Vtachy1

Vtachy1

BNAT instructor, ICU, Hospice,triage

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All Content by Vtachy1

  1. Spin off of the thread on putting mom in the nursing home

    Vtachy1 posted a topic in General Nursing

    I'm the MPOA for my grandma, both of her 2 kids are deceased. So Grandma is 100%, as sharp as a tack. But she does have some weakness in her left leg that she does not want to go visit an ortho...

  2. Spin off of the thread on putting mom in the nursing home

    Vtachy1 replied to Vtachy1's topic in General Nursing

    If she does become severely debilitated we will but I believe its better to keep her at home as long as we can. I've worked hospital nursing for 18 years, and I see how taking them out of their...

  3. Spin off of the thread on putting mom in the nursing home

    Vtachy1 replied to Vtachy1's topic in General Nursing

    She does have that. Thank

  4. Are you doing fecal transplants very often?

    Vtachy1 posted a topic in General Nursing

    I know that they've been around for at least 10 years. Just read about their effectiveness in research lately. Sounds like they are very effective, even though

  5. HIPPA after death

    Vtachy1 posted a topic in HIPAA Challenges

    It seems after a patient is dead HIPPA would end? Or does it continue

  6. Truth? or Pollyanna version

    Vtachy1 posted a topic in General Nursing

    I've been asked to talk to our local high school about the nursing career. I've been a nurse for 21 years now. Absolutely would not recommend it on the one hand, but on the other, I've never...

  7. Happier at work than at home?

    Vtachy1 replied to Gratefulprn's topic in General Nursing

    Its crazy I was just going to post the same thing. Only for me I cry all weekend because I actually face my problems and when I'm at work, I can stuff them down because I have to put all my mental...

  8. Bladder spasms

    Vtachy1 posted a topic in General Nursing

    Patient's Foley has been in for over 3 months, recently developed painful bladder spasms. Had a UTI 4 weeks ago and was treated. Started ditropan a couple of weeks ago. ANd it is not helping....

  9. Bladder spasms

    Vtachy1 replied to Vtachy1's topic in General Nursing

    Wound has healed yes. We have tried pyridium but the wife had a fit because it was such a ugly color:uhoh3: And it may have stained some of his clothing. He wears depend undergarments because he is...

  10. Confused patient

    Vtachy1 posted a topic in Hospice, Palliative

    Tell me what kind of intervention or words have helped and what your situation has looked like with a confused patient that absolutely refuses to give up control of his/her meds. Tomorrow when I...

  11. acyclovir

    Vtachy1 replied to Vtachy1's topic in Hospice, Palliative

    Will try that! I also learned today that there is a maintenance dose for herpes, a person can take a maintenance dose for a year for cold

  12. acyclovir

    Vtachy1 posted a topic in Hospice, Palliative

    So how many cycles can you keep giving? When cold sores keep reappearing after being off of it for a week, just keep giving it? They are so painful for my cancer patient! nothing else has helped...

  13. Other than UTI, any other reasons foley leaks?

    Vtachy1 posted a topic in General Nursing

    Does long term use cause leaking? Bladder spasms are somewhat controlled with

  14. Confused patient

    Vtachy1 replied to Vtachy1's topic in Hospice, Palliative

    I have thought of this although his mom had a horrible experience with the fentanyl patch. But its worth a try maybe. If I can somehow convince

  15. Confused patient

    Vtachy1 replied to Vtachy1's topic in Hospice, Palliative

    I'm thinking now that he must be wanting control of his meds because he is "adjusting" them. As he did confess to me last week, you can't "adjust the decadron! Its not PRN med that can be increased...

  16. Confused patient

    Vtachy1 replied to Vtachy1's topic in Hospice, Palliative

    What Would do you think if I suggest

  17. Don't you hate secrets?

    Vtachy1 posted a topic in Hospice, Palliative

    I worked in ICU for 15 years and my biggest pet peeve was when families kept secrets or "lets not tell mom about her diagnosis/prognosis". And now in Hospice I've had 2 different families not tell...

  18. No hospital bed?

    Vtachy1 posted a topic in Hospice, Palliative

    I'm working with a patient that does not want a hospital bed, she just wants to stay in her recliner. I'm picturing this scenerio of cleaning her, turning her, bathing her in a recliner. Getting a...

  19. Don't you hate secrets?

    Vtachy1 replied to Vtachy1's topic in Hospice, Palliative

    I remember the whispering and the talking outside the patient's room, and they think that the patient doesn't notice all this? I agree the patient knows they are dying. And how sad that they can't...

  20. Incorrect oxygen set up

    Vtachy1 posted a topic in General Nursing

    Have you ever walked in and found your patient on an 02 concentrator (which only goes up to 5 liters of O2) and on a 100% non-rebreather

  21. Morphine and End Of Life

    Vtachy1 replied to MelissaLPN's topic in Geriatric, LTC

    It seems that for some reason morphine always gets the blame. Never mind the fact that they have a disease process going on! Never mind the fact that they have not eaten for weeks! Never mind that the...

  22. Fingerstick blood sugars higher

    Vtachy1 posted a topic in Hospice, Palliative

    Would you start insulin just for comfort? Patient is not on any prednisone or steroids or anything. She is NIDDM, on metformin 1000mg bid. 3 weeks ago her daughter came to live with her and is...

  23. Fingerstick blood sugars higher

    Vtachy1 replied to Vtachy1's topic in Hospice, Palliative

    You probably guessed, its not working. CBG is up to 500!! I think we are going to HAVE to initiate some regular insulin for her comfort. Doc thought that shakiness is not usually a sign of high...

  24. Fingerstick blood sugars higher

    Vtachy1 replied to Vtachy1's topic in Hospice, Palliative

    Called the doc, and he DC'd the metformin altogether, thinking that it is causing her some renal failure. So we shall see if this helps or

  25. texting?

    Vtachy1 posted a topic in Hospice, Palliative

    Do you text your patients if they ask you to about what time you are going to visit? Is this a HIPPA