payang0722

What is the difference between Comfort Measures Only, Hospice, DNR...What is the exact difference? ( I know some, but I'll appreciate if someone can clearly explain it.) Thanks a lot in advance.

Hello everyone, How nice to have an online community like this! Anyway, I worked yesterday (my 3rd.week! I'm surviving) pm shift at the snf. We had a lady who has COPD & complained to me at around 5.30 pm that she can't breath. Checked O2 sat...it was 98% on 2L...I checked the MAR & the MD's order is to keep O2 sat at 90-92%...We put down O2 at .5L & asked for an order for nebulizer (she has some wheezing)...After 30 mins O2 Sat went down to 96%, still difficulty breathing but not as labored as before..I called MD again, & ordered routine neb q 6hrs for shortness of breath...Now my question is, do u still give nebulizer treatment to a COPD pt. routinely even when there is no wheezing? Please I need some advise. Btw, when I went home at 11.30pm, she said she's feeling better & O2 sat still between 94-95%. What else should I have done? I am so poor in assessment. I know this is tough being a new graduate/new nurse. Thank you so much in advance for your response.