Allow Mystery

Latest Activity

1. Managing symptoms for a �good death�

   Allow Mystery replied to NRSKarenRN's topic in Hospice, Palliative

   Thanks zenman, interesting philosophy! May you recommend some 'further reading' on Shaminism and more particular "death rites". As a Hospice Nurse, I have developed my own philosophy, and "spiritual...

2. New to Forum & Hospice

   Allow Mystery replied to grbrico1's topic in Hospice, Palliative

   Keep the LOL's! Best

3. Hospice Inpatient Unit

   Allow Mystery replied to Rnmomajmj's topic in Hospice, Palliative

   In reviewing these older postings, I'm getting many

4. inpatient hospice facility question

   Allow Mystery replied to MT RN's topic in Hospice, Palliative

   Hi all, I'm contemplating working in-patient as opposed to out-patient case management. I've been advised that working in-patient may entail up to an 8 patient load with a CNA, and acuity will not...

5. Managing symptoms for a �good death�

   Allow Mystery replied to NRSKarenRN's topic in Hospice, Palliative

   I apologize for my blanket criticism of Msws and Chaplains in a previous posting, obviously I had a bad day. I, too, appreciate the team concept of Hospice, and I've seen good outcomes as a result....

6. Congestive Heart Failure

   Allow Mystery replied to Monica Zilko's topic in Hospice, Palliative

   no signs of constipation .... what signs are you looking at have you done a rectal

7. Comfort / E-Kit Contents

   Allow Mystery replied to AtlantaRN's topic in Hospice, Palliative

   standard kits here; thorazine, vistaril, scopalamine

8. Managing symptoms for a �good death�

   Allow Mystery replied to NRSKarenRN's topic in Hospice, Palliative

   Hey finn I'm with you about these msws', I find them as useless as tits on a bull; they want the cush; info visits when they can assure that the nurse will be available at their beck and call; please...

9. Fentanyl Patch

   Allow Mystery replied to Brightonrn1's topic in Hospice, Palliative

   Recommended Initial Dose Conversion to Duragesic Patch (Jansen-Ortho 2006) 25 ug patch = 60-134 total oral morphine daily dose Many Fentenyl lawsuits out there for overdosing. Best

10. Fentanyl Patch

    Allow Mystery replied to Brightonrn1's topic in Hospice, Palliative

    Not to be disagreeable, but not wanting anyone to be misinformed. You may wish to check with yor pharmacist/MD for equivalency of morphine with fentenyl 12 mcg. Best

11. Fentanyl Patch

    Allow Mystery replied to Brightonrn1's topic in Hospice, Palliative

    Yes, I too have seen this reaction to a Fentenyl patch. I suggest you stop the patch and see if the patient perks up. The 12 mcg patch is equivalent to approx. 40-55 mg of morphine/day. Best

12. Managing symptoms for a �good death�

    Allow Mystery replied to NRSKarenRN's topic in Hospice, Palliative

    Dear Req_read My condolences on the death of your father, thank you for sharing your intimate thoughts and feelings, your self awareness is extraordinary Dear finn11707 I'm sorry for your stress with...

13. TPN in hospice setting?

    Allow Mystery replied to AtlantaRN's topic in Hospice, Palliative

    Admitted a pt on TPN against my objections (no other hospice would take pt and mgmt thought would be good PR). The day I admitted I gave two week notice. Pt suffocated with fluid and died the night...

14. Pancreatic Ca and Nausea

    Allow Mystery replied to SCgirl1962's topic in Hospice, Palliative

    Leslie, You mention sc continuous infusion; what medication do you use for the infusion?

15. new nurse- hospice case manager

    Allow Mystery replied to weavrvirgorising's topic in Hospice, Palliative

    They're testing you, draw your line in the sand and don't let them across. Best