Question 1

why is hospice located  in skilled nursing facilities?

Accepted Answer

Outside too: Hospice can be on an outpatient basis. Skilled nursing home facilities also have hospice, they have couple more benefits like a sitter most of the day , pain medication regulation etc. Really not much of difference.

Question 2

does hospice care offer full-time nursing care?

Accepted Answer

Only if: The hospice nurse is available for 24/7 on call. If the loved one is actively dying, acute distress or acute illness, the hospice nurse will stay longer.

Question 3

dementia pt. had aspirational pneumonia d'c'd back to rcfe even tho needs higher level of care. nursing scvs provided by hospice. why not sent to snf?

Accepted Answer

A different focus: Hospice services are a wonderful asset to have at the end of one's life. We all have an end. When the end is near, we don't go to a skilled nursing facility (think of an SNF as a place to recover and get back to good mental and good physical functioning). When our end is in sight, hospice is the way to go. It lets one die a good death, at home, pain-free, worry-free, in peace and quiet.

Question 4

my 97 old wasin hospice at a nursing home. she asked for hot tea. i gave it to her & she siad it was to hot or boiling. she died 2 days later. did i harm her with the hot tea? she also broke her hip weeks earlier. did i cause her death?

Accepted Answer

: She noted the tea was too hot and I assume did not ingest more than a brief taste. That exposure by itself did not kill her. People in hospice are there because they are expected to die soon.  I would not spend any more time thinking about the tea. It was her time.

Question 5

mrs. rose is a hospice patient in the nursing home. she has gangrene of her foot. what can she do to cure it?

Accepted Answer

Contradictory: Hospice patients are usually at the end of their life and the hospice care is to relieve pain and permit a dignified death.  Gangrene usually requires amputation or debridement of all dead and/or infected tissue.  Mrs. Rose would need to be taken off hospice and transferred to an acute care hospital for podiatry and infectious disease and/or vascular surgery evaluations.

Question 6

what are the factors that need to be considered in determining whether or not someone needs to go to a skilled nursing facility?

Accepted Answer

24/7 care: the key thing is not able to maintain independently - medications, self care, daily routine such as bathing, clothing, toileting, household activities, lack of availability to provide supervision, lack of financial resource available, lack of family commitment to care for and the distance between two locations.  Security of health and safety are another factors

Question 7

reimbursement for skilled nursing from medicare?

Accepted Answer

21 days: Medicare will pay for post hospital care in a rehab facility generally 21 days and possibly more with a co pay.Medicare does not pay for long term care.

Question 8

will  all skilled nursing facilities provide iv therapy?

Accepted Answer

Usually not: Some nh who have rn round the clock can administer IV medications. Most of them do not provide this service.

Question 9

mom needs to go to skilled nursing for rehab. what questions should i be asking?

Accepted Answer

What kind available: Depends on what she is rehabilitating from. The care needed for recovering from a stroke is different than from a heart attack or serious illness. Ask about their success with your mother's problem, what services are available, hw often care provided. Cost is a big issue too, and must be addressed. It is a good idea to go check the place out yourself to see it and meet the staff.

Question 10

what if you are in a skilled nursing facility and dr's orders are not being followed but makes in your chart that it was done?

Accepted Answer

Orders. : Talk to the physician, charge nurse, and patient advocate.  If nothing is being done, talk to the executive director of the facility.

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Doctor answers about:

Skilled nursing vs hospice

A member asked:

Why is hospice located in skilled nursing facilities?

A member asked:

Does hospice care offer full-time nursing care?

A member asked:

Dementia pt. had aspirational pneumonia d'c'd back to rcfe even tho needs higher level of care. nursing scvs provided by hospice. why not sent to snf?

A member asked:

My 97 old wasin hospice at a nursing home. she asked for hot tea. i gave it to her & she siad it was to hot or boiling. she died 2 days later. did i harm her with the hot tea? she also broke her hip weeks earlier. did i cause her death?

A member asked:

Mrs. rose is a hospice patient in the nursing home. she has gangrene of her foot. what can she do to cure it?

A member asked:

What are the factors that need to be considered in determining whether or not someone needs to go to a skilled nursing facility?

A member asked:

Reimbursement for skilled nursing from medicare?

A member asked:

Will all skilled nursing facilities provide iv therapy?

A member asked:

Mom needs to go to skilled nursing for rehab. what questions should i be asking?

A member asked:

What if you are in a skilled nursing facility and dr's orders are not being followed but makes in your chart that it was done?

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