jwelhwel

Latest Activity

1. Self-Assessment of Your Beliefs About Death and Dying

   jwelhwel replied to tnbutterfly - Mary's topic in Spirituality, Religion

   I've been a hospice nurse for 23 years and most doctors are not good about telling families that treatment will do more harm than good. Hospice has had for all the years I've been working in the...

2. Should I be mad at Hospice? My mother...

   jwelhwel replied to Roland's topic in Hospice, Palliative

   It is unfortunate that the hospice nurses did not explain what was happening to your mother.Nausea and agitation are common symptoms in hospice and sometimes more pronounced when the liver is affected...

3. How Do I Know If I Can Handle Hospice?

   jwelhwel replied to tencat's topic in Hospice, Palliative

   You won't know until you try it! As a hospice nurse of 20+ years, I can tell you it is one of the most rewarding types of nursing that you can do. None of us by ourselves is emotionally or spiritually...

4. Hospice Nurse Burnout

   jwelhwel replied to weatherby's topic in Hospice, Palliative

   Sadly, burnout isn't always dealt with well in hospice agencies. I have done a lot of hospice education and the first thing I tell new hospice workers is that in order to prevent burnout, they must...

5. A Serious Problem

   jwelhwel replied to windsong's topic in Hospice, Palliative

   Advice from a hospice nurse of 20+ years: Set some boundaries with your employer. Having a case load of 30 hospice patients is insane. (The average should be no more than 10-15.) Most hospices do not...

6. Who or what...

   jwelhwel replied to couldntbhappier's topic in Medical Assistant, CNA/MA

   Many Hospice nurses get into the field after having been inspired by a personal experience of someone who provided wonderful care to a loved one. I, too, considered labor and delivery at one time.(And...

7. I Need A Fresh Start, Please Advise

   jwelhwel replied to jill48's topic in General Nursing

   Consider Quality Assurance. Lots of paperwork and you can make a difference in patient care.

8. wonderful extras in hospice

   jwelhwel replied to debbers's topic in Hospice, Palliative

   At one hospice where I worked, there was a volunteer who, after the death, would ask for an item of the patients clothing (shirt, dress, etc.) and make a teddy bear out of it. The families loved the...

9. Getting my own cases now.

   jwelhwel replied to wonderbee's topic in Hospice, Palliative

   I would request that the charts of the patients you are getting be audited so that errors, omissions would be corrected before you are responsible for the charts and to make sure all information is...

10. use of Cadd pumps in pain management

    jwelhwel posted a topic in Hospice, Palliative

    The hospice I work for almost never approves the use of a CADD pump for the administration of morphine due to the high cost of using a pump. I feel that sometimes we are providing inadequate pain...