Care Plans
You teach family on significance of increased weakness, sleeping, and decreased PO intake. Which item should be added to the care plan?
Transitional Phase/Actively Dying Care Plan
Decline in status combined with any symptom management is documented which visit?
First Routine Visit of the week
Where can your patient/PCG find LCFL's medication policy?
Your Guide to Hospice Care
How often does Medicare require IDT to occur?
Every 15 days
How are you notified of missed HHA visits?
HHA is required to notify you as well as scheduling.
Your patient is on Eliquis, which item should be on the care plan?
Bleeding Precautions
What is an objective measure to use for COPD patients?
O2 sat with and without oxygen
Even better: O2 sat at rest, and then with activity, and then document length they were able to ambulate
Where can your patient find medication disposal sites and instructions?
Your Guide to Hospice Care
The IDT must include individuals who are qualified and competent in which professional roles?
MD/DO, RN, Social Worker, Pastoral or other counselor
How often should the home health aide Care Plan be reviewed and revised?
With any changes and when completing HHA supervision documentation.
Which item is required to be added when patient resides in a facility and has a wound?
Facility nurse to perform wound care on non-Hospice visit days
What is the biggest difference between a 40% PPS and a 30% PPS?
Patient's ambulation goes from "mainly in bed" to "bedbound"
When does a D2D need to be run and documented?
Any new medication, at recert, and every IDT
What 5 need areas must be addressed by the IDT?
Physical, medical, psychosocial, emotional, spiritual needs
In Netsmart, how do you verify items on care plan are being completed during HHA visits?
Clinical<Charting history
Which three items on a Hospice Aide Care plan require a frequency?
Bath/Shower, Shampoo, Light Housekeeping
A patient has 2 missed HHA visits each week. What changes need to be made to the care plan?
Decrease visit frequency
Bonus: And...
When you've done multiple titrations of medications to treat symptoms and patient remains highly symptomatic, which level of care should be considered?
GIP
Bonus: when is GIP not appropriate?
How long is a patient followed for grief support?
Lower Cape Fear LifeCare provides grief support for 13 months
The home health aide is allowed to complete a bed bath when a shower is ordered?
No. The HHA can only follow the plan of care.
When should a patient's plan of care be updated?
As frequently as the patient's condition requires, but no less frequently than 15 calendar days
What is the correct visit frequency for shampoo on the HHA care plan?
There isn't one. However many times the patient/PCG wants a shampoo completed. However, if they shower the patient they typically wash their hair
Nurses can pick up patient's medications from the pharmacy and transport them to the patient.
No. Please use either pharmacy delivery services or arranged for delivery with your supervisor via Delta
What are the elements of a good report on your patient?
Objective and subjective data, plan for next two weeks.
The shower/bathing care plan item should be equal to or, in rare circumstances, fewer than what?
The HHA visit frequency