TLDey

Latest Activity

1. tracking narcotics

   TLDey replied to TLDey's topic in Private Duty

   Thank you for your support! Yes, there's two staff present (a nurse and an aide) 24/7. I did address it with the Business Manager for the agency (whose daughter actually owns the company), and she...

2. tracking narcotics

   TLDey posted a topic in Private Duty

   Hi, I've been working on a private duty case for the past several months. There are several nurses in the home. When I first started on the case, the nurse I took over for full-time, an LPN,...

3. Deceptive firing practices

   TLDey replied to TLDey's topic in Private Duty

   Thanks to all for the wise words. I have been concerned too, because the client's husband came in to talk to the aide I was working with, and myself, re: another aide that was "let go"... the husband...

4. Deceptive firing practices

   TLDey posted a topic in Private Duty

   I am a Private Duty nurse with a home client who requires both an aide and a nurse 24/7. Both the client and her spouse have mood and temper fluctuations, and they are frequently requesting staff...

5. Continuous Care for unMANAGED symptoms?

   TLDey replied to TLDey's topic in Hospice, Palliative

   I'm sorry I sound so bitter... the SW I worked with was always accusing that I didn't have the compassion to persevere with the repetitive education approach, despite "umpteen" attempts (and I've been...

6. Continuous Care for unMANAGED symptoms?

   TLDey replied to TLDey's topic in Hospice, Palliative

   In this scenario, SC won't step in because family says "no". SW is off doing one informational after another; SW has seen family once and "didn't notice any problems" so, it must be my...

7. Continuous Care for unMANAGED symptoms?

   TLDey posted a topic in Hospice, Palliative

   Does anyone work at a hospice that supports the use of continuous care for a family who is in denial, or having ineffective coping that's preventing them from being able to manage symptoms properly?...

8. Imposing compassion?

   TLDey replied to TLDey's topic in Hospice, Palliative

   Dear Steeleworks, have you used these interventions in a hospice setting, and can you get effective relief without narcotics? Is there such a thing as a holistic/naturopathic hospice practitioner?...

9. Imposing compassion?

   TLDey replied to TLDey's topic in Hospice, Palliative

   "I will always advocate for bringing families with unrealistic or even inhuman ideals of "comfort care" into the IDT meeting." Hi Tewdles, Do you mean, actually inviting them to come sit in at the...

10. Imposing compassion?

    TLDey replied to TLDey's topic in Hospice, Palliative

    I might add too, that the woman who thought we were insane to tell her she needed to turn her husband, also did not believe she needed to manage his pain. He said he wanted narcotic, and she said of...

11. Imposing compassion?

    TLDey replied to TLDey's topic in Hospice, Palliative

    Hi all, I know I read an article, I think from one of the hospice associations, that said caregivers (even though they may have the legal DPOA, which I think some people are power-tripping with), they...

12. Imposing compassion?

    TLDey replied to TLDey's topic in Hospice, Palliative

    Thank you for responding. Did you wonder, with your client who only wanted herbals & adjunctives, whether there was an element of self-abuse involved (psych/emotional problems)? (Or, whether the...

13. Imposing compassion?

    TLDey posted a topic in Hospice, Palliative

    A hospice agency I recently worked for struggled with the idea of holding families accountable for compassionate care. Because I thought we should hold families accountable, I was looked at as...