- Community Nursing
- Advanced Pediatrics
- Advanced Mother-Baby
I did my clinical yesterday at an inpatient hospice facility. I thought it was really awesome. I mean really awesome. Patients were comfortable, not stressed, and it was very peaceful with the exception of family members not coping with their impending loss well. I mean seriously, if I'm gonna go, this is how I want to go.
I've seen patients, even some at my work, that I truly believe need this kind of nursing. I had a 90-year old patient with a gangrenous leg a few nights ago who was a full code status. The only reason she still had the leg was because she wasn't a surgical candidate... she would have died during the amputation. So instead of placing her on hospice care, the family felt it was best to admit her to a intense in-patient rehabilitation center where she was forced to complete 3 hours of physical therapy a day. She'd cry and say she just wanted to stay home and drink coffee and watch talk shows. I'll be damned if someone 90 years old in that poor of a condition shouldn't be able to do whatever the hell they want to and spend there last weeks or possibly months in comfort. You gotta love idiot MPOAs that can't see anything beyond their own selfish needs to hang onto someone's life with no regard for the quality of it.
I'd never seen hospice before yesterdaty, but I'm telling you, my patient from the other night could have drank all the coffee she wanted and watched all the TV shows she wanted and not had to deal with the ridiculously intense pain of muscle death in her gangrenous leg. If you're going out, that's how you want to go: pain-free, but not sedated, with plenty of time for inner reflection and meaningful goodbyes to your friends and family. Truly an amazing thing hospice is.
As far as the class, it's fairly insane the rate at which it goes. One thing after another, and another, and another... But I'm actually kind of used to it and not really shocked at this point.
Anyhow, until next post!