hikerellie

well my response may be different. As a student, you have to be careful what you say to the nurses, they can cause you grief with your clinical instructor. You do need to mention this, (in private) to your clinical instructor, tell her how you felt embarrassed for the patient ect. It shows you instructor that you recognize unprofessional behavior, and the clinical manager can choose to, or not to mention it to the nasty nurses mgr. You HAVE to be a patient advocate, so IMHO you need to step up and say something. If you were a co-worker, then you could say "hey that was uncool" to the nurse, but your not a co-worker. Your a student, a guest in the facility, and therefore the rule are a bit different. If you do daily evaluations, or journal,s you could write about the encounter, and let the instructor evaluate it. They may want to avoid placing other students with that Nurse in the future. Hikerellie

I agree a long acting opiate like mscontin or a cadd pump. What is her dx? Is she on a long acting opiate? Would she be a candidate for an infusion to control her discomfort. As you know, the type of pain will help you to determine what her options might be. In a case such as this, where the patient/family is not compliant with prn meds but the pt reports unacceptable pain levels, I like to increase long acting meds or switch to infusions. The goal is to get the pt comfortable, not to get her compliant with the POC. Good luck!

So, she was paid by the hospice to care for her mother? Wow, complete conflict IMHO! Not to mention, a tad unethical to let hospice pay you to care for your family member. She should have had a different case manager. How did she know what hours to bill for and when she was "being the daughter". If they had to do continuous care, that would have been a sticky situation too@ conflict.