CANRN

CANRN MSN, RN

Hospice and Palliative Care, Family NP

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All Content by CANRN

  1. Do comatose patients need pain medicine

    CANRN replied to sophie2's topic in Hospice, Palliative

    If the patient had pain prior to becoming comatose, then yes, medicate as you did before, since patient is unable to swallow, Roxanol is

  2. Medical Director taking new patients?

    CANRN replied to tahijajan's topic in Hospice, Palliative

    Our medical director is awesome, He has NEVER said no to taking on a patient. More often that not, the primary will acutally ask us to go to our medical director for all orders etc, and many times...

  3. nebulized ms

    CANRN replied to doodlemom's topic in Hospice, Palliative

    Our pharmacist said it's not all that effective and we do not use it. Last week I attended a conference in Columbus Ohio and they discussed this and said it is not as effective as good ole Roxanol. We...

  4. Defibrillators...

    CANRN posted a topic in Hospice, Palliative

    Recently we have had several patients with implantable defibrillators and we have had to de-activate them (at patient and family request, and also due to dying process). Have any of you had experience...

  5. Dad died yesterday

    CANRN replied to Curious1alwys's topic in Hospice, Palliative

    My deepest sympathies to you and your family. It's been ten years since my Dad died, the pain is less now, but I still miss him. You will be in my prayers.

  6. Dad died yesterday

    CANRN replied to Curious1alwys's topic in Hospice, Palliative

    My deepest sympathies to you and your

  7. Defibrillators...

    CANRN replied to CANRN's topic in Hospice, Palliative

    We have deactivated two of the three we had this past couple of months. two were in the home. The first one, the nurse placed the magnet over the site and taped it to his chest for 30-45 mins and it...

  8. Family dynamics

    CANRN replied to mc3's topic in Hospice, Palliative

    We recently had a patient's family who refused any meds that would "make him sleepy" and of course that pretty much did away with comfort for the patient. After many attempts with SW, our nurse...

  9. No Pain, really

    CANRN replied to BeExcellent's topic in Hospice, Palliative

    When you find out, let us know. Very

  10. No Pain, really

    CANRN replied to BeExcellent's topic in Hospice, Palliative

    I am very curious about this DX. My father died of mesothelioma and lived 8 months from day of DX to his death. He was in terrible pain, had tumors growing between his ribs (actually breaking them as...

  11. DH dying-need prayers

    CANRN replied to nursejoey05's topic in Hospice, Palliative

    My deepest symptathies to you and your

  12. Case Manager caseloads

    CANRN replied to ray2512's topic in Hospice, Palliative

    OMG!!!!!! I used to work for a hospice that covered like 14 counties. It was nothing to put 300 miles A DAY on my car! and the reason I left was because I just did not feel that I was giving these...

  13. 1st signs of passing.

    CANRN replied to Just wondering's topic in Hospice, Palliative

    It sounds like you should have called the Hospice nurse on call. She could have instructed you on what to do from there and a visit may not have been necessary. But I will say, if one of the...

  14. I accepted hospice position.

    CANRN replied to kelluvanurse's topic in Hospice, Palliative

    GOOD LUCK!!! It takes time to adjust. I love the fact that we can take time with our patient's and have a more holistic approach to nursing. It's so great to make a difference in our patient's lives...

  15. Hospice patient receiving TPN ?

    CANRN replied to Blackcat99's topic in Hospice, Palliative

    We have had patients with feeding tubes, but after the natural process of the body slowing down and digestion slows, we have stopped them. Force feeding a patient who can not handle the feedings...

  16. What does it take? Direction please

    CANRN replied to NCINDASUN's topic in Hospice, Palliative

    Our Hospice requires a nurse to have at least one year experience in Med/Surg and prefer Critical care nurses with at least one year experience. Although, we have hired a recent new grad but she was...

  17. in home emergency packs

    CANRN replied to Al Stephens's topic in Hospice, Palliative

    We have had some problems with getting Scop patches. When our pharmacy runs out we are told they are on "back order". We are now getting them again but they will only dispense them two at a time to...

  18. in home emergency packs

    CANRN replied to Al Stephens's topic in Hospice, Palliative

    We do have emergency medications ordered and sent to the home on admission for such symptoms as nausea/vomiting (injectable) constipation (SUPP) elevated temp (SUPP), severe pain injection medication,...

  19. Is hospice for me?

    CANRN replied to kelluvanurse's topic in Hospice, Palliative

    I believe Hospice nursing is a calling. I had always wanted to work Hospice, but my father died of cancer, and I was offered a job in a local Hospice and did not take it, I felt "too tender" I worked...

  20. Hospice work difficult during holidays

    CANRN replied to mlynn's topic in Hospice, Palliative

    This is my first Holiday season in Hospice care. I took call on Thanksgiving day and had FIVE deaths in a 12 hour period! I was so emotionally drained, I could barely work on Friday. My manager is so...

  21. Can I keep going.....

    CANRN replied to webblarsk's topic in Hospice, Palliative

    I am sorry for your loss. I do understand your pain, I have also gotten very close emotionally to a couple of my patient's and when they passed, it was very difficult to deal with. I know right now...

  22. methadone

    CANRN replied to flea's topic in Hospice, Palliative

    I just attended a conference today in Columbus Ohio and two sessions I attended were devoted to Methadone. We use it in our Hospice and have for two years now. Our pharmacist and MD are great when it...

  23. Do any of your home hospice programs do extubations in home??

    CANRN replied to sue hospice's topic in Hospice, Palliative

    Recently, we admitted a 54 year old with who was in ICU and wanted to go home on our Hospice. He knew, and the family knew, that once he was extubated he could pass quickly. We arranged for a squad to...

  24. home health aides knowing patient diagnosis

    CANRN replied to renerian's topic in Home Health

  25. home health aides knowing patient diagnosis

    CANRN replied to renerian's topic in Home Health