![]() Not giving a dying person pain medications if they are in pain is cruel IMO. Like other's have said, if you see the person slipping into unconsciousness, you can give a lower dose or hold it until their vital signs are within limits for your comfort. Why should appropriate pain management be withheld? I am comfortable with liberal use of narcotics - most orders I've received in this situation is "titrate to comfort" or "titrate to a RR > 8". The patient is on hospice care, they are dying and in pain. So the dosage needs to be increased to maintain their comfort. Sorry for the rant and going off topic-but i get all worked up thinking of this one psyche facility.įor most of their illness and have built up a tolerance for the meds. I was glad when she was transferred to the 2nd facility, where she received all the therapy- i loved it there and they did not give out prns casually at all. (there was a major incident that had preceded the ativan one that was extremely negligent on the nurses' parts.) I told dd i wanted to speak w/this nurse the nurse got on the phone and i asked what she had given tiffany, she replied "ativan 2 mg for agitation" :angryfireįrom that day on, i insisted on being consulted for every single med given to her and if they didn't, there would be a lawsuit waiting to happen. she told me the charge nurse gave her a pill right after i left. ![]() she was soooooo slurred and i asked her why. I left and a couple of hours later i called to speak w/dd. So i reprimanded dd and asked the nurse why she allowed that. The charge nurse just sat there and continued to eat her chips. they gave out prns like it was candy.įor instance, one time my dd said "f**k you" to the charge nurse. my dd initially went to an acute psyche facility, to medically stabilize her. Ugh.don't even get me started on psyche wards. Its almost like its mandatory to have something every 4 hrs. On psy wards the pts are all drugged up too. In hospice/end of life care, you are controlling/preventing pain. In my experience as a hospice nurse, there have been more md's that prescribe a controlled substance only on a prn basis.īut i reiterate, in euthanasia, you are actively assisting in suicide. but you need to also let the md know that you held it. is getting too much where s/he is literally snowed, you can always withhold the med, circle it and write on the back why it was held. Many times that is frustrating as there are many nurses that hesitate to give mso4, such as yourself. I've also encountered too many md's that order mso4 et al, prn only. Most md's will set parameters for mso4, such as hold for rr In hospice, the intent of adminstering mso4 is to relieve pain or prevent it. why do they schedule roxanol and stuff? why couldn't it be q 1 hr PRN for s/s pain or discomfort? I always am leery of giving so much roxanol to a dying patient any opinions?įirst and foremost, we do NOT perform euthanasia-euthanasia's intent is to assist someone in dying. now i agree in quality over quantity but. 5 roxanol q hour sometimes that they die much quicker. especially those on hospice we give res so much morphine and ativan scheduled.25 to. ![]() i totally agree that euthanization is wrong. i have wondered this since i was an aide.
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