tewdles RN

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

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All Content by tewdles

  1. tewdles

    A Vaccine administration oops

    tewdles replied to Nurse Katherine's topic in Pediatric

    They may have a more serious local reaction and they may well not properly respond to the vaccine and therefore not create an adequate immune
  2. tewdles

    What so really do and what to say to a sick person.

    tewdles replied to SoCalRN1970's topic in Hospice, Palliative

    With those families I would arrange a joint visit with the Pastoral care or MSW. That way we can support the patient and the family at the same
  3. tewdles

    Send a nurse now or we will call 911.

    tewdles replied to SoCalRN1970's topic in Hospice, Palliative

    That is when the manager needs to visit. Talk with the patient and family. Discover IF three IS a way provide care. But, honestly, it is okay for people to choose another hospice. I enjoy it when...
  4. tewdles

    Nurses Speak Out Against Debate Audience Members Who Cheered Leaving Uninsured to Die

    tewdles replied to scecile's topic in Activism, Healthcare

    Wow... You know, I had nice things at one time in my life, we worked hard to get them. Imagine, nice clothes, nice cars, nice electronics, nice vacations, nice home, and a full wine cellar. Then a...
  5. tewdles

    mosby drug book vs davis drug book

    tewdles replied to missmian's topic in General Nursing

    yes...but many of us do not work on a
  6. tewdles

    Morphine and Hospice Patients that are dying

    tewdles replied to suzi0612's topic in Hospice, Palliative

    In the USA, I believe that if a patient living in a facility requires pain medication routinely more often than Q4 hrs we also employ some other way to insure comfort. At end of life an infusion...
  7. tewdles

    Oncology Drug shortage

    tewdles replied to plum94's topic in Oncology

    duplicate post...chemo
  8. tewdles

    Oncology Drug shortage

    tewdles replied to plum94's topic in Oncology

    I thought you might find this interesting http://www.cancer.org/Cancer/news/News/chemotherapy-drug-shortages-concern-doctors-and-patients So do we have a shortage of drugs like 5FU and leucovorin...
  9. tewdles

    Nurses fighting for everyone

    tewdles replied to scecile's topic in Collective Bargaining, Union

    well said RN4MERCY...well said our societal compassion has fallen to the point that crowds cheer the notion of just allowing the unisured to die... so
  10. tewdles

    % Canadians coming to US for treatment

    tewdles replied to chuckster's topic in Activism, Healthcare

    the US health outcomes are going to continue to fall as compared to Canada and other countries as our numbers of unemployed, and therefore uninsured citizens, continues to grow. The notion that the...
  11. tewdles

    Nurses Speak Out Against Debate Audience Members Who Cheered Leaving Uninsured to Die

    tewdles replied to scecile's topic in Activism, Healthcare

    At the two most recent candidate debates the crowd cheered first a liberal use of the death penalty and then the concept of letting the unisured die of their ailments. I too see this as a degeneration...
  12. tewdles

    Education/experience required

    tewdles replied to SMSMITHRN's topic in Case Management

    Remember that hospice also employs RN case managers, although, in that role you not only manage the case but also provide nursing visits and skilled
  13. tewdles

    Send a nurse now or we will call 911.

    tewdles replied to SoCalRN1970's topic in Hospice, Palliative

    Calls like that rarely get the oncall nurse to the house sooner, in my experience. We always reinforce that patients may seek aggressive care at any time, but that some care would require that they...
  14. tewdles

    mosby drug book vs davis drug book

    tewdles replied to missmian's topic in General Nursing

    Davis...used it on my PDA. Many employers do not provide a drug book or stethescopes, etc. They are our professional
  15. tewdles

    Hospital policy?

    tewdles replied to mom4josh's topic in Hospice, Palliative

    Sometimes, if a primary doc is not employed by the hospital, they may be the ones referring directly to a hospice which THEY prefer. Of course, the choice of a specific hospice is that of the...
  16. tewdles

    texting?

    tewdles replied to Vtachy1's topic in Hospice, Palliative

    I phone my patients. But, I am not certain how texting their cell is any less secure than phoning their cell...you always have to be cautious about names and details over the
  17. tewdles

    head and neck cancer end of life care - advice needed.

    tewdles replied to jonga's topic in Hospice, Palliative

    These are difficult patients, as you well know. It sounds like you have taken all of the appropriate steps. Focus on the tools you will need to keep him comfortable...the opiates and sedatives, etc....
  18. tewdles

    Morphine and Hospice Patients that are dying

    tewdles replied to suzi0612's topic in Hospice, Palliative

    5mg is the typical starting dose of morphine for the opiate naive patient. Too many physicians are not well educated on palliative
  19. tewdles

    Is medical marijuana effective for cancer patients?

    tewdles replied to annacat's topic in Oncology

    I am now a cancer and chemo patient myself, and yes...it does work for pain AND
  20. tewdles

    New to Hospice Nursing... a bit overwhelmed! Need advice

    tewdles replied to makua girl's topic in Hospice, Palliative

    put it in the
  21. tewdles

    PRN Narcotics?

    tewdles replied to Finallydidit's topic in Geriatric, LTC

    FarrellGirl,RN...I really appreciate your mentioning that behavior changes and increased agitation may be caused by pain. I am afraid that too many of our advanced dementia patients suffer needless...
  22. tewdles

    Treatment for uncontrolled N/V post chemo

    tewdles replied to MillieT's topic in Oncology

    I find that edible marijuana, made from the oils/tincture is very effective in curbing my post chemo nausea. They dissolve in my mouth very quickly and I experience improvement within 30 min and...
  23. tewdles

    waiting for a train when dying

    tewdles replied to angila1's topic in Hospice, Palliative

    Dying people often speak of going to different places, by differing conveyances, and it is not incorrect to think that they may be speaking metaphorically rather than having hallucinations or confused...
  24. tewdles

    Evidence based article

    tewdles replied to Vtachy1's topic in Hospice, Palliative

    Have you searched the subject in the professional literature? I am thinking that there was an article on hydration last year in one of the journals. Sorry that I cannot be more helpful than
  25. tewdles

    O2 administration in imminent pts

    tewdles replied to starsgirl78's topic in Hospice, Palliative

    Nice post by leslie... Remember that our focus for the patient during the dying process is comfort. If the pt was known to have any anxiety about the flow of O2 when she was alert, it would be a...