Category: Tips For Nurses

Articles for nurses caring for terminally ill patients including how to manage challenging situations.

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.
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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.
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Understanding Interstate Hospice Transfers: A Comprehensive Guide

Man In Wheenchair Being Helped Into Medical Transport
Navigating interstate hospice transfers can be complex. This guide explores the process, challenges, and considerations for patients and families. Learn about Medicare regulations, coordination between hospice agencies, and how to ensure continuity of care when moving across state lines during end-of-life care.
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Bowel Management for the Terminally Ill: A Guide for Caregivers and Hospice Nurses

Managing bowel problems in terminally ill patients is crucial for their comfort and dignity. This guide offers practical tips for caregivers and hospice nurses to address constipation, diarrhea, bowel obstruction, and ascites, ensuring patients' better quality of life.
Read MoreBowel Management for the Terminally Ill: A Guide for Caregivers and Hospice Nurses

Compelling Hospice Nursing Narratives: Ensuring Continued Eligibility and Comprehensive Care

This guide covers how to write effective hospice nursing narratives, key documentation areas, and the importance of detailed and negative-based wording to support continued hospice eligibility.
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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.
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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

Revisiting Time Management for a Hospice Visiting Nurse

Discover essential time management strategies for hospice visiting nurses. Learn how to balance patient care, documentation, and self-care while navigating the unique challenges of rural hospice work. Improve your efficiency and effectiveness in providing compassionate end-of-life care.
Read MoreRevisiting Time Management for a Hospice Visiting Nurse

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

Managing Aspiration Risks in Hospice Care: A Guide for Families

This article is crafted with heartfelt understanding and care, recognizing the challenges you face as caregivers and family members of terminally ill loved ones. Our goal is to empower you with knowledge and practical advice to manage the risk of aspiration pneumonia, a common yet often preventable complication in hospice care.
Read MoreManaging Aspiration Risks in Hospice Care: A Guide for Families

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

How 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 Guidelines

Post-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 Ask

Demonstrating 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 Compassion

Educational 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 Visits

Encouraging Dementia Patients to Take a Bath or Shower: 3 Gentle Methods

Discover gentle methods to encourage dementia patients to bathe. Learn how to create a positive bathing experience, use distraction techniques, and maintain a consistent routine. These compassionate approaches help caregivers navigate hygiene challenges while preserving dignity and reducing stress for both patient and caregiver.
Read MoreEncouraging Dementia Patients to Take a Bath or Shower: 3 Gentle Methods

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.
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Nourishing with Care: Feeding a Terminally Ill Loved One

Discover compassionate approaches to nourishing terminally ill loved ones. Learn about appetite changes, feeding techniques, and the importance of emotional support during meals. This guide offers practical tips for caregivers to ensure comfort and dignity while addressing nutritional needs in end-of-life care.
Read MoreNourishing with Care: Feeding a Terminally Ill Loved One

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

Caring for a Loved One with Dementia: Encouraging Medication Compliance

Caring for a loved one with dementia can be challenging. One common struggle caregivers face is ensuring their loved one takes their medications. Dementia can make understanding and remembering medications difficult. In this guide, we'll explore effective strategies for encouraging your loved ones with dementia to take their medications, considering their unique needs.
Read MoreCaring for a Loved One with Dementia: Encouraging Medication Compliance

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