Author: Peter Abraham, BSN, RN

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Understanding Self-Soothing Sounds During the End-of-Life

Daughter Kissing Her Dying Mothers Forehead
The journey towards the end of life can be a challenging and emotional time, both for the individual facing the end of their life and for their caregivers and family members. One aspect of this journey that may be unfamiliar to many is the presence of self-soothing sounds made by the patient during the transition and actively dying phase. These sounds can be puzzling and sometimes unsettling for caregivers and family members who have never witnessed them. This article will explore self-soothing sounds, why they occur, and how caregivers and family members can distinguish between self-soothing sounds and signs of discomfort.

Understanding the Common Journey Towards End-of-Life

Holding The Hands Of A Dying Person
Caring for a terminally ill loved one can be challenging and emotional. As an experienced hospice nurse case manager, you understand the importance of providing compassionate care and support to loved ones and their families. In this educational article, we will explore the common journey that terminally ill loved ones and their caregivers face as they approach the end of life. We will summarize this journey's various aspects, offering guidance and separating fact from fiction.

Hospice Nursing ADPIE

As a hospice nurse, you are vital in providing compassionate care to terminally ill patients and their families. To ensure the best possible outcomes, you rely on a systematic approach known as ADPIE: Assessment, Diagnosis, Planning, Implementation, and Evaluation. This process guides you in delivering holistic and individualized care, addressing not only the physical needs of patients but also their emotional, spiritual, and psychosocial well-being.

Admission Nurse: Important Questions to Ask During the Hospice Admission Visit

Some Indicators For Hospice Eligibility
As an experienced hospice nurse, I understand the importance of ensuring patients are eligible for hospice services and receive the compassionate care they need at the end of life. Admission nurses are crucial in assessing patients and confirming their terminal status. To support you in this process, I've compiled a list of essential questions to ask patients, family members, and caregivers. These questions will help gather valuable information that confirms the patient's eligibility for hospice services.

Assessing Patients on the FAST Scale: A Guide for Nurses

Fast Scale
As a nurse who has cared for many terminally ill individuals with Alzheimer's disease over the years, I understand the importance of accurately assessing their functional decline using the Functional Assessment Staging Tool (FAST). The FAST scale provides valuable information about the progression of Alzheimer's disease and helps guide appropriate care planning for patients and their families. In this guide, I will walk you through the process of assessing patients on the FAST scale, starting from stage 1 and discussing when to stop reading the scale for determination. I will also provide three examples of patients at various stages of the FAST scale.

Revisiting Time Management for a Hospice Visiting Nurse

I’ve been a hospice nurse for over six years and am writing this article. Over the years, I’ve seen unintentional time management mistakes that pushed outstanding hospice staff to leave the field after feeling “burnt out.” I want to revisit this topic with the hope that if you, as the reader, are feeling burnt out in the field of hospice and can implement some of the tips in this article, you will have an improved life-work balance so that you remain in the field.

Understanding Your Hospice Care Team: A Guide for Patients and Families

Understanding The Hospice Care Team
The end-of-life journey can be challenging and emotional for patients and their loved ones. A dedicated team of professionals provides comfort, support, and holistic care in hospice care. Each team member has a unique role, ensuring the patient's physical, emotional, and spiritual needs are met. Let's explore the roles of different hospice team members and how they contribute to your care journey.

Celebrating the Legacy of Florence Nightingale in Hospice Nursing

Florence Nightingale Quote
In the realm of nursing, the spirit of Florence Nightingale, the pioneer of modern nursing, continues to illuminate the path for nurses across various specialties. Her legacy, rooted in compassion, patient-centered care, and unwavering dedication, resonates deeply with nurses from all walks of life. However, we discover a profound connection to Florence Nightingale's nursing model within hospice nursing. This article will explore the distinctive qualities that set hospice nurses apart, including their remarkable autonomy, acute assessment skills, problem-solving abilities, and holistic approach to patient care.

Monologue: Non-Hospice Nurse vs. Hospice Nurse

Nurse Restraining And Yelling At Patient
Hospice is very different from other kinds of nursing and health care. Most of us know that doctors and nurses in hospitals, clinics, nursing homes, and other places care a lot about numbers. They check your heartbeat, blood, and other things to see if they are normal. Sometimes, they do things that make you uncomfortable, like putting a tube in your nose, because they want to fix the numbers. But they don’t always think about how you feel. They are trying to fix the numbers, not you, the person. This short story shows you how non-hospice and hospice nurses are different. A hospice nurse cares more about you, the person.