Category: Tips and Tricks

Articles about tips and tricks for caregivers and nurses caring for the terminally ill.

Coping with a Loved One’s Placement in a Nursing Home: Supporting Patients with Dementia

women using a rollator walking down a hallway
This article will try to help you cope with this challenge. We will give you some information and advice on how to: Prepare for the transition to a nursing home Support your loved one during and after the move Take care of yourself and your family.
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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

Managing Dysphagia for Comfort: A Guide for Families

management of dysphagia food pyramid and dietary texture
Caring for a loved one with dysphagia during their end-of-life journey can be challenging, but with the proper knowledge and support, you can provide them with comfort and dignity. Dysphagia, or difficulty swallowing, is a common symptom in terminally ill patients and can lead to complications if not managed properly. In this guide, we will provide you with essential information on managing dietary changes and what to expect and offer helpful tips and tricks to ensure your loved one's comfort.
Read MoreManaging Dysphagia for Comfort: A Guide for Families

Promoting Quality of Life in Dementia Through Doll Therapy

Doll therapy offers a compassionate approach to enhancing the quality of life for dementia patients. By providing comfort, reducing anxiety, and promoting social interaction, this non-pharmacological intervention can significantly improve emotional well-being and cognitive function in individuals with dementia.
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How to Use Pursed Lip Breathing to Manage Shortness of Breath

Pursed Lip Breathing
Dealing with shortness of breath can be challenging for terminally ill patients, but there are techniques that can help manage this symptom and improve their overall comfort. One such technique is pursed lip breathing. Pursed lip breathing is a simple and effective breathing technique that can help reduce shortness of breath and improve oxygen exchange in the lungs. As an experienced hospice nurse with years of experience, I will guide you through the steps of pursed lip breathing in a compassionate and easy-to-understand manner.
Read MoreHow to Use Pursed Lip Breathing to Manage Shortness of Breath

Understanding Normal Pressure Hydrocephalus (NPH): A Guide for Families

Normal Pressure Hydrocephalus
Normal Pressure Hydrocephalus (NPH) is a condition that occurs when cerebrospinal fluid (CSF) builds up inside the skull and presses on the brain. This can lead to various impairments in brain functions, such as thinking, memory, movement, and bladder control. NPH can also affect the quality of life, mood, and behavior of the person with NPH and their caregivers. The cause of NPH is often unknown, but it may be due to injury, bleeding, infection, brain tumor, or surgery on the brain. This article aims to provide a guide for families to understand NPH, its symptoms, diagnosis, treatment, and management, as well as how to cope with the challenges and uncertainties of living with NPH.
Read MoreUnderstanding Normal Pressure Hydrocephalus (NPH): A Guide for Families

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

Dementia Care for loved ones who are habitually restless

habbitually restless lady
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 restless

Managing 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.
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Understanding the Patient’s Question: When Will I Die?

Wirlpool
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.
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Considerations of Care — Related and Unrelated Diagnoses for a Terminally ill Patient Receiving Hospice Services

Icd 10 Codes For Terminally Ill Patients
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.
Read MoreConsiderations of Care — Related and Unrelated Diagnoses for a Terminally ill Patient Receiving Hospice Services

Caring for Your Loved One with Dementia: Promoting Quality of Life

Dos And Don'ts With Dementia Patients
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.
Read MoreCaring for Your Loved One with Dementia: Promoting Quality of Life

Identifying Patients Who May Benefit from Hospice Care: A Visual Observation Guide for Personal Care Facilities

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.
Read MoreIdentifying Patients Who May Benefit from Hospice Care: A Visual Observation Guide for Personal Care Facilities

Understanding Amyotrophic Lateral Sclerosis (ALS) and What to Expect: A Guide for Families

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.
Read MoreUnderstanding Amyotrophic Lateral Sclerosis (ALS) and What to Expect: A Guide for Families

How to Use the START/STOPP Criteria for Medication Reconciliation and Deprescribing in Hospice Care: 10 Case Studies

thoughtful prescribing and deprescribing
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.
Read MoreHow to Use the START/STOPP Criteria for Medication Reconciliation and Deprescribing in Hospice Care: 10 Case Studies

Helping Your Loved One Transition to Memory Care with Compassion

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.
Read MoreHelping Your Loved One Transition to Memory Care with Compassion

Understanding End-Stage Stroke: A Guide for Families

Palliative And End Of Life Care For Stroke Patients
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.
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Repositioning Dementia Patients Who Have Lost Trunk Control: A Guide for Caregivers

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.
Read MoreRepositioning Dementia Patients Who Have Lost Trunk Control: A Guide for Caregivers

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

Why Saying Goodbye to Your Dying Loved One Matters

One Of The Greatest Gifts You Can Give To A Dying Friend Is Your Time And Attention During Their Final Days
Losing a loved one to a terminal illness is an incredibly challenging experience. It's a journey filled with emotions, uncertainties, and the need for profound empathy. One crucial aspect of this journey is saying goodbye to your dying loved one and permitting them to pass peacefully. In this article, we'll explore the significance of these acts, which bring comfort to the terminally ill and aid in the grieving process for those left behind. We'll also share three case studies to illustrate the importance of these actions.
Read MoreWhy Saying Goodbye to Your Dying Loved One Matters

Four Case Studies About External Oxygen on Hospice

It is common for family members and caregivers who are not trained in end-of-life topics to be concerned about their loved one's oxygen concentration (SpO2 and sometimes also abbreviated SPaO2) reading from a pulse oximeter. Suppose their loved one refuses external oxygen or takes off the external oxygen. In that case, this often causes distress to the family and caregivers because they are focused on the numbers vs. the patients themselves. Hospice is about patient-centered care, and I would like to present four case studies to demonstrate how hospice manages this situation with compassion.
Read MoreFour Case Studies About External Oxygen on Hospice

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