Hospice Is A Non For Profit Facility

This episode of care occurred in a community setting. Sara has a diagnosis of Alzheimer's disease. She live alone, has no children and is a diabetic. Sara does not speak English and her first language is Polish. Sara support worker developed a close relationship with Sara but said recently her dementia as gotten wrong and she sometimes does not remember who she is. Sara has cellulitis on her legs and was refusing to let the support worker change her dressing. She kept saying it was ok and she didn't want it to be changed. The student nurse and the district nurse tried reassuring Sara and explaining why it was importance to treat her leg but she just became more agitated and aggressive. The district nurse and support worker knew it was important

This article can be used as a way to further support my argument about how most patients don’t utilize all of the benefits that hospice has to offer. There are some cases where people choose not to receive spiritual support due to

Today, I shadowed at the Linda E. White Hospice House. This building is brand new and was opened earlier this year. The purpose of hospice is to keep patients comfortable as they near the end of life. The Linda E. White Hospice House features seven suites for patients and their families. Each room includes a patient bed, a pull out sofa, a restroom, a separate guest room with a bed, and access to an outdoor labyrinth. These amenities are meant are accommodate the patient’s family and also keep the family and patient at peace.

Another disparity recognized is the standards of care from one palliative care or hospice care center to another. The varying degrees of care are due to lack of education and standards of care. The Center to Advance Palliative Care has recommendations for hospice and palliative care centers to measure and monitor care standards. These guidelines will help quantify data and allow for process improvement to occur among hospice and palliative care facilities. These improvements essentially allow for better education standards and improved standards of care within the hospice and palliative care centers. The most essential part of the paradigm that is palliative and hospice care is the patient. In the article, Is This Palliative care’s Moment,

In conclusion, in time of technological advancement hospice, appears to be the advancement of medicine. Hospice has gained recognition worldwide through the compassion and personal approach to patients with incurable diseases. Now with the ACA involvement we are to provide quality of care, patients do have the rights and hospice providers must review the notice of patient rights with patient/family/at the time of hospice admission and make sure they have received a copy of these rights as a patient. Most patient and families who are living with a life-threating illness can expect to experience multiple physical symptoms.

Mental State the interdisciplinary team must ascertain if the patient is in a state of confusion, cannot answer at least simple questions or follow instruction or if he feels anger or fear towards anyone in the family (Felong, 2008). If he is confused, unable to answer even simple questions or follow instruction or harbors resentment or fear towards someone in the family, he may not be ready for placement. Housing the structure of the patient's residence is important. Is it a one-storey house or are there stairs he must climb? Issues that must be dealt with include the closeness of his bedroom to the bathroom; if he will share the bedroom with others; handle his own laundry, meals or shopping. Education it is important to know if the patient or his caregiver needs to learn diet, special diabetic diet, crutch training or other forms of therapy. The team must also determine if the patient is interested or not to capable of learning. It is also important to find out if the patient can learn the skills relevant to his condition (Felong).

At On Lok, the interdisciplinary team, (which consists of a physician, nurse, social worker, physical and occupational therapists, transportation staff, geriatric aids, nutritionist, office manager, and recreational activity leaders), is tasked with identifying and addressing the elder’s personal and medical needs. Prior to enrollment, all members of the interdisciplinary team prepare an assessment of the candidate and then come together to develop a comprehensive treatment plan. The treatment plan is then presented to the participant and his/her family for consensus. The team then coordinates the delivery of senior care services, monitors the participant’s progress, and adjusts the treatment plan according to the participant’s current needs.

With an aging population in our country we are facing an increasing number of patients’ that are coming to the end of their lives and are presenting with terminal illness. As life expectancy increases we are seeing more and more patent that are 65 year old and older in need of end of life care. Research and medical developments have provided a vast array of treatment options available to our patients’. After patients’ have exhausted all available treatment

Our hospice is a local, non-profit, community organization whose mission is to provide excellent, compassionate care to people with life limiting illnesses and their families, which will help them to live fully and

The hospice fund directly impacts many individuals who would otherwise not have the opportunities the fund provides for them. This past fall, the largest impact the hospice fund provided was for a 53 year old woman in Salem who was estranged from her family and did not have some of the opportunities others did around the holidays. She was living with one family member at the time before she was kicked out of the house. With nowhere to turn and in need of special care she ended up in nursing care. She had no food and no money to pay for Christmas presents for her grandchildren. The hospice fund provided the extra comfort of paying for presents for her grandchildren. In addition, the fund paid for comforter, sheets, and $150 in groceries.

This hospital is affiliated with Compassionate Care Hospice, which allowed me to meet Nancy. Nancy pleasantly confirmed consent for me to interview her over a span of two days. Nancy has been diagnosed with inoperable pancreatic cancer. The first memories Nancy could recall was when she was four years old. She is the eldest of three sisters and she grew up on a farm in New Jersey. She remembers learning how to milk a cow, her father taught her. She grew up with a mother and a father. Her mother was strict but still a loving woman. Her father was the head of the household, the only male, and “he ran the show”. Her sisters were both younger, one is two years younger and the other is four years younger. Nancy’s grandmother died of lung cancer when she was ten years old, her grandmother was of great importance to her. Church was a huge part of her life, she grew up as a Roman Catholic. She has had the measles three times and the chicken pox. She never had any dangerous accidents or was ever in a dangerous situation. Nancy enjoyed being a girl and loved playing with her

Mrs. Green, who has been diagnosed with kossakoff dementia, has been admitted to the maple ward. She needs 24-hour personal care and assistance. She is independently mobile but has to be reoriented to her location constantly. Several times a day she has to be reminded that she is in a hospital. Mrs. Green has to be prompted and encouraged to eat and intake liquids. As a result of this poor intake, she has been referred to a dietitian. She is also being monitored via a chart for her food and fluid intake. Mrs. Green becomes restless and agitated sometimes, but she has requested to leave the ward on a number of times and has even tried following family and staff out of the facility. If she has the chance, she will leave the ward. Furthermore, she also invades the personal space of other patients, some of who have acted aggressively towards her. Mrs. Green isn't fully aware of her surroundings and requires 24-hour support and intervention. Her medication is administered by a registered nurse and she is compliant with this procedure. Mrs. Green has a short memory span and is disoriented to person, place and time. Her assessment shows that she doesn't have the capacity to consent to be admitted and treated.

The Hospice nursing care identifies that the purpose of a hospice is to make available “palliative care to terminally ill patients and supportive service to patients, their families and significant others, 24 hours-a-day, 7 days-a-week in both home and facility based settings.” (https://hospicenet.org/html/medicare.html). A terminally ill patient is one who has been identified by a physician having an illness for which a cure is not possible. “Palliative care” is treatment that relieves discomfort and enhances quality of life. Often the patient, his or her family and physician will decide what might constitute palliative care.

Hospice palliative care is a form of health care that attempts to maintain and provide the best quality of life that is possible for patients facing life-threatening illnesses. This type of care is not only provided for the patient themselves, but also for their families and loved ones. According to the Canadian Hospice Palliative Care Association (2002):

The client is an 80 years old female with the history of pulmonary embolus, spinal stenosis, dementia, Parkinson’s disease, obesity, constipation, and chronic low back pain. The client lives with her husband at her own house and has caregiver all the time to assist with the activities of daily livings (ADLs). Six months ago, client had encountered a fall and was admitted in the hospital. Then after, she spent three weeks in a skilled nursing facility. The client is completely dependent however, she is able to feed herself, read a book, and brush her teeth on her own.