req_read

req_read

Med-Surg, ER, ICU, Hospice

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All Content by req_read

  1. Managing symptoms for a �good death�

    req_read replied to NRSKarenRN's topic in Hospice, Palliative

    Perhaps the next logical direction for this thread to go would be a discussion of "conscious death." What does that mean? How often does it happen? What is the point of achieving it? How can...

  2. Managing symptoms for a �good death�

    req_read replied to NRSKarenRN's topic in Hospice, Palliative

    I am sure I speak for us both when I say the objective is not to speak over anyone’s head. Quite the contrary. Let me give some examples... I once had a patient who constantly claimed his pain...

  3. Managing symptoms for a �good death�

    req_read replied to NRSKarenRN's topic in Hospice, Palliative

    Thank you Leslie. Good pharmacologic palliation is one thing. Good symptom management is another. But a good death is something truly unique and extraordinary. The author of this article seemed to...

  4. Managing symptoms for a �good death�

    req_read replied to NRSKarenRN's topic in Hospice, Palliative

    The article is typical of academic journals. It portrays dying process as a series of biological or pathophysiologic phenomena with interventions being overwhelmingly pharmacological in nature....

  5. How has hospice nursing affected your friendships?

    req_read replied to introspectiveRN's topic in Hospice, Palliative

    introspectiveRN... The "hospice nurse" label cuts both ways. Yes, it can put people off, but then again there are times when hospice nurses enjoy using it... and receiving the awe it inspires. That...

  6. Recommended Reading for Hospice Nurses

    req_read replied to introspectiveRN's topic in Hospice, Palliative

    I highly recommend that anyone going into hospice work, whether they be a nurse, social worker, physician or whatever, read some of John Bradshaw’s books on family systems. Better yet, his original...

  7. What's the difference?

    req_read posted a topic in Hospice, Palliative

    A statement I have heard from different people at different times under different circumstances (including here on allnurses) usually goes something like this: "There is a difference between religion...

  8. What's the difference?

    req_read replied to req_read's topic in Hospice, Palliative

    Gee… I’ve been so busy preparing for a wilderness backpack trip I’ve missed the last several, very interesting posts. One of the greatest difficulties (in hospice) is acknowledging human...

  9. What's the difference?

    req_read replied to req_read's topic in Hospice, Palliative

    Hi Leslie, Regarding “the way people die almost always reflects the way they lived.” That is true… I have said that. But there is a caveat… A friend of mine often states, “A tiger never...

  10. What's the difference?

    req_read replied to req_read's topic in Hospice, Palliative

    The thought around the question is this: EricEnfermero’s website (thank you by the way) makes the point that science is inclined to study religion while “In contrast, spirituality, and in...

  11. uniforms or street clothes

    req_read replied to nurselearner's topic in Hospice, Palliative

    I vote for street clothes. I always felt that since I was going into someone’s home the attire should be informal and avoid giving the impression of being an outsider. Being accepted is harder if...

  12. Has anyone read this?

    req_read replied to aimeee's topic in Hospice, Palliative

    river1951… I wish you all the luck in the world. I do wonder how the price of gas will affect rural hospices. It would seem prudent to make the most of each visit; i.e. teaching, delivery of...

  13. Has anyone read this?

    req_read replied to aimeee's topic in Hospice, Palliative

    indigo girl I never heard of Angela Browne-Miller... but then I can't read. I will check to see if her stuff is on tape. From what you say it sounds a lot like mine, so now I am curious. Thanks....

  14. Has anyone read this?

    req_read replied to aimeee's topic in Hospice, Palliative

    The business about LTC facilities helps explain a lot of things. Like I said, I got out when that was coming in so am totally ignorant. I took the 1st patient in a brand new (little) hospice so was...

  15. Has anyone read this?

    req_read replied to aimeee's topic in Hospice, Palliative

    Forget about privates insurance… they are all different. Most hospice income is via Medicare or Medicaid anyway (because most hospice pts are old enough to qualify… thank goodness!) So you do...

  16. Has anyone read this?

    req_read replied to aimeee's topic in Hospice, Palliative

    Oh yea... one more P.S. Get used to people having a rifle & shotgun leaning in or corner or a pistol hanging on the wall. That is

  17. Has anyone read this?

    req_read replied to aimeee's topic in Hospice, Palliative

    BeExcellent… I looked at your profile & see we are peers… but I’ll take the “Coot” designation since it probably has more to do with temperament than age. In terms of: Has Anyone Read...

  18. Has anyone read this?

    req_read replied to aimeee's topic in Hospice, Palliative

    Yes… buying them some books might help, although it may be too late. When hospice was relatively new it attracted idealists… people who really believed in what they were doing. It was an...

  19. Signs of impending death.

    req_read replied to Jo Dirt's topic in Hospice, Palliative

    The goal of living and the goal of dying are the same; i.e. to do it consciously… but few accomplish either. Living consciously means to be aware of who you are… the real you, not the façade. It...

  20. Music with the dying patient?

    req_read replied to zacsmimi's topic in Hospice, Palliative

    Here in the desert we have a harp player who works part time for a couple of local hospices. I have been told (by a hospice nurse) that the effect of her music is phenomenal; i.e. helps people cross....

  21. Has anyone read this?

    req_read replied to aimeee's topic in Hospice, Palliative

    EmptytheBoat… Old Coot! Old Coot! Well… getting old beats the alternative I guess. Don’t complain about the price too much. Last year my net income was 0. The year before that I netted...

  22. Signs of impending death.

    req_read replied to Jo Dirt's topic in Hospice, Palliative

    Here’s a thought on a different tack… an interesting tidbit. You said your patient has multiple tumors. I once had a patient with the same thing. He & his wife were very bright,...

  23. Signs of impending death.

    req_read replied to Jo Dirt's topic in Hospice, Palliative

    Predicting how much time is left is very difficult, but there are general indicators that could give you some idea. You mention 2 indicators but they point in different directions. As dying process...

  24. Dying girl's poem

    req_read replied to req_read's topic in Hospice, Palliative

    Woops! I guess I've been

  25. Dying girl's poem

    req_read posted a topic in Hospice, Palliative

    This poem was written by a terminally ill young girl in a New York Hospital. It was sent by a medical doctor - Make sure to read what is in the closing statement AFTER THE POEM. SLOW DANCE Have you...