Kindred At Home Hospice: A Case Study

I first heard about hospice from a co-worker a few years ago when that co-worker was preparing to check her mother in hospice and she was in her forties. As she discussed with me her mother had a drug addiction problem her entire life. At that time I had never heard about hospice and I became interested in learning more about it. “Hospice is a special concept of care designed to provide comfort and support to patients and their families. Patients are referred to hospice when life expectancy is approximately six months or less. Hospice care can continue longer than six months if

When a person is diagnosed with a terminally illness and is given an expectancy of six months or less to live, it is time to concentrate on the type of care will need. Many times a person and their family will turn to hospice care. The meaning of hospice is to provide care to a person who is terminally ill. Hospice does not speed up or postpone death. Hospice is a type of care that provides services to improve the quality of life for the patient and family.

Death is inevitable. It is one of the only certainties in life. Regardless, people are often uncomfortable discussing death. Nyatanga (2016) posits that the idea of no longer existing increases anxiety and emotional distress in relation to one’s mortality. Because of the difficulty in level of care for end-of-life patients, the patient and the family often need professional assistance for physical and emotional care. Many family caregivers are not professionally trained in medicine, and this is where hospice comes into play. Hospice aims to meet the holistic needs of both the patient and the patient’s family through treatment plans, education, and advocacy. There is a duality of care to the treatment provided by hospice staff in that they do not attempt to separate the patient’s care from the family’s care. Leming and Dickinson (2011) support that hospice, unlike other clinical fields, focuses on the patient and the family together instead of seeing the patient independent of the family. Many times in hospitals, the medical team focuses solely on the goal of returning the patient back to health in order for them to return to their normal lives. They do not take into account the psychological and spiritual components of the patient’s journey and the journey that the family must take as well. For treatment of the patient, Leming and Dickinson agree that hospice does not attempt to cure patients, and instead concentrates solely

The purpose of this paper is to examine communication strategies related to palliative and end-of-life care with a focus on Aboriginal clients. Firstly, I will explain the role of cultural competence in the nursing care of an Aboriginal client. Secondly, I will argue the cultural challenges a nurse may face when caring and communicating with Aboriginal clients receiving palliative end-of-life care. Thirdly, I will present solutions to the aforementioned communicative challenges. Lastly, I will discuss the impact I believe this experience may have on my future practice.

Hospice is compassionate care provided to patients facing terminal illness or illness for which there is no cure. These patients are diagnosed with an illness from which they will never recover and usually have a life prognosis of six months or less (Hospice Foundation of America, 2014). The goal of hospice care is improving quality of life and managing the symptoms of disease and the dying process. The care hospice offers is focused on pain management and emotional and spiritual support for both the patient and family (National Hospice and Palliative Care Organization, 2012). Hospice care can be provided in many different settings, often the patient’s own home. Hospice care can also be provided in hospitals, nursing homes, long-term care facilities and free-standing hospice centers and is available to patients of all ages (NHPCO, 2012). A patient receiving care in a hospice program has a team of healthcare individuals that can consist of the patients own physician, nurses, home health aides, clergy, social workers, and speech and physical therapists (NHPCO, 2012). Usually, a care plan is developed by the hospice team and care of the patient is provided by family members with the support of the hospice staff (NHPCO, 2012). Nurses make regular visits to the patient and family and are on call 24/7. Once enrolled in a hospice program hospice covers everything that will be needed to care for you, from medications to manage pain to

The doctors were pretty sure that Pierre had less than 6 months to live, so he fell well within the guidelines for hospice coverage. Should hospice coverage be limited to those with 6 months or less to live, or should other be covered? 6 months is a random figure and I think that the covering other could help families deal with hospice care a little better; it would give them a better understanding of what hospice-type services is entailed. It also could be too expensive for covering others and how can you know for sure if 6 months is suitable.

Have you ever gone to the Doctors before? The person who weighed you and took your temperature before you got to see the doctor was a nurse. A Nurse is – (verb) 1 to take care of (as a young child or a sick person) 2 to treat with special care ("Webster's dictionary & thesauras for students”). One thing I knew before I started researching is there are many different kinds of nursing. In this paper I will be exploring two different branches of nursing Hospice and Home Health Care.

I do home health CNA jobs and trying to get in to be a CNA in a hospice home health and later on, I would like to be a visiting nurse to a hospice patients. I conducted an interview to one hospice psychologist I know and the information I’ve learned is intense and I’ve realized that I wanted to know more about this field. So what is hospice? Hospice is a program of care for terminally ill patients and their love ones; it’s a program about life and about living life to the fullest until the end. One professional that can help what’s they are going through is psychologist. They assessed what the patient and family needs and help them to understand and evaluate the options that meet their needs. Many psychologist have compassion working on hospice,

    At some point in a terminally ill person 's life, there comes a time when all treatment options have been exhausted, and patient comfort is the number one priority. During this process, hospice care comes into play to ensure quality of life of a patient. Pain management and supportive services are provided to anyone who is willing by Medicare, and other government assistance programs, for individuals and families that cannot afford private home care. These services are provided by a trained group of professionals, including; Doctors, Nurses, Counselors, Social workers, Physical therapists, Volunteers and Chaplains. There are different types of hospice

The essence of any organization is their ability to connect the work that they are doing to their potential clients and donors. The multitude of organizations that are doing similar work, going after the same base of individuals make it necessary for individuals to be able to decipher between what makes particular organizations stand out. Organizations are able to do this through their storytelling ability. Being able to pull at the heartstrings, emotions and donor pockets is essential for organizations that try to make it in the world of non-profit fundraising.

There is a time to be born, and a time to die. As frightening as it is, we will all die someday. Some will die at birth, some in a tragic accident, and others from a natural cause. The average person will live a full life, and die in old age. Cancers and other deadly diseases are becoming more prominent in our culture, the demand for end of life care is becoming substantial. Hospice nurses provide near death care, and attend to the emotional, physical, mental, and spiritual needs of the terminally ill patient. Hospice nursing would not be the perfect job for all nurses, it takes a nurse with a special heart, and calling to specialize in the hospice field.

MSW contacted Bambi earlier that day to clarify if they would allow the hospice team to care for the patient while on long term at Lake Hills. Bambi verbalized the Pt would be allowed the needed hospice care while admitted. Bambie stated she and her team will discuss the patient's case and will have an answer regarding patient being accepted or not. MSW met with Pt and both daughters to discuss about the status regarding the patient being transferred/admitted to Lake Hills Inn. MSW informed daughters that RN Jennifer received signed orders from physician, faxed order, med list, H&P, and type of insurance to Lake Hills Inn on 08/03/15. MSW contacted Bambi to check up on a update for an possible admission for the Pt. Bambi stated the referral has been denied because the

You have made excellent points. I do not believe that health care professionals neglect to treat patients in palliative care in the correct settings. The care one receives is based on what type of locations they are in. Hospitals and hospice centers often have employees with higher education levels and an increased passion for their job. I believe that health care providers want to ensure that one is comfortable at the end of life. I have visited Alive Hospice here in Nashville and was able to see the the great amount of care they provided to their patients. I have attached a link to their website below. I am curious to know your opinion on why you think one would not receive adequate care at the end-of-life phase.

Fegg et al. and Demiris et al. were both able to prove their method of intervention with informal caregivers of hospice patients was effective. However, both studies proved to have limitations and need follow up studies in the future to solidify their findings. It is difficult to compare the two studies statistically due to the small sample size of Demiris et al.’s study. While on average the participants who were given the PSI seemed to improve in both QOL and anxiety, the sample size was too small to make the findings statistically significant. Whereas the EBT study had 160 participants, making their findings more statistically significant than the PSI study. Furthermore, the EBT study showed not only immediate improvements of QOL and

While sadness plays a big role in hospice…it is also true that there is happiness, positive reflection as well as wisdom. This month we want to recognize our two volunteers Connie and Paul Steber who have been volunteers for Hospice since June and considered it a true blessing to share the stories and experiences of patients who are living through a very emotional and difficult time. They are honored to be making a difference and to be able to share the stories of the patients like James Ellis best known as the Coach, who enjoys their company but most of all watching a football game, especially if his favorite team is on the winning end. The Stabers enjoy conversing with James and listening to his stories. There are also times when James and