Have you ever hesitated in a ‪#‎hospice‬ patient, to give ‪#‎Roxanol‬ (morphine), worried that it might "tip" them over the edge, send them on their way?

• Full Discussion: https://www.facebook.com/groups/nurseup/permalink/847610291989655/

  

  Andrew Lopez

  June 10 at 1:18pm

  Have you ever hesitated in a ‪#‎hospice‬ patient, to give ‪#‎Roxanol‬ (morphine sulfate), worried that it might "tip" them over the edge, send them on their way?
  Do many perceive #hospice ‪#‎nurses‬ as practicing ‪#‎euthanasia‬ when starting ‪#‎morphine‬, upping the doses, frequency of meds?

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  Lyn Trott No. I've been both the inpatient nurse and the family caregiver -- Michelle Roser is right -- it's an important tool in the toolbox.
• June 10 at 1:58pm · Unlike · 5
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• Melissa Brown I'm not and have never been a hospice nurse. I missed that part of the question.

  June 10 at 1:58pm · Like


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• Andrew Lopez Have given the last dose of #morphine expecting to pronounce soon after more times than I care to remember in 18 years of nursing . .

  June 10 at 2:03pm · Like · 3
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• Andrew Lopez The worst is when you give the dose, and the patient is so far gone, they have no reserve left . . Get no relief. Need to up the dose.

  June 10 at 2:04pm · Like · 1


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• Andrew Lopez They were all hospice, all on their way out . . .

  June 10 at 2:06pm · Like · 1


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• Gail Weatherill Back in the Dark Ages, I published a paper in the American Association of Critical Care Nurses Clnical journal on "Pharmacologic Symptom Control During the Withdrawal of Life Support". I cited studies that were done with people with severe pain who wer...See More

  June 10 at 2:09pm · Unlike · 12


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• Leah Korkis Chelsey Primdahl makes an excellent point. NOT treating their pain and shortness of breath will hasten death. There will always be a "last dose".

  June 10 at 2:24pm · Edited · Unlike · 6


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• Annemarie Sin Tes Why can't we provide a comfortable planned death for those agonizing and suffering in the end? I would like to hear others weigh in? I feel, should I be in the condition some have endured - I would want the right to die with dignity and at a place a...See More

  June 10 at 2:35pm · Like · 4


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• Lyn Trott Had to fight to get hospice care for my dad. What saved us was the ability to self refer. He was 90y/o ready to go, rapidly declining health & at peace with dying. His primary was clearly uncomfortable with hospice based on all conversations unless a p...See More

  June 10 at 2:44pm · Edited · Like · 7
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• Michele Tabat DeSocio I will in the near future most likely be dealing with hospice for my mother who is in her 16th year of dementia, age 74. She is on puréed foods and is no longer able to open up her mouth but for a baby spoon. My biggest concern is hydration, may I ask all you hospice experts how you feel about hydrating your loved ones during end of life care?

  June 10 at 2:49pm · Like · 2
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• Jill O'Hara I'm going back any years before and when Hospice was just a baby. I worked at Roswell and never had second thoughts about administering morphine. It was not done in a manner to bring about a quick departure but to comfort and relieve distress and pain . I've had Hospice for family members and love that they are available!

  June 10 at 2:49pm · Like · 6
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• Anne LiConti When my mother was on hospice care, I was the family care person. The hospice team was wonderful!!!! Roxanol was a huge comfort relief tool for her. It didnt "push" her over the edge, she was on hospice care 2 years and Roxanol was prescribed during those 2 years, the dose being increased the last week.

  June 10 at 5:33pm · Edited · Like · 5
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• Andrew Lopez Brought this up in our #hospice forum too smile emoticon https://www.facebook.com/groups/242527245954478/permalink/361333824073819/

  

  Andrew Lopez shared his post to the group: Nursefriendly, Hospice, End of Life, Palliative Care.

  Have you ever hesitated in a ‪#‎hospice‬ patient, to give ‪#‎Roxanol‬ (morphine sulfate), worried that it might "tip" them over the edge, send them on their way...
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  June 11 at 10:41pm · Like · Remove Preview


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Andrew Lopez Took me a while as a #newnurse to reconcile how I felt about it Candice.
June 20 at 6:06pm · Like · 2

California Life Coaches Eileen Spillane, RN, MA, NP, The Balanced Nurse

California Life Coaches
Eileen Spillane, RN, MA, NP, The Balanced Nurse
The Shortcut URL To This Section Is: http://www.nursingentrepreneurs.com/spillane

Your Name, Degrees Licenses (Nursing and non-nursing degrees/licenses are fine to list): Eileen Spillane, RN, MA, NP Bachelors of Science of Nursing, Adelphi University, Garden City, NY, 1990 Masters, Holistic Nursing, New York University, NY, NY, 2001 Barbara Brennan School of Healing Graduate, 1995-1999 Certified Integral Coach, New Ventures West, 2013 University of Massachusetts, Center for Mindfulness Oasis Institute Practicum and Teacher Development Intensive Graduate, 2014 Can you tell us a bit about yourself? I was born and raised in New York and had the good fortune to start my career at Memorial Sloan Kettering Cancer Center, which set a standard of work satisfaction that has never been met in any other hospital. I was a traveling nurse in Hawaii, traveled around the world and was hit by a truck on my bicycle. I was in a body cast and spent the next six months recovering and reinventing myself as a nurse. I studied energy medicine, holistic nursing, and obtained my Masters degree. After 9/11, I made a conscious decision to move out West where I have been for the last twelve years. I still love to travel and am mesmerized by the beauty in nature. I often travel to New York several times a year to spend time with my family and friends. I am passionate about helping nurses find their unique balance to create happy work and home lives. What Attracted You To The Field of Nursing? I was born to parents with a limited world view that girls should grow up to be nurses or teachers and boys should be cops or firemen. I was a candy striper and a lifeguard and my close friends were choosing nursing as a major. Fortunately, nursing was a perfect fit for me. What is your experience and background in Nursing? I have been a Nurse for twenty five years in ICU/Critical Care, Oncology,Hospice, PACU, Med/Surgical, Obstetrics, OR, Private Duty, travel nursing and medical missions. I also worked at an Integrative Medical Center as a Holistic Nurse Practitioner and have taught mindfulness to nurses. Would you recommend Nursing as a career? Absolutely. Nursing is a challenging profession that provides security, flexibility and immediate feedback on the impact you can have on someone’s life. Your Business Name: The Balanced Nurse Please describe in detail your business/services you provide (or if you have an elevator pitch): I help nurses reduce stress and bring balance into their lives through teaching classes, coaching, or presenting at conferences. I have worked individually with nurses via phone, Skype or in-person for those living in the San Francisco Bay Area. Issues addressed have been career transitions, workplace toxicity, burnout, stress management and issues with self-judgment. Often I work with nurses for three to six month time frames to support them to identify the road blocks preventing them from reaching their potential. Classes I have taught have provided nurses with continuing education credit include Mindfulness Based Stress Reduction (MBSR), Striking a Balance With Stress in Nursing, Breaking the Cycle of Work Place Toxicity, and Creating and Sustaining a Satisfying Career in Nursing. I have presented as a Closing Keynote Speaker with Restore, Rejuvenate and Renew Your Energy: Bringing Balance Into Our Workday with Mindfulness and Self-Compassion. I tailored a 4 hour workshop for Stanford University Bone Marrow Transplant Nurses called Finding The Balance in The Waves of Caregiving. Business Address The Balanced Nurse PO Box 17065, San Francisco, CA, 94117-0651 E-mail Address: Eileen@thebalancednurse.com Blogs: http://www.thebalancednurse.com/the-balanced-nurse-blog/ Social Media Accounts: https://twitter.com/balancednurse https://www.facebook.com/pages/The-Balanced-Nurse/337320546407518 https://www.linkedin.com/pub/eileen-spillane-rn-ma/45/477/419/ https://plus.google.com/114121637005694525348/posts/p/pub?hl=en Homepage Address: http://www.thebalancednurse.com/ Type of business categories would you would like to be listed: coaching sections, keynote speakers, nursing seminars, as a blogger, look at alternative health categories for the meditation, by state, by nursing specialties. Advocate for Patient and Nurses Alternative Medicine Bloggers Certified Health and Wellness Coaches, Life Coach, Coaching Coaching Conflict Resolution Consultants Consulting Continuing Education Education Integrative Medicine Keynote Speakers Meditation,Yoga Nursing Nursing Blogs Nursing Education/Educational Nurse Entrepreneurs Nurse-Owned Businesses Public Speakers Stress Management Consultant California Nurse Entrepreneurs New York Nurse Entrepreneurs Keywords, Phrases that describe your business, experience, services: balance, stress management for nurses, coach, coaching, coaching for nurses, nurse coaching, coaching nurses, wellness coaching, work life balance, workplace toxicity, nursing burnout, burnout prevention, mindfulness, meditation, MBSR, mindfulness based stress reduction, self-compassion, self-compassion for nurses, nurse blogger, bloggers, blogging, classes for nurses, stress reduction classes for nurses, care for the caregiver, mindful nurse, mindfulness for nurses, mindfulness at the bedside, finding balance in nursing, be balanced, tips for new nurses Contact person(s): Eileen Spillane Phone number (how/when do you prefer to be contacted): 415 517 0982 I prefer email contact to set up a time for a phone conversation. In what date (month/year) did you start your business? September, 2013 Can you describe some challenges you had to overcome in starting your business? Embracing technology and social media (need I say more?) Time management, Trusting in the unknown and uncertainty, Ignoring the voices of the naysayers, developing a following/getting customers. How did you hear about the Nursefriendly, NursingEntrepreneurs.com?: Connecting with Andrew Lopez and receiving his invitation to join. The year were you first licensed as a nurse? 1990 What school(s) of nursing did you attend? Adelphi University New York University Do you recommend that nurses join professional organizations? Yes, It’s a good way to network and be connected with nurses in your specialty. Professional organizations you have belonged to (now or in the past, please spell out the full name): Oncology Nursing Society National Student Nurses’ Association National Association of Neuroscience Nurses Association of Women’s Health, Obstetric and Neonatal Nursing American Association of Critical-Care Nurses What made you decide to start your own business? Nurses are so hard working and so caring of others that we often put our needs last. I intended to combine my coach training and mindfulness training to help patients and families. However, when I started working with nurses, I realized how passionate I was about helping them find balance. Healthy and happy nurses create more satisfying work environments and ultimately provide safer care. As a former (and future) patient, as a daughter of aging parents, as friend to many nurses, this is something that gets me excited. How many times have you changed employers in your career? Eleven times in twenty-five years What specific qualities and traits do you feel make nurses especially qualified to operate a business? Self-motivated, organized, independent, networker, able to know strengths and weaknesses, willing to delegate and ask for help, patience, ability to enjoy the process of business development and not rushing to the outcome. Do you currently practice as a nurse? If yes in what type of setting? I work per-diem in a hospital in a Critical Care Obstetrics. Your most pressing concerns with the profession and healthcare: The massive impending nursing shortage when baby boomers retire, the lack of programs to train new nurses, the lack of new jobs for new graduates, the lack of awareness of management and hospital administrators to address workplace toxicity and burnout. How do you feel the coming nursing shortage (as babyboomers enter the healthcare system, and nurses retire in droves) will affect patient care? addressed above. It is a huge concern of mine. Other areas of interest and expertise (Andrew's into photography, loves to travel): I love to explore and travel. I’ve been to Africa, South America, Central America, Europe and Asia. I have an adventurous spirit and it had led me to climb Mt. Kilimanjaro, scuba dive through the South Pacific for six months and complete four Ironman Triathlons. I also have a deep contemplative nature in which I frequent silent meditation retreats - including a month of silence. During the summers, I take a hiatus from nursing schedule and my business and work as an guide for an outdoor travel company and I lead biking and hiking trips in beautiful places such as Yellowstone, The Tetons, Big Sur and Santa Barbara. Nursing skills are highly transferable and you know! Nursingentrepreneurs.com is a networking and resource directory for Nurse-Owned businesses and nurses looking for an alternative to working at the bedside. Start here on your road towards nurse entrepreneurship.If you explore the site a bit, you'll find profiles of hundreds of nurse entrepreneurs around the country. We encourage you to browse around, find a business category you are interested in, then contact the nurse directly. We're available for questions as well. This website is Owned-Operated by Andrew Lopez, RN a Medical/Surgical/Telemetry nurse. Has your Nurse-owned business been written up in the news? Do you send out a newsletter or regular press releases? We'd like to hear about it! ****************************************************** Please choose from the following: Have questions about Nurse Entrepreneurship? Starting a Small Business? Ask Us! Visit our Facebook #Nurseup forum, https://www.facebook.com/groups/nurseup/ Review Nursing Entrepreneurs by State: Review Nursing Entrepreneurs by Category: Book Contracts, Author Agreements:"Anybody have a good contract site that they use? 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Associations For Entrepreneurs, Small Businesses, Business Basics Career Alternatives For Nurses: Discusss Nurse Entrepreneur Opportunities, Issues and Concerns Franchise Opportunities: Allow you to purchase a business with an established name, product or service building on a reputation they have already established. Health Insurance: Medical, Dental, Prescription, Vision Coverage, Employed & Self-Employed How To Earn Money With Any Kind of Website Nurses In Business, Articles About Nurse-Owned Businesses: Online Degree Programs, Criminal Justice, Healthcare, Management, Nursing Our Newest Nurse-Owned Businesses (look here for your listing after you register).: We research and receive new nurse entrepreneur directory listings daily (they are free for nurses). These are the newest. Starting A Nursing Agency, How To Start Turn Your Knowledge & Experience Into Revenue! Traits & Qualities That Make Nurses Excellent Entrepreneurs What Exactly Is A Nurse Entrepreneur? What Made You Decide To Start Your Own Business? 10 Free Starting a Business Books, Smallbizbooks.com 25 businesses you can start and run from home.:'Here are a variety of businesses that you can start and operate from the comfort of your home."