Hospice in General
Veterans
Documentation
Don't Forget to Remember
USA All the Way
100

These are the main prognostic criteria for a patient to enter into hospice care.

What is that they have 6 months or less to live & have a life limiting illness where a cure isn't possible or desired as their primary goal?

100

This is a common disorder that can result from a scarring event like war, assault or a disaster.

What is Posttraumatic Stress Disorder (PTSD)? Signs may include: difficulty sleeping or relaxing, being prone to anger/irritability, substance/alcohol abuse, anxiety, suicidality, & issues with memory/concentration.

100

This is the place where the visit note goes once it is sent in the Volunteer Coordinator.

What is the patient record? It gets entered for timekeeping purposes and then for patient care purposes to ensure the care plan is being followed. This done both electronically and in paper form.

100

This is to be worn at all times when going to visit a patient.

What is your Gentiva Volunteer Name Badge?

100

The Chicago Bears were originally called this.

What is the Decatur Staleys or the Staley Starch Makers? Founded by A.E. Staley and sponsored by the Staley Starch Company in 1920. They won the American Professional Football Association League championship in 1921 and a year later changed their name to the Chicago Bears when it became the National Football League. However, the name remains as the bear's. His name is Staley.

200

This is primary goal of hospice care.

What is to provide comfort and support for those who are facing end-of-life so that they can live as fully and comfortably as possible until the very end?

200

This is how every Gentiva patient that is a Veteran honored upon admission.

What is by being given a pin and a flag? A short pinning ceremony is done where they can share some of their experience if they wish and are thanked for their service. A flag is also left behind in order to be ready and available to  perform a Final Salute upon their passing.

200

This is how to make a correction on a visit note if you make a mistake.

What is to put a single line through the error, initial it, and write the correction? Do not use white out or scribble over the error.

200

These are two times to consider scheduling around when making your visit.

What are meals, naps, activities, or late at night?

200

According to the Smithsonian Institute, this country has the most volcanoes in the world.

What is the United States? It has 165 total, 63 active since 1800, 42 active since 1940. Second place is Japan with 121.

300

Name three means of payment for hospice care.

What are private insurance, Medicare, Medicaid and the VA?

300

This is the name of the partnership program between the National Hospice & Palliative Care Organization (NHPCO) and the VA.

What is We Honor Veterans (WHV)? Goal is to empower end-of-life care partners to meet the unique needs of America's Veterans and their families. Our Branch just submitted our application for Level 5 which is the highest level you can get. We are waiting for the approval.

300

These are the two rules of "Only one..." that are to be followed when submitting visit notes.

What are 1) Only one visit per note & 2) Only one patient per note?

300

Other than sanitize your hands, this is the first thing that you should consider doing when arriving at the patient's home, floor, or wing?

What is check in with the caregiver or facility nurse/staff? This is best so that you can learn the location of the patient, the current status of the patient, and anything else that might be pertinent to your visit.

300

The most common street name in the United States is called this.

What is Second? This is according to the U.S. Census Bureau. The most convincing explanation for "2nd" being more popular than "1st" is that in many towns the primary thoroughfare is "Main" street instead of "1st" street.

400

This is the general term for a Living Will, Power of Attorney, and Do Not Resuscitate orders.

What is Advanced Directives? These describe a person's treatment preferences in end-of-life situations when they can't speak for themselves.

400

Name four (4) factors that could influence a Veteran's experience at End of Life.

What are...

Age (current or when served), enlisted/drafted, branch, rank, combat experience, POW experience, culture of stoicism, role

400

This is the type of note you complete if the patient cancels a visit and then you can't get ahold of them to reschedule.

What is a "missed visit" note? These do count as an attempted visit, due to no fault of the volunteer. If it is able to be rescheduled, then that becomes the visit and the canceled one does not need to be documented.

400

This is who you notify if you see that a patient is in discomfort or has a need.

Who is the facility staff or caregiver? Then, you document this on the visit note. However, if it is important, you must inform the Volunteer Coordinator for follow up with clinical staff and document it. If it is severe, you must contact the office and speak to someone about the incident. Then document this on your visit note.

400

The number of states the Mississippi River touches.

What is 10? MN, WI, IA, IL, MO, KY, TN, AK, MS, and LA.

500

This is the person who defined and pioneered the first modern hospice program in 1967.

Who is Dame Cicely Saunders? She was a nurse in WWII and it all began at St. Christopher's Hospital in London. The first American hospice wasn't funded until 1974.

500

Name the impact of events involving betrayal or transgression of one's own deeply held belief's and values in high stakes situations.

What is Moral Injury? These are psychological, social, and spiritual. They can come from being forced to act themselves, watching others transgress, or betrayal/failure of duties by leadership.

500

The documentation of visit times and timely returning of notes is important for what Volunteer mandated requirement?

What is that Volunteer Services must have the monthly number of hours equal to or greater than 5% of clinical hours for that same month per Medicare Regulations.

500

This is what you do if/when you still have planned visits to make and know that you won't be able to make them by the end of the month.

What is notify the Volunteer Coordinator as soon as possible so that other arrangements can be made? remember that the patients are expecting us and we have a care plan that we have agreed to follow, regardless of who fulfills it.

500

Name the Great Lakes in order from largest to smallest by surface area.

What is Superior, Huron, Michigan, Erie, Ontario? Superior is largest by volume & depth. Michigan is 2nd largest by volume. Huron is 3rd largest by volume. Erie is smallest by volume and depth.

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