respectful, compassionate care. Anne Butler, MSN, ANP-BC, CHPN速 United Healthcare Evercare Hospice Clinical Services Manager Elkridge, MD 21075 410-379-3581 [Submitted on: 10/24/2010 by: Anne Butler, MSN, ANP-BC, CHPN速 [anniem416@gmail.com]]
131. Palliative Care is sexy. I got into this conversation late as I was out of town for much of it. It is clear that the discussion got away from the original question and concern. The patient in the original scenario was days from death and the goals of the patient did not seem to include eating for pleasure. The concern, and I have been seeing this too, is that sometimes these procedures are being done when the goals of the patient do not support them. The question then, is how can we advocate for our patients and respond in that instance? It seems to me that perhaps a revisit with the primary team, or a family meeting, to establish or clarify goals of care would be in order. Beverly Douglas ARNP ACHPN速 LifePath Hospice, Tampa Florida [Submitted on: 10/24/2010 by: Beverly Douglas ARNP ACHPN速 [bevdouglas@tampabay.rr.com]]
131. Palliative Care is sexy. G-tube patient now expired. Shunt patient, still too unstable to go to LTC and maintained in vegetative state to wait and lay victim to the next microbe, which will throw him into sepsis and the ICU. Trach patient will get a POLST this week and move to LTC. Yeah, I would say we have more work to do. Rebecca [Submitted on: 10/24/2010 by: Rebecca Gagne Henderson [rebecca@endoflifedirectives.org]]
131. Palliative Care is sexy. Hi Beverly, What I have done is: "I am the patient's advocate and my patient does not desire to have .......................... the procedure you are discussing performed, the answer to your desire to perform this task is no." The procedure is never performed-we as nurses are advocates to our patients, when we observe the wrong we stand up and are heard. Sincerely, Cheryl Cheryl B. Dworman, BSN, RN, CDCS Cheryl B. Dworman, Inc. Nurse Consultant-Patient Advocate P.O. Box 251981 West Bloomfield, MI 48325-1981 [Submitted on: 10/25/2010 by: Cheryl B. Dworman, BSN, RN, CDCS [cbdinc2001@yahoo.com]]