Never2L84Peace

Never2L84Peace

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About Never2L84Peace

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  1. Going Down With The Ship...Advice?

    Try to hang in there I'm in a small town also. When I started 5 years ago. I was the only RN out here. Now we have a team of 5 with a team leader. Try to get the word out. That helped here. When I had to call the clinic for things, I'd share "good ...
  2. Home pt. with glioblastoma. Could use some tips.

    I had an incredibly sad situation with a glio. pt/family. She was only 60. Her spouse was her soul mate. Her daughter, amazing. The pt was a BEAUTIFUL woman robbed of her beauty by this disease which caused her head and face to swell. She developed ...
  3. End stage CHF symptoms?

    If you have the option, check into home care. We see many CHF pts on homecare and can help them and the family and the MD make the adjustment and decision for hospice. With our agency, the pt/family can get to know the hc nurse and then with time, i...
  4. HELP! Hospice Nurses! How Many Patients Do You Have?

    I've been working with hospice the past 5 years. I have had a caseload as high as 23 (home care & hospice-mostly hospice). Right now I have the lowest caseload I've ever had of 8 hospice and 3 hc. Acuity makes a huge difference. Sometimes 8 hosp...
  5. Help for N/Vomitting with Renal Failure

    I'm stumped on this one and could use some help. Mr. S has end stage renal failure (refused dialysis). He also has hx of reflux and has been on multiple meds for this. He has been throwing up every day. Sometimes he has nausea, sometimes he just thro...