Category: Nurse Skills
Articles involving nursing skills and techniques.
The Dark Side of Hospice at a Facility
Hospice care in facilities can face challenges due to facility policies, staffing issues, and lack of coordination with hospice providers. This article sheds light on the struggles patients, families, and hospice nurses face in ensuring timely, appropriate care.
Read MoreThe Dark Side of Hospice at a FacilityMethadone: 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 PainHow RN Case Managers Can Maintain Good Compliance with Medicare Guidelines
As a seasoned hospice nurse, I recognize the significance of adhering to Medicare guidelines to ensure top-notch patient care. Medicare guidelines offer a roadmap for hospice providers to offer exceptional care to terminally ill patients and their loved ones. Nonetheless, upholding compliance with these guidelines can be a hurdle, especially for smaller hospice providers with limited resources. In this article, we'll delve into how RN case managers can effectively ensure compliance with Medicare guidelines.
Read MoreHow RN Case Managers Can Maintain Good Compliance with Medicare GuidelinesPost-Admission Visit in Hospice Care: What to Expect and Questions to Ask
If you or someone you love has a serious illness that cannot be cured, you may have heard of hospice care. Hospice care is a special kind that focuses on making the patient comfortable and peaceful in their final days. Hospice care also supports the family and caregivers emotionally and spiritually.
When a patient joins hospice care, they will have a special meeting with a hospice nurse. This meeting is called the post-admission visit. It is an especially important visit because it will help the patient and the family get to know the hospice team and learn more about the care they will receive.
This article will explain what to expect and what to ask during the post-admission visit. We will also provide tips and resources to help you and your loved one make the most of this time. We hope this article will help you feel more prepared and confident about the hospice journey.
Read MorePost-Admission Visit in Hospice Care: What to Expect and Questions to AskDemonstrating Compassion
Discover practical ways to show compassion in hospice care. Learn how small gestures like active listening, gentle touch, and respecting personal space can make a significant difference. Explore the importance of empathy, cultural sensitivity, and self-care for caregivers in providing compassionate end-of-life support.
Read MoreDemonstrating CompassionEducational Topics for Hospice Nurses During Admission and Post-Admission Visits
Discover essential educational topics for hospice nurses during admission and follow-up visits. Learn how to effectively communicate with patients and families, manage symptoms, provide emotional support, and navigate end-of-life care. Enhance your skills to deliver compassionate, comprehensive hospice care.
Read MoreEducational Topics for Hospice Nurses During Admission and Post-Admission VisitsUnderstanding Hospice Eval and Treat Orders
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 OrdersHospice Nursing Visit Frequencies: A Guide for New Hospice Nurses
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 NursesManaging Diabetic Ketoacidosis and Hyperosmolar Hyperglycemic State at End of Life: A Comfort-Based Approach
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 ApproachUnderstanding and Managing Contractures
I know that the journey you and your loved one are on can be challenging, especially when facing a terminal illness. As an experienced hospice nurse caring for terminally ill patients, I want to provide you with some valuable insights on a common issue that may arise during this time: contractures.
Read MoreUnderstanding and Managing ContracturesManaging Shortness of Breath in Hospice Care: Non-Pharmacological Methods for Comfort
Discover effective non-pharmacological methods to manage shortness of breath in hospice care. Learn about positioning techniques, breathing exercises, and environmental adjustments that can comfort and relieve patients experiencing dyspnea, enhancing their quality of life during end-of-life care.
Read MoreManaging Shortness of Breath in Hospice Care: Non-Pharmacological Methods for ComfortBest Practices for Oral Care in Hospice Patients: A Guide for Families
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 FamiliesUnderstanding 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 DementiaDementia Care for loved ones who are habitually restless
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.
Read MoreDementia Care for loved ones who are habitually restlessManaging Infections in the Geriatric Population
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.
Read MoreManaging Infections in the Geriatric PopulationUnderstanding the Importance of the PAINAD Scale in Pain Assessment for Terminally Ill Patients
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 PatientsUnderstanding Changes in Palliative Performance Scale in the Last Six Months of Life
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 LifeA 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 AssessmentSignificant Signs a Terminally Ill Patient may be Close to Dying
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 DyingManaging Terminal Restlessness
Losing a loved one is an incredibly challenging experience, and witnessing changes in their behavior and well-being can be distressing. As a hospice nurse, I've supported many families and caregivers through this grim time. One common symptom that may arise towards the end of life is restlessness. In this article, I will explain the different types of restlessness and offer guidance on how to manage them. Understanding these distinctions can provide valuable insights into your loved one's condition and help you navigate the final stages of their life with compassion and care.
Read MoreManaging Terminal RestlessnessMottling of Skin Near Death
As a caregiver or family member, it can be challenging to witness the changes that occur as a loved one approaches the end of their life. One such change that may occur is mottled skin, also known as livedo reticularis. Understanding what mottled skin is and its significance in the dying process can help you provide the best care and support to your loved one during this time.
Read MoreMottling of Skin Near DeathHow to Use the Pain Assessment in Advanced Dementia Scale (PAINAD) to Determine Discomfort in Your Loved One with Dementia
If you have a loved one with dementia, it can be difficult to know if they are in pain or discomfort. The Pain Assessment in Advanced Dementia Scale (PAINAD) is a tool that can help you determine if your loved one is uncomfortable. The Pain Assessment in Advanced Dementia Scale (PAINAD) is different from other pain assessment tools for people with dementia in several ways:
Read MoreHow to Use the Pain Assessment in Advanced Dementia Scale (PAINAD) to Determine Discomfort in Your Loved One with DementiaUnderstanding Heart Failure Stages and Assessment
Heart failure is a complex medical condition that can impact the quality of life of patients, especially those in hospice care. As a hospice nurse, assessing the heart failure stage is crucial to providing appropriate care accurately. This article will explore the New York Heart Failure Classification System, its stages, and how to assess patients for their stages. Additionally, we will emphasize the importance of documentation in compliance with Medicare guidelines for terminally ill patients with heart failure.
Read MoreUnderstanding Heart Failure Stages and AssessmentImportance of Medication Reconciliation in Hospice Care
Medication reconciliation plays a pivotal role in hospice care, ensuring terminally ill patients receive safe medication regimens. This process involves maintaining an accurate medication list to prevent adverse drug events. It's essential at various stages, including admission, recertification, and changes in condition. Healthcare professionals should be familiar with tools like the Beers Criteria and STOPP/START criteria to identify potentially inappropriate medications and prescribing omissions in older adults.
Read MoreImportance of Medication Reconciliation in Hospice Care