marachne

marachne

Hospice, Palliative Care, Gero, dementia

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All Content by marachne

  1. Any PhD's here?

    marachne replied to Joe NightingMale's topic in Nursing Educators, Faculty

    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. The Nurse's Role in Providing Spiritual Care - Is It OK to Pray?

    marachne replied to tnbutterfly - Mary's topic in Spirituality, Religion

    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. When a patient is dying, am I expecting too much?

    marachne replied to ShayRN's topic in General Nursing

    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. The Nurse's Role in Providing Spiritual Care - Is It OK to Pray?

    marachne replied to tnbutterfly - Mary's topic in Spirituality, Religion

    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. The Nurse's Role in Providing Spiritual Care - Is It OK to Pray?

    marachne replied to tnbutterfly - Mary's topic in Spirituality, Religion

    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?

    marachne replied to tnbutterfly - Mary's topic in General Nursing

    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?

    marachne replied to sonnyluv's topic in Oregon Nursing

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

  8. ADN to BSN

    marachne replied to Tinker Bell RN's topic in Oregon Nursing

    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

    marachne replied to Spidey's mom's topic in Hospice, Palliative

    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

    marachne replied to redheadedvixen's topic in Hospice, Palliative

    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

    marachne replied to JNF RN's topic in Hospice, Palliative

    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?

    marachne replied to bonnie west's topic in Hospice, Palliative

    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

    marachne replied to AMC347's topic in Post Graduate Students

    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???

    marachne replied to taz5869, RNC-OB's topic in Oregon Nursing

    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

    marachne replied to VickyRN's topic in Research

    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. NLN - Transforming Clinical Nursing Education

    marachne replied to VickyRN's topic in Nursing Educators, Faculty

    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

    marachne posted a topic in Hospice, Palliative

    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.

    marachne replied to rngolfer53's topic in Hospice, Palliative

    a/k/a it may be but I was able to figure it

  19. FDA Reverses On Roxanol.

    marachne replied to rngolfer53's topic in Hospice, Palliative

    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.

    marachne replied to rngolfer53's topic in Hospice, Palliative

    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

    marachne replied to marachne's topic in Hospice, Palliative

    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

    marachne replied to marachne's topic in Hospice, Palliative

    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

    marachne replied to Rnmomajmj's topic in Hospice, Palliative

    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???

    marachne replied to AtlantaRN's topic in Hospice, Palliative

    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???

    marachne replied to AtlantaRN's topic in Hospice, Palliative

    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...