marachne

marachne

Hospice, Palliative Care, Gero, dementia

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All Content by marachne

  1. Palliative Care & Morphine

    marachne replied to flygirls2's topic in Hospice, Palliative

    Another thing to keep in mind is that opiates are sometimes used as an aide with dypnea-- particularly for people with heart failure, COPD, or lung cancer -- the opiate helps in multiple ways. Here's...

  2. Palliative Care & Morphine

    marachne replied to flygirls2's topic in Hospice, Palliative

    While there is some contradictory information, it is generally accepted that opiates do not necessarily hasten death. Some could argue that the cathecolamine release from the pain may be exacerbating...

  3. New CoPs....

    marachne replied to andre's topic in Hospice, Palliative

    I'm not working in the field right now, so you can take my question w/a grain of whatever your pleasure but... The new CoPs have been known about for over a year right? Why do some places feel that...

  4. MSN or PhD to teach nursing?

    marachne replied to Sunflower3's topic in Nursing Educators, Faculty

    Some of it may have to do with "areas of need." Fore example, in Oregon, if I remember correctly, a school can maintain its accreditation with MSN faculty if they can prove that the extant pool does...

  5. Question about Phd Programs

    marachne replied to cnmny's topic in Post Graduate Students

    I'll say the same thing here I said in the no GRE thread -- you need to figure out what you really want, a DNP or a PhD before you try and narrow down where you want to go. If you are interested in a...

  6. List your School Here if they do not Require the GRE's..

    marachne replied to justme1972's topic in Post Graduate Students

    I think the first thing you really need to decide is if you want a PhD or a DNP, because they are very different learning experiences with fairly different

  7. Young Hospice Nurses

    marachne replied to DarkHairedStudentCCC's topic in Hospice, Palliative

    I certainly know a number of male hospice nurses. At the risk of sounding sexist, from what I have noticed a lot of men who go into nursing want to do the high tech/high risk kind of nursing like ER...

  8. Economy affects my MSN application

    marachne replied to RN007's topic in Post Graduate Students

    GNP programs, unfortunately, are hard to maintain, despite the on-going and increasing need for geriatric practitioners. I believe one of the problems is that for Medicare reimbursement you have to...

  9. New to Hospice - Continuous Care

    marachne replied to kat7ap's topic in Hospice, Palliative

    My favorite approach is to use a birth analogy -- I ask if they have had children. If they have, I ask them to think back to when they/their partner was pregnant, and how they had all kinds of visions...

  10. Question on code status and hospice

    marachne replied to moeluvrn's topic in Hospice, Palliative

    Nope. Nothing in the Medicare guidelines about DNR status. EMT/ambulance/ED visit won't be covered under medicare hospice benefit, and sometimes it can be a signal for a need to further discuss goals...

  11. Pallative Care, HELP on questions

    marachne replied to RheatherN's topic in Hospice, Palliative

    Palliative care is a much looser term than hospice, and the approach can vary quite a bit. To palliate means to mitigate or ease. It is about managing symptoms and, usually, examining goals and...

  12. The One Slide Project

    marachne replied to marachne's topic in General Nursing

    So, Leslie, can you fix my title then? I meant it to say :"The One Slide Project" Maybe better would be "Engage with Grace" And are you going to distribute it to others (outside the hospice community...

  13. The One Slide Project

    marachne posted a topic in General Nursing

    I just found out about a project called Engage with Grace: The One Slide Project It is about taking the time, with family, friends, and all who you love to answer just 5 questions about your desires...

  14. does your school have a written policy on affairs?

    marachne replied to mhr2133's topic in Nursing Educators, Faculty

    The issue is not only one of "consent," or "age of consent." A professor/student relationship is built on a power imbalance that is not tenable. There are very good reasons for limiting contact...

  15. Another New Grad

    marachne replied to Virginia Murse's topic in Oregon Nursing

    portland area programs: bsn ohsu university of portland lynfield concordia walla walla washington state university (vancouver, wa)adn portland community college mt. hood cc clackamas county cc...

  16. Sacramento Area Nurse's Town Hall Meeting Re: New SON at UC Davis

    marachne posted a topic in California Nursing

    Hi, not a California nurse, but the Dean of the new Betty Irene Moore School Of Nursing, at UC Davis, Heather Young was at my Uni and I think the program is going to be a very exciting one. I am also...

  17. Another New Grad

    marachne replied to Virginia Murse's topic in Oregon Nursing

    One thing to be aware about w/the VA -- they are the federal gov't so their hiring process can be veeeeery slow. If you decide to go that route, be prepared to be persistent. Also, while their pay is...

  18. Oregon's Death with Dignity Act

    marachne replied to Jump_Nurse's topic in Hospice, Palliative

    i am a hospice & palliative nurse from oregon, as well as a nurse researcher who has studied the issue, done research on the issue, and have presented on the issue. so, you could say i have a bit...

  19. ICU directly after nursing school.

    marachne replied to LiveYourDreams's topic in Oregon Nursing

    It really helps to get into a senior clinical rotation in an ICU if you want a position in that setting. More ICUs are accepting new grads, but I think it depends on both the level of need and how...

  20. new grad-out of state

    marachne replied to angelstrings's topic in Oregon Nursing

    Where in Oregon are you thinking about? Portland currently does not really have a shortage, particularly for new grads -- there are like 7 nursing programs in the area, so competition is fierce....

  21. new grad-out of state

    marachne replied to angelstrings's topic in Oregon Nursing

    When in doubt, check the states BON website I went to Oregon's and it said this about people licensed in other states: You can become a nurse (RN or LPN) in Oregon by one of two ways: by...

  22. Florence Wald has died

    marachne posted a topic in Hospice, Palliative

    Hi all, Just read the sad news today: I share with you the loss of our beloved "Mother of Hospice," Florence Schorske Wald. Former Dean of the Yale School of Nursing and founder of the first...

  23. Looking For Hospice Nurses

    marachne replied to HospVol's topic in Hospice, Palliative

    couple of comments on the survey: Your first question: "PAS has a role in hospice" is very vague. What do you mean by "has a role?" -- Hospice agencies should continue to treat people pursuing PAD?...

  24. Congestive Heart Failure

    marachne replied to Monica Zilko's topic in Hospice, Palliative

    Sending strength and healing for your heart in this hard time Monica. Know that you did everything you could to make her passing as good as possible. Be kind and gentle w/yourself.

  25. Congestive Heart Failure

    marachne replied to Monica Zilko's topic in Hospice, Palliative

    Monica, it is hard when you feel you should be "doing" something, but what you are doing -- being w/your mum, and your siblings is exactly what you need to do. We sometimes call it the "ministry of...