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Raviepoo specializes in hospice.

I'm a nurse, here to exchange information with my fellow nurses.

Raviepoo's Latest Activity

  1. Raviepoo

    Flowers for Mother's day.

    You were absolutely crossing the line. As a nurse you have a professional relationship with your patients, not a personal one. You can be compassionate and personable, but gift giving is not OK. What if one of those patients had tried for years to become pregnant without success? What if one of them had given birth to a child of rape? What if one of them had a terrible relationship with an abusive mother? What if one of them had lost a string of pregnancies to miscarriage? What if one of them was grieving a child taken away by it's father? Mother's Day is not a happy time for every woman. Some women have reason to dread it. Did it occur to you that your gift might have actually brought up trauma for a patient? Giving Mother's Day flowers to a woman you don't know intimately is pretty presumtious and has the potential to be the opposite of therapeutic.
  2. Raviepoo

    Hospice RN vs Case Manager

    I suspect it depends a lot on the agency and your case load. At my agency there is very little real management of the CNAs. It's just a bit of coordination. We have awesome aides who do a great job, and if they don't, upper management takes care of that. Case Managers are asked for input, but they don't do the difficult stuff. At my agency the case managers work more with the patients and families.
  3. Raviepoo

    Life, death, and dying.

    Parakeet, I'm not here to argue religion with you, just to point out that the opposite of your statement is also true. Just because someone believes something,does not mean it exists. Yes, this is related to the OP's post. As nurses we are required to provide culturally sensitive care. Nurses are part of a team of professionals who revolve around and serve the patient. The patient's needs and belief system are primary. Every person has the right to their religious beliefs, but no person has the right to force their religious beliefs onto a patient who might not share them. I was raised within a major, non-Christian religion that does not have a concept of heaven and hell. In my religion the dead live on in the memory of those who loved them. That is enough for me. I certainly hope you would not try to convince a member of my religion otherwise as they lay on their death bed. That would be rude and upsetting. Every single patient deserves sensitive, culturally competent care. Every single patient deserves autonomy and the right to make their own decisions whether or not their nurses support those decisions does not matter a bit. If a patient or family in the ICU chooses a terminal wean, it is not up to any provider to try to influence their decision.
  4. I am learning something from a conversation with my sister Margaret. First of all, people with Alzheimer's retain songs, prayer and poetry longer than speech because those things are accessed via different neural pathways. (Margaret didn't teach me that.) That's why you sometimes hear a person who hasn't spoken an intelligible sentence in years sing along with Frank Sinatra and not miss a syllable. It's also why a non-verbal patient may bust out the Lord's Prayer for no discernable reason. Margaret asked me for suggestions of songs, nursery rhymes and poetry that our mother knew back in the day. She read parts of the Song of Hiawatha to mom and mom recited along with her. Mom also sings along with Frankie without missing a beat. Ok, now I'm getting to the point, finally. What I learned is that family members know the best way to reach a person with Alzheimer's. They just need a little help pulling it out. Generic music from the 1940s did a really good job engaging my resident's when I worked in LTC. Getting specific suggestions for familiar song's prayers and poetry works even better for individuals. Seems simple, doesn't it? I have always HATED hearing contemporary music played in an Alzheimer's unit. The sound track of an Alzheimer's unit should serve the patient's quality of life. If the staff wants to listen to thier preferred music they should do it at home.
  5. Raviepoo

    Life, death, and dying.

    The questions you're asking aren't easily answered and the answers are not the same for everyone. In my opinion, my father died 2 years before his organs failed. He suferred a TBI and never became conscious again. All of his life experiences; all of his memories; all that made him himself were lost forever. Although his body existed for 2 years after that, no one will ever convince me that he was still in it. A religious person would not agree with that assessment, but that doesn't matter to me or to my mother who made the decision to have his feeding tube removed. End of life decisions are personal and should not be dictated. May I suggest some reading that might help you come up with your own answers? A good place to start is Being Mortal: Medicine and What Matters in the End by Atul Gawande.
  6. To me it sounds as if she would qualify, if her MD ordered an eval and treat AND her husband agreed to hospice services. None of it makes any difference without the husband's buy in. He is in full control. An army of MDs, MSWs and RNs can try to educate him. If he wants "everything done" you may have to code her in the end. It's sad, but some people only learn by going through it.
  7. Raviepoo


    Yeah. That's the insane part I mentioned in my post. I have had weekends where I have had a line of people waiting for me, plus a death, plus an admission, all needing attention at the same time. Not fun. It wasn't every weekend. Some weekends nobody called at all and I felt guilty for collecting a paycheck.
  8. Raviepoo


    There is no such thing as better. There is only what works best for you. Weekend on call can sometimes be really insane, but then, so can Monday - Friday. At my agency there is no such thing as 9 - 5 (or 8 - 5.) There is just a patient load, and the needs of the patients. I prefer on-call to case management, but that's just me. They are different. If you are doing case management you will get to know your families really well. If you are working on call you are likely to step into the lives of people you don't know very well at times of crisis. We are talking about two different skill sets. Which do you think you might do better? Which do you think you might enjoy more? Your answer might be different than mine. You're in the enviable position of being able to chose. What do you want?
  9. Raviepoo

    Psy np program in Wilkes university

    I don't know whether to trust this program. As soon as I asked for info I got a call from a "counselor" who wanted to sell me on it. That doesn't leave a good taste in my mouth at all.
  10. Um, based on my experiences and the experiences of my classmates i think everyone has gone through nursing school with depression. It's doable. P.S. Trying to wean yourself off of meds while in school is a REALLY bad idea. Don't ask me how I know that.
  11. Raviepoo

    Best jobs for nurses with multiple sclerosis?

    The really fun thing about MS is that it's different for everyone. You might have the mother of all relapses after giving birth, or you might do just fine.
  12. Raviepoo

    Best jobs for nurses with multiple sclerosis?

  13. Raviepoo

    I harmed my first patient today.

    I'm not sure that you did anything wrong but that tech certainly did. She had no business messing with the catheter afterwards. Because of that, you will never know if there was any saline left in the bulb or how much was left. It is not a tech's place to interfere with the education of a nursing student. Who the heck does she think she is?
  14. Raviepoo

    Nursing is a passion?

    Honestly, I think if it's not a passion or a calling you should go find something else to do. There are less stressful ways to earn a living.
  15. Raviepoo

    I don't thnk these patients are appropriate

    That is my chief concern. I'm not looking to take services away from families who need them, but I do want to keep my license.
  16. Raviepoo

    I don't thnk these patients are appropriate

    My use of "their" instead of "there" is humiliating and now I can't correct it.

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