Category: Tips For Nurses
Articles for nurses caring for terminally ill patients including how to manage challenging situations.
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.
Hospice Eligibility for Diverse Dementia Diagnoses
Exploring Hospice Eligibility Criteria for Alzheimer's, Vascular, Lewy Body, Frontotemporal and other Dementias: Empowering Hospice Nurses to Provide Compassionate End-of-Life Care
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.
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.
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.
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.
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.
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.
Natural Remedies for Dementia Anxiety: Ashwagandha and CBD
Explore the use of ashwagandha and CBD to ease anxiety in dementia patients. Learn about dosages, safety precautions, and real-life stories.
Understanding Dementia Medication Side Effects: A Guide for Families
Discover the potential side effects of dementia medications and how to support your loved one. Stay informed!
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.
Review of Gone from My Sight by Barbara Karnes, RN
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.
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.
Managing 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.
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.
Understanding 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.
How to Use the Beers Criteria for Medication Reconciliation and Deprescribing in Hospice Care: 10 Case Studies
In this article, we will discuss how to use the Beers Criteria to identify PIMs and potential prescribing omissions (PPOs) in hospice patients. PPOs are medications that are indicated but not prescribed for a specific patient or population, or that are prescribed at a suboptimal dose or duration. We will also present 10 case studies to illustrate the medication reconciliation and deprescribing process and the outcomes of medication changes in different scenarios.
How to Care for People with Dementia: The Importance of Patience, Compassion and Empathy
Caring for someone with dementia requires understanding and a heart full of compassion. This guide highlights the importance of patience and empathy and their profound impact on enhancing the lives of those with dementia.
Managing 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.
How to Support a Dementia Patient Who Tries to Escape from a Memory Care Facility
Elopement is when a person with dementia leaves a safe area, like their home or care facility, without supervision. This can be intentional or unintentional, and it's important to address to ensure the safety of the patient. If your loved one is attempting to escape from a memory care facility, there are steps you can take to support both them and the facility.
Coping with a Loved One’s Placement in a Nursing Home: Supporting Patients with Dementia
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.
How to Use Pursed Lip Breathing to Manage Shortness of Breath
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.
Understanding Normal Pressure Hydrocephalus (NPH): A Guide for Families
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.
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.