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re: I am a hospice nurse. AMA

Posted on 4/10/20 at 9:29 pm to
Posted by SSpaniel
Germantown
Member since Feb 2013
29658 posts
Posted on 4/10/20 at 9:29 pm to
quote:

It’s normally liquid Ativan and morphine.

I have to awkwardly ask someone in the home to witness me pour it down the sink and they sign a form while I’m on the death call.




When my mom died, the hospice nurse that came out and did the call just told us to throw it all in the trash.

A nearly full bottle of morphine, 2 bottles of Roxicets (they'd just show up every 15 days or so), Ativan, and about three little pump cartridge things that went to something in her arm that had like 4 different meds in them.
Posted by Stiles
Member since Sep 2017
3458 posts
Posted on 4/10/20 at 9:32 pm to
Are you a pot head, focker?
Posted by Rebel
Graceland
Member since Jan 2005
144681 posts
Posted on 4/10/20 at 9:37 pm to
Have you ever had anyone expire due to the shingles?
Posted by tiger91
In my own little world
Member since Nov 2005
40262 posts
Posted on 4/10/20 at 9:37 pm to
quote:


When my mom died, the hospice nurse that came out and did the call just told us to throw it all in the trash.


Posted by Scoop
RIP Scoop
Member since Sep 2005
44583 posts
Posted on 4/10/20 at 9:37 pm to
quote:

How did you come out to your parents?


I have been a happily married man for a number of years now.

I can assure you that the amount of arse I took down before that eclipses your’s exponentially.
This post was edited on 4/10/20 at 9:38 pm
Posted by SEClint
New Orleans, LA/Portland, OR
Member since Nov 2006
49487 posts
Posted on 4/10/20 at 9:43 pm to
quote:

I can assure you that the amount of arse I took down before that eclipses your’s exponentially


lol no way, but good on you for being spirited
Posted by tiger91
In my own little world
Member since Nov 2005
40262 posts
Posted on 4/10/20 at 9:45 pm to
I'm patiently waiting ... lol ... DNR? PEG tubes? Dialysis??
Posted by Scoop
RIP Scoop
Member since Sep 2005
44583 posts
Posted on 4/10/20 at 9:56 pm to
Peg tubes and dialysis are not consistent with the purpose of hospice.
This post was edited on 4/10/20 at 9:58 pm
Posted by tiger91
In my own little world
Member since Nov 2005
40262 posts
Posted on 4/10/20 at 9:58 pm to
I agree ... but there are some in our area that have patients under their care that 1) get peg feedings (I mean I guess how do you withdraw nutrition unless it comes out and not reinserted? and 2) dialysis that was already ordered.

I don't get it but whatever I guess??
Posted by tiger91
In my own little world
Member since Nov 2005
40262 posts
Posted on 4/10/20 at 9:58 pm to
Are all of your people DNR? I even have seen hospice that had residents that weren't DNR. WTH??
Posted by dgnx6
Member since Feb 2006
91688 posts
Posted on 4/10/20 at 9:59 pm to
How do y'all have so much time to make tik tok videos and post slutty pics in the bathroom?
Posted by pensacola
pensacola
Member since Sep 2005
4832 posts
Posted on 4/10/20 at 10:02 pm to
Are you a male nurse?
Posted by Scoop
RIP Scoop
Member since Sep 2005
44583 posts
Posted on 4/10/20 at 10:05 pm to
A peg tube is normally a terrible thing. I hate them.

Even before I was a hospice nurse I hated them.

There are few instances where a peg tube is anything other than sustaining life with no benefit.
Posted by Scoop
RIP Scoop
Member since Sep 2005
44583 posts
Posted on 4/10/20 at 10:10 pm to
quote:

Are all of your people DNR? I even have seen hospice that had residents that weren't DNR. WTH??


Hospice pushes DNRs on admit but sometimes it takes a little work to get the decider there.

People tend to think CPR is like the movies.

It is actually a brutal thing and results in crushed ribs for most old folks
Posted by HoustonChick86
Catalina Wine Mixer
Member since Dec 2009
59323 posts
Posted on 4/10/20 at 10:22 pm to
When my mother was on hospice we were given a booklet on the stages of dying and everything to expect. It hit to a T. Do you see that in most patients?

Also, props to you on what you do. That is not an easy job.
Posted by Crow Pie
Neuro ICU - Tulane Med Center
Member since Feb 2010
27949 posts
Posted on 4/10/20 at 10:28 pm to
quote:

Also, props to you on what you do. That is not an easy job
We will be forever grateful to the hospice nurses that comforted my mom in her last days. Angels all of them.
Posted by danilo
Member since Nov 2008
26341 posts
Posted on 4/10/20 at 10:29 pm to
Do the old folks give you anything when they croak? Ever take their watches?
Posted by Jim Rockford
Member since May 2011
106119 posts
Posted on 4/10/20 at 10:30 pm to
quote:

Hospice pushes DNRs on admit but sometimes it takes a little work to get the decider there.

People tend to think CPR is like the movies.

It is actually a brutal thing and results in crushed ribs for most old folks


Hypothetically speaking, what would you do if someone with a DNR goes into an arrest and is clearly struggling and in distress? Just stand by and hope it's over quickly?
Posted by Scoop
RIP Scoop
Member since Sep 2005
44583 posts
Posted on 4/10/20 at 10:48 pm to
quote:

When my mother was on hospice we were given a booklet on the stages of dying and everything to expect. It hit to a T. Do you see that in most patients?


Yeah. The clock starts when fluid intake stops.

If the person has some fat and muscle, they may last a week.

If they are emaciated, it’s usually 3-4 days.
Posted by HoustonChick86
Catalina Wine Mixer
Member since Dec 2009
59323 posts
Posted on 4/10/20 at 10:50 pm to
We got my mom into assisted living for hospice because the GD hospital insisted she just go home to die. No family members lived in the same city. My aunts and I were going back and forth, but I can't help my stubborn mother go to the bathroom. They said they'd have someone come over once a week to check on her. Well that's just super helpful thanks guys. She needs meds every few hours. The nurse she was assigned was awesome though!
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