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To Hospice Nurse, Many thanks.

Thank you So much!

Thanks. I was emailed among a small private group's blog. I am friendly with the writer personally...

Thanks for the quick and much needed reply!

I received this note yesterday.Please advise ASAP. Urgent. My...... has lung cancer and has been at... Hospice for the past week. We are not completely happy with the service, but are not sure if the service that we are receiving is standard for a hospice facility. We feel that if ( person) can and asks for food and drink that we should provide it to person and we do. The staff at Hospice .... disagrees and advocates additional sedative medication to prevent any ability to eat or communicate. Any input would be really appreciated. Thanks,

Ignorance is all around us...and getting worse! This woman probably was undernourished as a child. A simpleton. Problem is there are a Lot of those around!

Thankyouthankyouthankyouthankyouthankyouthankyouthankyouthankyou!!

Thank you so much! Good idea.

To Classicdame, Thank you for your response. Part of the problem isn't as much intrepretive as it is Passivity by both client and PCA who are both of the same culture. I have difficulty getting clear information from them ( when did you last see your Dr.) My frustratiton is that almost all of the client's don't seem to care and the PCA's just look at me as if to say the same thing. Thanks again for letting me bend your ear...

I would like to know how to teach Personal care givers who speak little to no English. I oversee client's who mainly are from 3rd world countries and whose care givers are also from those same cultures. The PCA's know minimal to no English. I try to explain/teach on a reg. ongoing basis via interpreters but I know they do not understand what I'm saying. They just keep quiet when I ask questions. The client's themselves are Very Passive re. their own care. I am wondering what my legal responsibilities are re. PCA not complying with what has been taught to them by me and by the company I work for. My interpreters are usually the PCA's and though very well mannered, they are also passive re. what I consider important issues. Any advice? Thanks.

To:Stark 2002 These are all good questions and a lot of food for thought. You could begin simply by going to the dictionary and looking up some basics. Look up health, then environmental health, then nurse patient roles and so on. Even something as simple as what is a patient? Just the word "patient". Keep adding more as you go along ( more compounding of the same words.) Such as nursing roles and the role of the bedside nurse. You will find a wealth of info and more than you ever wanted. It will start you thinking and get you going. If you make it a game it will almost be fun...sort of. But that's a good way to think of it and maybe a good way to get started. Good luck. Read,read,read...you'll do great!

To bobbyzr7 Well said! Thank you. Everybody read this from bobbyzr7 and learn.

I think nurses continue to accept the abuse of administration and unfortunately do not have a voice as a whole to try to establish limits on workloads. Example from Betty Boop is exactly right. It seems to me that we do everything except take out the trash. Our mistake is if they asked us to do that we'd do it just to keep our jobs...my opinion ladies...it's just the way I see it. There seems to be no end to what they ask of us: ans. the phones, bathe the pt, give the meds, check and be responsible for the CNA behavior and their work,ans family concerns, chart to death, run the whole store in order to keep Their costs down and we make the mistake of saying OK. Seems to me that we sometimes forget that We are professionals and should be treated as such and in turn should act as professionals...not be the worked to the bone nurse. There, I said it!

Chelsea, Thanks So much for your generous thumbnail of schools you looked into. I am earnestly searching for a BSN to PhD program that does not require the GRE. I have been contacted by U of Pheonix...but am not sure about that? Any advice? Thank you. Bonnie

EmergencyRN, Didn't see your post at first. I thank you also!

Emille and ProBeeRN, Thank you so much for your quick and thorough explanations. You're right re. the long ( looong!) explanations. As for the interpreters these are usually Bhutanee people who are going to be the caregiver ( aids). Appreciate your feedback! Thanks.

Please advise me if anyone knows how to work with or deal with Bhutanese patients. I am a visiting nurse and the majority of my clients are Indian or Bhutanese. When I enter their homes I always remove my shoes as they do, smile and begin to visit with them with my interpreter who will become their PCA ( care giver). I can never get a straight answer to a question. I can never get a yes or no. Those who have diabetes have no idea what the diet is or what I am asking them or showing them. They refer to themselves as "very old lady" when they are still in their 50's. Often the response is no response at all. But a foggy look and literally they shrug the shoulder toward any conversation re. their diagnosis. I spend most of my time calling their Dr. offices trying to get answers that way. Any advice would be most appreciated. I am most aware of the difference in cultures. The lack of basic education and obvious lack of nutrition that I seem to be witness to. The elderly women cannot sign their names. I have them "x" for signatures. They and I are each polite and friendly but a 1 hour evaluation ends up with lots of loose ends. Thanks to Anyone who can provide specifics. b

Which accredited, acceptable, with no GRE required msn program is the best online school out there? Do the employers care where you received your msn if all of the above are met? I'm in Ga. looking for a good online program.