Pain Management in Hospice Patients- Hospice Nursing
Vložit
- čas přidán 3. 07. 2024
- This video is a general overview of pain management in hospice patients. I will go into further detail in future videos. :)
Article I mentioned: www.sciencedirect.com/science...
Previous Hospice Chat with Holly video: • Should Hospice Patient...
Loss of Appetite in Hospice Patients: • Loss of Appetite in En...
Please reach out to me if you have any questions!
Timestamps:
00:00 Intro
02:25 Education
06:52 Assessment of Pain
11:25 Bowel Regimen
Thank you for this video. Patient’s who are terminal deserve all the pain treatments available to help them.
Excellent video. My mother is laying next to me transitioning at 98 yrs old. Now that I finally have her pain and anxiety controlled, I feel she will let go soon
I’m glad you educated people on the use of pain meds at end of life there’s no reason why a person can’t get some sort of relief of bad pain. It’s ridiculous for someone to have to suffer when they can get something to help with horrible pain.
Thank you for a great video and channel. My 95 year old grandmother is actively passing and even though I graduate from nursing school in a month I find it hard to assess her pain and feel know what meds to give since she is unresponsive. Thank you for what you do :)
Hello Im so happy to have found your channel tonight. My mom has cancer and we just got her on home hospice. I really wish you could be my moms hospice nurse lol. Your beautiful and knowledgeable and sound really nice. The nurses she has act as though she and I dont know what we are talking about and just rude. You've explained or answered so many of my questions. I look forward to learning more from you. I am definitely going to use your video to show my children the stages or transitions my mother will go through seeing how my son who is 19 lives and helps me so much to care for her and her needs. Thank you so much for your video's. To someone like me it means so much to hear this from someone who seems really compassionate xx
I listen to you a lot because I find your voice so soothing.
Great video - thanks! Everyone should watch this because there’s a very good chance a loved one will end up needing hospice services, and people need to make informed decisions. ❤️ Making judgements based off misconceptions is doing a disservice to the patient.
It's always beneficial to educate ourselves as much as possible!
So relieved u showed the FLACC scale. Alot of my PTs have dementia and report pain, but v/s are normal.
I really wish everyone was this compassionate. My grandma is transitioning at a Senior living facility. Basically it’s all been about them. Today my parents got home and my grandma could not settle because besides them raising the rate of her single room causing her to be in a shared room, there was multiple people in there and she had an oxygen cannula on her and as soon as the people left and mom removed the cannula she settled. We moved her in there at the end of 2019, it’s not been the best experience and they are not making this peaceful 😢💔
Thanks for this video
Stumbled on this
Insightful... New subscriber
You’re awesome! Thank you.
Pain management key. If I was struggling give me a Brompton Covktail but finely administered pain management.
Excellent Video, thank you! Any tips on charting examples is much appreciated.
Hi pretty lady. How are you doing
I started working 1week ago in a retirement home and we have someone dying ,just laying with eyes open and no apetite..i think he will die slowly couse the cancer spread all ower his body already-i saw spitted out some black stuff...i don't know how to handle this...i know i can't help him ...what should i do with his wife that lives with him in the same room..now she doesn't eat also..it is so sad,he can't die i think...but he waits in his bed and 2days ago he feel down sudenly..
Thank you 🙏🏾
I recently got on hospice.
Im still quite functional.
Whar surprised me is that almost immediately, a hospice pharmacy delivered to me a grocery bag full of drugs, Dilaudid, Ativan and many others. If i were suicidal, i have been given rhe perfect out.
Holly, Thank you so much. I'm a new grad and going my 1st interview for Hospice CM tomorrow and this was very helpful. Your voice is so calming I bet you are so great!!!!! Thanks for all you do. Jennifer
just noticed I'm logged in under my sons account...fyi
Is it difficult being hospice nurse as new grad?? Just curious if you got the job and started working
I live in cali and we also give my wife who is also terminal in hospice the CBD oil mixed with HTC. That works wonder for her. Its given to her at bed time and we give her a half a dropper. They also have patches that we can get. they can last up to 12 hours. this is taken with her regular pain meds.
I'm taking care of my grandma and she is on hospice and will probably die this week and I asked for more pain medicine for her and the nurse that's on her case is going to give it to her but the head nurse was hesitant about giving two different opiates at the same. Why are some people like this? What worse could happen to her? She gets addicted, for a week? I don't understand the logic behind this.
It is an example of CYA !
I'm here because my husband is currently on hospice care with end stage pancreatic/liver cancer. I'm an iccu nurse, used to doing in hospital hospice care. It's difficult for me, even as an RN of 27 years, to administer the narcotics as needed knowing my husband may leave at any moment. I can't imagine a non medical person's anxiety level. 😢 He's not taking fluids or eating a this point. I know he is ready to go, but I'm not ready.
Learning about death and dying from cancer always a good idea IMHO.
Any tips for charting? Inpatient and home?
Good video, but is it normal to be on morphine, Haldol, Ativan, plus add phenobarbital. When that was added I saw terminal sedation!!!!
Does everyone have pain when they are on hospice
My brother, who's dying of multiple myeloma, is at home, in agony. Would he do better in a residential hospice?
It might be a possibility if the oral pain medications are not effective in managing his pain.
people are worried about a dying person becoming addicts I'm watching my brother die from cancer I'm more concerned about keeping him comfortable When he's gone I'm sure he wont be on the corner looking for drugs. I know the government has there hand in what doctors can do but that's the worst thing for people who live in pain.
100% agree. Our goal is to keep our patients as comfortable as possible
I have a question my mother inlaw was doing well even though she had a couple of strokes she was able to eat on her own she was aware of her surroundings even though she also had dementia my ? Is she had a fall and was hospitalized a week later the doctors saying her ability to swallow has stopped now shes close to death is it possible that they gave her too much morphine while she was recovering could that be the. Reason shes unable to swallow is that what morphine does ,Shuts down body fuctions
It is difficult for me to say since I do not know all of her information. However, a fall can be very detrimental to the elderly and can cause a rapid decline. Morphine is used for pain relief and does not affect the ability to swallow.
This is actually false. Two very commonly used 'end of life/palliative care' medications (Morphine and Midazolam) are known to cause dysphagia and other problematic side effects. And what is worse is that these same medications also significantly increase the risk for pulmonary aspiration. It states that "Morphine and Midazolam in dosages that produce sedation are associated with increased incidence of pharyngeal dysfunction and discoordinated breathing and swallowing, a combination impairing airway protection and potentially increasing the risk for pulmonary aspirations." Yet, despite this fact, nurses continue to pump elderly patients with some of the most dangerous medications - All the while using the 'risk of aspiration' excuse to justify their decision to withhold from the patient life sustaining interventions such as artificial nutrition and hydration.
😘🌹🍵
No amount of pain is acceptable when its your family member
Its unbelievable that people who are dying would worry about addicition