Topics About 'End Of Life'.

These are topics that staff believe are closely related. If you want to search all posts for a phrase or term please use the Search feature.

Found 55 results

  1. This is Part II of the difficult discussions we must often have with our patients and/or families. This never gets easier and in reality, should it? These discussions should be difficult as they are often the catalyst to pursuing advanced care, resus...
  2. John Doe

    He was a transfer from an outside hospital. Standard chest pain had some nitro tabs, needed a cardiac cath. We see it all of the time. He was actually smiling and cracking a few jokes as we got him settled into his room (of course we're rushing - he'...
  3. Beginnings and Endings

    Through the glazed windows of my soul I watch as the scene played out before my eyes. I stood quietly observing the final hours of my patient and her family. Shadows danced on the walls in the room where she lay. Sunlight filtering in through the gra...
  4. Currently, I am a nursing student. But, between experiences in a clinical setting as well as my own personal life, I feel like I want to be a hospice nurse. Does anybody have any advice for me regarding this? How does one go about becoming a certifie...
  5. She was 99 years old had just had a pretty severe stroke. She was brought to our rehab unit with the hope of some degree of recovery. Our staff wasn't so sure as she showed little improvement as the days rolled on. Our team of Physical and Occupation...
  6. flightnurse2b

    We are all made of stars

    "What's wrong with death sir? What are we so mortally afraid of? Why can't we treat death with a certain amount of humanity and dignity, and decency, and God forbid, maybe even humor. Death is not the enemy gentlemen." (Patch Adams, 1998.) As we all ...
  7. It's 0653. I pull up to the hospice unit, clock in, fill my coffee mug, and get my nursing brain printed out. At 0700, I count narcotics and take report on six patients. It's going to be a busy day, one of those days where I must control the chaos, t...
  8. jeastridge

    End of Life: The Final Word

    "If anyone is never at fault in what he says, he is a perfect man, able to keep his whole body in check." James 3:2 I reach down to touch Anne's* hand, my own fingers still chilled by the outside morning air. Her eyelids flutter, letting me know she ...
  9. Who is responsible for discussing end-of-life treatment options with the patient.......the physician? The nurse? In most instances it is the physician's responsibility to initiate discussion and determine a plan of treatment. But what if the patient ...
  10. Jan busied herself at the bedside of her patient, a woman she had seen before during a similar admission for COPD. As the woman struggled to breathe, Jan could easily read the panic in her patient's eyes. She changed a sweaty pillowcase, put the head...
  11. Family members of patients in the intensive care unit are an intricate piece in the end of life decision making process. However, families are not always as informed or involved as they would like to be. There are a multitude of articles relating fam...
  12. jeastridge

    The Hug Heard Around the World

    "After that, he poured water into a basin and began to wash his disciples' feet, drying them with the towel that was wrapped around him." John 13:5 I can hear muted conversations in various rooms as I walk down the hospital corridor and knock gently ...
  13. Death and All His Friends

    I was 16 years old when I saw death for the first time. I was working in a small emergency room, and they brought an old man in who had had a heart attack while out canoeing with his wife. There were chest compressions, quiet sobs from his wife, the ...
  14. The Hospice Nurse One of the realities of health care is that not all patients can be cured. The time comes for all of us when we face death. For some, it comes quickly and unexpectedly. For others, a terminal illness or condition is diagnosed, g...
  15. VivaLasViejas

    When Hospice Goes Wrong

    "Do not go gently into that good night...Rage, rage against the dying of the light." That was my husband's philosophy after being diagnosed with pancreatic cancer in the summer of 2013. He'd fought bravely for two and a half years, and most of that t...
  16. The term "actively dying" has always struck me as amusing, because in the end, we're all going to die. So in a sense, no matter how healthy, we're all actively dying. Of course, when we say it at work, we mean that the patient is probably going to di...
  17. I've been an ICU RN for 15yrs, so I have dealt with End of Life Care plenty. I was always taught to either oral suction or deep suction with a suction catheter if your patient sounds like he or she needs suctioning. But of recent, I have run into som...
  18. Four years ago, before I got admitted to a nursing school, I went to the hospital at Intensive Care Unit with my uncle to visit his friend who was involved in a road accident and sustained fractures in both upper and lower extremities as well as righ...
  19. jeastridge

    Playing Games With Death

    Sometimes Death sits at the table Hand resting on the cards. We pull away, Not ready for the last trick, The trump card In the game of life. We put up a hand, Submit to shuffling through Machines, medicines, machinations. Delay tactics? Cheating deat...
  20. Hospice Career

    In the last year however, I did find my niche. Actually, it found me. You see, I believe in God and His Hand in my life. He actually opened a door for me that I would never have opened myself. In fact, I was faced with the door before, and I did not ...
  21. This week, the New England Journal of Medicine reported that home is now the most common place Americans die of natural causes. For centuries, death was viewed as a natural process and those dying were cared for at home by family and community membe...
  22. He was an elderly patient, unresponsive and on comfort measures only, when I met him at 8:00am that morning. The staff had guessed based on his current state that he would pass away that evening, or perhaps overnight. I was following a kind and compa...
  23. tnbutterfly - Mary

    Spiritual Beliefs and End of Life Care

    According to a study published this week in the journal of the American Medical Association, "cancer patients who rely on their faith to handle the stresses of serious illness and approaching death are more likely to receive aggressive care when they...
  24. The Dark Side of Hope

    About a year ago, I witnessed hope in the worst way. It wasn't the hope that in the back of your mind you prayed was going to come true and it actually did. This hope was malicious; a menace. It was taunting, a bully, a liar. Being a nurse, you are o...
  25. I am always curious to hear others thoughts and opinions related to a topic that is on everyone's minds, in private conversation with colleges, and sometimes inferred in conversation with patients and families, however, that is never really explored ...