Allow Mystery

Allow Mystery

Member

  • Content

    77

  • Visitors

    2,792

  • Followers

    0

  • Likes

    0

All Content by Allow Mystery

  1. Care at the Time of Death

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

    Thanks Michael, Life is a hoot, and so is death. Allowing for a good life and a good death is our responsibility, and we may best meet this responsibility by being in peace, first with ourself, and...

  2. Hospice Charting and Recertifications

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

    Hi ABC, "Hanging the crepe", eh. Is this the same as "stretching the tape"? A hard recertification doesn't need to be, you may always do an easy discharge if patient doesn't meet Hospice criteria....

  3. Care at the Time of Death

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

    Hello Tencat, I enjoyed your post, and could I relate, God forgive if we were to offend the customer. Leslie is right, we must allow the patient to begin the soul stripping, but many never get there;...

  4. Care at the Time of Death

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

    Dear Leslie and Michael, Please accept my apology to each for my last post on this thread. I was frustrated at my inability to articulate thoughts and feelings, and frustrated because I actually know...

  5. What is the difference between hospice care and palliative care?

    Allow Mystery replied to leslie :-D's topic in Hospice, Palliative

    Thanks for reviving this thread from 2004, it addresses questions I had recently in another thread, and simplifies; interesting that this thread was begun by earle58 back then. Has much progress been...

  6. Home pt. with glioblastoma. Could use some tips.

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

    WOW, thanks for

  7. Care at the Time of Death

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

    Michael I agree, too much jargon for me also, and I'm still in the business ..... I'm told Medicare doesn't fund pallitive care, so not pursued in this area ... my only point being .... that as a...

  8. Care at the Time of Death

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

    Leslie, Sorry, my last posting was incomplete. Please advise how adding the pallitive care benefits broadens the scope and length of service and avoids the slippery slopes. I don't understand the...

  9. Care at the Time of Death

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

    Leslie, Please explain adding palliative care

  10. Care at the Time of Death

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

    Michael I've seen it across the board in this area. I understand that the State has recently put a moratorium on Hospice licenses, but looks to be a little late, the creek had already arisen to...

  11. Care at the Time of Death

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

    Michael for the same reason you suggest we are prolonging life with medication .... the bottom line. Medicare has cut way back on the monies for home health at the same time raising the per diem for...

  12. Care at the Time of Death

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

    Michael I see the Hospice trend toward home health, and not end-of-life care; therefore, Hospice nurses are being required to be diagnosticians, lab technicians, and physician pansies. We simply don't...

  13. Care at the Time of Death

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

    Leslie, I was complimenting you (or trying to), I enjoy reading your postings, you come across as knowledgeable and wise. Michael, no doubt that you think about the things you write; when I first got...

  14. Care at the Time of Death

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

    Dear req_read I'm glad you're back to stir things up a bit, it has been sluggish around here; unfortunately, I have difficulty keeping up with you, but none-the-less, you seem to be on a positive...

  15. Any Former ER Nurses Here

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

    Hi Mark, I didn't make the switch directly from ER but did have ER experience. I'll just say this; you will be going from frantically trying to save life, to patiently allowing death. It's not so much...

  16. Home pt. with glioblastoma. Could use some tips.

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

    I've had a few glios, never did have a problem with seizures at the obtunded stage, but best be prepared. Decadron or Ativan injectibles are always handy. The glios I've had followed the path through...

  17. methadone therapy for cancer pain?

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

    Thank you! Your recommendation at 2 mg q12 is close to the recommended starting dose of 2.5 mg q8 as suggested per my research at http://www.aafp.org/afp/20050401/1353.html; I'm in agreement with your...

  18. methadone therapy for cancer pain?

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

    Thank all of you for this discussion; I have a patient with chronic pain and was told from the beginning that the patient had an allergy to all opiods. When questioned, the CG could not remember as to...

  19. Hospice nurse advice

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

    Dear cherokee, God Speed! Bless you, your husband and family for allowing the peaceful death at

  20. REAL Pain or ADDICTION?

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

    The primary goal is pain control, whatever the method. I would keep titrating the morphine ER dose upward, and try morphine IR and Roxanol for BTP. Good

  21. Prostate Ca Questions

    Allow Mystery replied to new2hospiceRN's topic in Hospice, Palliative

    You may want to pursue why patient is not able to tolerate surgery or biopsy, possibly may find dx that will qualify for hospice. Happy

  22. Pulmonary Embolism

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

    Dear cannulator, A very thoughtful post, thank you. earle 58, as ususal, has provided you with an excellent reply, she is an experienced and wise resource on this Hospice forum. Your questions, most...

  23. Evaluation question

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

    Dear rnmomajmj, Doesn't appear anybody has made you feel better:o, but I'll give it a try;) From the information you provided, the weight loss of 21 lbs is the only possible hospice criteria issue....

  24. Problem facility giving poor care

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

    Dear RNKittyKat, My empathy is with you, my experience with LTC's may be best described, using one of your references, trudging in quicksand through the twilight zone. Your DON is wise, pick your...