tewdles RN

PICU, NICU, L&D, Public Health, Hospice

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All Content by tewdles

  1. tewdles

    Symptoms of end-stage Parkinson's? When should hospice step in?

    tewdles replied to zelda2012's topic in Hospice, Palliative

    Don't you have care conferences with this spouse and the care
  2. tewdles

    Should Healthcare Be Funded As A Basic Human Right?

    tewdles replied to jayp's topic in Activism, Healthcare

    Again...health care expenses are not necessarily about an individual's failures or personal weaknesses. Bad things happen to good people all the time...there is even a book or two about
  3. tewdles

    Money Management

    tewdles replied to jlamarev's topic in Nursing Career

    I agree with above posters... say no to credit cards of all kinds, buy used cars, pay cash for what you need, take advantage of any pre-tax medical, child care, etc plans that your employer offers,...
  4. tewdles

    Should Healthcare Be Funded As A Basic Human Right?

    tewdles replied to jayp's topic in Activism, Healthcare

    I don't make generalizations about the willingness of the poor to do for themselves. I worked with the uninsured and under insured for more than a decade. For the most part they were hard working...
  5. tewdles

    Michigan hospice nurses!!!!

    tewdles replied to kfogarty7's topic in Michigan Nursing

    There are a number of good hospices in that area... I have friends that work in several of them... Good
  6. tewdles

    Symptoms of end-stage Parkinson's? When should hospice step in?

    tewdles replied to zelda2012's topic in Hospice, Palliative

    Actually, hospices can reach out to patients if their family requests the information visit. If the patient and family are in agreement with hospice, and the criteria for admission is met the...
  7. tewdles

    Should Healthcare Be Funded As A Basic Human Right?

    tewdles replied to jayp's topic in Activism, Healthcare

    I personally feel that the overall health of the citizens of this country is important to me and to the country. I really don't mind if my tax dollars subsidize the health care of those less...
  8. tewdles

    Patient Picking At Clothing/Bed Linens

    tewdles replied to 84RN's topic in Home Health

    People who are in the pre-imminent to imminent stages of dying often exhibit that type of restless behavior as well as seeing and speaking to deceased loved ones. Does her overall level of decline...
  9. tewdles

    Should Healthcare Be Funded As A Basic Human Right?

    tewdles replied to jayp's topic in Activism, Healthcare

    Having a child with a congenital heart defect is not a choice. Getting cancer is not a choice. Living within your means and having an unexpected health expense put you into bankrupcy is not a...
  10. tewdles

    Should Healthcare Be Funded As A Basic Human Right?

    tewdles replied to jayp's topic in Activism, Healthcare

    I get it. It is just too bad for my young friend who had to declare bankruptcy when his appendix ruptured and he had no insurance through his work. It is just too bad for people who are forced into...
  11. tewdles

    Do you cut corners in your daily nursing practice?

    tewdles replied to madwife2002's topic in General Nursing

    I suppose that we all cut a corner or two during the course of our care over the span of a career. Keep in mind, however, that what we practice over and over becomes habit. Do not practice bad nursing...
  12. tewdles

    The math doesn't add up

    tewdles replied to noyesno's topic in General Nursing

    The thank you notes/cards need to come from the hospital administration, not the bedside nurses,
  13. tewdles

    Am I crazy to take a hospice job?

    tewdles replied to rnjello's topic in Hospice, Palliative

    Good for you! Welcome to hospice! It sounds like you will be a field visit nurse? Case Manager? Dependent upon where you practice you may have high acuity hospice patients who have tubes, drains,...
  14. tewdles

    Taking care of Santa Claus...

    tewdles replied to Brian's topic in Nurses Rock

    A really sweet guy... We should leave him kale chips rather than cookies. Thanks Santa! You have been really generous over the
  15. tewdles

    Taking care of Santa Claus...

    tewdles replied to Brian's topic in Nurses Rock

    We literally do take care of "Santa" here in central AK, from time to time. He lives in North Pole and most people around here just call him "Nick", or so I understand. I don't think there will be a...
  16. tewdles

    management of bone ca pain

    tewdles replied to aging1's topic in Hospice, Palliative

    Methadone often works better for bone pain than Morphine or the codones. I have never had good luck with lidoderm in treatment of bone pain. Any combination of the opiates, NSAIDS, and steroids may be...
  17. tewdles

    I got fired today...

    tewdles replied to patrickh_rn's topic in First Year After Licensure

    Clinical and nursing unit managers are charged with hiring and maintaining professional staff that are competent in provision of that care. We do try to nurture our new staff into success, however,...
  18. tewdles

    Should Healthcare Be Funded As A Basic Human Right?

    tewdles replied to jayp's topic in Activism, Healthcare

    Nicely written and a good
  19. tewdles

    Guidance for a new case manager?

    tewdles replied to MarcyRN's topic in Hospice, Palliative

    Unfortunately, many if not most hospices use EMRs that were not designed for hospice but for home care and have been "tweaked" to accommodate hospice. When I grow up I want to design hospice...
  20. tewdles

    Moving up in the world...

    tewdles replied to nfdfiremedic's topic in General Nursing

    Congratulations!! Embrace the challenge. Develop strong professional relationships with those in the continuum of care within and surrounding your department. Delegate. Build your team carefully and...
  21. tewdles

    Ethical/moral issue

    tewdles replied to dee78's topic in General Nursing

    With due respect wooh, and I do respect your opinions... Getting locked out is different from getting discharged from the hospital, I know that you know that and that you made a good point, but......
  22. tewdles

    What do you indicate when they ask "Salary Requirement"?

    tewdles replied to caffeineaddict's topic in Job Search, Interview, Resume

    I have completed a number of these over the decades. I always use my most recent wage and add an increase (When I change jobs I am typically hoping to improve my income at the same time). If there...
  23. tewdles

    I need help processing my first hospice patient experience.

    tewdles replied to pkateRN's topic in Hospice, Palliative

    Don't assume that his bleeding out was a source of suffering for him, it may have been very quick and peaceful dependent upon his LOC. It is ALWAYS traumatic for the family when a patient bleeds at...
  24. tewdles

    Ethical/moral issue

    tewdles replied to dee78's topic in General Nursing

    In my opinion this is a failure of the discharge planners or whatever you call them in your facility. The MSWs should have been all over the readmission risk factors for this guy and setting up a...
  25. tewdles

    Who do nurses make more than?

    tewdles replied to Amber215's topic in General Nursing

    You have to create a budget and live within it. Avoid debt/credit cards. Drive a used car to avoid new car payments and high insurance costs. Eat at home most of the time. Take your lunch to work....