pmabraham BSN, RN

pmabraham has 8 years experience as a BSN, RN and specializes in Hospice, Palliative Care.

Latest Activity

1. I want to retire I'm so tired of the stress

   pmabraham replied to Winter_blue_bird's topic in Retired Nurses

   Consider hospice, where you may not have to lift anyone... and consider you may not need as much as you think to

2. Giving PRN pain meds to hospice patient

   pmabraham replied to A2024's topic in General Nursing

   You did the right thing. Stand

3. Trial of homeopathic medicine

   pmabraham replied to Do_Good's topic in Hospice, Palliative

   "The directions are to place one drop on a clean or gloved finger and touch it to the roof of the mouth." -- hmmm.... one drop touched to the roof of the mouth... not swallowed or ingested. Like...

4. Trial of homeopathic medicine

   pmabraham replied to Do_Good's topic in Hospice, Palliative

   The FDA did such a wonderful job with experimental injectables released as part of Operation Warp Speed, where the manufacturers are under no legal recourse for death or significant, often life-long,...

5. Trial of homeopathic medicine

   pmabraham replied to Do_Good's topic in Hospice, Palliative

   Why would this be unethical if it can provide comfort? Are you aware all of us are living experiments regarding medications? For example, can you (the reader) guarantee that another human being...

6. Question on End Stage Parkinsons

   pmabraham posted a topic in Hospice, Palliative

   Question on End Stage Parkinsons Problem Statement: Over the past 4.5 years between two separate hospice agencies there has been a pattern of admitting patients for Parkinsons Disease where the...

7. Changing Careers At 42

   pmabraham replied to Zakando Z's topic in Pre-Nursing Students

   Then there's home health and home hospice where you are not working 12-hour days

8. Changing Careers At 42

   pmabraham replied to Zakando Z's topic in Pre-Nursing Students

   I went back to school at the age of 50 to become a nurse, got my associate in nursing science, passed my NCLEX-RN boards, then went for my BSN. You can do it if this is your

9. Lowest Dose of Morphine To Cause Death

   pmabraham replied to thisnurse123's topic in General Nursing

   0.25 ml = 5 mg of morphine. The max daily dose of morphine is 1,600 mg. As a hospice nurse, I've had pancreatic cancer patients on 960 mg morphine daily and still talking. Morphine is not a...

10. Morphine for Hospice Patients: What Nurses Need to Know

    pmabraham replied to KyleStaarmannRN's topic in Patient Education

    The 4 drops of clonazepam DID NOT speed up the dying

11. Hospice agency shutting down - help!

    pmabraham replied to mslavender1982's topic in Hospice, Palliative

    As a visiting hospice RN case manager, I don't know how much I would trust cameras in order to be able to properly see the condition of the patient. While vital signs, in my experience, are often not...

12. Morphine for Hospice Patients: What Nurses Need to Know

    pmabraham replied to KyleStaarmannRN's topic in Patient Education

    It comes from experience and I'm not trying to be snarky. I've articles on medium dot com that go over how to recognize terminal restlessness, when someone is within two weeks or less (does not...

13. Morphine for Hospice Patients: What Nurses Need to Know

    pmabraham replied to KyleStaarmannRN's topic in Patient Education

    Cheyene stokes and Kussmaul are among the common end of life breathing patterns, but nothing you wrote came across as excessive. We are called to use critical judgement and you used yours. Morphine...

14. Morphine for Hospice Patients: What Nurses Need to Know

    pmabraham replied to KyleStaarmannRN's topic in Patient Education

    Let's start off with just a little background of how hospice is supposed to work with families. What I'm sharing is per Medicare guidelines and that means every hospice nurse and provider should be...

15. Morphine for Hospice Patients: What Nurses Need to Know

    pmabraham replied to KyleStaarmannRN's topic in Patient Education

    It’s frustrating do you have anyone who is a healthcare professional think that hospice uses morphine for euthanasia. Prior to becoming a hospice nurse I worked on the cardiac floor where are they...