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Posted over 5 years ago
You said that home health nurses were welcome; hospice nurses are an extension of that case managment.
The only real dislike I had for hospice was the need to be on call. I was never able to get over that disilike (I felt like someone, NOT ME, controlled my life). While true, I so loved being able to provide or being able to be the head of a team that provided services. I didn't find it hard emotionally; i think that's because the bonds (for the most part) were formed with the patient AND caregivers, so that when the patient died, I had memories of wonderful times I'd shared with the family and friends.
I think hospice is nursing at it's best; I was advocate for the patient in the field and my autonomous judgement was THE judgement. If you don't have nerves that can take that pressure, it might not be the field for you, but if you're confident in your assessment skills and you communicate well with pharmacists and others of the healthcare team, it was a joy; for me, a 9 year joy of which I loved every minute.
I had support in the office that coule make suggestions if my judgement proved ineffectual, but that's not the same as "being there."