Laurell28

Laurell28

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All Content by Laurell28

  1. What To Do When Family and LTC Facility NOT On Same Page.....

    Laurell28 replied to tencat's topic in Hospice, Palliative

    I think it would helpful to request a meeting with the DON and hospice team members to air concerns on this man and his comfort (or lack thereof). This facility is in desparate need of

  2. Can I keep going.....

    Laurell28 replied to webblarsk's topic in Hospice, Palliative

    Sometimes you get a patient that becomes very special to you and when they die they take a little piece of your heart with them. I've had people say "you work for hospice what do you expect" but...

  3. When do you say enough is enough?

    Laurell28 replied to bethin's topic in Hospice, Palliative

    Please report what this lady is saying to the nurse and the social worker. What they can do is try to set up a meeting with the patient, the family and hopefully the MD/NP to voice the concerns and...

  4. Does "snowing" really exist?

    Laurell28 replied to heyday's topic in Patient Safety Issues

    There is a perfect statement on the HPNA website regarding opioids at the end of life, particularly regarding respirations. It says no conclusive proof exists that opioids at the end of life will...

  5. Dealing With Lay Curiosity

    Laurell28 replied to Anhelo Impedio's topic in Hospice, Palliative

    I get the same reactions about Hospice too and welcome the opportunity to educate people if they are really interested. It amazes me how much education and preparation go into a birth, but when it...

  6. Parameters for Morphine

    Laurell28 replied to CapeCodMermaid's topic in Geriatric, LTC

    I would hold the Ativan but I would give the MS to maintain the comfort level that she had. If someone is premorbid or actively dying you would expect to see less responsiveness and lowered...

  7. Anyone else get good news in the mail?

    Laurell28 replied to RnRatchet's topic in Hospice, Palliative

    Congratulations!!! I got mine back today and passed too. WaHoo. That was one tough

  8. Why do I allways feel guilty??? (Parent nurses)

    Laurell28 replied to estrogen's topic in General Nursing

    20 yrs from now will you be saying to yourself "I wish I had spent more time with my children when they were young" or "I wish I had put more hours in working"? Your kids are only young for a short...

  9. A few questions for the "older" new nurses...

    Laurell28 replied to adiliegro's topic in General Nursing

    GO FOR IT Once your wife sees that you are serious and working hard, she should come around and give you the support that you'll need. A person who is happy in their work has a happier home

  10. Please share with me your experiences with this....

    Laurell28 replied to *LA*'s topic in Hospice, Palliative

    I'm getting chills going up and down my spine reading these posts. I can't count how many times I've had pts report this to me and families find it comforting to know that there will be someone to...

  11. Physician assisted suicide

    Laurell28 replied to texas_lvn's topic in Hospice, Palliative

    What a person does at the end of their life is their own choice but I am not comfortable with physician assisted suicide. I can see the right to die turn into an obligation to die (to save money or...

  12. Allowed to die

    Laurell28 replied to nettie01's topic in Geriatric, LTC

    Antibiotics do not always cure infection especially if someone has chronic infections and has been on them repeatedly. Also the side effects can be quite uncomfortable. So an infection can be a...

  13. Have you ever done/wanted to do this?

    Laurell28 replied to DutchgirlRN's topic in Medical-Surgical

    Have you considered that the pt is doing so well because their pain is being successfully managed and without the pain meds they know they would be

  14. Has a patient asked you to help him/her die?

    Laurell28 replied to Brian's topic in General Nursing

    I am a hospice nurse and I have been seriously asked this question many times. I tell them that I can't do that. I believe that these people are not afraid of death itself, but the dying process and...

  15. Need recommendations for RN to BSN programs in Minnesota?

    Laurell28 replied to minneRN's topic in General Nursing

    I have a friend who is in the program at Metro State and she thinks its great. There always the U of M too. Welcome to

  16. Our Own Misconceptions

    Laurell28 replied to kmchugh's topic in General Nursing

    You're in my thoughts and

  17. Withholding food and fluid in a dying patient

    Laurell28 replied to CapeCodMermaid's topic in Geriatric, LTC

    I'm so sorry about your grandma. As a hospice nurse I stay far away from NPO orders for the very reason you just expressed so clearly. What my patients want they get. And we also honor if they dont...

  18. Brainstorming, End of life and Morphine use.

    Laurell28 replied to Antikigirl's topic in Hospice, Palliative

    Just a thought. If this lady is getting Roxanol every hour then her Duragesic needs to be increased or maybe a pca pump started because her current pain orders are not