I wish people could see what Full Code really means. I work ER and most people never really come back after a full code. Some do, but it’s so painful. Thank you for educating!!❤
Just got my LO on hospice in home, he has dementia and I could not fathom doing full code to someone with this disease. He has a DNR. I’m thankful for you and the wonderful hospice workers who are helping me understand the process of dying. Much love to y’all 💕
I firmly believe in individual autonomy, a person's choice in medical decisions, as well as the right to die. I will absolutely stand by a patients wishes within my scope of practice regardless of any personal belief I have. My career entails caring for my patients, respecting their needs and choices, and educating them regarding their disease process and their options. I do wish we could show patients what happens based on their diseases. HIPPA is increasingly important. I'm willing to bet there are people who would sign to make their treatment, including CPR, to be made public as a teaching tool. There's a reason most medical professionals refuse heroic measures. After a certain point, it's torture. The first time I performed CPR on a patient, his ribs and spine broke. He was 78. He coded while walking back to the bed from using the restroom. That was 23 years ago. There were many more similar events, of course. This is why education is key. Living your best life is incredible and is a series of choices. Choosing between natural death and artificial machines that don't allow you to spend the last of your time with those you love is again your choice, and I will do whatever you've told us you want. We really can change the way people view death. Personally, I believe if we embrace our immortality, fewer people will be afraid. Keep these videos going Julie.
I am so grateful for all that you share. Your experience and knowledge is greatly needed in the world today. We are all going, someday party will end,our name will be called… back home to Jesus 🙏. You have been a great help and inspiration. Thank you! I am learning so much!!
That one I do not get. Putting a 97 year old on full code? Before you do 10 compressions their ribs have already puncture the lungs. And we have them in the hospitals. People who put them on full code have not seen what happens during a code.
FIRST PRESS I DO I BEEL THEIR RIBS BREAKING UNDER MY HANDS!!!!! I TOLD MY HUSBAND I WAS S DNR!!!! I SAID IF I GET TO HEAVEN AND IM WITH MY FAMILY AND FRIENDS SND OF COURSE THE MAIN ONE JESUS !!! I SAID IF YOU TELL THEM TO BRING ME BACK TO THIS CRUEL WORLD WITH BROKE RIBS I TOLD HIM FIRST THING I WAS GOING TO DO WAS SLAP HIM!!!! LOL
To most people it might not make sense but for that person who still struggling with the realization that they are dying in this is the end of the line, it can be the only thing that keeps them sane, and allows them to be able to trust all the wonderful nurses and staff they're meant to make them comfortable and provide for them. Being refused a full code when in hospice or told it doesn't make sense basically makes that person who's dying and is having to come to that realization on their own time because everybody's different, feel that you do not have their best interest the staff whoever not the person making this video specifically, or is that their needs will not be met that they will not be respected or cared for. To somebody who doesn't have the fear of death lingering over them or is basically having to learn about it because it's happening to them now and they're going through those stages of grief before they accept that they're dying, if you're not actually going through that right now or don't have someone very close to you going through that, then I know it would seem silly after all you're going to a hospice and this is where people go to get here before they pass on. But even if there is no hope for them to recover and they will die it kind of makes them feel like no matter what you're going to take care of them till they get to that point mentally where they can accept their illness and let go of that fear of the death that they're having to face. Which is why it's also a very good thing that you can go back and forth from a full code to a DNR or in reverse. Well it seems silly to those who aren't about to die, those who are literally going through that process at least in the beginning stages and are still grieving and coping with that, it gives them peace of mind it gives them comfort and it allows them control, when you can't even control whether or not you get to live to be the age everybody wants to have that life and family.. we don't have control over death, to an extent we have some control over what happens to us in this process of us dying and how our body is cared for after.if it makes sense or not the one thing to remember is that what's most important is that person about to pass away feels comfort and solace knowing that they have control over what happens to them and those nurses the staff there are there to love them and care for them and be there in every way they need until they take their last breath, and even then they will be respected and that their last wishes would be held true to the staff's heart
Please remember that it is NATURAL to want a peaceful death… it is un natural to ask someone to sign a paper asking for that….I let people Make th choice to sign now or later but I ask them the questions and I document their verbal instruction in front of family….signing onto hospice is a process…..
Some people don’t want to go, until a friend or relative arrives to say “good-bye”. So if they slip on heaven’s doorstep, they’re going to want to be pulled back to earth for a while.
I didn't know hospice could do that - learn something new all the time on here! I've already filled out the paperwork & my family knows not to resuscitate me under any conditions. I I'm not leaving it up to anyone else how I die.
People don't think it because some hospital don't allow it. We literally had this problem with year with a relative. The hospital kept saying they needed hospice the family wanted it but they would only let them enroll with a dnr
My mother has stage 3 COPD, stage 3 CFH, stage 3-4 CKD, CLL, plus more! She smokes 1 pak/d and has to be hospitalized to administer IV Lasix every 5-8 weeks. Her medical record states: FULL CODE. Now that there makes sense. 😂😂😂
I had a developmently delayed client from age 20-40 who consistently would decline yearly or bi yearly and on hospice for a few weeks, but come off hospice and live a normally happy healthy life (seizure disorder and depression with failure to thrive from birth) thwy would go on hospice and have no speach or ability for cognition, but then just bounce back and be fine. They went 3 years with out, and then last stay was their last
The hospice in my area demanded a DNR or they would not allow a person to go on hospice. I had a feeling there was something that wasn’t right about that. I didn’t know if it was a law or what was going on
CPR is brutal and undignified at the best of times,but would be so much worse when someone is on hospice. However, if someone has capacity then we have to follow their wishes, even if we don't think they are the right ones 😢
That is something that you would need to be putting in and a will or a special request you can go to any hospital your doctors offices and get a paper and basically what you would do is explain that if you're in the hospital if you're unconscious should anything happen what steps they would be allowed to take and what steps you would like them to not take. For example my wish is to be resuscitated and to try to bring me back , but if I am brain dead, I have requested to not be put on machines to keep my body alive, because the only thing that could happen at that point is after being brain dead for so long, if I do wake up or not I would most likely be in a mostly vegetative state😢 not to mention I feel that that could be very hard for my children to see. You can also go as far as to request exactly what you want to have done with your body including funerals. You don't have to be embalmed you do not have to have a funeral or buy a plot Nord you have to buy a coffin. There are companies that can help you with it and show your loved one respect no matter what I'm going to be wrapped in cheesecloth and giving back to the Earth with no chemicals put in my body.😊 It will be my gift a final gift to everyone.❤ My body will nourish the grass and the trees and the Earth and help provide oxygen so all of our great-grand babies will be able to breathe good sweet oxygen while they play together hand-in-hand loving one another regardless
Nurse Julie I was with my mum when she died . The family were around her. As she was in her final moment as I watched her I saw her body shrink in front of my eyes quite literally and then she looked like a shrunken corpse. Have you seen this happen? Why ? How? Thankyou from Steph UK
If I go on hospice I want to be DNR. If I die I want to stay dead. When my heart stopped once they put those pads on my to keep shocking me back. Did it multiple times in the ambulance and in a hospital room. They put a temporary pacemaker wired in my neck and then installed a final pacemaker in my chest. I did sign anything asking that it be done. With multiple people in my room before the pacemaker I said if my heart stopped I did not want to be shocked back! I heard a nurse say did you hear what he said and then someone said we do not do that! Now with cancer I ask if they could shut off my pacemaker and told they do not do that!
Honestly we have had 100+year olds want “the works”. It is ridiculous and because of cpr breaking the ribs etc it is really stressful to the staff. Because you’re doing cpr and the whole chest is collapsing. And of course they did not revive.
If full code is too stressful for "the staff"... then they should take their pansy asses to work at McDonald's. They shouldn't be in Healthcare. I say this as an EMT/X Ray tech w 20yrs experience of cracking ribs. Lead from the front or get out of the way.
@@RTSurf5000 Mate when you are giving CPR to a living 100 year old skeleton and her body is crushing THAT is stressful because you know they aren’t going to make it anyhow. It a horrible thing to do. What I’m talking about is people in end of life care. I suggest that you have compassion fatigue. You don’t know what your talking about in relation to that discipline. Everyone in this field is in the waiting room for heaven. It not the same. And if you think it’s ok to jump on someone who is extremely old and crack their bones in such circumstances when we are supposed to cultivate a peaceful death you really do not have any compassion. At all. Keep being an adrenaline junkie in what you do that is where you belong. Not in palliative care.
@@RTSurf5000 so are you saying as a medical professional, a person should look forward or not have it bother them to do CPR on a fragile 90 year old knowing the outcome before they even start?
That is very interesting... something I had no idea about... but, if you are on Hospice, WHY would you do that? As a nurse, who worked in heart surgery my whole career, I can't imagine putting my loved one through that... especially if they were on Hospice.... wowsa...
It works a bit differently in the UK, it is a medical decision, in the same way you cannot demand brain surgery if it is not going to benefit you, or it is futile, you cannot demand CPR. In reality we often leave people who are bot suitable for CPR for ‘full code’ either because to be DNACPR will cause them psychological distress or mostly because the discussion on the topic was handled very badly or the staff in the acute phase of care frankly weren’t brave enough or lacked the time to have that discussion. The care of the elderly consultants in my old hospital were the best at these discussions which were based on their clinical judgement, predictive tools like SPICT, and frank but kind discussions with the patient while liaising with intensive care advice to determine wishes vs reasonable reversibility of the primary problems. Often the result of the discussion would be a DNACPR, but with an individual plan. E.g. a patient might still go to ITU for NIV or ionotropes, but not CPR not intubation Or the discussion might move to advance care planning using a RESPECT form which doubles as a DNACPR if needed (doesnt have to be DNACPR) where the patient essentially conveys where their care lies on the spectrum of comfort vs life preservation. E.g. I’ve had many patients w/ terminal issues who wanted to die of the condition at home but would permit us to admit for reversible conditions like sepsis with a ceiling of care being IVI/IVABX and non invasive supplemental oxygen. When people understand that a ceiling of treatment is NOT a ceiling of care, then things go much better for them.
I wish people could see what Full Code really means. I work ER and most people never really come back after a full code. Some do, but it’s so painful. Thank you for educating!!❤
Just got my LO on hospice in home, he has dementia and I could not fathom doing full code to someone with this disease. He has a DNR. I’m thankful for you and the wonderful hospice workers who are helping me understand the process of dying. Much love to y’all 💕
Thankyou Julie so little is known about hospice we all know of them but not enough about what's available in them
thank you for talking about this!
I firmly believe in individual autonomy, a person's choice in medical decisions, as well as the right to die. I will absolutely stand by a patients wishes within my scope of practice regardless of any personal belief I have. My career entails caring for my patients, respecting their needs and choices, and educating them regarding their disease process and their options.
I do wish we could show patients what happens based on their diseases. HIPPA is increasingly important. I'm willing to bet there are people who would sign to make their treatment, including CPR, to be made public as a teaching tool.
There's a reason most medical professionals refuse heroic measures. After a certain point, it's torture.
The first time I performed CPR on a patient, his ribs and spine broke. He was 78. He coded while walking back to the bed from using the restroom. That was 23 years ago. There were many more similar events, of course.
This is why education is key. Living your best life is incredible and is a series of choices. Choosing between natural death and artificial machines that don't allow you to spend the last of your time with those you love is again your choice, and I will do whatever you've told us you want.
We really can change the way people view death. Personally, I believe if we embrace our immortality, fewer people will be afraid. Keep these videos going Julie.
I am so grateful for all that you share. Your experience and knowledge is greatly needed in the world today. We are all going, someday party will end,our name will be called… back home to Jesus 🙏.
You have been a great help and inspiration. Thank you!
I am learning so much!!
ESPECIALLY IF THEY ARE IN THEIR 90’s WITH BRITTLE BONES!!!😢😢😢😢
That one I do not get. Putting a 97 year old on full code? Before you do 10 compressions their ribs have already puncture the lungs. And we have them in the hospitals. People who put them on full code have not seen what happens during a code.
FIRST PRESS I DO I BEEL THEIR RIBS BREAKING UNDER MY HANDS!!!!! I TOLD MY HUSBAND I WAS S DNR!!!! I SAID IF I GET TO HEAVEN AND IM WITH MY FAMILY AND FRIENDS SND OF COURSE THE MAIN ONE JESUS !!! I SAID IF YOU TELL THEM TO BRING ME BACK TO THIS CRUEL WORLD WITH BROKE RIBS I TOLD HIM FIRST THING I WAS GOING TO DO WAS SLAP HIM!!!! LOL
To most people it might not make sense but for that person who still struggling with the realization that they are dying in this is the end of the line, it can be the only thing that keeps them sane, and allows them to be able to trust all the wonderful nurses and staff they're meant to make them comfortable and provide for them. Being refused a full code when in hospice or told it doesn't make sense basically makes that person who's dying and is having to come to that realization on their own time because everybody's different, feel that you do not have their best interest the staff whoever not the person making this video specifically, or is that their needs will not be met that they will not be respected or cared for. To somebody who doesn't have the fear of death lingering over them or is basically having to learn about it because it's happening to them now and they're going through those stages of grief before they accept that they're dying, if you're not actually going through that right now or don't have someone very close to you going through that, then I know it would seem silly after all you're going to a hospice and this is where people go to get here before they pass on. But even if there is no hope for them to recover and they will die it kind of makes them feel like no matter what you're going to take care of them till they get to that point mentally where they can accept their illness and let go of that fear of the death that they're having to face. Which is why it's also a very good thing that you can go back and forth from a full code to a DNR or in reverse. Well it seems silly to those who aren't about to die, those who are literally going through that process at least in the beginning stages and are still grieving and coping with that, it gives them peace of mind it gives them comfort and it allows them control, when you can't even control whether or not you get to live to be the age everybody wants to have that life and family.. we don't have control over death, to an extent we have some control over what happens to us in this process of us dying and how our body is cared for after.if it makes sense or not the one thing to remember is that what's most important is that person about to pass away feels comfort and solace knowing that they have control over what happens to them and those nurses the staff there are there to love them and care for them and be there in every way they need until they take their last breath, and even then they will be respected and that their last wishes would be held true to the staff's heart
Please remember that it is NATURAL to want a peaceful death… it is un natural to ask someone to sign a paper asking for that….I let people
Make th choice to sign now or later but I ask them the questions and I document their verbal instruction in front of family….signing onto hospice is a process…..
Some people don’t want to go, until a friend or relative arrives to say “good-bye”. So if they slip on heaven’s doorstep, they’re going to want to be pulled back to earth for a while.
I didn't know hospice could do that - learn something new all the time on here! I've already filled out the paperwork & my family knows not to resuscitate me under any conditions. I I'm not leaving it up to anyone else how I die.
People don't think it because some hospital don't allow it. We literally had this problem with year with a relative. The hospital kept saying they needed hospice the family wanted it but they would only let them enroll with a dnr
My mother has stage 3 COPD, stage 3 CFH, stage 3-4 CKD, CLL, plus more! She smokes 1 pak/d and has to be hospitalized to administer IV Lasix every 5-8 weeks. Her medical record states: FULL CODE. Now that there makes sense. 😂😂😂
You are so fabulous...🌻🌻🌻
I had a developmently delayed client from age 20-40 who consistently would decline yearly or bi yearly and on hospice for a few weeks, but come off hospice and live a normally happy healthy life (seizure disorder and depression with failure to thrive from birth) thwy would go on hospice and have no speach or ability for cognition, but then just bounce back and be fine. They went 3 years with out, and then last stay was their last
The hospice in my area demanded a DNR or they would not allow a person to go on hospice. I had a feeling there was something that wasn’t right about that. I didn’t know if it was a law or what was going on
❤
CPR is brutal and undignified at the best of times,but would be so much worse when someone is on hospice.
However, if someone has capacity then we have to follow their wishes, even if we don't think they are the right ones 😢
Is there like something between? Like a ‘try to resuscitate me but don’t try for too long’ type of thing?
Huh??? BREAK ONLY HALF MY RIBS AND STERNUM BUT ONLY IF I SURVIVE THAT, CONTINUE!!!😢😢😢😢❤❤❤
That is something that you would need to be putting in and a will or a special request you can go to any hospital your doctors offices and get a paper and basically what you would do is explain that if you're in the hospital if you're unconscious should anything happen what steps they would be allowed to take and what steps you would like them to not take. For example my wish is to be resuscitated and to try to bring me back , but if I am brain dead, I have requested to not be put on machines to keep my body alive, because the only thing that could happen at that point is after being brain dead for so long, if I do wake up or not I would most likely be in a mostly vegetative state😢 not to mention I feel that that could be very hard for my children to see. You can also go as far as to request exactly what you want to have done with your body including funerals. You don't have to be embalmed you do not have to have a funeral or buy a plot Nord you have to buy a coffin. There are companies that can help you with it and show your loved one respect no matter what I'm going to be wrapped in cheesecloth and giving back to the Earth with no chemicals put in my body.😊 It will be my gift a final gift to everyone.❤ My body will nourish the grass and the trees and the Earth and help provide oxygen so all of our great-grand babies will be able to breathe good sweet oxygen while they play together hand-in-hand loving one another regardless
Hmmmm in Hospice but I was resuscitated???? Seems opposite of what Hospice is for.
Nurse Julie I was with my mum when she died . The family were around her. As she was in her final moment as I watched her I saw her body shrink in front of my eyes quite literally and then she looked like a shrunken corpse. Have you seen this happen? Why ? How? Thankyou from Steph UK
It could be her body sending blood, fluids etc, to the organs that keep her alive?
Nice
😂😂😂
If I go on hospice I want to be DNR. If I die I want to stay dead.
When my heart stopped once they put those pads on my to keep shocking me back. Did it multiple times in the ambulance and in a hospital room. They put a temporary pacemaker wired in my neck and then installed a final pacemaker in my chest. I did sign anything asking that it be done. With multiple people in my room before the pacemaker I said if my heart stopped I did not want to be shocked back! I heard a nurse say did you hear what he said and then someone said we do not do that!
Now with cancer I ask if they could shut off my pacemaker and told they do not do that!
Honestly we have had 100+year olds want “the works”. It is ridiculous and because of cpr breaking the ribs etc it is really stressful to the staff. Because you’re doing cpr and the whole chest is collapsing. And of course they did not revive.
If full code is too stressful for "the staff"... then they should take their pansy asses to work at McDonald's. They shouldn't be in Healthcare. I say this as an EMT/X Ray tech w 20yrs experience of cracking ribs. Lead from the front or get out of the way.
@@RTSurf5000 Mate when you are giving CPR to a living 100 year old skeleton and her body is crushing THAT is stressful because you know they aren’t going to make it anyhow. It a horrible thing to do. What I’m talking about is people in end of life care. I suggest that you have compassion fatigue. You don’t know what your talking about in relation to that discipline. Everyone in this field is in the waiting room for heaven. It not the same. And if you think it’s ok to jump on someone who is extremely old and crack their bones in such circumstances when we are supposed to cultivate a peaceful death you really do not have any compassion. At all. Keep being an adrenaline junkie in what you do that is where you belong. Not in palliative care.
@@RTSurf5000 so are you saying as a medical professional, a person should look forward or not have it bother them to do CPR on a fragile 90 year old knowing the outcome before they even start?
That is very interesting... something I had no idea about... but, if you are on Hospice, WHY would you do that? As a nurse, who worked in heart surgery my whole career, I can't imagine putting my loved one through that... especially if they were on Hospice.... wowsa...
Everybody who knows me including my physician know....they are gonna have to beat me into the ground with a shovel!! I'm gonna hang on until I can't.
What question do you point blank don't answer ?
Do people suffer in the full code?
I have a DNR on my medical records I have seen loved ones not come back to what they were and..... no thank you!!
It works a bit differently in the UK, it is a medical decision, in the same way you cannot demand brain surgery if it is not going to benefit you, or it is futile, you cannot demand CPR.
In reality we often leave people who are bot suitable for CPR for ‘full code’ either because to be DNACPR will cause them psychological distress or mostly because the discussion on the topic was handled very badly or the staff in the acute phase of care frankly weren’t brave enough or lacked the time to have that discussion.
The care of the elderly consultants in my old hospital were the best at these discussions which were based on their clinical judgement, predictive tools like SPICT, and frank but kind discussions with the patient while liaising with intensive care advice to determine wishes vs reasonable reversibility of the primary problems.
Often the result of the discussion would be a DNACPR, but with an individual plan. E.g. a patient might still go to ITU for NIV or ionotropes, but not CPR not intubation
Or the discussion might move to advance care planning using a RESPECT form which doubles as a DNACPR if needed (doesnt have to be DNACPR) where the patient essentially conveys where their care lies on the spectrum of comfort vs life preservation. E.g. I’ve had many patients w/ terminal issues who wanted to die of the condition at home but would permit us to admit for reversible conditions like sepsis with a ceiling of care being IVI/IVABX and non invasive supplemental oxygen.
When people understand that a ceiling of treatment is NOT a ceiling of care, then things go much better for them.
What happens when if they don't die within the 6 months to live?
huh? what do you mean if they don't die w/in the 6 months?
not true we had to keep my sister on full code so was told by hospice no
If a hospice patient chokes on a hotdog?
Is this true in all states? 🤔
You can be full code and on hospice in all states. Medicare is our boss and Medicare says people can be 🥰
@@hospicenursejulie thx so much, Julie! ♥️