Published
Admitted a pt on TPN against my objections (no other hospice would take pt and mgmt thought would be good PR). The day I admitted I gave two week notice. Pt suffocated with fluid and died the night before my two weeks were up, a miserable two weeks and a miserable death, but family/physician would hear nothing to stop or slow down the TPN.
It was a young ovarian cancer pt and it was a barrier to them getting
into hospice.
Just came home from a visit with the patient that had had TPN. They stopped it yesterday morning (what a blessing), but he is soooooo wet. Expiratory and inspiratory rhoni. I did turn him over on his side to change brief and pericare and give a tylenol suppository. Also some atropine drops, and 3 pillows under shoulders and two pillows under knees to get him in some sort of high fowlers position....it helped alot with the secretions.
thanks for all the input.
linda
i've used scopolamine patch in past to help dry up secretions...are they still in use?
AtlantaRN, RN
763 Posts
patient with lung cancer with mets to liver and bone. Sent home from hospital on TPN...
I've never encountered ivf or tpn in the hospice setting... Is this normal?
((I was an ICU rn for 10 yrs, so way familiar in hospital setting))...
linda