smalltownLVN RN

smalltownLVN has 24 years experience as a RN and specializes in Psychiatry, geriatrics, hospice.

Latest Activity

1. Pt cant forgive...

   smalltownLVN replied to smalltownLVN's topic in Hospice, Palliative

   Update: somehow we were able to work through all of his issues and he and his wife regained the closeness they had lost years before. They were able to spend his last weeks together in a way they...

2. Pt cant forgive...

   smalltownLVN replied to smalltownLVN's topic in Hospice, Palliative

   Thanks for all the advice, guys. He, of course, refuses the chaplain and it's not a topic that he feels comfortable talking about with someone he isn't close to. Luckily, I was able to muddle through...

3. Pt cant forgive...

   smalltownLVN posted a topic in Hospice, Palliative

   I have a pt that I have grown close to both he and his wife. Physically, I have gotten most of his symptoms relieved. The main problem is the emotional issues. My pt and spouse are only in their early...

4. Attending Dr not on board with hospice meds...

   smalltownLVN replied to smalltownLVN's topic in Hospice, Palliative

   We have an oncologist that refuses to give terminal dx! He says we will put you on hospice to get pain under control then restart your treatment knowing full well they will never last that long. So...

5. Attending Dr not on board with hospice meds...

   smalltownLVN posted a topic in Hospice, Palliative

   Does anyone else have an issue with pts attendings wanting to stay on but not educated on hospice meds for comfort? It is so frustrating at times to care for pts that you know a med would help them...

6. Question about the FAST scale

   smalltownLVN replied to amagicalmind's topic in Hospice, Palliative

   That does make it hard but also remember just because they can say their name doesn't mean they are oriented x 1. That is a conditioned response they have answered all their

7. It shouldn't have happened this way....

   smalltownLVN replied to nerdtonurse?'s topic in Hospice, Palliative

   I have to admit I am thankful I know nothing about the billing aspect of hospice except that our patients do not pay for our services out of pocket. However, our hospice has our aides provide care...

8. Patient refusing Hospice

   smalltownLVN replied to jammycakesRN's topic in Hospice, Palliative

   My suggestion is to visit with a few hospice companies yourself for info and present it to the pt and family so they can make an informed decision. Let them know it's hard to think about going that...

9. It shouldn't have happened this way....

   smalltownLVN replied to nerdtonurse?'s topic in Hospice, Palliative

   I'm sorry that you have obviously had bad experiences with hospice in the past. I have been a mental health nurse for 8 1/2 years and just recently changed to hospice RN case manager 3 weeks ago. I...

10. Stay with a job for the money?

    smalltownLVN posted a topic in Nursing Career

    I have been a nurse in mental health for past 8 1/2 years. Last year I went back to school to get my RN. While in school, I remembered what it felt like to be a nurse for physical health reasons. I am...

11. Need Info on LVN to Scrub Nurse Certs

    smalltownLVN posted a topic in Texas Nursing

    ]Hi! I am new to this site and would really like some advice. I am currently a nurse in a psychiatrist office and have been here for 3 1/2 years. I am no longer challenged and would like to change...