Tag: How Much Longer

Understanding Changes in Palliative Performance Scale in the Last Six Months of Life

Palliative Performance Scale Ppsv2
In the journey towards end-of-life care, understanding the Palliative Performance Scale (PPSv2) and its downward changes in the last six months can provide valuable insights for hospice caregivers, patients, and families. This article aims to break down these changes' month by month, offering guidance on what to expect during this crucial period.
Read MoreUnderstanding Changes in Palliative Performance Scale in the Last Six Months of Life

Significant Signs a Terminally Ill Patient may be Close to Dying

Signs of imminent death
There are typical visible/audible signs that a person may have less than two weeks to live. There are times when we are so close to someone, we may miss the forest for the trees. Please allow me to go over some significant signs that a person with a terminal illness may have two weeks or less to live. If there is sudden onset, within the past 24-hours, any of the following signs and symptoms, please do an evaluation for end-of-life determination as soon as possible (family members seeing these signs should reach out to their hospice provider's 24x7 number):
Read MoreSignificant Signs a Terminally Ill Patient may be Close to Dying

Understanding Functional Decline in the Natural Dying Process

In this article, we delve into the critical topic of functional decline in individuals nearing the end of life. Understanding these changes is invaluable for hospice nurses, caregivers, and family members as they provide compassionate care during this delicate phase. We will explore various examples of functional decline and emphasize the importance of documenting these changes to aid in care provision and decision-making.
Read MoreUnderstanding Functional Decline in the Natural Dying Process

Trigger Words for Hospice Nurses: Assessing End-of-Life in Two Weeks or Less

Signs of imminent death
Hospice visits by a nurse should always include a discussion with the caregiver and family members or facility staff about any changes since the last nursing visit. This interviewing process is extremely important because vital signs do not always provide clear indications when a patient is two weeks or less away from death. If we hear or read certain words or phrases in the notes, we should be on high alert for the possibility that the patient is either transitioning towards actively dying or is otherwise close to transitioning.
Read MoreTrigger Words for Hospice Nurses: Assessing End-of-Life in Two Weeks or Less

Breathing Patterns Before End of Life: Critical Clues for the Last Hours!

Breathing Patterns
This article is intended for family members, caregivers, as well as nurses new and old. As an experienced hospice nurse, I've learned that when a family member or caregiver tells me their loved one is or has "goldfish breathing" or "fish out of water breathing" or "taking guppy breaths" that the patient is now at the end of their life.
Read MoreBreathing Patterns Before End of Life: Critical Clues for the Last Hours!

Frequency of Changes in Condition as an Indicator of Approaching Death

In hospice care, it's crucial to identify when a patient is nearing the end of life. One method is by understanding the pace of changes in their condition, often called the "velocity of changes." This article delves into how hospice nurses can recognize and interpret this velocity as a sign that a patient might be approaching the end of life.
Read MoreFrequency of Changes in Condition as an Indicator of Approaching Death

The dying process at the end of life

Body And Soul
Living is a continuum where we start life (scientifically) from conception as a pre-born human being and are actively living from that time then through the birthing process and as we grow from child to adolescent to adult. We are actively living without regard to the quality of life we are living at the time. As we arrive closer to death, we often go through a transitioning phase prior to actively dying. In this article I would like to go over the dying process at the end of life covering frequent questions such as “what is transitioning?” and “how do I know if my loved one is actively dying?” or “what are the phases of dying?” The phases of dying can be broken down into two phases: transitioning towards actively dying and actively dying.
Read MoreThe dying process at the end of life

Oh hi there 👋 It’s nice to meet you.

Sign up to receive updates on new articles to your inbox.

The emails we will send you only deal with educational articles, not requests to buy a single thing! Read our privacy policy for more information.