aimeee BSN, RN

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All Content by aimeee

  1. aimeee

    How does an atheist deal with death?

    aimeee replied to jen42's topic in Hospice, Palliative

    I don't know if there is an afterlife of the traditional sort or not, but I do believe that anyone who has lived on this earth has left their influence and lives on in our hearts and memories. You...
  2. aimeee

    Recommended experiences before Hospice transfer?

    aimeee replied to JacelRN's topic in Hospice, Palliative

    Yes, those ideas are at the forefront of hospice focus. But we are able to do that because we have already faced the certain mortality of our patients. On a hospital unit, the usual focus is...
  3. aimeee

    Trying to get organized

    aimeee replied to Betty_SPN_KS's topic in Geriatric, LTC

    Oh, another thing that really helped a lot was when I convinced nursing administration to let us keep the narcotics ON the cart. We went to having a supply of narcotics in the lock box in each cart....
  4. aimeee

    Trying to get organized

    aimeee replied to Betty_SPN_KS's topic in Geriatric, LTC

    The biggie here is getting a handle on what all you have ahead of you each night and organizing for it to minimize the running back and forth to the nurses station, supply closet, nutrition room. Not...
  5. aimeee

    What is the difference between hospice care and palliative care?

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

    I have been waiting to see if anybody would respond to this, because I have no knowledge of any "palliative care benefit" under Medicare. It has been my understanding that any treatments which are...
  6. aimeee

    Are there any hospice nurses out there?

    aimeee replied to dlscott's topic in Hospice, Palliative

    Pleased to meet you. :) You're right, hospice employees are a great bunch. And we receive as much as we give, and more. Glad to have you join
  7. aimeee

    Why al the negativity in LTC???

    aimeee replied to sixes's topic in Geriatric, LTC

    To have a resident up for 12 hours is in itself absolutely unacceptable! Who among us could sit in a wheelchair for 12 hours straight? How on earth could your facility could have residents up and...
  8. aimeee

    CHPN exam

    aimeee replied to Mandee's topic in Hospice, Palliative

    Super news,
  9. aimeee

    CHPN exam

    aimeee replied to Mandee's topic in Hospice, Palliative

    :balloons:
  10. aimeee

    CHPN exam

    aimeee replied to Mandee's topic in Hospice, Palliative

    Great
  11. aimeee

    CHPN exam

    aimeee replied to Mandee's topic in Hospice, Palliative

    :balloons: Congratulations!!
  12. aimeee

    Palliative care for spiritual distress along the diasease trajectory

    aimeee replied to nurseshanti's topic in Hospice, Palliative

    Gail has said exactly what my thoughts were except I just couldn't seem to phrase them. Nicely put,
  13. aimeee

    Need to Put Together a Quickie Inservice for Hospital Staff

    aimeee replied to hospicenurse's topic in Hospice, Palliative

    Roxanol does come in a 50 mg/ml concentration, but that doesn't help much in this situation. I think the idea to let the staff ask questions is a good one because then you can speak to the issues...
  14. aimeee

    Need to Put Together a Quickie Inservice for Hospital Staff

    aimeee replied to hospicenurse's topic in Hospice, Palliative

    I'm not sure what sort of "emotional support" is meant...are there some who are struggling with the whole concept of palliative sedation? This from the AMA website (which in turn borrowed it from...
  15. aimeee

    Need to Put Together a Quickie Inservice for Hospital Staff

    aimeee replied to hospicenurse's topic in Hospice, Palliative

    Wow! That's a tall order. Right off the bat I would suggest that you do not refer to it as "terminal" sedation but rather "palliative" sedation. Semantics, I know, but really the aim of the...
  16. aimeee

    Question about G tube on Melanoma Patient

    aimeee replied to heffron's topic in Oncology

    Your post is unclear about the location of "the wound". No matter where it is, it sounds like an ET consult may be called for. Is this a home patient or a hospital patient? Has the physician seen...
  17. aimeee

    Input regarding Grandma with SVCS - thanks

    aimeee replied to Loribabble's topic in Hospice, Palliative

    Unreal! So its okay to give them drugs for chemo but not to give them pain meds! Every one of his patients probably has poor pain control and gets no support with the dying process. I'll bet he has...
  18. aimeee

    Input regarding Grandma with SVCS - thanks

    aimeee replied to Loribabble's topic in Hospice, Palliative

    It is excellent that you are standing behind your grandmother's decision not to do the chemo. Many oncologists are within a culture that focuses on quantity over quality and have difficulty making...
  19. aimeee

    Bowel Obstruction & Ca. of Bladder

    aimeee replied to Jay-Jay's topic in Oncology

    A course of steroids will sometimes decrease the inflammation enough to allow passage again, and the added benefit is that it stimulates the appetite too. Might be worth a try. ((((hugs)))) Jane,...
  20. aimeee

    Death rattle--Fast Fact #109

    aimeee posted a topic in Hospice, Palliative

    the fast facts at eperc are a great source of end of life care pearls. you have to register to read them but it only takes a second. the link to fast facts is on the side bar on the left hand side....
  21. aimeee

    twitches and involuntary movement

    aimeee replied to obeyacts2's topic in Hospice, Palliative

    If he is getting regular doses of morphine then he might indeed be experiencing myoclonus. Oxycodone might be a better choice for someone with renal dysfunction. Here's some info on managing...
  22. aimeee

    24 hr coverage at the end

    aimeee replied to saribeth's topic in Hospice, Palliative

    In order to qualify as a continuous care day there must be a minimum of 8 hours of direct nursing care and at least 50% of the hours must be provided by a licensed nurse, the remainder may be provided...
  23. aimeee

    Advice for a New Grad

    aimeee replied to ManEnough's topic in Hospice, Palliative

    That burns me! I've seen that look myself! LTC is not for everyone obviously, but you go where you wish. If you do chose LTC, try to get on a Skilled nursing unit rather than a basic one so you get...
  24. aimeee

    24 hr coverage at the end

    aimeee replied to saribeth's topic in Hospice, Palliative

    We are working on it. If the family is particularly distressed and not coping well we try to. Staffing is really a bugaboo though. NHPCO is offering an audio/internet virtual conference on Tuesday...
  25. aimeee

    24 hr coverage at the end

    aimeee replied to saribeth's topic in Hospice, Palliative

    We are working on it. If the family is particularly distressed and not coping well we try to. Staffing is really a bugaboo though. NHPCO is offering an audio/internet virtual conference on Tuesday...