Allow Mystery

Allow Mystery

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All Content by Allow Mystery

  1. Care at the Time of Death

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

    Hello Michael, Merry Christmas! I've seen the Johnson & Johnson ad, although they do not run it much in my area. I'm not sure of their agenda, although I'd reckon they have one, most of these big...

  2. Medicare Probe

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

    I'm sorry I offended you. I have lived in the New Orleans area (Kenner/Northshore) for 50 years, worked in the Central Business District for 20 years, evacuated for Hurricane Katrina, and came back,...

  3. Medicare Probe

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

    Thank you Aimee, I hope you enjoyed The Big Easy (New Orleans). For you that have not been to The Big Easy, it is known for good food, jazz, Hurricane Katrina (which they'll never get over and quit...

  4. Medicare Probe

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

    Michael, I don't believe any of owners or administrators I've worked for in Hospice read this forum. I've mentioned comments/discussions from this forum numerous times, especially when trying to stand...

  5. Recommended Reading for Hospice Nurses

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

    I also saw the movie "Two Weeks", thought it to be an excellent portrayal of family/caregiving dynamics, which is so much a part of what we do. I was a little disappointed with the ending, I thought...

  6. Medicare Probe

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

    I agree, and the sooner, the

  7. How did you know hospice is for you?

    Allow Mystery replied to NurseFeelGood2005's topic in Hospice, Palliative

    Suesquatch, very insightful. Hospice nursing is all about assisting the patient transition from this life to the next as peacefully and comfortably as possible. It is not about death! Best

  8. Recommended Reading for Hospice Nurses

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

    Hello, Be Excellent, nice to hear from you once again, missed having your input here for some

  9. bladder cancer and spasms

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

    Sorry that your friend is going through this difficult time, she is fortunate to have you advocating for her. If you wish to just treat for bladdder spasms, Ditropan XL and/or Oxytrol transdermal may...

  10. standing orders

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

    Good question! Although standing orders are signed by our medical director upon admit, I write a verbal order for each standing order initiated and have the medical director sign at

  11. Medicare Probe

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

    Hello Michael, good to have your input again, it's not the same around here without you, very wise, and always relavent. I believe the 'drift' has been intentional, you are being kind; but, you can't...

  12. feeling drawn to hospice nursing..........

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

    dead bodies would scare me too, i perceive a living soul, and a gift to be able to tend. best

  13. ALS info

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

    Right on, doodlemom, but who takes the time to educate anymore, and are the patients/families open to accept the education if given?kind of the cat chasing the tail, around and around she goes; but...

  14. ALS info

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

    I had an ALS patient, without the feeding tube, and she passed with respiratory distress, although I didn't consider to be acute, she was on oxygen and neb txs for some time. I didn't do the death...

  15. Best environment to die in....hospice opinion needed.

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

    My opinion is that the best place to die is the place that it was best to

  16. Bone Pain

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

    May I suggest that you titrate her Oxycontin based on her total dose of BTP meds, you could go to q8 to try to manage pain better; I would stop the the hydocodone and stay with the oxycodone for BTP;...

  17. Decadron uses?

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

    Thanks all for your replies. I started the patient on Prednisone 5 mg daily last week with excellent results being

  18. Need your input before we all quit.......

    Allow Mystery replied to KJB_65's topic in Hospice, Palliative

    Dear introspective, ditto....ditto....ditto.... I share your exact thoughts. I had resigned for 5-6 weeks, pondering a new career, but was begged back and felt responsible for leaving patients in a...

  19. I think Hospice needs hospice...

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

    Medicare can change things around quickly by tightening up the regulations and/or enforcing them; many believe this will happen within the next few years. Sad to see more government regulation, but...

  20. Salary vs Per Diem

    Allow Mystery posted a topic in Hospice, Palliative

    Hi everyone, I hope all is well with you. I continue to enjoy this Hospice forum, I hope it picks up a little more. I'm asking you to share with me your thoughts about compensation. I've read many of...

  21. Decadron uses?

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

    I'd feel comfortable discussing with Medical Director, but not sure I get much of a discussion. It would be Megace, wouldn't even consider alternative. Our Medical Director is an excellent physician,...

  22. Decadron uses?

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

    Hi everyone, I'm reviving this old post. I've a patient with some progressive weight loss, "just not hungry", and I'm considering an appetite stimulent. Megace cost prohibitive and unable to tolerate...

  23. Discipline Frequencies

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

    I've been using ranges for SN (1-2/wk and prn) and HHA (2-3/wk and prn) but I've been notified that if you use a range that you must visit the patient the upper range the first week of admit. I would...

  24. Respite care question

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

    You may want to consider continuous care for crisis intervention, and allow you patient to rest at home. Your patient is blessed to have you advocating for her. Best

  25. Salary vs Per Diem

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

    Thank you for your replies. I'm sorry about your situation KJB, I hope you may find a job that pays you fairly; this is the type of situation I'm looking to avoid. Best