To Admit or Not to Admit As a hospice admissions nurse, I have been involved in several situations where my values were put to the test. The values I have accumulated through the years have provided the foundation for how I practice as a nurse and have shaped the way I live my life.
Situation
One such instance that stands out is my encounter with an 81 year old female who had the diagnosis of multiple myeloma. Our meeting took place at the hospital, which is where she had been in and out of for the past year. She had received many blood transfusions that initially occurred about every month or two. It began to progress to every other week and then closer to every week. As I entered the room, I could not help but notice the smile on the frail woman’s face. It was one of those smiles that warms an entire room and immediately puts you at ease. Before I had a chance to introduce myself, she asked if I was the one coming to talk to her about hospice. She said her daughter would be there in about an hour, but she had many questions so she did not want to wait. We began our discussion about hospice services and the philosophy behind it. The patient shared her story with me and how she got to this point. She then proceeded to explain that she was not ready to give up her fight and that she believed she could get stronger. She explained that she had a granddaughter that was pregnant and she could not wait to meet the new baby, even if this is all she got to do. The patient thanked me for the information I provided and then declared that she was not ready for hospice yet. I was touched by her desire to fulfill her goal. I left the patient’s room feeling better than when I arrived and I was supposed to be there to offer her assistance. I finished up my notes and was about to leave the floor when the patient’s daughter approached me. She requested we speak alone, so we went into the chapel area. I began by explaining that her mother had