aimeee BSN, RN

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All Content by aimeee

  1. aimeee

    ? regarding pain management....

    aimeee replied to luvmy2angels's topic in Hospice, Palliative

    Doodlemom is correct. In addition to the reasons given above, it is essential to have a short acting immediate release form of pain medication to use with fentanyl patches because it takes some time...
  2. aimeee

    End of Life Decision Making

    aimeee replied to taighwilliam's topic in Hospice, Palliative

    I've never been keen on the END part of end of life care either, but, as Leslie states, its what we do. Its the end of our BODILY existence, whether or not we continue to exist in some other form or...
  3. aimeee

    End of Life Decision Making

    aimeee replied to taighwilliam's topic in Hospice, Palliative

    I hear what you are saying. I may be wrong but I think that phrase has been used to put the emphasis on LIFE rather than on DYING. Does anyone have an idea for a term could be used that would still...
  4. aimeee

    A special thanks to all Hospice Nurses

    aimeee replied to epg712003's topic in Hospice, Palliative

    I am glad that hospice was helpful to you and your family. I am sorry about your loss. It is always painful to lose those near and dear to
  5. aimeee

    Pain Management Protocol

    aimeee replied to webblarsk's topic in Hospice, Palliative

    Its really a shame how underused methadone is in this country. I would love to have a medical director who was experienced in using it. Because there is no one in our area who is truly skilled in...
  6. aimeee

    how hard or how easy is it to do hospice care?

    aimeee replied to rn4ever?'s topic in Hospice, Palliative

    Are you speaking of care managing a home hospice patient? Or working in an in-patient hospice facility? It is pretty universally recommended that you have a minimum of 1 year experience of oncology...
  7. aimeee

    Home care vs. LTC

    aimeee replied to jerseyRN's topic in Hospice, Palliative

    Facility nursing is challenging because sometimes you do run into that kind of attitude by staff, especially in the nursing homes. Hang in there! Their tune will change when they are having trouble...
  8. aimeee

    frustrated and overwhelmed

    aimeee replied to kelluvanurse's topic in Hospice, Palliative

    Woohoo! That's terrific news! We will want to hear all about the differences after you experience
  9. aimeee

    frustrated and overwhelmed

    aimeee replied to kelluvanurse's topic in Hospice, Palliative

    We DO have more time! And what's more, an entire team that is also working to support that patient and family...social worker, home health aide, bereavement counselor, spiritual counselor, volunteer,...
  10. aimeee

    Hospic and care giver issues

    aimeee replied to evansj2's topic in Hospice, Palliative

    I agree with the above poster. There are just so very many variables. Each situation requires stepping back and taking a look at what the real barriers are to having the patient well taken care of...
  11. aimeee

    Acute Hospice Care Crisis?

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

    That reminds me of this song. Let It Be A Dance by Ric Masten Chorus Let it be a dance we do. May I have this dance with you. Through the good times And the bad times too. Let it be a dance Let a...
  12. aimeee

    lpn's in hospice?

    aimeee replied to greenbean's topic in Hospice, Palliative

    This is a question that you really should ask of the hospices that are in your area. We do use a few LPN's, mostly for continuous care. We allow our continuous care LPN's to study during quiet times...
  13. aimeee

    Acute Hospice Care Crisis?

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

    No, Leslie, we haven't had any cases that required that kind of intervention (thank goodness) since I have been with hospice. It must have very draining for you and for all involved. I'm glad you...
  14. aimeee

    Hospice Care Experience

    aimeee replied to danniela's topic in Hospice, Palliative

    How exciting, Bubalu! Glad the google trick worked so neatly for you and good luck with your interview.
  15. aimeee

    Madonna University Nursing students

    aimeee replied to RRTtoRN's topic in Michigan Nursing

    Gee, I hope not. They are one of the few places that actually has a Nursing Master's program that focuses on palliative
  16. aimeee

    Possible career change to hospice

    aimeee replied to cydney7's topic in Hospice, Palliative

    We have never done less than a weekly visit and those patients are very rare. Twice a week is our usual but a good share of patients end up needing
  17. aimeee

    What do they do in NYC?

    aimeee replied to doodlemom's topic in Hospice, Palliative

    Interesting question...but that would severely limit the amount of supplies you could carry with
  18. aimeee

    End stage CHF symptoms?

    aimeee replied to Blackcat99's topic in Hospice, Palliative

    Glad to hear it!
  19. aimeee

    frustrated and overwhelmed

    aimeee replied to kelluvanurse's topic in Hospice, Palliative

    Its impossible to judge the fairness of a flat rate amount without knowing what the average actual hours are for the people who work your on call. This will vary greatly depending on the total...
  20. aimeee

    futility of care

    aimeee replied to jerseyRN's topic in Hospice, Palliative

    Sounds like a great presentation. I wish they would stop talking about patients "failing" their chemo attempts too. It makes it sound like the person's fault somehow. I read it again and again in...
  21. aimeee

    Reimbursements Sway Oncologists' Drug Choices

    aimeee replied to gdpawel's topic in Oncology

    Sad
  22. aimeee

    OK I confess.....

    aimeee replied to bay bay's topic in Hospice, Palliative

    Oh yes, it is great to bring it up! Even though I preach this all the time, I STILL break my own rule sometimes when I am rushed and have to remind myself that its not worth the
  23. aimeee

    Inpatient for Symptom Management

    aimeee replied to silverwillow's topic in Hospice, Palliative

    Silverwillow, that sounds like it really drained you. Be kind to yourself and replenish your spirit.
  24. aimeee

    frustrated and overwhelmed

    aimeee replied to kelluvanurse's topic in Hospice, Palliative

    I am sorry to hear that you are struggling so. I raised an eyebrow when you first reported that you already been given a patient load but I didn't want to say anything at the time that would...
  25. aimeee

    OK I confess.....

    aimeee replied to bay bay's topic in Hospice, Palliative

    Its very tempting for busy nurses to utilize their driving time for phone calls. I regularly have to remind staff to pull over somewhere or call me back when they arrive at their destination. I am...