saribeth

saribeth

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All Content by saribeth

  1. Palliative Care and Euthanasia

    phew...in my point of view euthanasia has noooooooooo place in palliative or hospice care Welcome from across the pond! Bet you have an awesome accent! Good luck with your
  2. Mouth Care Protocols

    Hi Angie...could you please elaborate on the O2 and vaseline????? It's certainly not anything to do with aspirating is it!!! Thanks
  3. Inservice for Volunteers

    Hi all...was looking for some interesting in-service topics for our volunteers...any info would be most appreciated! Thanks
  4. Conflicts between nurses and doctors

    Wow, you've got your hands full! We have the total opposite...our med director is lost in the black hole! I cannot believe that she would discontinue a foley because of possible infection...that is...
  5. Long-Term Use of Appetite Stimulants

    Megace...that's a tough one...as you know it is very expensive and once a pt is on Hospice, Medicare will not pay for it. While it does stimulate the pts appetite, in my experience it is more...
  6. Hello and welcome! I am a hospice nurse at a VNA... we occasionlly see home care pts when our census is low and I am per diem...we get $42 per visit and $60 for an admission and slightly higher if it...
  7. Hospice requirements?

    Hi All...wondering what your criteria for an admission is? Of course it must have a docs order certifying the pt has 6 months or less, but what about having a 24 hour caregiver????? Our agency will...
  8. It is not often that we have a pt with a feeding tube but we do encounter this and what our agency does it admit them as a home care pt. That way the supplies are covered and it does not drain our...
  9. Nursing students question

    Losing your Mom at such an young age must be so difficult...how amazing that your Mom and Grandmother had the same nurses...people always say "How do you do it"...well, these pts are not related to...
  10. rectovaginal fistula

    Hi All...my pt has ovarian ca and her rectolady partsl fistula is very active...grainy, watery, bloody (red) feces...a previous pt had a foley placed in her lady parts but had very little output...any...
  11. rectovaginal fistula

    Thanks so much, I will keep that in mind...she is declining rather quickly so hopefully she will be
  12. rectovaginal fistula

    Thanks Gail...hope you are not bound for Florida until they are cleaned up from Charley...he is heading here incognito, trop storm, this evening...anyway I was not able to see enough to insert a...
  13. rectovaginal fistula

    Her bowel sounds are like a construction crew down there! And yes she does have one huge tumor in her pelvis and her appetite is null...she has had one bout of N&V so far...thanks so much
  14. rectovaginal fistula

    Yes I am a hospice nurse...and we are keeping her pristine clean and her purple nail polish and lipstick are lovely! We have the "dynamic duo" Roxanol and Lorazepam in place and she is also on 50 mcg...
  15. c diff

    many thanks for the info...the doc has put him on another regime of flagyl for 10 days...not even a stool culture...he is 95 and on hospice... the pt not the doc!!!!
  16. over medicating?

    Hi all...we have a Doc who is relatively new to hospice and he is also on our board of directors (VNA)...he feels that we are using too much Roxanol on his pts...he feels that they are too "out of it...
  17. Revoking Hospice

    I saw before that if you revoke hospice care 3 times you are no longer eligable for the hospice benefit...I was very curious since I have a pt who has revoked 2x's already and he may very well do it...
  18. CHPN exam

    Have not heard anything yet...I know they said 5-6 weeks... and for the registration they said we would get the admission ticket 2 weeks prior and they were right on...just ran out to the mailbox just...
  19. 24 hr coverage at the end

    The mother of a very close friend in Ohio just passed away on Monday...the hospice was with the pt around the clock...I was really surprised...we make daily visits when our pts are at the final...
  20. 24 hr coverage at the end

    The mother of a very close friend in Ohio just passed away on Monday...the hospice was with the pt around the clock...I was really surprised...we make daily visits when our pts are at the final...
  21. CHPN exam

    Hey Mandee gooooooooooood luckkkkkkkkkkkk I am taking mine in Philly tomorrow!
  22. CHPN exam

    Hey Mandee gooooooooooood luckkkkkkkkkkkk I am taking mine in Philly tomorrow!
  23. Labrynthitis (VERTIGO!!) Please help me!!

    Oh you poor baby...I was dx with Meniere's 4 years ago...and the meclizine did nothing for the vertigo...I have horrid tinnitus but by the grace of God have not had any vertigo...ENT put me on...
  24. CHPN exam

    Thanks for getting back to me...hey are you serious about sending the course print out? I would insist on paying for the postage etc...I feel as if I don't want to put another penny in this and I...
  25. CHPN exam

    HI, I would love to have the site for the on line EOL course and yes the more I study the less I seem to know...even if I don't pass I am learning a lot...and yes, I will end up going down Friday...I...