Thoughtful post from Rogue Medic regarding Hospice Care. I recall a hospice patient we transported to home from the hospital. She was yellow from jaundice due to alcohol induced liver failure. Two days later I saw her obit.
Often hospice and DNR situations coincide. Had a pt. yesterday who was a DNR and was not even supposed to go to the hospital. Family changed mind and wanted her transported. She was possible CVA, definite decreased LOC, high blood sugar etc.
Had rapid resps. with sats below 70. Chose to start an IV- thinking back not really sure why and insert an OPA and bag. Got sats as high as 95, pt. still unresponsive- had been from the start.
Upon arrival the hospital was not happy and stopped bagging. Did I make the right call? I think so.
Family wanted her evaluated I cared for her until the hospital did not violate the DNR. The hospital piece is beyond me.
1 comment:
Thank you for the mention.
This is often a complicated topic, since everyone seems to have different backgrounds in approaching DNRs.
We certainly need to improve our ability to treat DNR patients appropriately.
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