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Do you think it is appropriate for a hospice nurse to hint around at how much of a patient’s medication it would take to kill them?

Is this common?

It has happened twice, both coincidentally (?) by nurses over age 60.

My young nurses are sweet and encouraging but are they secretly judging me for not overdosing hahaha

It makes me uncomfortable. I don’t even have to recertify until February. Leave me freakin be.
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ScreamingFox · 41-45, F
Hospice can be a great thing, but there are some facets to it I didn't appreciated when my mom needed it.

You don't need to feel guilty for still being alive. I don't know what their angle is but it's inappropriate. They seemed annoyed that my mom didn't die in the time her insurance allotted 🙄

They're just people and some of them have different ideas about end of life care. But you want to be here with your family and you deserve that more than anyone. No offense to the older generations but they're a little medieval/eff your feelings sometimes.
SwampFlower · 31-35, F
@ScreamingFox maybe they did think it was some twisted courtesy but still weird af.
ScreamingFox · 41-45, F
@SwampFlower very weird, inappropriate and unprofessional too. It'd be one thing if you asked but you very clearly want your time. I don't know mamas I'd probably mention it makes you feel uncomfortable.
SwampFlower · 31-35, F
@ScreamingFox I can see from the outside why it looks like I have no quality of life left. I almost agree with it. But everyone has their own reasons for wanting to stay or go. Seems like someone with that many years of experience in EOL care would get that.

My private caregiver who retired from a hospice agency told me to report them. And I am going to.
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Notsimilarreally · 31-35, F
@SwampFlower absolutely not. You should be offended. Have you told your husband? I read in another comment you will report it, I hope that you do. And I hope that their management takes it incredibly seriously because anyone working hospice who would think it's alright to do that needs to find a new line of work 😒
SwampFlower · 31-35, F
@Notsimilarreally My husband was THERE when it happened last and was so shocked he didn’t react at first but was fuming when he brought it up later. And even more so when I told him it wasn’t the first time.
Notsimilarreally · 31-35, F
@SwampFlower totally! I would probably have the same reaction as him, too shocked at first, but once it soaked in absolutely livid. Heck, I'm livid for you. Give me their names and numbers 😇
Miram · 31-35, F
Over there a hospice nurse hinting at how much medication could kill a patient would breach basic suicide prevention and professional boundary protocols that certainly all hospitals and hospice programs follow, even if it’s framed as a joke or “hypothetical.”

Nurses are explicitly prohibited from suggesting methods, dosages, or feasibility of ending one’s life outside a extremely narrow, formal, physician led legal process, and casual or unsolicited comments like that violate nursing ethics, hospice communication standards, and risk management rules. It can , very easily, result in revoking their licenses.

And it is of course not appropriate socially no matter their reasons or the context.

Most countries, not just the US, legally bind health practitioners to never initiate such conversations. It is something you provide answers to not directly or indirectly suggest without others stepping in first to ask.


My young nurses are sweet and encouraging but are they secretly judging me for not overdosing hahaha

A healthy person doesn't feel entitled to deciding the length of someone else's life. Even more so if they work in healthcare. If there are people like that, they should quit and work in a slaughter house instead. What is even the point in providing healthcare if one doesn't value life in general?
SwampFlower · 31-35, F
@Miram I agree they should quit. I don’t feel bad at all about ruining what’s left of their career. “and so soon before retirement” Bless
Miram · 31-35, F
@SwampFlower Reporting it is doing everyone a favor.
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SwampFlower · 31-35, F
@TheDeathOCuHullainn That’s horrible. But when I’m ready for my heroes dose of morphine that’s between me and my husband.
@SwampFlower I know. I empathise with what you are going through. The post resuffuraced old memories. I am sorry 🫂
Lilymoon · F
This is why I'm glad my country is approved for medically assisted dying (maid)
I want to have that before facing hospice BS.
It's good you have a lot of support. And you're strong.
As for myself I wouldn't be able to handle it.
SwampFlower · 31-35, F
@Lilymoon I wish we had it here too.
Jessmari · 46-50, T
As a PSS I take care of my elderly mother and sometimes i have to have hospice nurses come in to help her after extended stays in the hospital. I have never heard them mention or hint at things like that ever.
bookerdana · M
No it is not appropriate....My Family had an instance of this with my Mom who was allowed to basically hospice in place..it was ugly and the regular nurse on the floor raised a stink

I'm confused about what recertifying is but what the hospice nurse did was just wrong
SwampFlower · 31-35, F
@bookerdana I think I meant requalify maybe. It’s basically they evaluate to see if you still meet the requirements for care
bookerdana · M
Nightwings · F
I have never heard anything like this. I agree with the person who said that this is dangerous to vulnerable people, and it should be reported. What a messed up thing to do, and I'm really not sure how else to understand it. 😨
I would consider it very dangerous. It's such a variable unless so many factors have been taken into account. If they were giving you a personalised fatal dosage then it would likely constitute a crime. If the suggested dose was generic then there is no guarantee it would work anyway. Better they just stfu and let patients discuss such issues if they wish and then respond to them appropriately.
SUPERVlXEN · F
It’s absolutely not appropriate. If such subject should ever be talked about it should be on your initiative. I’m sorry you have to go through extra worries and stressful behavior by others. 💜
That topic should never come up unless the patient explicitly requested the information, and even then really only in regions where it would be explicitly legal (in any formalized euthanasia regulatory environment) to aid any patient of truly sound mind to pursue that path if there is really no bearable alternative.

Especially for healthcare professionals, they don't need to stray into the weeds with editorializing or whatnot, with any talk that is not directly helping the patient in that moment or a direct but limited response to any casual conversation the patient initiated. If the patient starts talking about the weather, instead of their illness, I would think the healthcare professional should respond in a well-mannered way but not then stray into darkness like "you know, when it's storming, if you stood next to a tree ..." ... as long as a patient is clear that they are still trying to remain in this world, the healthcare professionals should only be working to help achieve that and to comfort the patient, not distracting them with anything useless to those goals.

And hinting is always BS in any context, everyone should always come out say what they fully mean and want to express, directly and unambiguously.
DeWayfarer · 61-69, M
Report the two for certain. Yet if even the younger ones "are they secretly judging me for not overdosing" there's a problem with the whole agency.

Would be best to not even use the whole agency. Please remember the younger ones often take their que from the older ones.
SwampFlower · 31-35, F
@DeWayfarer I don’t think I need to throw out the agency entirely. Overall they’ve been pretty great and supportive.

It’s just those two that make me really uncomfortable
FreeorLonely · 51-55, F
I’m so sorry you’re dealing with that, my goodness that is inappropriate!
Poppies · 61-69, F
If you had asked for such information I would feel one way. But you didn't! Wrong for them to hint at such things!
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@SwampFlower Please make sure your visitors come as often as possible.🫂 it makes a difference.
SwampFlower · 31-35, F
@DancingStarGoddess I am at home and constantly have visitors thankfully. So there is oversight there.

Medical trauma is real and I think there is definitely something to the cliche that your high school bully either became a teacher or a nurse. Those professions can definitely attract certain types and they aren’t always angels
@SwampFlower Yes! You're absolutely right about that and I'm glad you have good, kind people around to keep your spirits up. It's always beautiful to know that we are cherished and loved and you are so🥺🥰 I hope they wrap you in warmth and comfort everyday.
JustNik · 51-55, F
😳 absolutely not! That’s just atrocious. Just…ew. 😣 I sure hope you can get some new nurses! 🫂
AbstractWave · 61-69, M
Totally inappropriate 😪
Highly inappropriate ... and leaves them responsible if (vulnerable) patient takes the advice.


Murder by proxy
SwampFlower · 31-35, F
@Magicianzini I think I will report them then. Honestly seems like they’re jaded by this line of work and need to retire
@SwampFlower I really wish you do decide to report, and I guess there's always a reason people do bad things ... but that's still no excuse. Definitely time to retire and step aside for those with love still left in their hearts.
Nightwings · F
@SwampFlower I agree that you should report it to the hospital.
Wtf, that's entirely inappropriate
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SwampFlower · 31-35, F
@HijabaDabbaDoo apparently it’s not as unheard of as we wish it was.
@SwampFlower reading some of these comments are just sad. There needs to be more regulations in place

 
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