aimeee BSN, RN

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All Content by aimeee

  1. aimeee

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

    aimeee replied to GardenerGirl's topic in Hospice, Palliative

    I have to weigh in with Leslie and the others on this one. If a patient is terrified of dying, sharing the Good News with him/her is not likely to be reassuring. You can be certain they have heard...
  2. aimeee

    hospice nurse wanting to leave hospice care

    aimeee replied to lovely42's topic in Hospice, Palliative

    I think we need to know more about your reason for wanting to do "something else". What need is not being
  3. aimeee

    md visits in inpatient

    aimeee replied to hospicemom's topic in Hospice, Palliative

    The Medicare COPS state that that for GIP the patient must be seen DAILY by A MEMBER OF THE IDT. I am not sure what the changes (if any) will be when the new proposed COPS become official. We have...
  4. aimeee

    number of visits per day

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

    3 visits plus an admission is a heavy day. 4 visits could easily be a full day if they are all fairly acute, needing med changes, teaching etc. On the other hand 6 or 7 is quite reasonable if they...
  5. aimeee

    average # of nursing home patients

    aimeee replied to Em1995's topic in Hospice, Palliative

    There's another factor in here and that is how often you visit those patients. If I'm going in twice a week or more I have a pretty good handle on what is going on and I don't need to take as much...
  6. aimeee

    What Diagnosis would you say this patient is?

    aimeee replied to CANRN's topic in Hospice, Palliative

    You know, when I am admitting someone who is already in the active stage, I've wondered the same
  7. aimeee

    Lost a good friend today

    aimeee replied to sassysteph7's topic in Hospice, Palliative

    I'm sorry to hear that you have lost someone who was so important to you. Thank you for sharing his memory with
  8. aimeee

    Judgement Calls

    aimeee replied to MedicalLPN's topic in Hospice, Palliative

    Would actual research showing that the use of pain medication does NOT actually hasten death make you feel better? Here is a quote taken from a research paper: The implication that opioid dose poses...
  9. aimeee

    "pre-active" vs. "active"

    aimeee replied to mc3's topic in Hospice, Palliative

    Our convention is that when the more definite signs of dying (mottling, unresponsiveness, terminal congestion, apnea) are observed we would call it "active dying". When we are seeing some of the...
  10. aimeee

    What Diagnosis would you say this patient is?

    aimeee replied to CANRN's topic in Hospice, Palliative

    I searched the CMS website for links to Palmetto's LCD's but I couldn't find one for debility
  11. aimeee

    Why do so many people fear hospice? Sorry so long...

    aimeee replied to RN2B73's topic in Hospice, Palliative

    There are many many misconceptions about hospice. There is often a confusion between cause and effect. When very late referrals are made then people associate hospice with the last few days of life,...
  12. aimeee

    What Diagnosis would you say this patient is?

    aimeee replied to CANRN's topic in Hospice, Palliative

    Do you know which fiscal intermediary you are under? I could help you find the link to the latest guidelines online and then you can print it out and give it to her with the appropriate sections...
  13. aimeee

    What Diagnosis would you say this patient is?

    aimeee replied to CANRN's topic in Hospice, Palliative

    You need the low BMI to support Failure to Thrive but you don't need it for debility. Although I have used failure to thrive when the pattern of loss was correct but they were not quite there yet...
  14. aimeee

    hospice burn out

    aimeee replied to bewell2's topic in Hospice, Palliative

    Linda is right. Being mindful of boundaries and having realistic expectations of what can be accomplished are a couple of other
  15. aimeee

    average # of nursing home patients

    aimeee replied to Em1995's topic in Hospice, Palliative

    6 if in two facilities, 8 if in one sounds possible to me. I suppose one might be able to do 10 if they were all in the same facility and all very stable, but when does that ever happen? And that...
  16. aimeee

    Help Me Make Peace With Myself

    aimeee replied to handyrn's topic in Hospice, Palliative

    This is my practice as well When asked to do this I have gently explained that the medicine works for up to four hours so there was no need to give hourly doses unless it did not appear to be...
  17. aimeee

    COPD and hospice

    aimeee replied to suni's topic in Hospice, Palliative

    Sounds like it to me too. Ditto the
  18. aimeee

    O2 safety

    aimeee replied to nrcnurse's topic in Hospice, Palliative

    I've heard this too but never experienced
  19. aimeee

    How soon to specialize?

    aimeee replied to RiverNurse's topic in Hospice, Palliative

    Minimum one year...two would be
  20. aimeee

    What to do??????????secretions.....

    aimeee replied to AtlantaRN's topic in Hospice, Palliative

    Celestial discharge. Great
  21. aimeee

    DME question

    aimeee replied to AtlantaRN's topic in Hospice, Palliative

    Ah, but that's one of the advantages of hospice....we don't have to worry (at least for now) about meeting those criteria for Medicare payment because the DME are paid for out of OUR reimbursement per...
  22. aimeee

    National average for pt caseload

    aimeee replied to Em1995's topic in Hospice, Palliative

    The only savings is really the transportation time. That is offset by the fact that in a facility you don't just talk with the primary caregiver, but you must hunt down numerous people to get the...
  23. aimeee

    pt's husband and sublte threats

    aimeee replied to Em1995's topic in Hospice, Palliative

    Listen to your inner voice. Even more important than the words are the fact that your hackles are raised by this guy. I once admitted a woman to hospice and the whole time I was very uncomfortable....
  24. aimeee

    Hospice volunteer interested in nursing (longish post)

    aimeee replied to Procrastinatrix's topic in Hospice, Palliative

    Rather than changing fields, what about putting your background more directly to use and pursuing a paid position doing music therapy for a hospice? Seems like it would be a natural for
  25. aimeee

    Music with the dying patient?

    aimeee replied to zacsmimi's topic in Hospice, Palliative

    I love