doodlemom

doodlemom

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All Content by doodlemom

  1. Parameters for Morphine

    doodlemom replied to CapeCodMermaid's topic in Geriatric, LTC

    As a hospice nurse, I would say that the hospice nurse in question acted inappropriately by yelling at you. Our role should be of support to the staff at your facility as well as being advocates for...

  2. Hospice Library...what would you pick?

    doodlemom replied to LadyBugLass's topic in Hospice, Palliative

    One of the best symptom management books that I've seen is the "Symptom Management Algorithyms, A Handbook for Palliative Care" by Linda Wrede-Seaman, MD. It's easy to carry around with me and I have...

  3. Anyone else get good news in the mail?

    doodlemom replied to RnRatchet's topic in Hospice, Palliative

    Congratulations!!!

  4. Methadone question

    doodlemom replied to southern_rn_brat's topic in Pain Management

    abuse potential? the reason why methadone is used for heroin withdrawal is because it doesn't give the same buzz. i would think that any other narcotic would have a much greater abuse potential. i...

  5. the neverending med pass

    doodlemom replied to FROGGYLEGS's topic in Geriatric, LTC

    My first nursing job was in LTC, but now I go into facilities as a Hospice nurse. A few years ago, in between jobs, I worked for an agency. I tried to work in a nursing facility and found it...

  6. I want to be a hospice nurse

    doodlemom replied to jaylynn67's topic in Hospice, Palliative

    I have seen new RN grads hired and while some of them have turned out to be great hospice nurses, I think that it's best to do med-surg for a year. I think it will give you a much more rounded...

  7. Breast Cancer Question

    doodlemom replied to pama's topic in Oncology

    I am so sorry for you and your family. I hope that your mother in law was able to have a comfortable

  8. Combating Hospice Burnout and ethical dilemmas concerning TS

    doodlemom replied to SharonK's topic in Hospice, Palliative

    I've been a hospice nurse for 8 years and haven't ever felt uncomfortable with the few times that we've used "terminal sedation." We used an ativan drip mixed with dilaudid on a patient recently that...

  9. Methadone question

    doodlemom replied to southern_rn_brat's topic in Pain Management

    Methadone is unique in that it hits more receptor sites than any other narcotic - therefore providing better pain control. Other narcotics are useful in providing short acting pain relief for...

  10. RN's w/chronic pain, using narcotics

    doodlemom replied to SRbear's topic in Pain Management

    Grannynurse, I wouldn't sweat it too much. It is obvious that Tom does not understand the effects of the sustained use of narcotics. Anyone who works in and understands pain management knows what you...

  11. Allowed to die

    doodlemom replied to nettie01's topic in Geriatric, LTC

    There are plenty of meds that can be given SL and pt's stay very comfortable. Most Hospice patients never require IV comfort

  12. Can non-profit hospice survive high cost of palliative care?

    doodlemom replied to Mazzi's topic in Hospice, Palliative

    Good point! I wonder if they are a little slower at scheduling admissions for these patients, therefore the patient or the hospital calls us. We do seem to get an awful lot of unfunded

  13. Hospice in LTC.................

    doodlemom replied to webblarsk's topic in Hospice, Palliative

    We don't go out and give the injections, but if the facility calls us and reports high blood sugars, we do call the doctor for them and get an order. Most of the time, the facilities don't call us...

  14. Hospice in LTC.................

    doodlemom replied to webblarsk's topic in Hospice, Palliative

    Our philosphy is to ask yourself what would you do if the patient were in their own home? Of course, you would go out to assess and dress the wound. You would probably teach the family how to do wound...

  15. Can non-profit hospice survive high cost of palliative care?

    doodlemom replied to Mazzi's topic in Hospice, Palliative

    We are a non profit and we provide palliative radiation. We have a really good deal with a local hospital. We do not provide chemotherapy. In my opinion there is no such thing as palliative...

  16. Need positive reason for palliative radiation

    doodlemom replied to Mazzi's topic in Oncology

    Mazzi, I am also a hospice nurse and have seen things go both ways. I have had pt's with spinal compression and intestinal obstructions that have had good relief from XRT. These cases were in patients...

  17. Hospice volunteerism and nursing

    doodlemom replied to kk2000's topic in Hospice, Palliative

    I'm not sure if being a volunteer will help you get a nursing job later on, but it couldn't hurt! I always encourage nurses to get Med Surg experience before coming to hospice, but we recently hired a...

  18. Pain management vs religion dilema

    doodlemom replied to RN4ustat's topic in Hospice, Palliative

    It doesn't sound callous to me, just

  19. RN's w/chronic pain, using narcotics

    doodlemom replied to SRbear's topic in Pain Management

    Did you have a prescription? I would fight this

  20. Breast Cancer Question

    doodlemom replied to pama's topic in Oncology

    Pam, I would tell her to ask her oncologist and orthopedist if there is some reason that she should not take ibuprofen or another NSAID. If there is no contraindication, then I would have her take...

  21. Breast Cancer Question

    doodlemom replied to pama's topic in Oncology

    Pama, is your MIL taking an antiinflammatory for the boney pain? When there are boney mets, there should always be an antiinflammatory on board. Some of our patients do well with the patch and some do...

  22. RN's w/chronic pain, using narcotics

    doodlemom replied to SRbear's topic in Pain Management

    I think that FEMLA is supposed to be FMLA - family medical leave act and ADA is the Americans with disabilities act. Good luck. I know there is someone out there that will hire

  23. Abd cramping

    doodlemom replied to saribeth's topic in Hospice, Palliative

    Why don't you start upping her methadone for longer acting pain relief? We have tried to move most of our patients away from duragesic patches (mainly because of cost, but also because they don't work...

  24. RN's w/chronic pain, using narcotics

    doodlemom replied to SRbear's topic in Pain Management

  25. Med Error!!!!

    doodlemom replied to AMARTIN1's topic in General Nursing

    If that's the worst error that you've ever made, you're way ahead of the game. Don't beat yourself