Category: End of Life

Articles pertaining to the last month or less of life of a terminally ill patient.

Understanding the Importance of Your Loved One’s Breathing Patterns in End-of-Life Care

Breathing Patterns
Understanding breathing patterns in end-of-life care is crucial for providing comfort to your loved one. Learn about regular vs. irregular breathing rhythms and when to contact hospice for additional support.
Read MoreUnderstanding the Importance of Your Loved One’s Breathing Patterns in End-of-Life Care

Understanding Emergency Admissions in Hospice

Daughter And Staff Around Dying Elderly Woman
Emergency admissions in hospice provide rapid care for patients nearing the end of life. This process involves quick referrals, expedited assessments, and immediate provision of necessary equipment and medications. Hospice teams work efficiently to ensure patients receive comfort and support during this critical time.
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How Different Types of Illnesses Affect Our Lives and Deaths: A Summary of a Research Paper by Joanne Lynn and Colleagues

Theoretical Trajectories Of Dying
Have you ever wondered how different illnesses affect our lives and deaths? How do we cope with the uncertainty and unpredictability of our health? How do we plan for our future and make the best decisions for ourselves and our loved ones? In this article, we will summarize and discuss the main points and findings of the paper and explore how they relate to our own lives and deaths. We will also provide practical and actionable suggestions for you to cope with and plan for your and your loved ones’ trajectories. We aim to help you understand the different types of illness trajectories, how they affect our lives and deaths, and how we can prepare for them.
Read MoreHow Different Types of Illnesses Affect Our Lives and Deaths: A Summary of a Research Paper by Joanne Lynn and Colleagues

Hospice Nursing Visits in the Last Two Weeks vs. Last Six Months of Life

Navigating the intricate path of hospice care involves a nuanced understanding of the unique needs of terminally ill patients. The frequency and nature of nursing visits are crucial in ensuring optimal comfort and support during the final stages of life. This article will delve into the variations in hospice nursing visits, explicitly comparing the last two weeks to the preceding six months.
Read MoreHospice Nursing Visits in the Last Two Weeks vs. Last Six Months of Life

Pros and Cons of Antibiotics in the Last Month of Life

A Spoonful Of Pills
Explore the complex decision of using antibiotics in end-of-life care. This article weighs the potential benefits against risks, considering comfort, quality of life, and ethical concerns. Learn how to make informed choices with your healthcare team for compassionate, patient-centered care in life's final stages.
Read MorePros and Cons of Antibiotics in the Last Month of Life

Demystifying Death: Why Hiding the Dying Process from Children Harms Society’s Future

Shielding children from death deprives them of understanding this natural part of life, leading to emotional and psychological consequences. This article explores why exposing children to the dying process is essential for their development and highlights the role of hospice care in supporting families during this time.
Read MoreDemystifying Death: Why Hiding the Dying Process from Children Harms Society’s Future

When Death is Imminent – What to Expect from Hospice

Hospice nurses are crucial in comforting and supporting patients nearing death and their families. This article explores what to expect from hospice care, focusing on patient assessments, educational discussions, and addressing common family concerns.
Read MoreWhen Death is Imminent – What to Expect from Hospice

Terminal Prognosis vs. Diagnosis: What Families and Caregivers Need to Know

terminal prognosis vs. diagnosis
Learn the difference between a terminal prognosis and a diagnosis, and get practical tips and resources to help you and your loved one navigate this challenging time.
Read MoreTerminal Prognosis vs. Diagnosis: What Families and Caregivers Need to Know

End of Life Wound Care

End-of-life wound care is crucial for patient comfort and dignity. This guide covers practical tips for preventing infection, managing symptoms, and supporting caregivers during this sensitive time. Learn how to make wound care a compassionate part of hospice and palliative care.
Read MoreEnd of Life Wound Care

Crisis Management at End-of-Life

Crisis At End Of Life Dying In Pain
Discover effective strategies for managing end-of-life crises in hospice care. Learn how to recognize signs of distress, implement calming techniques, and provide compassionate support to patients and families. This guide offers practical tips for hospice nurses and caregivers to navigate challenging situations with confidence and empathy.
Read MoreCrisis Management at End-of-Life

Understanding Palliative Sedation: A Comprehensive Guide for Hospice Care

This guide covers the essentials of palliative sedation for hospice patients, including ethical dilemmas, timing, recommended medications, and monitoring effectiveness, ensuring comfort during the end-of-life journey.
Read MoreUnderstanding Palliative Sedation: A Comprehensive Guide for Hospice Care

Kennedy Ulcers: Understanding, Identification, Care, and Significance in the End-of-Life

Kennedy ulcers are skin lesions that can develop in individuals nearing the end of life. This guide explores their appearance, causes, diagnosis, and treatment. It offers insights into identifying Kennedy ulcers and providing comfort through pain relief, hygiene, and repositioning. Additionally, it addresses the emotional impact and coping strategies for caregivers and loved ones.
Read MoreKennedy Ulcers: Understanding, Identification, Care, and Significance in the End-of-Life

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.
Read MoreUnderstanding Self-Soothing Sounds During the End-of-Life

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.
Read MoreUnderstanding the Common Journey Towards End-of-Life

Introduction to Terminal Illness and Progressive Diseases

terminal prognosis vs. diagnosis
When a loved one is diagnosed with a terminal illness or a progressive disease, it can be a daunting and overwhelming experience for families and caregivers. Understanding the terms and concepts associated with these conditions is essential to providing the best possible care and support. This article aims to clarify the complex journey of terminal illnesses and progressive diseases, offering guidance and compassion to those navigating this challenging path.
Read MoreIntroduction to Terminal Illness and Progressive Diseases

The Final Journey: Understanding Why the Actively Dying May Linger

Explore the profound journey of the actively dying. This article unravels the reasons behind their lingering, examining medical interventions and the emotional need for closure. Gain insight into this delicate phase of life."
Read MoreThe Final Journey: Understanding Why the Actively Dying May Linger

Review of Gone from My Sight by Barbara Karnes, RN

Gone From My Sight The Dying Experience By Barbara Karnes
As an experienced hospice nurse with years of experience, I have come across numerous resources that aim to guide families and caregivers through the process of dying. One such resource that stands out is "Gone from my sight: The Dying Experience" by Barbara Karnes, RN. This booklet, often referred to as the "Little Blue Book," has been a staple for hospice providers for over three decades, and for good reason.
Read MoreReview of Gone from My Sight by Barbara Karnes, RN

Managing Diabetic Ketoacidosis and Hyperosmolar Hyperglycemic State at End of Life: A Comfort-Based Approach

Dka Vs Hhs For Diabetes
As an experienced hospice nurse, I understand that managing diabetic ketoacidosis (DKA) and hyperosmolar hyperglycemic state (HHS) at end of life can be challenging, especially when patients choose to stop taking their diabetic medications or when those medications are no longer an option. In this article, I will provide information on recognizing the signs and symptoms of hyperglycemic crises and outline comfort-based treatment options that align with hospice goals of care.
Read MoreManaging Diabetic Ketoacidosis and Hyperosmolar Hyperglycemic State at End of Life: A Comfort-Based Approach

Understanding Nutrition Changes in Hospice: Nourishing Comfort and Peaceful End-of-Life Journey

treating poor appetite food first considering portion size
Explore the natural shift in nutritional needs during hospice care. This guide offers insights into managing reduced calorie intake, ensuring comfort and dignity in the end-of-life journey.
Read MoreUnderstanding Nutrition Changes in Hospice: Nourishing Comfort and Peaceful End-of-Life Journey

Best Practices for Oral Care in Hospice Patients: A Guide for Families

oral mouth swabs
Caring for a comatose loved one during their hospice journey requires special attention, particularly when it comes to oral care. In this guide, we'll explore best practices for oral care, considering the unique needs of comatose patients, and provide you with valuable resources for further guidance.
Read MoreBest Practices for Oral Care in Hospice Patients: A Guide for Families

Supporting a Loved One’s Decision to Stop Eating and Drinking Voluntarily

vsed and the body response
Explore how to support a loved one's decision to stop eating voluntarily and drinking (VSED) in hospice care. Learn about the ethical, emotional, and practical aspects of VSED, including its impact on patients and families, and how to provide compassionate care during this challenging end-of-life journey.
Read MoreSupporting a Loved One’s Decision to Stop Eating and Drinking Voluntarily

Understanding Terminal Illness Progression: Observable Signs and Symptoms

how people die trajectory
Explore the journey through terminal illness, understanding key signs and symptoms at each stage. This guide offers insight into the physical and emotional changes as life nears its end, helping caregivers provide compassionate support.
Read MoreUnderstanding Terminal Illness Progression: Observable Signs and Symptoms

To Wake or Not to Wake: A Dilemma for Caregivers of Dementia Patients in the Final Stage

Caregivers of dementia patients in the final stage face a challenging dilemma: whether to wake their loved ones or let them sleep. This article explores the pros and cons of each approach, offering guidance on making this difficult decision while prioritizing comfort and dignity in end-of-life care.
Read MoreTo Wake or Not to Wake: A Dilemma for Caregivers of Dementia Patients in the Final Stage

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