tnguy31

tnguy31

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All Content by tnguy31

  1. Hi everyone, I'll keep it short and straight to the point. I work for a post acute rehab facility. 95% of the nurses (RN and LVNs) at the facility is Filipinos. With all due and respects, i think they are great and very good at their jobs. Problem is...
  2. End stage Alzheimer's

    I recently visited a patient with end stage Alzheimer's diagnosis. However, I have problem understanding why she should be in hospice considering her status. The pt is a 93 years old female that walks with walker, most of the time she sits at her sof...
  3. Gastric cancer and NGT

    Hi nurses, I would love to hear your opinion on this issue. I have an 87 yrs asian female patient with gastric cancer that metastasize to other organs. She was admitted to hospice after having part of her stomach remove. She was doing good for 2 mon...
  4. Gastric cancer and NGT

    The pt died last night. I feel so sad. She died peacefully, no pain. @curiousauntie: Thank you for sharing. The family is very worry about leaving the pt feel hungry, they think it's a bit cruel to her. I regretted that I didn't pursue this treatment...
  5. Skilled Notes

    Thank you Capecod, this is so helpful. exactly what im looking for.
  6. Gastric cancer and NGT

    The dr. also order NPO till n/v resolve. Patient still has sense of hunger and desire to eat.
  7. Gastric cancer and NGT

    @ Idis: I'm thinking about the risk of further dehydrate the patient and possibly perforate tumors in her stomach. What do you think?
  8. End stage Alzheimer's

    Thank you NC29Mom for your input. The pt is a DNR. The family just dont understand the purpose of hospice, and there is miscommunication betweeen the P.A and the family. I already talked to case manager, still waiting on the response
  9. End stage Alzheimer's

    Yes I think so too. Although she is end stage, I don't see her with a prognosis less than 6months. I don't know what the lab for, just CBC and CMP. But I'm checking with the P.A who talks to family. So far, she hasn't respond yet. I have other ES Alz...
  10. Venting and seeking advice

    Hello to all nurses, I have been holding myself back from writing this topic for awhile, but being in this site for a year now, I realize the great support from all of the nurses here. So I'm writing this to vent out my feeling and seek for advice as...
  11. Venting and seeking advice

    Thank you so much everyone. I started to have doubt at my ability to be a nurse, but your support and encouragement give me confidence.
  12. I have been out of the field for two years. Recently taking on a part-time job for hospice. I feel like all of the knowledge and skills from school are gone. I'm looking for a pocket guide for nursing skills, procedures: such as CADD pump, IV, foley ...
  13. Recommendation for RN handbook (pocket guide)

    Thank you HodgieRN
  14. What is your go-to book for hospice documentation?

    Hi Tewdles, I'm very new to hospice as well as nursing. I try to find the Corridor handbook that you mention, but nothing related pops up on google. May I ask what is the exact name of the handbook?
  15. What meds to keep

    Thank you for posting this topic. I found it so helpful.
  16. Just took my NCLEX-RN Mar 20.. too scared to do the PVT

    Congratulations!
  17. March 2013 Caption Contest: Win $100!

    I got the same clothes as you! Who's the nurse now?
  18. Ethical dilemma

    Hi nurses, Please give me your thoughts and advices on this. An 80 yrs old female is admitted to hospice program with the diagnosis of end stage COPD. She was also prescribed hypertension medication, fosamax, kaxalate, colace, etc.. She is allergic t...
  19. Ethical dilemma

    No, it's not your brain or the flu lol. I didn't make it clear, i think. The problem is I think she doesn't need to be on this med at all.
  20. Ethical dilemma

    Asst. Admin, My thought was she doesn't need the medication, maybe. I spoke to caregiver, and he stated that she has never had depression; her other caregiver stated the patient is a cheerful person to begin with, patient has friends and family visit...
  21. Ethical dilemma

    Thanks everyone. It's my lack of knowledge. Will learn it from now on.
  22. Hi all, I'm working on one of my nursing class for a BSN program, and the assignment requires a written paper upon interviewing a nurse. I'm currently not working nor have any network to other nurses. Nurses please help me. Please pm me your email or...
  23. Need to interview nurses for an assignment

    thank you so much for your input. I was able to contact a nurse from local nursing home and interview her :)
  24. New Grad for Hospice

    Please help me out! I'm a new grad, graduated in 2010 and has been off the field for two years. I recently took on hospice job. It's been two months; things are getting better; I learned a lots from this job, but I always have a doubt. I don't know i...
  25. New Grad for Hospice

    Thank you so much Flarn and Ladyfree28.