req_read

req_read

Med-Surg, ER, ICU, Hospice

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All Content by req_read

  1. What is the ideal caseload?

    req_read replied to Hospice4me's topic in Hospice, Palliative

    andyg, I have not been an NHPCO member for years so do not have access to the members only section of their website. However, since the question of caseload size keeps coming up among hospice nurses...

  2. What is the ideal caseload?

    req_read replied to Hospice4me's topic in Hospice, Palliative

    andyg, I could not find it. Is it in the members only

  3. I feel like just giving up...

    req_read replied to mc3's topic in Hospice, Palliative

    mc3 There are occasional problem patients, families & MD’s, but this sounds more like a problem agency… or perhaps problem managers within an agency. It would be interesting to know if the...

  4. What is the ideal caseload?

    req_read replied to Hospice4me's topic in Hospice, Palliative

    I have 2 questions... one is for anotherkindredspirit and the other is for everyone. 1- Why the change in caseload? The increase you are talking about is not just an increase in caseload, it is more...

  5. subcutaneous IV fluids?

    req_read replied to Cing_angels's topic in Hospice, Palliative

    I remember from nursing school that a drug called hyaluronidase (no doubt my spelling is wrong after all these years) is added to fluids when given SQ to accelerate absorption. Many years ago while...

  6. IV fluids in hospice

    req_read replied to lsyorke's topic in Hospice, Palliative

    There are times when IV fluids would be a bona fide comfort measure… but those instances are rare. In most cases any significant amount of IV fluid will make the patient less comfortable; i.e....

  7. What is the ideal caseload?

    req_read replied to Hospice4me's topic in Hospice, Palliative

    Hospice4me, It sounds like you may be making some real progress… let’s hope so anyway. FYI: The NHPCO website (in the What’s New section) has a link to a MedPac report on Medicare’s Hospice...

  8. What is the ideal caseload?

    req_read replied to Hospice4me's topic in Hospice, Palliative

    Yes, not all administrators are greedy. Some are simply inept. One of the difficulties inherent to these threads & posts is we get a very vague picture of what is going on when someone asks a...

  9. What is the ideal caseload?

    req_read replied to Hospice4me's topic in Hospice, Palliative

    I actually put more emphasis on teaching than trying to actually be there (at the time of death.) My hospice was in a very rural area… and when I say “rural” I mean I sometimes drove over 100...

  10. What is the ideal caseload?

    req_read replied to Hospice4me's topic in Hospice, Palliative

    aimeee, That is very

  11. What is the ideal caseload?

    req_read replied to Hospice4me's topic in Hospice, Palliative

    Reading these posts is disturbing. Hospice has always been subject to abuse by virtue of the way it is set up. Much of how well it works depends on the integrity of the agency. Yes… there are...

  12. What is the ideal caseload?

    req_read replied to Hospice4me's topic in Hospice, Palliative

    I agree with doodlemom… 10-12 is ideal… assuming your agency is interested in providing good care. Because I sell books to hospices I sometimes hear some whining about how our “poor little...

  13. frustrated and overwhelmed

    req_read replied to kelluvanurse's topic in Hospice, Palliative

    It is good to know there are for-profit hospices with high standards. It sounds like you are doing everything right… so why are good nurses leaving? You are growing too fast? Both my wife & I...

  14. Acute Hospice Care Crisis?

    req_read replied to leslie :-D's topic in Hospice, Palliative

    Yes… one must always be cognizant of not proselytizing in any way. But I do believe that since we are all spiritual beings it should not be entirely out of bounds to share that with patients in...

  15. Acute Hospice Care Crisis?

    req_read replied to leslie :-D's topic in Hospice, Palliative

    Yes… I think that relieving pain can hasten death, but not necessarily or entirely through the usual mechanisms of what we think of in terms of “cause of death” (respiratory depression etc.)...

  16. frustrated and overwhelmed

    req_read replied to kelluvanurse's topic in Hospice, Palliative

    jfordRN, I am curious… do you work for a for-profit hospice? I suspect that if your administration is motivated by profit rather than (like you) a desire to be a “great” hospice, all the good...

  17. Newbie Hospice RN

    req_read replied to jessica's topic in Hospice, Palliative

    jessica, Beautiful post! You hit the nail on the head. It is about life, not death. And I think that as time goes on and your experiences and learning sink deeper and deeper into the essence of...

  18. End of Life Decision Making

    req_read replied to taighwilliam's topic in Hospice, Palliative

    Another area in which semantics may have a rather chilling effect has to do with the direction hospice is heading in general. If you stand back and look at hospice from a global perspective one of the...

  19. End of Life Decision Making

    req_read replied to taighwilliam's topic in Hospice, Palliative

    And therein lies the point. If you acknowledge that it would be insensitive to say it to patients, then why say it at all? Second, semantics do matter. What we say without thinking is a clue as to...

  20. End of Life Decision Making

    req_read replied to taighwilliam's topic in Hospice, Palliative

    To say that death ends bodies is undeniable. To say that death alters one's life is equally undeniable. Those statements are factual and neutral. On the other hand, to contend that death ends life...

  21. End of Life Decision Making

    req_read replied to taighwilliam's topic in Hospice, Palliative

    Denial is indeed a problem when it comes to acknowledging the facts of life, and you are quite right in wanting to avoid using a term that encourages it even more. However, looking at dying process...

  22. End of Life Decision Making

    req_read replied to taighwilliam's topic in Hospice, Palliative

    Patients/families, in collaboration with their physicians, have the right to decide the course of their treatment. There is no policy that will change that... nor should there be. Yet many...

  23. Hospice has doped my dad!

    req_read replied to Curious1alwys's topic in Hospice, Palliative

    Yes dear... While we are here (earth) it seems like this is all the is... the whole enchilada... when it fact it is but a fleeing moment in time. thrashej has chosen to be with her dad. Her choice......

  24. Hospice has doped my dad!

    req_read replied to Curious1alwys's topic in Hospice, Palliative

    Thrashej, Yes, looking at one’s self is difficult… perhaps the most difficult task in life. It is the only path to personal growth, but it is truly frightening. However, we eventually discover...

  25. Hospice has doped my dad!

    req_read replied to Curious1alwys's topic in Hospice, Palliative

    Yes… every abused child is convinced that the abuse was their own fault. That is the nature of abuse. Every abused child thinks they caused the abuse. Look it up. Congratulations Leslie, you have...