Carlos Casteneda

We are nursing a Muslim lady with a diagnosis of permanent vegetative state, Today a Nurse interupted her sister pouring a substance into a jug of water used to provide flushes down her peg. The nurse asked her to stop a debate ensued, the sister sa...

I have been given the dubious honour of writing a best practice statement concerning the administration of medication via peg tube. I have found a suggestion that we should administer each individual liquid medication seperately Wright D (2002) Swall...

You did well no doubt about it you kept on fighting for your patient long after others would have given up. Your instructor seems to be very wise, nursing is strange, it does invoke uncomfortable feelings, it does sometimes feel as though nurses will...

I fully agree with ambil, whereas we generally beleive that patients deserve the truth, we have to accept that everyone copes differently, the approach suggested comes straight from the pages of validation therapy, it also works with disorientated el...

Dont know if its too late but a few things we use scopolamine patches + saline nebs if secretions become too thick Atropine eye drops sublingualy positional changes chairs with tilt in space used to obtain very upright position (obviously depends of...

try encouraing patients to be a feather on the breath of God http://palliativedrugs.org/download/CARE%20OF%20PERSON%20AT%20DEATH%2019%20JUN%202002.pdf

it occurs to me that most interventions need time, weekly weighing will inform of the trend which will indicate what the balance is, the potential risk remains but the regime can be adjusted . Also there may always be a potential risk, as tubes can ...

We have had great success with a patient with scrotal,penile and bilateral leg oedema with the use of spirinolactone and frusimide, referral to a physiotherapist who specialises in lymphodema and the use of special "bike" pants and stockings. This pa...

This problem sounds to me like a severe form of lymphoedema. My experience has shown that fitting the patient with lycra bike pants reduces the oedema somewhat - sometimes though the oedema is just shunted up into the abdomen. Having massage by a qua...

dont know if this entirely fits this thread but a junior nurse has just asked if it would be acceptable to resuscitate a patient on a DNAR if the cause of their arrest was due to a nurses drug error i cant think through the consequences at present wh...

I agree with all others a valuable lesson learnt we dont blame nurses for errors, due to encouraging cover up, we look at the system instead and find safer ways for everyone to practice,most nurses make a drug error at some point and we never forget ...

hello everyone, Can anyone give me any pointers about the nursing management of fatigue in Multiple sclerosis, Keep up the good work, Julian

thank you , julian

we dont do any routine obs on palliative patients, because we would not act if we found deviations from the norm anyway

thank you for all the posts the situation is not quite as volatile as it was but we are involved in discussion so that we can reach a more appropriate course of action.

thank you for all the replies, I initially thought along the same lines ie if its clean it should be ok, but needs multi disciplinary discussion . I looked at the bottle of water which had bits of paper floating around in it the sister said that it w...

in england in general we dont have computers for charting we are still using integrated care pathways the lcp is however quite effective for recording the terminal phase of someones illness i could post a copy if you are unfamiliar julian

we now ask doctors to actually give us written permision to crush tablets or open capsules if there is no alternative. in most cases they change the order, say from ativan to diazepam before they will put their name on the line . can i thank everyo...

what a big subject you chose in england we have had several deaths from bedrails so we have major policies main thrust is risk assessment can provide info if you still require

I have been given the dubious honour of writing a best practice statement concerning the administration of medication via peg tube. I have found a suggestion that we should administer each individual liquid medication seperately Wright D (2002) Swall...

New House best practice statementRE:Administration of medication via PEG Date: 20/06/2005 Patient safety is enhanced when those administering medicines understand and apply the principles of pharmacology, (Jordan 2003). If prescribed medications are ...

This is what i have ended up with i am posting it for criticism please feel free to comment.New House best practice statement RE:Administration of medication via PEG Date: 20/06/2005 Patient safety is enhanced when those administering medicines under...

It makes a lot more sense when you look at it from that perspective thank you Julian

Thanks for your advice which will be taken and acted upon

Thanks for your reply what you suggest does make sense and is in accordance with the general concensus, after consideration i intend to incorporate this into the statement