marachne

marachne

Hospice, Palliative Care, Gero, dementia

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All Content by marachne

  1. Need Opinion of Smart Hospice Type Nurses

    marachne replied to Witiku's topic in Hospice, Palliative

    So, you're saying your only opiate is morphine? What is someone cannot tolerate morphine, or has developed issues that require an opiate

  2. What are you paying per credit hour????

    marachne replied to bucknangler's topic in Post Graduate Students

    They just recently changed our fees, as the state lost it's tort cap and the institution (medical, dental, nursing schools, plus hospital, clinics & research programs) has to come up with an extra...

  3. Portland SNF's - info needed!

    marachne replied to 12monkeys's topic in Oregon Nursing

    A friend of mine started working at Marquis about a month ago -- been working charge but moving into an RCM position. He's really pleased so far, seems to be a good work enviro and patients are well...

  4. Phd verse JD

    marachne replied to magnolia nurse's topic in Post Graduate Students

    I think one of the best pieces of advice I had was make sure your committee all like each other. Also, if you trust your committee (and if you don't maybe you should fire them!), then listen to them....

  5. An "if you were me"question...

    marachne replied to Jo Dirt's topic in Post Graduate Students

    It sounds like psych is what really calls to you. What you might want to do is interview some schools you would consider attending and ask them, point blank, about their PMHNP program -- what are the...

  6. Phd verse JD

    marachne replied to magnolia nurse's topic in Post Graduate Students

    Interesting site. I was amused by the discussion of making sure you can find faculty you can relate to -- while it's true, I think it's also helpful to see what the depth/breadth of faculty with your...

  7. An "if you were me"question...

    marachne replied to Jo Dirt's topic in Post Graduate Students

    All the above advice is excellent and should be thought about thoroughly before continuing, but a couple of thoughts directly related to your questions: Many of the PMHNPs that I have talked to have...

  8. Is there a difference between BS with major in Nursing and a BSN?

    marachne replied to kaylajane08's topic in General Students

    Oh, this is so frustrating -- Last year, in a nursing education class the difference was explained to me, but I can't find any notes on it. If I remember correctly, it didn't have anything to do with...

  9. Phd verse JD

    marachne replied to magnolia nurse's topic in Post Graduate Students

    I don't think it is really possible to understand what the amount of work is to do a PhD without being around people who are in the process. It is certainly not for everyone, and, as BBFRN, said, it...

  10. hospice RN certification

    marachne replied to weavrvirgorising's topic in Hospice, Palliative

    I noticed that a dissertation is worth 75 credits and I better have mine done before I need to

  11. Thinking of moving to Oregon from Tucson, Arizona.

    marachne replied to silentRN's topic in Oregon Nursing

    Sorry David, guess folks were preoccupied. Oregon does have Magnet hospitals. There are 3 in the Portland area, Providence-Portland, Providence-St Vincents and VAMC. I know that OHSU is working on...

  12. hospice RN certification

    marachne replied to weavrvirgorising's topic in Hospice, Palliative

    ah. thanks. i have mixed feelings about the recert process. on the one hand, i understand that people need to keep current w/practice, but part of me feels like economics also play a

  13. hospice RN certification

    marachne replied to weavrvirgorising's topic in Hospice, Palliative

    I took the CHPN certification this year. I know that part of why I passed was that I had been in a palliative care fellowship (in a role that is usually that of a APRN, so I was exposed to a lot that...

  14. Research critique

    marachne replied to cecipun's topic in Post Graduate Students

    I'm not just talking about nursing research, and trust me, it doesn't hurt my feelings any what you think. And I'm sure that many research courses taught at the master's level are poorly taught. I'm...

  15. Research critique

    marachne replied to cecipun's topic in Post Graduate Students

    Should've known someone here had already covered what I was vaguely referring to above -- it's the CONSORT statement, as linked to by VickiRN in the Nursing Information and Nursing Research --...

  16. Research critique

    marachne replied to cecipun's topic in Post Graduate Students

    Um, excuse me, but this "boring" process of critiquing a research article is part of being able to practice evidence-based medicine. If you don't keep up with the literature and be able to distinguish...

  17. implantable defibrillators/pacers

    marachne replied to mc3's topic in Hospice, Palliative

    In your comment about families/pts having strong feelings about the icd, I can see the seeds for your doc's attitude, but for a unilateral statement from him/her that "families/pts are ready for these...

  18. Research critique

    marachne replied to cecipun's topic in Post Graduate Students

    Remember, the internets are your friend -- hey, it saved my backside when doing my comprehensive exams in my doctoral program. There is a formal critique structure that has been proposed and adopted...

  19. implantable defibrillators/pacers

    marachne replied to mc3's topic in Hospice, Palliative

    One other comment about the magnets (at least in my experience) these puppies are big and heavy (the ones where I used to work were doughnut shaped, about 6 inches in diameter and probably weighed a...

  20. implantable defibrillators/pacers

    marachne replied to mc3's topic in Hospice, Palliative

    I have seen someone who has been shocked by their defibrilator -- they weren't actively dying, but w/i about 3 days of death. There had been several discussions w/the patient about deactivating and he...

  21. Do nurses support physician assisted suicide?

    marachne replied to NightOwl0624's topic in General Nursing

    You're referring to palliative sedation or terminal sedation. It's done with several different medications, depending on the setting. The medication selected for use is usually a benzodiazepine or...

  22. How do you assist one who refuses all medications

    marachne replied to weavrvirgorising's topic in Hospice, Palliative

    Just one last thought from my own experience of very religious patients who do not want symptom relief: As the disease progresses and physical distress becomes worse, yes, patients will sometimes...

  23. How do you assist one who refuses all medications

    marachne replied to weavrvirgorising's topic in Hospice, Palliative

    Eloquently

  24. Do nurses support physician assisted suicide?

    marachne replied to NightOwl0624's topic in General Nursing

    Well, PAS has been routinely established in Oregon for ten years and the rate of useage has held steady at about 1/10 of 1 percent of all deaths (0.1%) -- or 49 people in 2007. You have to be a...

  25. Do nurses support physician assisted suicide?

    marachne replied to NightOwl0624's topic in General Nursing

    Actually, you don't know that the higher end of the dose will kill someone. I have had patients on pumps at rates that were hundreds of mg/hr and they were still up and scooting around in an electric...