marachne

marachne

Hospice, Palliative Care, Gero, dementia

Member

  • Content

    349

  • Visitors

    9,966

  • Followers

    0

  • Likes

    16

All Content by marachne

  1. Continuous Sub Q Morphine

    marachne replied to scribblerpnp's topic in Hospice, Palliative

    A comment about SQ rates. Our policy was up to 5 ml/hr, and I never saw any problems with this. If we were in a bind, and needed to go up before we had a new concentration mixed, I've gone higher for...

  2. How do you use the FAST Scale?

    marachne replied to NurseAlwaysNForever's topic in Hospice, Palliative

    One other thing: I have a photocopy of just part of a booklet, but this part is titled: Hospice -- Determining Terminal Status and is published by the United Government Services Centers for Medicare...

  3. How do you use the FAST Scale?

    marachne replied to NurseAlwaysNForever's topic in Hospice, Palliative

    This could lead to serious problems for your agency if you're not using the tools the same (which means at least one of you is using it wrong!) And I'm assuming these instruments are being used as...

  4. Allergies in Eugene?

    marachne replied to Canadian Girl's topic in Oregon Nursing

    I don't know where in Canada you're moving from, but your comment about "low housing prices" sent up a warning flag. It may be that comparatively it's low, but Eugene is not an inexpensive place to...

  5. Allergies in Eugene?

    marachne replied to Canadian Girl's topic in Oregon Nursing

    The Willamette Valley (Which Eugene is in) apparently has the highest allergen count in the the country. The Valley has lots of agriculture, including the largest amount of sod farms (i.e. grass). The...

  6. How do you use the FAST Scale?

    marachne replied to NurseAlwaysNForever's topic in Hospice, Palliative

    Oh, ok. You just got my radar up with the original statement, b/c I've seen too many times things that can be fixed (or at least managed) ignored under the rubric "oh, that's just part of what happens...

  7. How do you use the FAST Scale?

    marachne replied to NurseAlwaysNForever's topic in Hospice, Palliative

    You are correct. The FAST is a prognosis tool for dementia, and the trajectory of dementia. Using it for someone w/o dementia if not as the main diagnosis, as a co-morbidity makes no sense. Here's a...

  8. Fentanyl Patch

    marachne replied to Brightonrn1's topic in Hospice, Palliative

    I guess by big leap I meant that if the person is opiate naive, then going to something that you can't titrate is a bit of a leap. But the OP then explained that she was concerned that the family CG...

  9. Can anyone recommend a few good DNP or PhD programs?

    marachne replied to jeepgirl's topic in Post Graduate Students

    I have seen my program go from fair to middling to really trying hard to get as much funding for as many students as possible. Again, this is part of what can make a good program, because they are...

  10. Can anyone recommend a few good DNP or PhD programs?

    marachne replied to jeepgirl's topic in Post Graduate Students

    A couple of follow-up comments on llg and UVA Grad nursing: About fit -- just to tell you my experience (which did not involve a lot of searching, but proves the point, none-the-less). I went back to...

  11. Can anyone recommend a few good DNP or PhD programs?

    marachne replied to jeepgirl's topic in Post Graduate Students

    Before you get much further, you may want to think through a couple of things: 1) Which way do you really think you're leaning? A school could have a good DNP program and not a great PhD program or...

  12. Fentanyl Patch

    marachne replied to Brightonrn1's topic in Hospice, Palliative

    I have to say, I'm not used to seeing people who are opiate naive on fentanyl -- it's too hard to titrate. As someone suggested, unless they have a morphine allergy I'd start w/a morphine solute...

  13. Submitting Grad School Packet

    marachne replied to youknowho's topic in Post Graduate Students

    I'll second that!

  14. Addressing the Nursing Shortage

    marachne replied to gdpawel's topic in Activism, Healthcare

    i just got this info in an email, may be worth catching: on friday, october 24, now on pbs will explore a projected nursing shortage that could impact quality of and access to care for millions of...

  15. nursing home difficulties

    marachne replied to hospicemom's topic in Hospice, Palliative

    I have a feeling that the problem may not be so much with the policies as it is with the interpretation of policies. I find this true a lot -- people will say they can't do X b/c of legislation when...

  16. how much comfort is comfort?

    marachne replied to rokidog's topic in Hospice, Palliative

    If you use a PDA or Blackberry or other devise that allows you to download data, there is even a pda version of fast facts. They're really a great tool. I can't remember where I found mine, but this...

  17. University vs Community College employment

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

    not to speak for Brandie, but I think the distinction was made clear by your comment mommyto2boys. I think she's talking about those private tech schools that also have medical field programs...

  18. how much comfort is comfort?

    marachne replied to rokidog's topic in Hospice, Palliative

    Coming from your background, it is understandable that you'd be worried about over medication, but a couple of things: 1) Most current evidence does not support the concept that providing adequate...

  19. To those of you with PhD's or working on them.

    marachne replied to medicrnohio's topic in Post Graduate Students

    In some states (like Oregon) people with CNS degrees can now prescribe. The line between a CNS and an NP are becoming more blurry. One irony is I've heard some people say that the DNP program actually...

  20. CE Education

    marachne posted a topic in General Nursing

    [color=#333333]i'm not sure if this is the right place to post this, but it seems pretty general. it is aimed at pa nurses, but i believe the ces would be good anywhere. and the first course they're...

  21. CE Education

    marachne replied to marachne's topic in General Nursing

    I don't know why that happened, it worked when I clicked on it: http://www.hhdev.psu.edu/hartford/ceu.html If that doesn't work, I suggest you go to the college of health and human development at Penn...

  22. On-line, accreddited CE

    marachne posted a topic in Geriatric, LTC

    the first one is free and is on providing mouth care to people with dementia. might be worth checking out. [color=#333333]new nursing continuing education web portal from penn state the penn state...

  23. 2 questions about submitting articles to journals

    marachne replied to HealthShepherd's topic in Post Graduate Students

    BBFRN, what great resources! Yes, always the first thing to do is find the "instructions for authors" of the publication you are submitting to. The next thing is to read, really carefully the journal...

  24. Difference between palliative care & hospice?

    marachne replied to VickyRN's topic in Hospice, Palliative

    A lot of what I see the role of palliative care teams is a combination of symptom management and exploration of goals and values. Because with palliative care, every option is still on the table,...

  25. Master's entry drop out

    marachne replied to tobagosama's topic in Post Graduate Students

    I can't answer the original poster's question, but I know this is the norm in the direct entry program that is at my school too -- the students are able to sit for boards after completing the required...