Phenomena
Changes in skin color in the extremities that occur in the last few days or hours of life.
What is mottling?
The location of the orders for the comfort kit medications.
What are standing orders?
Memory loss is one of the most common symptoms of this disease.
What is dementia
Depression, Anger, denial, bargaining, and acceptance.
What are the stages of grief?
This form is needed in order to allow someone other than the patient to make healthcare decisions.
What is an MDPOA?
Patients reaching up to the ceiling in the days or weeks prior to death.
What is terminal agitation?
The most common hospice medication used to treat pain.
What is morphine?
This patient may present with edema and is short of breath at rest or needing to take breaks while talking or eating.
What is heart failure?
Anxiety about unfinished tasks.
What is an example of a spiritual concern that may arise at the end of life?
The form filled out when a patient is notified a service or medication will not be covered by the company.
What is an advanced beneficiary notice (ABN)?
Clarity that occurs days, hours, or minutes before a patient dies.
What is terminal lucidity or The Rally?
The next step if the patient is no longer palliated with the standard dose of Morphine.
What is call the provider? (nurse)
What is call the nurse? (SW or Chaplain)
Increasing visits to the emergency room with difficulty breathing is one of the most common reasons to refer to hospice with this disease process.
What is pulmonary disease
To reminisce about pass experiences.
What is a life review?
The person who is notified or included in the discussion about a medication change or change in condition.
Who is the MDPOA?
Patient is no longer eating, sleeping most of the day – may wake occasionally for sips of water, may be lucid at times, may have increased pain or agitation
What is transitioning?
A medication prescribed to treat anxiety, restlessness, or dyspnea.
What is Lorazepam?
Full thickness loss of skin, adipose and granulation tissue visible.
What is a stage 3 pressure injury (make sure you confirm with Jen or Dr Lewey)
A freeing and empowering experience that can occur at the end of life, often facilitated by chaplains.
What is forgiveness?
This level of care, intended for symptom management, requires a nurse be in the home from 2am to 10am.
What is continuous care?
Increased periods of sleep and lethargy with decreased social interaction that occurs two to three weeks before death.
What is withdrawal?
The most common alternative medications if the patient has an allergy to morphine.
What is Oxycodone or Hydromorphone?
Hepatitis C refractory to treatment is one of the supporting indicators for this hospice diagnosis.
What is liver disease?
To provide physical, emotional, and spiritual support to the patient and their family.
What are the goals of hospice care?
This patient diagnosis requires weekly documentation into the chart.
What are wound measurements?