coogabooga

coogabooga

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All Content by coogabooga

  1. Computer charting in hospice

    coogabooga posted a topic in Hospice, Palliative

    Now before some may see this thread and think "another nurse, not computer savvy, complaining of computers..." think again. I've worked with computers all my life and charted with computers throughout...

  2. Computer charting in hospice

    coogabooga replied to coogabooga's topic in Hospice, Palliative

    The program's name is laptor. It was developed by our company (first

  3. No bm in over a week and half??

    coogabooga posted a topic in Hospice, Palliative

    If a patient has only been taking clear liquids for several weeks +, should u still be having bm's?? I have a 74yo ovarian CA that hasn't had a bm in over a week and a half. She's not impacted,...

  4. No bm in over a week and half??

    coogabooga replied to coogabooga's topic in Hospice, Palliative

    Yes her bowel habits obviously changed, but most of the time she can't take her meds. Can a body stop making stool of it's only clear liquids they're taking

  5. Colon cancer and diarrhea

    coogabooga replied to mslavender1982's topic in Hospice, Palliative

    Yikes, with 8 feet of colon it doesn't seem like there really is much to do. I wonder why they just give her a colostomy? What does your medical director suggest? Maybe u just need to play with doses...

  6. Destruction of Narcs/CS

    coogabooga replied to rnholly's topic in Hospice, Palliative

    Not a pharmacist or a chemist, but wouldn't the narcs being excreted through the urine be broken down into simpler forms, as though they pretty much no longer take the form of the drugs themselves? I...

  7. "younger" CA hospice patients

    coogabooga posted a topic in Hospice, Palliative

    I'm struggling in general with therapeutic communication... Especially younger patients and their families. I've found myself in those awkward silences where I NEED to tell the families what to expect...

  8. IVF excessive?

    coogabooga replied to coogabooga's topic in Hospice, Palliative

    Eh?...

  9. IVF excessive?

    coogabooga posted a topic in Hospice, Palliative

    I've been reading a few posts on iv therapy with patients on hospice and I'm a bit confused.,,,why? Our company considers it "aggressive" but too me it's not so much aggressive as it is another thing...

  10. Vita; signs and infections...

    coogabooga replied to MomRN0913's topic in Hospice, Palliative

    I think it's really dependent on the situation.. Remind yourself what are the goals? In a perfect nurse world, that patient would have been turned q 2 hours BUT this is hospice. The goals are equally...

  11. Lifting in hospice?

    coogabooga replied to gorgenurse's topic in Hospice, Palliative

    Haven't been a hospice nurse very long, but I will say I do MUCH less lifting than in the ICU, for example. I understand, however, that I must be prepared for the occasional 250+lb body that needs...

  12. IVF excessive?

    coogabooga replied to coogabooga's topic in Hospice, Palliative

    Funny, I had no idea that I developed such an awesome debate issue ;-) Please, take my title to another thread. I'm sure it would be helpful there too

  13. Glucose control in hospice

    coogabooga posted a topic in Hospice, Palliative

    Hi, I just wanted to see if anyone had a few words of wisdom in regards to glucose control in hospice patients: what's considered appropriate and what's not. I sometimes have a difficult time...

  14. Glucose control in hospice

    coogabooga replied to coogabooga's topic in Hospice, Palliative

    Those are great responses. I often find it isn't the patient obsessing over the sugars, but the caregiver. Teaching (over and over again) about the hospice objective is

  15. Above & Beyond....Special Touches?!?

    coogabooga replied to mhowell's topic in Hospice, Palliative

    I too have only been in hospice for several months and I like using humor... Very light hearted and even a little goes a long

  16. Pain management: CA pt mets to bone and '20%of kidney function left'

    coogabooga posted a topic in Hospice, Palliative

    'm totally at a loss with a new hospice patient of mine. Hx: breast CA with mets to bone, lung, liver. She was given the wrong chemo and it messed up her kidneys and hearing. She states she has 20...

  17. How many patients do you see each day?

    coogabooga replied to Vtachy1's topic in Hospice, Palliative

    Feeling very overwhelmed.. New hospice nurse with about 3 years icu experience and I have 17 patients. I've done 2 admits in the llast two days and take on call once a week. This is my 3rd week on the...

  18. Pain management: CA pt mets to bone and '20%of kidney function left'

    coogabooga replied to coogabooga's topic in Hospice, Palliative

    Thanks everyone for the

  19. Pain management: CA pt mets to bone and '20%of kidney function left'

    coogabooga replied to coogabooga's topic in Hospice, Palliative

    She is a new patient to hospice (1 1/2 weeks) and the pain is constant and an achy pain in her hips and down her legs. Strong 7. Increases with mobility... I sincerely appreciate the advice. Going...

  20. Has there been a legislative change?

    coogabooga replied to Guest03/15/15's topic in Activism, Healthcare

    Yeah, I'm pretty sure it is not a legislative issue at all. Hospitals run like businesses and the timing of employment is based on a supply/demand. They know that at the end of the semester there...

  21. heamoglobin of 6 and pt got iron only

    coogabooga replied to PRETTYODD's topic in General Nursing

    He must be chronically anemic and lives in a low Hgb state. What is his admitting dx? I guess if they can find no active bleed, the patient is sufficiently oxygenated, and perfusing then there is no...

  22. Nurses and Lawsuits: How often does it happen?

    coogabooga posted a topic in General Nursing

    Hello, I've been a nurse in the ICU for a couple of years now and I've recently moved from Texas to Maryland. I've noticed quite a difference of atmosphere, however, I've been drawn to the...

  23. Did any of you NOT take a NCLEX prep course??

    coogabooga replied to Zookeeper44's topic in General Nursing

    Did NOT take an NCLEX review course, but I did spend the equivalent in review books. I actually thought the NCLEX for dummies was really good. You really need to just be confident in the way the...

  24. The Economy and your job as a nurse

    coogabooga replied to szccdw's topic in General Nursing

    "I'm getting tired of newspaper articles and TV news telling people that healthcare is where the jobs are. I think our job market will be flooded in a year or two." I think that's the silliest thing...