Truth. Social worker really helped put the situation in perspective for us. Complicated grief and transference secondary to unresolved conflicts in the relationship. Plus it's the holidays. Thank you for your response. I just hurt when others hurt.
We had an end stage copd pt who was on service greater than 2 years. Pt had 2 caregivers who are nurses. Pt with several revokes for aggressive tx with intubation as 1 caregivers goal was sustaining life. Recently a hired caregiver called on call t...
Asked to come in n meet w branch director n mgr clinical practice. Word is a facility complained about me this weekend. Said that i said "we dont do continuous care," and they said when i returned their call i asked "is she dead yet.". I would NEVE...
no, 16hrs a day is not normal. Our case managers work 8-10 hrs a day, but if they get near overtime, they can usually take part of a day off (corporate does not like ot). cms see 4-6 pts a day, more if they are in a facility and driving is not an ...
AtlantaRN replied to coogabooga's topic in Hospice
Choline Magnesium Trisilicilate 1200mg, i can't recall 2-3 times a day can help with bone pain (its an old drug, and its cheap, but it works), also steroids are helpful. dexamethasone can be titrated up to 96mg/day but insomnia is a major side effec...
I guess my issue is, this is hospice and there is NO real recovery....just symptom management. Narcotics cause gi sluggishness, so of course i'm gonna open a gi care plan and add senna to the patients routine scheduled medications. Hypotension tre...
I understand careplanning....but we got a note from our QI person that we should be careplanning for comorbidities.... Qi lady says if pt has hx hypertension we need to be careplanning for hypertension, even if now he is aftt and now he has hypoten...
It depends on the company. Some hospices sell hospice as an "extention of home health," which is wrong because hospice is end of life care. NO pcas, no wound vacs. mostly oral meds and wound care would consist of duoderms or wet to dry dressings. ...
AtlantaRN replied to jeannepaul's topic in Hospice
"Gone from my sight" is standard issue in our admission packet. Our case managers take the time to go through this book on admission, admissions usually take 4 hours; but when the symptoms start happening, the families are at a loss. I too am a on ...
AtlantaRN replied to jeannepaul's topic in Hospice
"Gone from my sight" is standard issue in our admission packet. Our case managers take the time to go through this book on admission, admissions usually take 4 hours; but when the symptoms start happening, the families are at a loss. I too am a on ...
original poster------you hit the nail on the HEAD! Thank you for starting this thread. i have shared it with my whole office---we are all experiencing levels of your symptoms. Some days are bettter than others. I don't want to go back on antidepr...
i had a patient with pulmonary fibrosis that was on 15liters.....he did fine for about 2 weeks, then he passed. he also had been a smoker yrs prior and had copd.
AtlantaRN replied to Nursingluv101's topic in Hospice
Thats why it's prn instead of scheduled....you did the right thing. Did day nurse come into a patient in pain? No? you did the right thing. some folks just want to tell everyone how to manage the patient.....
