Category: Dark Side

Dark Side in the area of ethics specifically in the field of hospice and often relating to hospice at facilities

Statins Increase the Risk of Dementia or Worsening Dementia

Atorvastatin
Pharmaceutical advertisements often highlight the benefits of a particular drug, including its ability to reduce the risk of various health conditions. However, the actual risk reduction provided by these drugs may be different from what is portrayed in the advertisements. It is the opinion of the author that if cardiologists and other providers told their patients the absolute risk reduction of statins is 0.8% for all-cause mortality, 1.3% for myocardial infarction and 0.4% for stroke and the side effects of going on a statin include dementia, worsening dementia, confusion, muscle problems, such as aches, pains, weakness, muscle breakdown, falls, nausea, constipation, diarrhea, and increase the risk of type 2 diabetes, would you or anyone else ever agree to take a statin?
Read MoreStatins Increase the Risk of Dementia or Worsening Dementia

Failure to Decline in Hospice – The Good and The Ugly

Live Discharge Flow Chart
If your loved one is facing a discharge from hospice due to failure to decline, it's crucial to comprehend the situation clearly. This discharge indicates that the healthcare team believes your loved one's condition has stabilized and no longer requires hospice care. While this might be a positive sign, it's important to weigh the pros and cons before making decisions. Let's delve into both the positive and negative aspects of this situation to help you navigate it effectively.
Read MoreFailure to Decline in Hospice – The Good and The Ugly

Eye-Opening Lessons on Trusting Nursing Facilities: Advocating for Comfort in End-of-Life Care

Empty Hospital Bed At A Nursing Facility
As an experienced hospice visiting registered nurse, today offered me profound insights from two interconnected perspectives. The first highlights the blind trust we often place in facility nurses and doctors when caring for our loved ones. The second involves the challenges I encountered while advocating for proper end-of-life care for a patient with Alzheimer's.
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The Dark Side of Physical Therapy for Geriatric Patients with Dementia

As a seasoned hospice nurse, I have witnessed the advantages of physical therapy for patients grappling with diverse medical conditions. Nevertheless, when it concerns geriatric patients with dementia in the terminal stage, physical therapy can at times yield adverse effects. In this discussion, we'll explore five key reasons why physical therapy might not be the optimal choice in such cases.
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The first waves of COVID-19 in a nursing home — sharing memories, from heroes to dirty, filthy…

I remember being called to a huddle with another RN, several LPNs and a number of CNAs to be told we have our first case of COVID-19. A 102-year-old with lung disease and dementia who was well known among the 150 residents of the nursing home where I was recently hired as second shift RN Supervisor (responsible for the entire building — its residents, staff, equipment, supplies et all the building itself until my relief came in). We were told the PPE we would have to wear to provide care, the logistics of where the patient would be moved such that they were not near others, and how the shifts of care might work. I remember seeing the fear in the eyes of those around me since at the time the symptomatology, transmission, and how infectious COVID-19 was still evolving as cases were just starting in the United States and we were all learning on the fly.
Read MoreThe first waves of COVID-19 in a nursing home — sharing memories, from heroes to dirty, filthy…

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