
Understanding Interstate Hospice Transfers: A Comprehensive Guide
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.

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.

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.

Understanding Self-Soothing Sounds During the End-of-Life
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.

Navigating the Complex World of Dementia and Seizures
This article delves into the intricate relationship between dementia and seizures, offering insights on identification, safety protocols, and advocacy for caregivers.

Admission Nurse: Essential Questions to Ask During the Hospice Admission Visit
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.

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.

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.