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Your article talks about OVERDOSE of opiods can cause respiratory depression. If you look at my linked article, particularly the last paragraph on the 1st page, it does not cause respiratory depression when used in normal doses to relieve air hunger.
Yes, iit says IF caused by overdose. If you apply the drug when the condition is already evident, you are probably committing malpractice. That may be one reason the nurse doesn't provide an actual medical diagnosis to the family when suggesting the doses. Then they would be liable for not following the treatment protocol. Notice the other suggestion in the original post insinuated falsely that morphine was used for heart attacks, which was not the case here. She is providing herself cover.
Again...you are incorrect. Using morphine to relieve air hunger in the end stages of congestive heart failure (which is what the poster described), is the accepted treatment. The nurse telling them that morphine and aspirin is used during a heart attack was an attempt by the nurse to explain the safety of morphine.
You are trying to tell someone who's loved one was in hospice and terminally ill, that the nurse was encouraging morphine for air hunger to kill them, or that giving it, will kill them quickly. Not only is that incorrect, but it is highly unethical and irresponsible to make that kind of a statement here. https://www.google.com/url?sa=t&sour...=1568605141164
Again...you are incorrect. Using morphine to relieve air hunger in the end stages of congestive heart failure (which is what the poster described), is the accepted treatment. The nurse telling them that morphine and aspirin is used during a heart attack was an attempt by the nurse to explain the safety of morphine.
You are trying to tell someone who's loved one was in hospice and terminally ill, that the nurse was encouraging morphine for air hunger to kill them, or that giving it, will kill them quickly. Not only is that incorrect, but it is highly unethical and irresponsible to make that kind of a statement here. https://www.google.com/url?sa=t&sour...=1568605141164
Actually, you are only repeating my response to the original post. The nurse doesn't make any diagnosis. I said the fluid buildup was a likely sign of heart failure.
Quote:
Originally Posted by lchoro
What you describe appears to be heart failure and not a heart attack. The nurse is intentionally trying to lead you to a conclusion and get you to administer the morphine. The morphine depresses the breathing and makes the patient unaware of what is happening. When you're undergoing respiratory distress, it accelerates the failure of the lungs and eventual death. She may have already been near the end since the fluid buildup indicates the heart is also failing.
There is a financial interest for hospice since they get paid 5x the first 60-day routine care rate if death can be sped up. I believe there's also readmit penalty that comes into play if they survive.
My husband was in hospice for only three weeks for congestive heart failure. For two of those weeks, we wondered if we had made a mistake. We thought maybe being sent to a Medicare rehab center would have been a better choice.
The nurse was nice as was the bather. We got a lot of equipment as well as supplies including the Ensure Clear he needed, which was expensive and hard to find. But their real contribution, since he was on it a short time, was when he died. I didn't KNOW he was dead. I just couldn't wake him.
My husband was in hospice for only three weeks for congestive heart failure. For two of those weeks, we wondered if we had made a mistake. We thought maybe being sent to a Medicare rehab center would have been a better choice.
The nurse was nice as was the bather. We got a lot of equipment as well as supplies including the Ensure Clear he needed, which was expensive and hard to find. But their real contribution, since he was on it a short time, was when he died. I didn't KNOW he was dead. I just couldn't wake him.
My husband was in hospice for only three weeks for congestive heart failure. For two of those weeks, we wondered if we had made a mistake. We thought maybe being sent to a Medicare rehab center would have been a better choice.
The nurse was nice as was the bather. We got a lot of equipment as well as supplies including the Ensure Clear he needed, which was expensive and hard to find. But their real contribution, since he was on it a short time, was when he died. I didn't KNOW he was dead. I just couldn't wake him.
Oh. That's not, I don't know, not good. When my husband was crashing, stat, stat, and they were going to intubate him, I yelled, "stop!" I gave him a kiss, told him that I loved him, and that I would be sitting next to his bed.
I'm a pretty quiet person, so I don't know where I found the guts to tell a crash team to stop what they were going to do.
That was the last time that we looked into each others eyes. I stood in the hall outside of his room, and the staff kept trying to send me to a lounge. I think that they were trying to "save" me from hearing unpleasant noises. To hell with that. I signed on for until death do us part, and I meant it.
I've been in accidents, and I've been very ill. I feel sorry for my son who has had to take me to an ER at least five times. OK, three of them were within 36 hours for the same problem because the doctor was stupid. I finally got a better doctor the third time. She was great.
It's 12:27 here, so I must be the Midnight Rambler.
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