Sasha
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Your patient is a 55yo female whose only available history is the fact she had a heart attack two months ago and she is on hospice for ES Cardiac disease but was discharged from the inpatient unit a week ago due the stability of her condition. She lives alone with parents and adult children in the area.
You are called to the ER to transport her home. She was evaluated at the ER for chest pain. Blood work and EKG came up negative.
The ER nurse tells you she was anxious and doesn't want to die alone. The hospice nurse arrives and says she has arranged for someone to meet you at the home and the pt is to get 24hr care so she does not become anxious and afraid.
Patient's vitals are all within normal range and she ambulates to the stretcher with no assistance.
You arrive at her home to find the hospice nurse is not there. The house is dirty with clothes and various other objects strewn about the floor creating potential fall hazards.
You contact the hospice provider who tells you they will not have a nurse out there until 7pm. Patient is alert and oriented and refuses to go back to the hospital. Patient becomes anxious and hysterical stating she has less than 24 hours to live and doesn't want to die alone.
How do you handle it? What would you do?
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You are called to the ER to transport her home. She was evaluated at the ER for chest pain. Blood work and EKG came up negative.
The ER nurse tells you she was anxious and doesn't want to die alone. The hospice nurse arrives and says she has arranged for someone to meet you at the home and the pt is to get 24hr care so she does not become anxious and afraid.
Patient's vitals are all within normal range and she ambulates to the stretcher with no assistance.
You arrive at her home to find the hospice nurse is not there. The house is dirty with clothes and various other objects strewn about the floor creating potential fall hazards.
You contact the hospice provider who tells you they will not have a nurse out there until 7pm. Patient is alert and oriented and refuses to go back to the hospital. Patient becomes anxious and hysterical stating she has less than 24 hours to live and doesn't want to die alone.
How do you handle it? What would you do?
Sent from LuLu using Tapatalk