shrinky

shrinky

Hospice, Palliative Care, OB/GYN, Peds,

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All Content by shrinky

  1. Home hospice care ?

    shrinky replied to Rascal1's topic in Hospice, Palliative

    We nurses are called Case Managers and we do oversee the other disciplines but so much more is involved. The nurse does a complete assessment every visit, teaches the caregiver to do any procedures...

  2. Transitioning Question

    shrinky replied to AtlantaRN's topic in Hospice, Palliative

    When I said I love it, I really meant duh, docs they are not really hallucinating. They don't understand the dying process and the whole spiritual thing, they explain what they don't understand with...

  3. Question on code status and hospice

    shrinky replied to moeluvrn's topic in Hospice, Palliative

    I have worked in Hospice for 9 years ( where has the time gone?) and we do not require a patient to be a DNR. Usually the family will get on the page by the time the patient is near death but not all...

  4. Transitioning Question

    shrinky replied to AtlantaRN's topic in Hospice, Palliative

    This is truely an individual process as stated and can depend on whether or not a person has his/her "business" in order. Patients can start seeing loved ones who have passed or angels weeks before...

  5. Pain is NOT subjective

    shrinky replied to SunnyAndrsn's topic in Pain Management

    It is so easy for some people to be judgemental (?SP) about another person's pain. Everyone reacts differently to pain and we function at different levels. So someone could be smiling at an 8 while...

  6. How are hospice Medicare cuts affecting you?

    shrinky replied to mc3's topic in Hospice, Palliative

    The new Medicare COPs have made it difficult to give respite to caregivers and decreased the number of inpatient Hospice patients. We are meeting these patients needs with our new Palliative...

  7. hospice nurses--personal beliefs in life after death

    shrinky replied to finn11707's topic in Hospice, Palliative

    I think thar 8 years as a Hospice nurse has given me more insight into life after death as a result of being with patients as they go through the journey. The experience is usually quite spiritual...

  8. *Weird* Patient Allergies

    shrinky replied to cherrybreeze's topic in General Nursing

    The strangest allery I have is to Benadryl and it is a true proven allergy with hives, angioneurotic edema, etc. We discovered this allergy when they gave it to me when I had a reaction to Lidocaine....

  9. Etrace phones

    shrinky replied to jeannepaul's topic in Hospice, Palliative

    I agree, Big Brother indeed. I would feel that my integrity is being put to the test and would probably want to leave my job. Lap tops, which we do not have yet, will be bad enough about tracking...

  10. Fentanyl Patch

    shrinky replied to Brightonrn1's topic in Hospice, Palliative

    I don't usually see these symptoms more than 2-3 days after starting a patch or any narcotic for that matter. It could be a sign of the decline, usually sedation is the sign of too much med but...

  11. Can I do this?

    shrinky replied to Darwinsthumb's topic in Hospice, Palliative

    I have been in nursing for 41 years and have worked in three states and several areas of nursing. I was a sensitive person and some of my instructors didn't think that I would make it through school...

  12. Comfort / E-Kit Contents

    shrinky replied to AtlantaRN's topic in Hospice, Palliative

    We have comfort orders that we have the attending sign on admission ( no ppharmacia) and the admission nurse usually will have filled after assessment meds needed based on the diagnosis and condition....

  13. Is There a Support Group Out There For Us?

    shrinky replied to seasonedlpn's topic in Hospice, Palliative

    HAve been in Hospice for 8 years and have those periods of ups and downs. I have had a few pediatric patients that got to me and found support from our MSWs and my peers. We have grief support...

  14. Difference between palliative care & hospice?

    shrinky replied to VickyRN's topic in Hospice, Palliative

    It is said that all hospice patients are palliative care but not all palliative care patients are on hospice. Palliative care can be provided to patients who are still seeking aggressive treatment,...

  15. Pancreatic Ca and Nausea

    shrinky replied to SCgirl1962's topic in Hospice, Palliative

    I have had success with Marinol when other drugs are not effective. We have also used ABHR gel every 6 hours with success. Good

  16. How did you get started in Hospice nursing?

    shrinky replied to GaMBA's topic in Hospice, Palliative

    My first experience with Hospice was when my fiance was dying with cancer. I had been in OB/GYN/PEDS management for years. Years later I became disgusted with the abuse and politics and the Good...

  17. Hospice patients living alone

    shrinky replied to finn11707's topic in Hospice, Palliative

    We always discuss care giver issues on admission and have our patients sign a plan of care for when they are not able to be left alone. They have to choose whether they will go to a SNF, a relative...

  18. Demerol is passe?? Can anyone fill me in?

    shrinky replied to steel magnolia's topic in Pain Management

    Demerol does have a dangerous metabolite and should not be used for more tha 2-3 days. i have found a non pharmacologic treatment for post op shivering which worked for me also-----doing math out...

  19. I need some help

    shrinky replied to mahoganybbw's topic in Hospice, Palliative

    I have found in all pof my years of nursiing that not everyone is just and fair in dealing with people. Since you are a caring person you will unfortunately be the object of someone's anger....

  20. What makes you love hospice?

    shrinky replied to Jo Dirt's topic in Hospice, Palliative

    WOW, in SC an RN cannot pronounce. We can assess death and call the coroner who does not come out but gets paid $50 for giving us a BRT#. So LPNs can pronounce in CA? Amazing how the nurse practice...

  21. Straight weekend call

    shrinky replied to RNWithAHeart's topic in Hospice, Palliative

    At ou hospice, we have two call nurses but they also split week-day call and are salaried. So each nurse does two nights a week and every other week-end. There are no scheduled visits on the...

  22. Grief. Mine!

    shrinky replied to BeExcellent's topic in Hospice, Palliative

    I too am an old war horse and I agree with the responses. We seem to go from a death to another new patient and supress any feelings that we have only to have them rear their ugly heads at another...

  23. Need Opinion of Smart Hospice Type Nurses

    shrinky replied to Witiku's topic in Hospice, Palliative

    I am under the impression that meds for symptom management, comfort and the terminal disease are covered by Hospice. Shortness of breath is a symptom of lung cancer whether or not there is an...

  24. Death stories?

    shrinky replied to Teachchildren123's topic in Hospice, Palliative

    These stories are very interesting and I appreciate your sharing with us. I have been a Hospice nurse for 8 years and have many stories, but there was one story that was very different. I was called...

  25. Medical Supplies Question

    shrinky replied to AtlantaRN's topic in Hospice, Palliative

    Now I have to correct myself, having been corrected gently by my boss. We only have to supply those medical supplies related to the terminal diagnosis. So I think you would have to decide if one is...