Category: Assessment
Articles pertaining to nursing assessment often pertaining to terminally ill patients and recognizing key areas to prevent avoidable distress.
Compassion Crossing, LLC
Guiding Life's Journey with Care
Compassion Crossing, LLC
Guiding Life's Journey with Care
When the Circle Breaks: Understanding Hospice Live Discharge for Families of Adults with Dementia
A hospice live discharge is not a graduation. For families caring for a loved one with Alzheimer's disease or another dementia, it can feel like the floor dropping out from under them. This article explains why live discharges happen more often with dementia, what it costs families, and what can be done differently.
Hospice Care Is Growing Fast. Are Nurses and Families Ready for It?
Hospice care is reaching more families than ever, but the systems meant to support that growth have not kept pace. Nurses lack the training to document eligibility correctly. Family caregivers report financial strain, physical exhaustion, and feeling abandoned. Here is what agencies and families can do about it.
Understanding Pruritus: A Caregiver’s Guide to Recognition, Prevention, and Relief
Pruritus, or persistent itching, can significantly impact your loved one's comfort and quality of life. This guide helps caregivers, nursing aides, and family members recognize pruritus through visual observation and reported symptoms, understand prevention strategies, and explore both nonpharmacological and pharmacological treatment options to provide compassionate, effective care.
When Comfort Matters Most: A Compassionate Guide to Pain Management Ethics in End-of-Life Care
Managing pain at the end of life requires a compassionate, individualized approach. This article explores ethical considerations in pain management for elderly patients, emphasizing the importance of starting slow, monitoring frequently, and customizing care. Learn why hospice medications provide comfort without hastening death.
The Art of Hospice Assessment: Looking Beyond Vital Signs
Learn why vital signs don't tell the full story in hospice care. Explore how skilled nurses use their senses, experience, and meaningful conversations to assess patient comfort and disease progression, providing more personalized end-of-life care.
Spotting, Preventing, and Treating Oral Thrush: An Essential Guide for Caregivers
Oral thrush can develop quickly in vulnerable patients, especially those using inhaled steroids, nebulizers, or certain antibiotics like Rocephin. This guide helps caregivers and healthcare workers recognize thrush early through visual observation, understand prevention strategies, and know when treatment is needed.
Understanding Medication Risks in Hospice Dementia Care: A Guide for Families and Healthcare Teams
Recent University of Michigan research found that benzodiazepines and antipsychotics commonly prescribed in hospice care may significantly increase mortality risk for people with dementia. This article explores these findings and provides essential advocacy guidance for families, caregivers, and hospice professionals.
Enhancing Patient Care: Recognizing Subtle Changes in Level of Consciousness for Hospice and Palliative Nurses
Discover essential techniques for hospice and palliative care nurses to identify subtle changes in patients' level of consciousness. This comprehensive guide covers assessment methods, red flags, and best practices for enhancing patient care—valuable insights for neurological nursing specialists and those aspiring to specialize in this field.
Crafting a Comprehensive Hospice Admission Note: A Guide for Registered Nurses
Learn about the essential elements of a comprehensive hospice admission note. This guide helps registered nurses document crucial patient information, from diagnoses to physical assessments, ensuring the delivery of quality end-of-life care and proper eligibility documentation.
Compassionate Care: Managing Nausea, Vomiting, and Dry Heaving in End-of-Life Patients
Nausea and vomiting are common and distressing symptoms in terminally ill patients. This comprehensive guide offers practical advice for caregivers and healthcare professionals on managing these symptoms, including pharmacological and non-pharmacological approaches, diet and lifestyle changes, and when to seek additional help.
Understanding and Addressing Delirium in Terminal Care
This comprehensive guide provides essential insights into recognizing and addressing delirium in terminally ill individuals. It’s an invaluable resource for nurses, caregivers, and families, offering practical advice and empathetic support.
Balancing Patient Care and Compliance: The Impact of Extended Hospice Care for Dementia Patients
Explore how extended hospice care for dementia patients benefits families and saves Medicare money despite regulatory challenges around six-month prognosis rules.
Bullosis Diabeticorum: What You Need to Know
Discover Bullosis Diabeticorum, a rare skin condition in people with diabetes causing painless blisters. Learn how to identify, treat, and care for loved ones with BD and a terminal illness.
Understanding the Importance of Your Loved One’s Breathing Patterns in End-of-Life Care
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.
Unveiling the Complexities of SSRIs: Half-Life, Risks, and Misconceptions
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.
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.
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.
Uncommon Opioid Side Effects to Know: How They Affect You and Your Family
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.
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.
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.
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.
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.
How to Identify End-Stage Parkinson’s for Hospice Admission
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.
Crisis Management at End-of-Life
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.