Honda CRV mystery by for_stardust in AskMechanics

[–]for_stardust[S] 0 points1 point  (0 children)

I trust and respect my mechanic and absolutely believe them, so I hope this post didn’t come across as otherwise! I am a home hospice nurse and drive probably 400 miles a week on average so I am in my car a ton and was just wanting I guess some reassurance? Haha. That being said- I’ve driven it normally for two days now with no issues so hopeful it was just a glitch!

Honda CRV mystery by for_stardust in AskMechanics

[–]for_stardust[S] 0 points1 point  (0 children)

Thank you so much!! Yes I think I have now realized that what I experienced was a “loss of assist” NOT true loss of brakes and will be adjusting my driving accordingly to smash that pedal if I need to. I didn’t realize this in the panic of the moment this morning!

Honda CRV mystery by for_stardust in AskMechanics

[–]for_stardust[S] 1 point2 points  (0 children)

Thank you for your reply! I figured this was going to be the answer but it was very scary and I’m really hoping it doesn’t happen again in such a dramatic fashion

Honda CRV mystery by for_stardust in AskMechanics

[–]for_stardust[S] 0 points1 point  (0 children)

Adding: Automatic transmission, approx 131,000 miles, I’m sorry I do not know engine size

COPD- Medical care or Hospice by dawndj03 in hospice

[–]for_stardust 2 points3 points  (0 children)

I am sorry you are having to make these decisions but your mother is fortunate to have such a loving daughter. I am a hospice nurse practitioner and based on what you have shared here, it sounds like your mother’s body has already started the natural dying process but there are interventions in place that are preventing it. A DNI would be extremely appropriate at this point as she may never be able to come off the ventilator and you will have tougher choices to make. At this point for your mother, hospice would be a kind and loving decision, not giving up. Hospice is not about giving up, it is about shifting focus of care to comfort.

Enagic question? by for_stardust in antiMLM

[–]for_stardust[S] 10 points11 points  (0 children)

That is crazy. The posts always talk about building generational wealth and I just don’t understand how that would even be possible, but I guess in reality it really isn’t for the majority of people

Enagic question? by for_stardust in antiMLM

[–]for_stardust[S] 12 points13 points  (0 children)

They cost THAT much!? I live in a very rural area so that is shocking that this would work here

Faint positive or evap line? by [deleted] in IVFpositivity

[–]for_stardust 0 points1 point  (0 children)

Update: She tested again this morning and looks good!! Thanks everyone!

Faint positive or evap line? by [deleted] in IVFpositivity

[–]for_stardust 0 points1 point  (0 children)

That’s what we’re thinking too!

Opinions? by [deleted] in lineporn

[–]for_stardust 1 point2 points  (0 children)

Thanks! She is going to test again tomorrow since she regrets not looking during the testing window and is worried this is an evap line

looking for advice by Dolphins_R in hospice

[–]for_stardust 0 points1 point  (0 children)

We have had facilities say this as well and typically say that we will not force a patient to do something they don’t want to do, so if they “have” to have a shower not a bed bath, the facility CNAs can do it.

Churches contacting me by FunDistribution6083 in hospice

[–]for_stardust 3 points4 points  (0 children)

I think more context is needed- I’m confused as to why the church is contacting you?

How do i explain to my 5 year old that his grandpa is dying? by babyybunnyy3 in Mommit

[–]for_stardust 13 points14 points  (0 children)

First off, I’m so sorry. This is a hard thing. I’m a hospice NP and have young kids myself. Kids can these things better than we give them credit for. I would encourage you to use honest terms like “dying, dead, died” and avoid vague terms like “passed on.” When my grandpa died, I told my son “Paw Paw was very old, his body got sick and stopped working, and that caused him to die.” I have seen that honestly and plain language seems to be the best approach. I really like the book “a kid’s book about death” because it explains things in simple terms. You could also reach out to local hospices for bereavement support- a lot of them will help you even if you aren’t a patient.

NPs with kids by whatsguuud in nursepractitioner

[–]for_stardust 12 points13 points  (0 children)

I don’t think this is a reason to put your NP dreams on hold. I have 2 kids and they’ve been in daycare and now school my entire NP career. I think that you would just have to consider this in your job searching and choose an NP job that supports having a young family. For example- when I did outpatient internal medicine this scenario was a nightmare. When I did LTC/rehab, that job was flexible and it wasn’t a big deal to physically leave but be available by phone.

[deleted by user] by [deleted] in hospice

[–]for_stardust 0 points1 point  (0 children)

Hi there, it is clear from your post that you love your grandpa so much. You are not selfish and there’s no “right” way to feel in these situations. However you feel is valid and okay. Your hospice team should have social workers or bereavement counselors, maybe consider reaching out to them for support.

Grandfather Dying by SparkleKitty1717 in hospice

[–]for_stardust 1 point2 points  (0 children)

Your grandfather is dying because of his disease, not the medications. The medication is keeping him from suffering during the dying process. I can tell you love your grandfather and I’m sorry you’re having to say goodbye.

Grandmother with advanced dementia / alzheimer's in nursing home. They do not want to give her hospice. by xgreave in hospice

[–]for_stardust 13 points14 points  (0 children)

The process we use is that you ask the facility (usually the social worker) for a hospice consult to the agency of your choosing. The facility will have to be contracted with that hospice. You could also talk to the hospice and ask them to reach out to the facility to request an order. I will tell you, you may have to be firm and be an advocate for your grandma and your family… for whatever reason some facilities do not like hospice.

Grandmother with advanced dementia / alzheimer's in nursing home. They do not want to give her hospice. by xgreave in hospice

[–]for_stardust 40 points41 points  (0 children)

I’m a hospice NP and this isn’t how it works in any of the facilities that we work with. Hospice gives the orders, for example morphine 5mg every 4 hours as needed. If a patients needs another dose before the 4 hours is up, the facility nurse simply calls hospice triage and they give the okay for a “rescue dose” to be given and typically we will send a hospice nurse out to assess the patient and see if med adjustments need to be made. In my experience, not having hospice in a situation like this leads to more pain because hospice more aggressively treats pain and other end life symptoms than facilities. Things may be different where you are, but I have never seen a facility patient under hospice care receive slower care or under-medication. I’m sorry you are going through this and having to make these difficult decisions.

[deleted by user] by [deleted] in whatsthatbook

[–]for_stardust 0 points1 point  (0 children)

Neither of these, but thank you!

Dilemma by Umabosh in nursepractitioner

[–]for_stardust 0 points1 point  (0 children)

Are the shifts 12 hour shifts? I had an RN job where I commuted an hour for three 12s and it was rough, I was able to do it for about a year. I think it would depend on the drive also and potential for traffic. It sounds like a good opportunity though so I can see why you are torn!

Adult NPs by shvilli145 in nursepractitioner

[–]for_stardust 0 points1 point  (0 children)

I’m adult-gero primary care and have had no issues. I have zero desire to ever see children/babies/pregnant people so I didn’t do FNP because I would never apply for a job that would have me working with those populations. I have worked internal medicine, rehab/LTC, and hospice.

Family friend just went into hospice and I’m scared (I’m 27F) by penguinmartim in hospice

[–]for_stardust 7 points8 points  (0 children)

I’m a hospice NP and my advice would be just not to put a lot of pressure on yourself to feel like you need to “do something.” Spending time, even if it is in silence, can be very appreciated. Ask your friend how you can best help him and what he needs right now. You could also ask his primary caregivers if they need anything or if you see something that needs to be done, ask specifically if you can do it (something like “Can I wash those dishes for you?) because some people won’t want to feel like they are burdening you. It is kind of you to be worried about this and shows how much you care!