shrinky

shrinky

Hospice, Palliative Care, OB/GYN, Peds,

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All Content by shrinky

  1. Medical Supplies Question

    shrinky replied to AtlantaRN's topic in Hospice, Palliative

    According to the Hospice Benefits handout, we have toprovide supplies necessary for the care and comfort of the patient. It does not specify just needed for the terminal diagnosis as it does with...

  2. Congestive Heart Failure

    shrinky replied to Monica Zilko's topic in Hospice, Palliative

    We have recently used nebulized Lasix since, it is not absorbed as much as oral, which might relieve some of the congestion. I agree with the use of Morphine and Ativan in this case. She most likely...

  3. Why did you take up nursing? What's your story?

    shrinky replied to Joe V's topic in General Nursing

    After reading your stories, I'm afraid mine is boring. I decided to become a nurse when I was 10 years old, many,many years ago. I should say that God decided that I would become a nurse and let me...

  4. Pearls of Wisdom

    shrinky replied to RNWithAHeart's topic in Hospice, Palliative

    This can be difficult at first because you have been in the acute care mode and now are going to deal with end of life care. Remember that our patients elect to die comfortably and with peace and...

  5. Boundary HELP!!!!!!

    shrinky replied to AtlantaRN's topic in Hospice, Palliative

    God bless the Social Workers, for I also would refer this to them. When I admit a patient I always put the social worker in on the case even though some patients have wanted only a nurse. The nurse...

  6. roxanol

    shrinky replied to calliesue's topic in Hospice, Palliative

    I agree that it is absorbed through sub lingual use as well as oral, only through my experiences with using it for so many years and seeing the effects of using it in patients who cannot swallow. Our...

  7. Nurses--Nurses-Life and death

    shrinky replied to nurse430+yrs's topic in Hospice, Palliative

    Having been a nurse for 40+ years and still active, I can say that it took me longer than 1 year to feel differently about life and death. Then I suppose it depends on the type of nursing that you do...

  8. Why Hospice Nursing?

    shrinky replied to mom and nurse's topic in Hospice, Palliative

    I have been a Hospice nurse for 8 years now and agree with the above comments. It has been such an honor and privilege being with patients who are about to leave this earth and cross over to the next...

  9. Fentynal patches

    shrinky replied to mrhrn06's topic in Pain Management

    It usually takes 2-3 days for the grogginess to ease. Does the patient take any break through meds? Sometimes it is better to start low, give break through meds and it they need to take meds 3 or...

  10. drug diversion

    shrinky replied to onangelswings's topic in Hospice, Palliative

    We have encountered this in several homes and we also limited the amount we dispensed or had the family provide a locked box in the home. In one home the patient was confused and took more meds than...

  11. How far can a hospice nurse go, spiritually-speaking?

    shrinky replied to GardenerGirl's topic in Hospice, Palliative

    I think that as nurses we have to be concerned about the whole patient which includes physical, psychsocial and spiritual health of our patients. If a patient has real concerns about their spiritual...

  12. hospice burn out

    shrinky replied to bewell2's topic in Hospice, Palliative

    I agree, I have been a Hospice nurse for 8 years and have seen others come and go. They go because they get so involved in their patient's lives and give too much of themselves. There is a line that...

  13. number of visits per day

    shrinky replied to Passion for the Job's topic in Hospice, Palliative

    At our agency. case managers are requried to do 20 visits a week and any visits over 20 are paid extra $$. I am the admission nurse and am required to do 2 admissions a day, sometimes I see a patient...

  14. Developing Good Relationship with Death

    shrinky replied to MissouriBSNstudent's topic in Hospice, Palliative

    I agree that you have to explore and come to some peace, if that's possible, about death. I went into Hospice when I was an older, experienced nurse at the request of my heavenly Father. He always...

  15. Mileage reimburssment

    shrinky replied to curiousauntie's topic in Hospice, Palliative

    Wow, prices here in SC are higher than Jersey? We are at $3.45 a gal and our reimbursement is going up to .505 in May, we are currently at .405 a

  16. From inpatient hospice to home care?

    shrinky replied to Second's topic in Hospice, Palliative

    Yes the advantage is one on one time, but I find it difficult to write notes when I am listening to a patient talk to me. It distracts them and I may miss something in their body language. Getting...

  17. hospice nurse wanting to leave hospice care

    shrinky replied to lovely42's topic in Hospice, Palliative

    I think you need to ask yourself many questions about your decision to change to another type of nursing. Hospital nursing is very different from Hospice in home care. Your patient load will be very...

  18. Music with the dying patient?

    shrinky replied to zacsmimi's topic in Hospice, Palliative

    I am known as the singing Hospice nurse because I sing to my patients when they are imminent and my peers tease me because they usually die (not my peers) shortly thereafter. So many times they ask...

  19. Hospice case management

    shrinky replied to All_Smiles_RN's topic in Hospice, Palliative

    You really need to find out up front information about case load, on call, extent of your territory, benefits, etc before joining a Hospice. I have been in this field for 7 years and will probably...

  20. Can a Sticker on my car = Hippa Violation?

    shrinky replied to AtlantaRN's topic in HIPAA Challenges

    This person has a lot of anger and directed it at you so anything you did would have been wrong. As for her not having a nurse, I don't believe she can be on Hospice and not have a case manager RN,...

  21. Racial Issues

    shrinky replied to AnabelRN's topic in Hospice, Palliative

    I have been in similar situations at a death call and usually when I feel the tension building I ask everyone to pray and we hold hands in a circle and do so. I usually lead unless there is a...

  22. Advice needed, please

    shrinky replied to angeludance's topic in Hospice, Palliative

    I tend to agree, we have all run into politics in the workplace. While this may not be fair, it is real as I can attest in my 40 years in the nursing field. It sounds as though Hospice is your thing...

  23. feeling drawn to hospice nursing..........

    shrinky replied to DeeLeeRN's topic in Hospice, Palliative

    I tooo am a feeler and cry just talking about Hospice to other people. I was the student that was told I wouldn't make it because I feel too much and get involved with patients. Well I have been a...

  24. Hello to all and I have a very serious question...

    shrinky replied to hospicenurse MO LPN's topic in Hospice, Palliative

    My concern is not only illegal by Medicare standards, which it is, but also your nurse practice act. Are LPNs allowed to do assessments? Here in SC they have to work with or under an RN and RNs do...

  25. Bone Pain

    shrinky replied to RNSUEIA's topic in Hospice, Palliative

    I agree with adding a NSAID, though they could be hard on the stomach. We usually use Trilisate which is not as hard on the stomach and use 500mg 4xdaily. I also agree with just using Oxycodone for...