pmabraham

pmabraham BSN, RN

Hospice, Palliative Care

Follower of Jesus • BSN, RN serving others as a Hospice RN Case Manager • Lifelong Learner

Member

All Content by pmabraham

  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...

  16. In Hospice are RNCM's Ever Paid Hourly Instead of Salary?

    pmabraham replied to Texasdude's topic in Hospice, Palliative

    Check https://careers-brightspring.icims.com/jobs/intro?hashed=-626002160 as they own Grane for whom I work as an hourly RN Case

  17. In Hospice are RNCM's Ever Paid Hourly Instead of Salary?

    pmabraham replied to Texasdude's topic in Hospice, Palliative

    Grane Hospice pays hourly. They are owned by BrightSpring so it is possible other BrightSpring branches for hospice also pay

  18. 2019 Lessons Learned as a Hospice RN - a year of Thanksgiving

    pmabraham posted a topic in Hospice, Palliative

    Dear friends, please allow me to share with you the various lessons I've learned as a visiting hospice registered nurse. One of the primary lessons I've learned as a hospice nurse is that being mortal...

  19. On-call hospice nurse

    pmabraham replied to lwheatley's topic in Hospice, Palliative

    "Tuck-ins" are calls or visits to see if the patient is OK, needs supplies, etc. More often they are phone calls but can be a visit if a change in physical location such as nursing home discharged to...

  20. On-call hospice nurse

    pmabraham replied to lwheatley's topic in Hospice, Palliative

    Hi: Tuck-in calls and visits should be doable by LPN/LVN/RN et al as it is just a routine visit or call to check in on the patient. Pre-admission evals typically require a good understanding of...

  21. On-call hospice nurse

    pmabraham replied to lwheatley's topic in Hospice, Palliative

    "I have been told that I do not have a set number of patients to see, nor will I have a list of "regulars" or appointments. I was hired to be a go-between for families and patients who already have...

  22. On-call hospice nurse

    pmabraham replied to lwheatley's topic in Hospice, Palliative

    Salary has pros and cons. When I worked for-profit their for-profit took advantage and I worked more hours without the benefit of overtime. On-call can be just phone, phone + PRN visits or phone +...

  23. On-call hospice nurse

    pmabraham replied to lwheatley's topic in Hospice, Palliative

    As a day RN CM, the company policy is that we do supervisor visits every visit when there are CNA's assigned to the

  24. Which specialties of nursing have more autonomy and less micromanagement?

    pmabraham replied to Naturally Brilliant's topic in General Specialties

    Home Hospice (which from a point of view is very close to home health). You drive solo with the only time management is around is for an annual survey of your skills/practice. When you get good...

  25. Getting Flack For Not Getting Covid Vaccine

    pmabraham replied to EDnurseAmen's topic in Disaster Preparation

    Margaret Sanger founded Planned Parenthood and has a long history and connection with the KKK, called black people, "weeds," and wanted all blacks wiped off the face of the planet. Bill Gates and his...