marachne

marachne

Hospice, Palliative Care, Gero, dementia

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All Content by marachne

  1. Any PhD's here?

    There is at least two: llg, and, I assume UVA Grad Nursing who is the Assistant Dean for Graduate Student Services at the University of Virginia. There are several of us who are on the road --...
  2. Thank you for your response. As I said, I agree that there is definitely a place for discussion of spiritual needs. I commend you in your efforts in that regard. I think one of the places that it has...
  3. Here's another way to look at the behavior too -- maybe, despite saying they wanted to be there, there was a level of deep ambivalence about it? Maybe there was denial, but maybe, just maybe it was...
  4. I see a big difference in assessment and the wording you use above -- "Do you desire someone to pray with you or for you" than "Would you like me to pray for you?" the former is information gathering....
  5. I have not read this whole thread, so excuse me if I'm missing something. I would say that 85% of the time it is wrong to offer to pray for someone without their specifically requesting you to do so....
  6. Who is Responsible for Discussing End-of-Life Treatment Options?

    This is why a palliative care team is a team, and the good ones include physicians, rn's APNs, SWs, chaplains (specially trained in EOL), and when they're really lucky, a psych person. It's about...
  7. What the heck is going on in Portland right now?

    Check out the VA. I believe the only positions they have open right now are critical
  8. ADN to BSN

    OHSU certainly does. They call it an RNBS program. It is mostly on-line, with, if they are still doing it as they did before, a few in-person intensive days. Here is the link:...
  9. Advice on hospice social worker role

    Not been around this place (or anywhere in the social media for a while) but this caught my eye. Anytime someone uses their experience as a cudgel it puts up warning flags for me. (I'm assuming the...
  10. Nonverbal symptoms of pain

    There is a well tested and recognized means of assessing pain in persons with dementia called the PainAD. (It is also appropriate for other non-verbal patients) There is a wonderful website called...
  11. Medicine disposal

    another way to deal with liquid meds is to use diapers (depending on the quantity you have). I would imagine if you you tabs/capsules and a sharps container, you could use that. Having to grind them...
  12. How Hard Is It To Get In TO Hospice Nursing?

    I do agree that it is the very rare person who can go directly into hospice nursing as a new grad. I do wish to humbly disagree that the prior experience has to be in acute care nursing. I think,...
  13. BSN to PhD as a New Grad

    I am currently finishing up (i.e. in the data collection part of my dissertation) a BS to PhD. I went straight from my BSN to my PhD (well, I had 9 months of full-time work between an accelerated...
  14. Accelerated A/P class at PCC???

    PCC used to offer an intensive A & P series over the summer that covered all three courses: Human Anatomy & Physiology I, II, and III, BI231, 232, 233. It was brutal. Five days a week, a...
  15. Research Ethics Case Study

    And here's another example, from my Research Ethics course in my PhD program. Enjoy! Case Presentation Rebecca Goldman was a registered nurse working on a doctoral research study. Her background...
  16. I just saw this, I don't know if anyone is working on a PhD in Education, but if you are, it'd be a great opportunity: NLN Education Summit 2009 - Doctoral Students Oh, and I know I've said it...
  17. Opioids and Hyperalgesia

    I imagine some of you think I'm crazy over the top w/my cautions about hyperalgesia, but I just saw the following: Opioid use associated with increased pain sensitivity Methadone-maintained patients...
  18. FDA Reverses On Roxanol.

    a/k/a it may be but I was able to figure it
  19. FDA Reverses On Roxanol.

    And reading the OP, I realize I've been very neglectful of my pals over at Pallimed. Christian really pointed out the power of social media and the public voice -- and rngolfer53, I think I saw your...
  20. FDA Reverses On Roxanol.

    This is the version I just got in my "briefings" from the Journal of Palliative Medicine. It's not a reversal as much as a recognition (after being pushed by the palliative/hospice community) that...
  21. Opioids and Hyperalgesia

    Heron, the article's focus was on comparing methodone and other opioid-users (for chronic pain)'s hyperalgesia profile, so no, there were no suggestions made. I also decided that I could share the...
  22. Opioids and Hyperalgesia

    I'm not suggesting that. All I'm saying is that long-term opioid use can lead to hypersensitivity to pain, and that sometimes titrating up on the same med can actually make pain worse, not better....
  23. Questions on Cadd pump

    As someone said, this is old, but I'll add my comments: -- IV to SQ equivalents are 1:1. Where I worked we regularly considered our subq rate to max out at 5 ml/hr. Under extreme circumstances,...
  24. What is wrong here???

    Not that I observed, but it was just part of the pain regimen, so it is hard sometimes to tease
  25. What is wrong here???

    Diversion was my first thought (should've said something when I thought it so I wouldn't look like a "me too" oh well). And family may be using, may be selling. My second-guessing this thought came...