CANRN

CANRN MSN, RN

Hospice and Palliative Care, Family NP

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All Content by CANRN

  1. What Diagnosis would you say this patient is?

    CANRN replied to CANRN's topic in Hospice, Palliative

    No he did not aspirate, he did not qualify for Alz. He had "upper respiratory obstruction". The patient died last week. He had the worse Kennedy ulcers I have ever seen! They came out of no

  2. Summer Hospice Clinical

    CANRN replied to Mia123's topic in Hospice, Palliative

    Congrats on your summer with hospice. When I was in school, I did my clincal community rotation in hospcie care. As a hospice RN, visits are made to the patient in their respective place of...

  3. New to the Hospice board too.

    CANRN replied to sbenning5's topic in Hospice, Palliative

    Welcome! I wish you luck in nursing school. Hospice aides provide so much to hospice paitents. Thank you for all that you do.

  4. New to Hospice and the board

    CANRN replied to RNWithAHeart's topic in Hospice, Palliative

    A couple of other great books to read: Sacred Passages and Final Gifts Kubler-Ross books, everyone of them, are must reads as well.

  5. New to Hospice and the board

    CANRN replied to RNWithAHeart's topic in Hospice, Palliative

    Congrats on your new hospice position and WELCOME to the board. You will learn as well as receive wonderful support from hospice nurses from all over the country. I wish you well. Let us know what you...

  6. Wondering if I should continue

    CANRN replied to Ms Kylee's topic in Hospice, Palliative

    That is wonderful that you are going to volunteer at the inpatient unit. What better way to get your foot in the door!! Your putting yourself in a good position to get hired on as an aide down the...

  7. Wondering if I should continue

    CANRN replied to Ms Kylee's topic in Hospice, Palliative

    Well, she sounds like a gem. I would certainly look for another hospice job, or stay where you are at. Good

  8. Lost a good friend today

    CANRN replied to sassysteph7's topic in Hospice, Palliative

    I am sorry for your loss. It sounds like David was a wonderful person. It was great that you had the opportunity to see him and tell him how important he was to you. I am sure you touched him in a...

  9. What Diagnosis would you say this patient is?

    CANRN replied to CANRN's topic in Hospice, Palliative

    We can't even use "dying" as a reason to put a patient on continuous care or inpatient! There has to be a symptom out of control that needs managed! Dying? Wouldnt that make us all terminal?...

  10. What Diagnosis would you say this patient is?

    CANRN replied to CANRN's topic in Hospice, Palliative

    Thank you Aimee. I also searched and did not find one specific for debility. I am thinking that it would fall under a "general" diagnosis criteria but not sure. I appreciate your help though! Thank...

  11. What Diagnosis would you say this patient is?

    CANRN replied to CANRN's topic in Hospice, Palliative

    I agree BMI below 22 for Failure to Thrive, documentation of weight loss of 10% or more in a short period of time (6 months) for the others but BMI is not a necessary criteria. Investigating the...

  12. What Diagnosis would you say this patient is?

    CANRN replied to CANRN's topic in Hospice, Palliative

    LOL He has only been the Medical Director for this agency since November. Guess who is "training" him of the ways of hospice? The PCM, the one who works in a bubble. She does not stay ahead of what...

  13. Changing from hospital to home setting hospice

    CANRN replied to Momto3CT's topic in Hospice, Palliative

    Being out there on your own and the family has all eyes on YOU to make their loved one comfortable and to answer their questions and calm their fears. When I first started I would repeat in my head...

  14. Post mortem care

    CANRN replied to mc3's topic in Hospice, Palliative

    Awww No problem. I guess we all get so caught up in what WE know, we tend to think it is common knowledge. So sorry if we came down too hard. HOspice nurses really are nice people!

  15. What Diagnosis would you say this patient is?

    CANRN replied to CANRN's topic in Hospice, Palliative

    The primary doc is also our Medical Director. The doc in the hospital, a pulmonary specialist stated in his H&P, it was resp failure due to upper airway obstruction. They did a bronch and found...

  16. What Diagnosis would you say this patient is?

    CANRN replied to CANRN's topic in Hospice, Palliative

    It is Palmetto. That would be great! Thank you so much.

  17. What Diagnosis would you say this patient is?

    CANRN replied to CANRN's topic in Hospice, Palliative

    -------------------------------------------------------------------------------- You need the low BMI to support Failure to Thrive but you don't need it for debility THANK YOU!!! I have argued that...

  18. What Diagnosis would you say this patient is?

    CANRN replied to CANRN's topic in Hospice, Palliative

    perhaps this isnt a patient care issue at all, but the fact that you are "not doing what your are told"?...... BINGO! I agree, and I wouldn't mind if the admission diagnosis was supported with the...

  19. What Diagnosis would you say this patient is?

    CANRN replied to CANRN's topic in Hospice, Palliative

    THis is the medical diagnosis. It is the admitting diagnosis for hospice. THe documentation and assessment support Respiratory failure for admitting hospice diagnosis (the H&P from the DOCTORS...

  20. What Diagnosis would you say this patient is?

    CANRN replied to CANRN's topic in Hospice, Palliative

    He does not fit failure to thrive, his BMI is too high and he has not had progressive weight loss. This all just started in March. And all the documentation from the hospital supports respiratory...

  21. What Diagnosis would you say this patient is?

    CANRN replied to CANRN's topic in Hospice, Palliative

    I tried that and was shot down. As I pointed out on the CRF and the H&P, he was hospitalized twice in two monts for Respiratory Failure. THe documentation clearly supports it. I was told, "there...

  22. Patient denial of pain?

    CANRN replied to AtlantaRN's topic in Hospice, Palliative

    I agree, pain is what the patient says it is. But, darn it, when you see perperation over the upper lip, and lips quivering, elevated B/P, and resistance to movement, it makes it so hard to ignore....

  23. Post mortem care

    CANRN replied to mc3's topic in Hospice, Palliative

    Your right, because this is a Hospice forum, we all assumed that anyone posting on this board would understand the Hospice philosophy of care. Hospice is a philosophy of care which provides end of...

  24. Medicare Nuts and Bolts

    CANRN replied to Mazzi's topic in Hospice, Palliative

    I have heard there are going to be changes and did hear SOAP charting was one of them. To make an informed judgement on this, I need to investigate further. Do you have a link to this information?...

  25. Elnec

    CANRN replied to rnboysmom's topic in Hospice, Palliative

    I attended the ELNEC training in Columbus Ohio a year or so ago. It was well worth it! Some of the information is a little redundant if you have been in hospice very long, but for the most part, I...