Category: Assessment

Articles pertaining to nursing assessment often pertaining to terminally ill patients and recognizing key areas to prevent avoidable distress.

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

Unveiling the Complexities of SSRIs: Half-Life, Risks, and Misconceptions

antidepressant side effects
Dive into the world of Selective Serotonin Reuptake Inhibitors (SSRIs) and their role in treating depression. Discover the importance of medication half-life, the risks of serotonin syndrome, and why the chemical imbalance theory of depression is being challenged. Learn about the concerns of overprescription in older adults.
Read MoreUnveiling the Complexities of SSRIs: Half-Life, Risks, and Misconceptions

Hospice Best Practices for the Management Lymphedema

Lymphedema is a chronic condition that affects millions of people worldwide, especially those who have undergone cancer treatment or have other lymphatic disorders. It occurs when the lymphatic system, which drains excess fluid and waste from the tissues, is damaged or blocked. The most common symptom of lymphedema is swelling of the affected limb, which can range from mild to severe. Lymphedema can have a significant impact on the quality of life of patients with serious illnesses, such as cancer, heart failure, or chronic kidney disease. In this article, we will discuss hospice best practices for the management of lymphedema, with a focus on the needs and preferences of terminally ill patients, family members, and caregivers.
Read MoreHospice Best Practices for the Management Lymphedema

Understanding KPS and PPS: Vital Assessment Tools in Palliative and Hospice Care

Explore the crucial roles of Karnofsky Performance Status (KPS) and Palliative Performance Score (PPS) in palliative and hospice care. This comprehensive guide helps nurses and caregivers understand these assessment tools, their applications, and critical differences, empowering them to provide more effective, patient-centered care.
Read MoreUnderstanding KPS and PPS: Vital Assessment Tools in Palliative and Hospice Care

Uncommon Opioid Side Effects to Know: How They Affect You and Your Family

opioid adverse effects
Learn about uncommon opioid side effects like myoclonus and hyperalgesia, and how they impact you and your family. This guide explains these conditions, offers tips for managing them, and highlights the role of hospice in providing comfort and support.
Read MoreUncommon Opioid Side Effects to Know: How They Affect You and Your Family

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

Oral Ketamine in Palliative Care: A Promising Approach for Emotional and Psychological Distress

Discover how oral ketamine is emerging as a game-changer in palliative care, offering rapid relief for severe depression, anxiety, and emotional distress. This comprehensive guide explores its potential benefits, administration methods, and important considerations for patients and healthcare providers.
Read MoreOral Ketamine in Palliative Care: A Promising Approach for Emotional and Psychological Distress

Comprehensive Approaches to Managing Hallucinations in Dementia Patients

Explore comprehensive approaches to managing hallucinations in loved ones with dementia. This article covers pharmacological methods, focusing on Seroquel and non-drug strategies such as Naomi Feil's validation therapy. Learn how to validate feelings, de-escalate fear, and improve the quality of life for those experiencing cognitive impairment.
Read MoreComprehensive Approaches to Managing Hallucinations in Dementia Patients

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

How to Identify End-Stage Parkinson’s for Hospice Admission

Parkinson's disease stages of progression
Identifying end-stage Parkinson's for hospice admission can be challenging. This article explores key criteria, including decline in function, weight loss, swallowing difficulties, and mobility issues. Learn how hospice professionals assess patients and utilize guidelines to ensure appropriate and timely hospice care for those with advanced Parkinson's disease.
Read MoreHow to Identify End-Stage Parkinson’s for Hospice Admission

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

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.
Read MoreHospice Nursing ADPIE

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

Some Indicators For Hospice Eligibility
As a hospice admission nurse, asking the right questions is crucial for assessing patients' eligibility and providing compassionate care. This article explores critical questions to understand the patient's condition, decline timeline, hospitalizations, functional abilities, cognitive status, and comorbidities. By gathering this information, nurses can support informed decisions, tailor interventions, and ensure a "good death" for patients and families.
Read MoreAdmission Nurse: Essential Questions to Ask During the Hospice Admission Visit

Assessing Patients on the FAST Scale: A Guide for Nurses

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.
Read MoreAssessing Patients on the FAST Scale: A Guide for Nurses

Hospice Eligibility for Diverse Dementia Diagnoses

Differential Diagnosis for Dementia
Exploring Hospice Eligibility Criteria for Alzheimer's, Vascular, Lewy Body, Frontotemporal and other Dementias: Empowering Hospice Nurses to Provide Compassionate End-of-Life Care
Read MoreHospice Eligibility for Diverse Dementia Diagnoses

Methadone: A Compassionate Approach to Managing Terminal Pain

This article delves into the advantages of Methadone over Morphine for pain management in hospice settings. It covers dosage, titration, side effects, and scenarios where Methadone may not be the best choice. Ideal for hospice professionals and caregivers seeking compassionate pain relief options for the terminally ill.
Read MoreMethadone: A Compassionate Approach to Managing Terminal Pain

Understanding Hospice Eval and Treat Orders

Provider Order To Eval And Treat For Hospice
In the world of healthcare, when a provider writes an order to "Eval and Treat" for hospice, they are asking for a thorough evaluation and a tailored treatment plan. This is specifically meant for patients who are being considered for hospice care. Let's delve into what this means and why it's crucial. What Does "Eval and Treat" for Hospice Mean?
Read MoreUnderstanding Hospice Eval and Treat Orders

Hospice Nursing Visit Frequencies: A Guide for New Hospice Nurses

color coded hospice staff visit calendar
As a hospice nurse, determining the appropriate frequency of scheduled nurse visits for your patients is essential to providing effective and compassionate end-of-life care. Patients and their families often rely on your expertise to ensure comfort and well-being during this sensitive time. In this article, we'll discuss suggested starting scheduled nurse visit frequencies, when to decrease or increase frequencies, and factors to consider based on patient acuity and changes in their condition.
Read MoreHospice Nursing Visit Frequencies: A Guide for New Hospice Nurses

Understanding Hospice Eligibility for Terminally Ill Patients with Non-Alzheimer’s Dementia

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.
Read MoreUnderstanding Hospice Eligibility for Terminally Ill Patients with Non-Alzheimer’s Dementia

Understanding the Importance of the PAINAD Scale in Pain Assessment for Terminally Ill Patients

Paidad Scale To Assess For Pain Observationally
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
Read MoreUnderstanding the Importance of the PAINAD Scale in Pain Assessment for Terminally Ill Patients

Understanding Changes in Palliative Performance Scale in the Last Six Months of Life

Palliative Performance Scale Ppsv2
Explore the Palliative Performance Scale (PPS) and its crucial role in end-of-life care. Learn how this tool helps hospice professionals assess patient decline, predict life expectancy, and provide tailored care. Understand the significance of PPS changes in the final six months and how they guide compassionate care decisions.
Read MoreUnderstanding Changes in Palliative Performance Scale in the Last Six Months of Life

A Holistic Approach: Hospice Nursing Assessment vs. Hospital/Nursing Home Assessment

Explore the compassionate approach of hospice nursing assessments, emphasizing patient comfort and dignity over conventional hospital metrics. This article delves into the personalized care that defines hospice evaluations, ensuring a serene transition for patients and families.
Read MoreA Holistic Approach: Hospice Nursing Assessment vs. Hospital/Nursing Home Assessment

Significant Signs a Terminally Ill Patient may be Close to Dying

Signs of imminent death
Recognizing end-of-life signs can be challenging. This guide outlines key symptoms indicating a terminally ill patient may have less than two weeks, offering crucial insights for caregivers and families.
Read MoreSignificant Signs a Terminally Ill Patient may be Close to Dying

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