Doctor insights on:
End Of Life Care Home Nursing
If pt. is D/C'd back to a RCFE but now receives nursing services from a hospice, does this mean end of life care? Pt. had aspirational pneumonia.
If true hospice care: Yes, if it is true hospice care. However, some hospice services also provide "bridge care" for patients whose end is not quite in sight yet (it's like palliative care). Hospice services are a wonderful asset to have at the end of one's life. We all have an end. 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. ...Read more
Palliative/ Hospice: Hospice serves pts in their own homes, nursing homes, long-term care or assisted living facilities or hospitals. Pts receive palliative care to ease pain, and discomforting symptoms; psycho-social, and spiritual support. Hospice care is focused on maintaining dignity, increasing quality of life, and providing comfort , including pain and symptom management. Hospice gives best care at end of life ! ...Read more
HH Nurse: Your residual limb issue is an important one. You will require some level of assistance in the home. Those needs require determination before you leave the hospital. Separate those needs into two categories: your activities of daily living (eating, toileting, dressing, etc); and the care of your residual limb (nursing, physician, therapist). If there is wound care, then a hh should be involved. ...Read moreSee 2 more doctor answers
When you order home nursing for a complex pedi patient, do you define the hours in your order? Do you expect full coverage or think of it as "prn"?
All different: Every order is different. It depends on the needs of the patient and family. ...Read more
Mrs. Rose is a hospice patient in the nursing home. She has gangrene of her foot. What can she do to cure it?
It depends: Depending on her current health status, whether the gangrene is wet/dry, if there is neuropathy (which may spare the patient pain), and prognosis are to all be considered. Hospice care is palliative in nature, so if intervention for the gangrene is to be considered, a change in her hospice status is necessary. ...Read moreSee 2 more doctor answers
Hospice: Hospice is an end of life service through medicare or private insurance. It will not pay for 24/7 care unless the person is in the active dying process of the last few days. If you need care in the home you should hire an in home care agency. This is private pay and not covered by medicare. Some long term care insurance may cover it. Check with your agent. ...Read moreSee 2 more doctor answers
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 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. ...Read more
High level needs: Hospice is extremely useful in skilled nursing facilities for patients who have a high symptom burden and cannot be managed at home or do not have a home or home caregivers that allow for this. Hospice clinicians are specially trained to deal with symptoms and generally add expertise to the staff at skilled nursing facilities because the patient will get extra attention. ...Read moreSee 2 more doctor answers
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