Allow Mystery

Allow Mystery

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All Content by Allow Mystery

  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

  16. Pain med for ALS hospice pt

    Allow Mystery replied to spoiled28's topic in Hospice, Palliative

    I agree with leslie's advice. If unable to swallow, you may want to consider pain pump if he has IV access (port) or subq pump. Best

  17. How long are your visits in the home?

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

    40-90 minutes/visit; 2.5 hours/admit does not include paperwork Best

  18. Help Me Make Peace With Myself

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

    Thank you Passion for your reply. Would you be so kind to share written literature (web sites?) on how oxygen can produce an undesired prolongation of life and suffering? I attempted to google the...

  19. Help Me Make Peace With Myself

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

    Interesting topic, just another observation that I have concerning the use of morphine. I have witnessed family/staff giving morphine very liberally and the only apparent effect was increased...

  20. Help Me Make Peace With Myself

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

    Dear handyrn Excellent question and concern! My humble opinion is that the morphine may hasten the process (does anyone really know for sure). I usually try to maintain an actively dying patient with...

  21. providing hospice to mother

    Allow Mystery replied to proud2b1's topic in Hospice, Palliative

    Dear proud2b1 I was blessed to be able to provide care for my mother the last month of her life. I had been with Hospice approx. 9 months prior to providing my mother's care, and I believe I was led...

  22. Managing symptoms for a �good death�

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

    Michael, intersting points you make. Ego could be the social mask that gets stipped away at the end; Ego served it's purpose on earth, for survival, but does not have a place after our time here;...

  23. Managing symptoms for a �good death�

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

    Well, finally, something I can relate to, maybe that lightbulb is getting brighter. Thank you Leslie for sharing your vulnerbility, we are all vulnerable but don't want to share or lie about. I've...

  24. Conference Call for Hospice Innovators

    Allow Mystery replied to rmw44's topic in Hospice, Palliative

    Robin, thank you for sharing the conference call, I thoroughly enjoyed listening. I thought you did an excellent job hosting and hope you get more attendees next month. I thought Beth had some...

  25. Managing symptoms for a �good death�

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

    Dear Leslie & Michael, I'm slowly being dragged along with your insightfulness and only wish the 'lightbulb' was brighter. I'm sorry for the inference some time ago that "new age" did not belong...