Empowering caregivers, families, and nurses in end-of-life care
Author: Peter Abraham, BSN, RN
Peter Abraham is a seasoned nurse committed to supporting nurses, caregivers, families, and patients in their learning, growth, and well-being journey. His extensive nursing career includes practical experience as a cardiac telemetry nurse in a dynamic cardiology unit at a Magnet-awarded teaching hospital. Additionally, Peter has served as a second-shift RN supervisor, managing an entire building in a Skilled Nursing Facility/Long-Term Care (SNF/LTC) setting with 151 residents. Notably, during the initial wave of COVID-19, the facility achieved an impressive near-100% recovery rate before the completion of Operation Warp Speed.
Peter's nursing career also extends to rural home hospice care. As a visiting hospice registered nurse case manager, he provides compassionate care to patients in various settings, including private homes, personal care homes, assisted living facilities, skilled nursing facilities, and hospitals. His dedication to compassionate care led to the establishment of the Peter Abraham Wound Care Scholarship, which offers education in wound care. This scholarship, associated with the theme of "Wound Care: Enhancing Healthcare for the Aging Population," underscores Peter's commitment to improving care for those in need.
Navigating hospice eligibility for non-Alzheimer's dementia patients demands a personalized approach. Unlike Alzheimer's, there's no definitive scale, necessitating assessments of functional decline, mobility, communication, incontinence, weight loss, overall condition, and comorbidities. Effective documentation, clinical judgment, and compassionate care are crucial for supporting these patients and families.
Caring for a loved one with dementia can be both rewarding and challenging. If your loved one has been restless throughout their life, this restlessness may continue as a symptom of their dementia. As an experienced hospice nurse, I understand the difficulties you may face in managing habitual restlessness while ensuring the safety and welfare of your loved one. In this article, I'll provide you with practical tips and evidence-based practices to create a calming environment for your loved one, even if they have trouble with fine motor control due to arthritis or other factors.
Breast cancer is a tough road, affecting patients and their families deeply. As a hospice nurse case manager specializing in compassionate end-of-life care, I comprehend the significance of offering clear, empathetic guidance to families in this challenging situation. This article delves into the journey through breast cancer, the changes your loved one might undergo, and how to deliver optimal care from diagnosis to life's end.
This article will delve into common infections in geriatric patients, encompassing early, middle, and late-stage symptoms, preventive measures, and prevalent treatment approaches, particularly for patients facing a terminal illness prognosis of six months or less.
Supporting a loved one through their bone cancer journey can be challenging, but with the right knowledge and compassionate care, you can provide meaningful support every step of the way. This guide aims to help you understand what to expect and how to offer the best care possible.
As a hospice registered nurse case manager, I'm here to provide you with information, support, and guidance through this grim time. In this article, we'll explore what to expect over the course of the disease, the changes you might observe in your loved one, and how to provide the best care from the onset of the illness until the end of life.
Navigating the tender journey of hospice care, Compassion Crossing offers guidance on addressing the pivotal question of “when?”—a beacon for caregivers seeking solace and understanding in life’s final chapter.
Dealing with a loved one in end stage coma can be an emotionally challenging and overwhelming experience. As an experienced nurse with years of experience, I understand the importance of providing compassionate care and support during this difficult journey. In this article, we will explore what to expect during the course of the disease, changes you might see in your loved one, and essential tips for caring for them from onset until death.
Discover essential information about squamous cell carcinoma, including its causes, symptoms, and treatment options. This comprehensive guide offers valuable insights for families and caregivers, helping you navigate the challenges of supporting a loved one diagnosed with this form of skin cancer.
Explore the complexities of hospice care for terminally ill patients with multiple diagnoses. Learn how to distinguish between related and unrelated conditions, understand Medicare coverage, and navigate the challenges of providing comprehensive care while adhering to hospice regulations and ethical standards.
Dementia gets worse over time, and as caregivers, we want to support our loved ones through every stage. In the severe stages of dementia, a person's body may begin to fail significantly. Here are seven ways to promote their quality of life during this challenging time.
Discover essential guidance for caring for a loved one with Alzheimer's disease, from early symptoms to end-of-life care. Learn about communication strategies, safety measures, and self-care tips for caregivers. This comprehensive guide offers support and practical advice for navigating the challenges of Alzheimer's caregiving.
LATE, a newly recognized form of dementia affects memory and behavior in older adults. Learn about its symptoms, diagnosis, and how it differs from Alzheimer's. Discover practical tips for caregivers to provide compassionate support and improve the quality of life for loved ones with LATE.
Identifying when a patient may benefit from hospice care is a critical yet often challenging task. For caregivers, including Certified Nursing Assistants (CNAs) and Medical Technicians (Med Techs), visual observation can be a powerful tool for recognizing signs that suggest a hospice referral might be appropriate.
This guide is tailored to assist caregivers in personal care facilities in identifying these signs through visual observation methods, helping provide compassionate and timely end-of-life care.
Discover the essentials of ALS, from its symptoms and progression to treatment options and support strategies. This comprehensive guide empowers families facing an ALS diagnosis with knowledge and practical advice, helping them navigate the challenges and provide the best care for their loved ones.
If you are caring for a terminally ill patient in hospice, you know how challenging it can be to manage their medications. You want to make sure they are getting the best possible care, but you also want to avoid unnecessary or harmful drugs that may worsen their quality of life or cause adverse effects.
That’s where medication reconciliation and deprescribing come in. Medication reconciliation is the process of reviewing and updating the patient’s medication list to ensure accuracy and completeness. Deprescribing is the process of reducing or stopping medications that are no longer needed, effective, or appropriate for the patient’s condition and goals of care.
Memory care admission can be a challenging journey, especially when a family member is grappling with dementia. This transition demands logistical considerations and a deep understanding of the emotional and psychological aspects. As an experienced hospice nurse, I've encountered numerous families navigating this path, and here's a guide to compassionately help your loved one with dementia transition to a memory care unit.
Receiving news that a loved one has reached the end-stage of a stroke can be overwhelming and emotionally challenging. As an experienced hospice nurse with years of experience, I understand how crucial it is for families to have accurate information about what to expect during this journey. In this article, we will explore the changes that may occur in a loved one with end-stage stroke and how you can best care for them throughout this process.
If you are a caregiver for someone with dementia who has lost trunk control, you may wonder how you can help them. Repositioning is one way you can help. Repositioning means moving or turning the person to a different position. It can help improve the person’s comfort, skin health, and blood flow. It can also prevent or treat pressure ulcers, contractures, falls, and infections.
In this article, we will share some tips for repositioning dementia patients who have lost trunk control. These tips are based on the latest research and best practices. We hope these tips will help you provide better care for your loved one.
The PAINAD scale is a comprehensive tool that assesses and manages pain in older adults with dementia and delirium. It focuses on observable signs of pain rather than patient self-report, making it particularly useful for individuals who cannot communicate their discomfort
Having a loved one diagnosed with liver disease can be a challenging and emotional journey for both the patient and their family. As an experienced hospice nurse with years of experience in hospice care, I understand the importance of providing compassionate and informative support during this grim time. In this article, we will explore what to expect over the course of liver disease, the changes that may occur in your loved one, and how to provide the best care from onset until the end of life.
Discover hospice care, eligibility, benefits, provider choice, costs, services, and more. Learn how hospice addresses physical, emotional, spiritual, and social needs and how to prepare for and manage them. Find out about the roles of the hospice team and the primary caregiver and the signs of approaching death. Empower yourself with the knowledge to make informed decisions about compassionate end-of-life care.