GOOD choices for nausea and others for sedation i have seen haldol work well in 5 pt's in 10 years of hospice work, so YES i have seen it work well for psychosis--true psychosis i have seen it fail in hundreds of pt's and i am not exagerating--hundreds see what pt's should NOT take it according to the literature and i have heard a DR use the term medicationg the staff--which means medicating the pt to keep them quite and quit bothering the staff LOOK it up---LOOK it up sedation is a sign of overdose in most books
  2. haldol is often used in small doses for nausea with very good results. and sometimes in conjunction with other meds for nausea. abhr gel works great and rarely causes sedaton haldol in small doses can cause agitiation and confusion and hallucinations and can cause a pt to look like they have terminal agitation when they don't, and very few dr's and nurses back off the haldol when they see these side effects they decide it's terminal agitation and give more haldol or even stronger sedatives. haldol should not be used in pt's with low kidney and liver function--which is most hospice pt's terminal agititation; i have done hospice 10 years and have seen it less than 10 times and when it is seen NO ONE can tell you if it's source is physical or emtional or spiritual---if it is emotional or spiritual then you do the pt a huge injustice by sedating them instead of allowing them to deal with whatever they are NOT at peace with. if you are seeing it often then i would bet and be right that you also are using haldol
  3. my .02 you do not have enough experience, you will see lots of different Dz's and quite often multiple Dz's and your alone [if in a home setting]ie no one down the hall to ask, what is this contraption and how does it work OR what do you think is going on.... HOSPICE when you work it either is a fit or NOT. you are welcome to try it and see if it fits, but i think you will find your over your head.
  4. haldol is often used in small doses for nausea with very good results. and sometimes in conjunction with other meds for nausea. haldol in small doses can cause agitiation and confusion and and hallucinations and can cause a pt to look like they have terminal agitation, it also should not be used in pt's with low kidney and liver function--which is most hospice pt's that all said it is used TOO OFTEN in the hospice setting the thought may be ' so that the pt can die comfortably' but that is WRONG morally if it is premature hospice should be focused on the pt enjoying each day to the most they can, people who are NOT good at controlling symptoms may over react by using meds prematurley -- to MAKE the pt comfortable--when truth be told they are comfortable and don't need the medications the staff desire to give them. instead they should be allowed to enjoy every moment that is theirs. then when needed meds be adjusted for pain and suffering. if a pt recieves correct medications through the course of their Dz then there shouldn't be sudden increases in meds or new powerful meds that affect the pt negatively. FYI as most pt's die they need less narcotics not more because the liver function is diminished. sorry for you loss, and yes i think you have a reason to be posting here and wondering about the care. it is too easy to say that if a pt dies peacfully then it was a good death, this is WRONG if it is a premature death, one brought on at least in part by medication and staff desiring to treat what they think they see.

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