leslie :-D

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All Content by leslie :-D

  1. leslie :-D

    The Patient Who Receives No Visits

    as a nsg student, i did my peds rotation at a chronic stay hospital, where all the children were wards of the state. some of these kids had debilities from birth, but most of them were kids that had...
  2. i think i would understand op's concerns more, if he sought camaraderie based on another's qualities and not religious affiliation. there are so many loving and compassionate people, both Christian...
  3. leslie :-D

    end of life care.. how could I have done better?

    Dyspnea at End of Life # 027 Dyspnea at End of Life, 2nd ed
  4. leslie :-D

    end of life care.. how could I have done better?

    i agree, that your heart was clearly in the right place. as a longtime hospice nurse, i am with the a.m. nurse who said pt wasn't comfortable... or, he didn't achieve his maximum level of comfort. it...
  5. leslie :-D

    Feeling sad about my ALS patient

    it really is true that our neediest/demanding of pts, are the most challenging to care for. i agree that the cna's (who are frustrated) need an inservice... detailing all the devastation their disease...
  6. leslie :-D

    Discontinue tube feeding

    what was the rationale for tapering fdgs this way, do you know? i'd love to understand...
  7. i guess i'm not understanding why it would make a difference... since Christianity or any other religion, would not affect your role as a nurse one way or the other. we (nurses) do not share our...
  8. leslie :-D

    Young, Thin, and Cute New Hires

    i see nothing wrong with how the employer hired a group of nurses in attempts to raise pt satisfaction scores. without knowing what these women looked like, i could understand where pts might respond...
  9. leslie :-D

    Question

    i would have absolutely no problem waking up a pt to give their pain med. would much rather stay ahead of it then try to treat pain when it is full blown.
  10. leslie :-D

    Ethical dilemma

    depression should be anticipated when given a terminal dx. why would you object to your pt being treated with an antidepressant? as stated, 60mg is the norm. i guess i am not understanding your...
  11. leslie :-D

    Would Like Input - CABG

    God bless you, momrn. very wise and compassionate decision on your part.
  12. leslie :-D

    Quitting a job after a short stay...

    as long as you are honest with this hiring mgr (the one who has shown interest in you), i can't see this interfering with anything. however it may be different when interviewing for other positions. i...
  13. leslie :-D

    Would Like Input - CABG

    actually, it's the anesthesiologist that pretty much decides if pt is candidate for surgery. i am wondering where this pt is with her lung ca, as she very well may be candidate for hospice... and...
  14. leslie :-D

    Discontinue tube feeding

    i was a hospice nurse for several years and not once did we ever taper off fdgs. if a pump is running at 125ml/hr, that is still only 1/2 cup/hr... so, what's to taper? i cannot think of one medical...
  15. leslie :-D

    Why my Patient did not Have Lunch Today.

    wow...i also agree the pt advocate displayed absolutely no judgment in discerning a valid complaint from a meager whine. seriously, why not just hire a parrot (as pa) then, since all she is doing is...
  16. leslie :-D

    I don't know how you nurses deal with death

    to clarify, i was talking about suctioning in eol care, grntea. but reading your post, the bolded (by me) jumped out at me. even when a pt is severely dehydrated, many pts still 'drown in their...
  17. leslie :-D

    I don't know how you nurses deal with death

    as an aside... 1. i have to agree that it likely does have to do with nsg in a rural setting, vs an urban one. where i am, lots of diversity and just lots more people...as one would expect in the...
  18. leslie :-D

    Multiple medication errors

    is this the crux of your errors...that you haven't been following the rights of med admin? i am seeking to understand, and think the pp had very wise advise in encouraging you to truly consider the...
  19. leslie :-D

    Follow the hospice calling or stay put?

    if it was me, i'd listen to how the universe is beckoning you and definitely take the position. it is an inpatient facility, not home health. because of that, you will readily have access to all the...
  20. leslie :-D

    I don't know how you nurses deal with death

    as a hospice nurse, i get extremely frustrated that we as a society, are so anti-death. more often than not, people seem to be more focused on the dying's quantity of life, and not quality. that yes,...
  21. leslie :-D

    Fishy smelling gtube

    i have to agree about reporting it to dr. my first thought was to get lft's checked.
  22. if that is the case, i pray these facilities are the exception and not the norm. and, they should be shut down and/or severely penalized...which i'm pretty sure they would be. skilled nursing...
  23. i'm glad the situation is resolved, glad procedure should be sterile (phew!), and no one got in trouble. you may want to post this in your original thread since it is not getting the attention it...
  24. here...ltc was my first job out of nsg school, worked there little less than a year. when we straight cath'd, we'd grab a cath and a cath kit to get the needed supplies for a sterile procedure. the...
  25. leslie :-D

    Intranasal Fentanyl

    jean, i think it'd help somewhat but certainly it wouldn't reach its full potential of the med. same concept with fentanyl patches - they will do little when over a bony prominence or sunken chest...