marachne

marachne

Hospice, Palliative Care, Gero, dementia

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All Content by marachne

  1. Help with finding articles

    marachne replied to bsn graduate's topic in Research

    PM me today (I'm going out of town) and I can get you the

  2. Help with finding articles

    marachne replied to bsn graduate's topic in Research

    Does your library use ILL (interlibrary loan?) if the articles aren't in their collection of subscribed pieces, you usually can get it from another institution for a nominal fee. You can also go...

  3. Pain Not Controlled With Dilaudid Pum

    marachne replied to waterstarjen's topic in Hospice, Palliative

    Glad it was finally controlled and she died comfortably. Good on you for trying all you could to get her there. Find out how much experience your agencies medical director has with methadone. You...

  4. Hospice certification exam

    marachne replied to hcan's topic in Hospice, Palliative

    There is a a computerized set of questions called the Hospice and Palliative Registered Nurse Self-Assessment Examination. It's not free, I think it was $45, and some of the money goes back to HPNA....

  5. Pain Not Controlled With Dilaudid Pum

    marachne replied to waterstarjen's topic in Hospice, Palliative

    ah. Good luck. Hopefully the specialists can offer some good

  6. How much waste do you see?

    marachne replied to PiPhi2004's topic in General Nursing

    People have mentioned ethics committees several times, but there's another approach -- well-integrated palliative care teams. I say well-integrated b/c they need to be seen as part of the larger...

  7. Pain Not Controlled With Dilaudid Pum

    marachne replied to waterstarjen's topic in Hospice, Palliative

    Have you tried haldol for the

  8. Pain Not Controlled With Dilaudid Pum

    marachne replied to waterstarjen's topic in Hospice, Palliative

    What is her terminal dx/source of pain? What is the nature of her pain? Have you tried any adjuvants? Is there a nuropathic component to the pain? What has her titration been like? Many titration...

  9. New to teaching pharmacology

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

    BigBadInstructor's comment about M&Ms reminded me of a activity that I had to do in my pharmacology class: Every student was given a set of medications that they were supposedly prescribed. The...

  10. WHY do we need more nurses

    marachne replied to getinfall's topic in General Nursing

    Including the sense that they are entitled to every possible intervention that might just extend someone's life by the smallest amount -- quality of life be damned. People in the US who are afraid of...

  11. WHY do we need more nurses

    marachne replied to getinfall's topic in General Nursing

    You know what is so ironic about the whole deskilling of nursing? It wasn't all that long ago that several studies provided empirical evidence that it wasn't the number of bodies on a floor it was the...

  12. APA Style Papers--Computer software?? HELP!!

    marachne replied to NURSESTAR's topic in Florida Nursing

    I am in the process of writing my doctoral dissertation. I have a few sections of my APA manual tagged, and I manage to basically ignore the rest of the book. I got through my undergraduate program...

  13. WHY do we need more nurses

    marachne replied to getinfall's topic in General Nursing

    Want to start by echoing what DusktilDawn stated. As a gerontologist, I continue to be amazed at how people keep forgetting about/ignoring the aging "bulge" about to hit us. One of the things that is...

  14. Comfort Care

    marachne replied to byaya3's topic in Activism, Healthcare

    Comfort care does mean not checking vitals but If you think someone is running a fever (very common at EOL), you can check the temp (auxiliary if it's intrusive to do oral) before administering...

  15. A bunch of questions!

    marachne replied to NurseyPoo7's topic in General Nursing

    While coke can do a really good job with clogged feeding tubes, it should only be used as a last resort s it can also eat through the tubing (another source stated that it denatures proteins leading...

  16. APA Style Papers--Computer software?? HELP!!

    marachne replied to NURSESTAR's topic in Florida Nursing

    I don't know anything about specific programs except that the one person I know who bought the template version w/o the manual found it was an awful lot of problems and buggy (this was a few years...

  17. APA Style Papers--Computer software?? HELP!!

    marachne replied to NURSESTAR's topic in Florida Nursing

    You might be thinking of this: Designed to provide fingertip guidance in APA style for a single user installation, APA-Style Helper 5.1 gives clear and straightforward help on how to format...

  18. Death work and talking to the dead

    marachne replied to talaxandra's topic in General Nursing

    There is definitely parallels -- and probably at least part of the reason why I've seen a fair number of L&D nurses (and midwives) become hospice nurses. The other aspect that I find an...

  19. How Many Times During the Night Do You Wake Your Patients?

    marachne replied to abundantjoy07's topic in General Nursing

    One thing to think about with those who are on comfort measures: I understand not wanting to reposition too often, but you might want to do it at least q4h -- think about how stiff you are if you...

  20. WHY do we need more nurses

    marachne replied to getinfall's topic in General Nursing

    Nursing is harder and more stressful today, at least in part because of technology. As Leslie pointed out, technology has made it possible to keep people alive longer and sicker. Technology (and the...

  21. Need help picking topic!

    marachne replied to Christen, ANP's topic in Post Graduate Students

    What do you mean by "do a screening tool no?" Do you mean develop a measure or use an existing one? A word of caution about the former -- there's a lot that goes into developing a valid psychometric...

  22. Teaching on line courses?

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

    The field of on-line teaching is very new, so the pedagogy is also new. Our SON recently hired a person with a DEd whose focus was on-line learning. She has been working with the faculty to help them...

  23. Need Positive "Cheerleader" Phrases for 1st job

    marachne replied to in2ICU's topic in General Nursing

    Sorry to hear about your loss -- but to make something positive out of that, it gives you that extra empathy, not only with people who are ill and/or dying, but what it feels like for the family...

  24. Need Positive "Cheerleader" Phrases for 1st job

    marachne replied to in2ICU's topic in General Nursing

    As someone pointed out, empathy is a very useful approach. That said, I would caution against ever saying "I know what you're going through" or "I know how you feel" unless you do, from having a...

  25. Anybody Turn Down an Assistantship?

    marachne replied to BBFRN's topic in Post Graduate Students

    I'm so glad it worked out well for