aimeee BSN, RN

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All Content by aimeee

  1. aimeee

    Help me--with dieing neighbor

    Unfortunately there are too few oncologists who do well with handling this part of their profession. Oncology clinics should be providing grief counseling to their patients but there are few who do....
  2. aimeee

    Help me--with dieing neighbor

    For people who are very reluctant to address the issue of advance directives because it is unpleasant to think about or who feel its a kind of a jinx to deal with it ahead of time, I sometimes tell...
  3. Good for you! Keep
  4. aimeee

    Marinol/marijuana use

    I'm guessing Controlled
  5. aimeee

    Hospice patient receiving TPN ?

    If she doesn't have a functional intestinal tract, then the TPN is sustaining her. You don't say whether she is able to interact with her family. If she is alert, then the TPN might be viewed as...
  6. TxPeach, I merged your thread with two older ones that had some responses pertinent to your questions. Unfortunately, that means the responses appear previous to YOUR
  7. aimeee

    Teddy... The Boy Who Made a Difference

    Yes, it is a heartwarming story, but complete fiction:
  8. aimeee

    I want to be a hospice nurse

    Nursing virginity!
  9. aimeee

    When do you say enough is enough?

    another resource: Each hospital has a little different set up but in ours the RN Care Managers are wonderful patient advocates who can set the wheels turning to do what is right. Often it is the...
  10. aimeee

    When do you say enough is enough?

    I echo what others have said, keep telling the nurses what she says, and the social worker on the floor, and anyone else you can find to listen to you. The other thing you can do is keep reporting...
  11. aimeee

    methadone

    Sounds like you have a story to tell. How about giving us the scenario? Methadone has a long half life and attention to proper dosing is important. But, as with many other drugs, the side effects...
  12. Seems like we have about 1 or 2 a year like this. We arrange for the nurse and the medical director to meet the ambulance on arrival at the home and have roxanol and ativan on hand. We also have...
  13. aimeee

    cultural aspect(sp?) of hospice nursing

    http://www.buddhanet.net/hospices.htm Here is a page of many Buddhism based hospices around the world. Perhaps viewing their sites may ease her concerns about
  14. aimeee

    cultural aspect(sp?) of hospice nursing

    I am not Buddhist but there are Buddhist hospices in California who do awesome work! Let me see if I can find there web sites for
  15. aimeee

    Anyone else get good news in the mail?

    Congratulations!
  16. aimeee

    Dealing With Lay Curiosity

    Hmmm, I actually don't get many questions. When people find out I am a hospice nurse they usually go one of two ways...either they start gushing about how wonderful hospice is and go on to tell me...
  17. aimeee

    pediatric palliative care

    I'm glad that you found us! Pediatric palliative care is a challenging area. We get very few pediatric patients...less than half a dozen a year usually. All our patients tug on our heartstrings but...
  18. aimeee

    confusion re: hospice care

    I did not mean to imply that all organizations are alike. What counts is the quality of the care. Each must be judged on its own merits. I am happy that you, Bob and Weblarsk, work for great...
  19. aimeee

    confusion re: hospice care

    You need to report this behavior back to the hospice. Supervisors have no way of knowing that nurses act this way out in the field if they don't receive feedback. Again, you have to speak with...
  20. aimeee

    Witholding food from Hospice resident.

    Beer dipped toothettes! :kiss Bless your heart, Karen! That was a wonderful way to help him get what he
  21. aimeee

    Witholding food from Hospice resident.

    You state that you "heard" that the hospice nurse said this...I am wondering if what she said was misheard or misinterpreted by some of your staff. We would NEVER tell anyone NOT to feed someone...
  22. aimeee

    Thank you for what you do

    That would be terrific!
  23. aimeee

    Pain management vs religion dilema

    You may not be able to get him to take pain meds, but will he take other meds? Dexamethasone might be helpful to reduce the bony inflammation. Or perhaps he would accept a topical agent that might...
  24. aimeee

    New to Hospice Nursing

    You will have counseling services staff to call upon to truly act in the role of counselor for the family. Of course, we all act in that role to some extent on every visit as well, but the greatest...
  25. aimeee

    New to Hospice Nursing

    Congratulations and welcome to the field of hospice nursing! Can you pinpoint just what has you worried about going into hospice? Are there specific things that you worry you won't be up to...