Tuesday, May 20, 2014

The ups and downs of home care May 7 2014

My agency has been very slow! I haven't worked a full day in a couple of months, but that doesn't mean the excitement is gone. A few weeks ago while on call I did an admission on a fragile lil older person. I arrive to the home and find the patient lethargic with a very wet sounding cough. The family assures me the patient was discharged from the skilled nursing facility in this condition.i proceed with the admission, but when I went to assess her, I thought her lungs would sound ok, I thought the wet cough was just secretions she wasn't quite bringing up. What I heard was nothing but crackles, rales, wheezes, etc. her pulse of was pretty low too around 88-90% I decided to call 911 and send her to the emergency room. Two days later when I return to work I find out the patient passed away that same day!!! Fast forward to today, I go out for a home health admission only to find out that the patient and family rather have hospice. It's a much better fit for them. I was in the home for an hr. Since I didn't "admit" the patient I only get paid my hourly rate... Kinda sucks for me but I'm thankful I'm still employed full time and have the opportunity to experience home health per diem :)

Sunday, May 4, 2014

I am a holistic nurse

I dream of and claim the day that I can wear yoga clothes all day and practice yoga, qigong, and healing touch as my job. I am a holistic nurse! It's a way of being. When I see a patient, I see a whole person and realize that I need to be fully present and address not only the physical condition but the mind and spirit as well. I aim for whole person healing. I am aware of the energy I bring and hope that my energy, presence, and duties as a nurse will place the patient in the best position to be healed. I hope to suggest alternative therapies that I am knowledgeable in based on patient to patient basis. Not every patient will be receptive to alternative therapies, but that doesn't mean the holistic nursing care stops. Again, holistic nursing is a way of being. Not so much something you do. As I continue my holistic life journey and take more continuing education I will obtain my certification as a holistic nurse :)