Missa310

@FNP2B1 - You really should be concentrating on taking care of patients and not this political nonsense. You're making yourself look like an absolute *** in front of your peers. (Yes, even liberal nurses are your peers.)

I send all my heart-felt THOUGHTS AND PRAYERS. I don't condone this violence, but I don't condone YOU using this as a way to prove liberals are "bad". You want a NON-supporter of Trump (ANYONE, doesn't matter) to flip sides and say.... "OMG, you're right. We're bad." Not gonna happen, so you just need to stop. You're not going to get what you want.

a kid shouldn't be wearing Trump propaganda, imo. I'm sure I'll get heat for that statement, but a child has no business wearing political attire. they can't vote. ?‍♀️

You might feel differently if it were your loved one. JS. I've lived this. When you say the patient "refused" the mask with sat's in the 50s. I find it hard to believe the patient was conscious enough to "refuse" anything. Sats that low are NOT from refusing to use a mask instead of tube for a nebulizer treatment. This patient was circling the drain for quite awhile before anyone did anything about it. Until it became clear she was close to expiring, nothing was done. Patient was DNR and all... just ignore. I know how these facilities operate. lorias, I do not say these things to hurt you, but to make you aware of these things and hope you don't become like the rest of them. I wish you well.

I don't know if she was "do not hospitalize". We don't have that specific paperwork here in Ohio. However, DNR does not mean DO NOT TREAT. I've had LTC staff (NURSES, no less) tell me that since my mother was non-compliant with her personal bipap that if her O2 level dropped they would do NOTHING because she was DNR-CCA. Right then, we revoked the DNR. They DID NOT understand what that meant! Also, EMS does have CPAP/BIPAP on board in Ohio. No, they would not leave it there for the patient and leave. They would start it and then transport. And high-flow, non-rebreather masks are horrible for COPD'ers. We do not know this patients wishes, however, the way the OP wrote this... I'm thinking the staff there initiated DO NOT TREAT because of her DNR. Suctioning the patient would not have done a lick of good. She needed a higher level of care. I'm saying if this were my family member and this went down.... legal action would be taken.

I don't know what state you're in, but this is EXACTLY why I always put my mom on FULL CODE when she was in a LTC facility. Staff does NOT understand that calling EMS even when a patient is DNR does not violate the DNR, especially a comfort-care DNR. I would bet that bipap would have helped this patient, which is non-invasive and does not go against a DNR. So instead of helping this person by calling people who know what they're doing, they just let her die because she's "non-compliant" and DNR. NOPE, NOPE, NOPE. I hope this patient has family and sues the pants off this facility.

I watched a documentary on Amazon Prime about this. They are trying it in the UK. It was an interesting watch. https://www.imdb.com/title/tt1068767/

The girl who calls them in from waiting area rarely smiles and looks as if she hates her job. J/S

THANK YOU --- 100% AGREE. I'm not a nurse nor am I in the health care business. I take care of my mother who is in pain every day and not one of many "doctors" will help her. Pain management wants to do injections, physical therapy....yada, yada...IT.DOES.NOT.HELP. This woman technically qualifies for hospice care with her list of co-morbidities, but she is not ready for death and that is what hospice specializes in (flame me for that comment, IDC. It's true). She does, however, deserve some sort of quality of life. We are really in a sad state of affairs with this "war on drugs". It's actually a "war on chronic pain patients".

My mom has diabetic ulcers and her podiatrist has us Dakins. It does work well.

Zoey Barkow - from Nurse Jackie. She learned from the best and she's HILARIOUS. :)

Sorry

I'm not a nurse. I'm a caregiver to my mother. I love reading this forum. The information and knowledge is vast. Thank you all! Now on to my question.... My mother is 55. COPD. OSA. CHF. Diabetic. She has a laundry list of problems. She had been doing ok up until January of this year. She has been in and out of the ICU, nursing home and here at home more times than I can remember during these last 6 months. She has chronic respiratory failure, exacerbations of COPD & CHF. She has a home bipap machine, but her 02 sats are low (80s sometimes lower) during these flares even on her bipap. I have been having to call EMS and taking her to the ER. They would put her on their bipap and sats stay prefect! Makes me so angry, but I digress....They will stabilize her, give her steroids and antibiotics. She is usually home with 3 days. Well today, this happened again. The ER put her on bipap for a couple of hours, ran labs. Everything came back "baseline for her". I go home to change out of my work clothes and get a call from her nurse. He tells me they are sending a squad to transport her home. They have NEVER done this. He tells me to keep her on bipap, she should be fine. Now when I was there, mom could not stay awake. She would open her eyes if you stimulated her, but other than that....back to sleep. He tells me not to bother coming back up, she would be home soon. I agree, not much choice. They have made the decision for me. The squad comes. Brings her to the front steps on a gurney and asks me if she walks. She is barely awake at this point. Yes, she walks under normal circumstances. They lower her down and tell her to stand. She tries, God help her, she tries... She is trembling (shaking, tremors) so bad in her arms and legs, she couldn't get up. They had to use.the stair chair and bring her into our apartment. ::whew:: Now this seems fishy to me. Why works they send her home in this condition? Are they just tired of dealing with her? Could I have refused this? Thanks to anyone who gets through this long post to answer.... :-)