Facts
The expected life expectancy of someone entering hospice
What is 6 months or less
What clinical sign has the highest frequency in patients who are at the end of life?
Palliative performance scale <20%
Which hospice member helps with cleaning and bathing?
CNA
How do you manage pain at home if patient cannot swallow?
Liquid morphine or methadone
False
(may be true for inpatient setting however)
How do you determine if a patient's diagnosis is hospice eligible?
Document and support your reasoning that patient has 6 months or less to live
What clinical sign has the highest likelihood ratio in patients who are at the end of life?
Pulselessness of radial artery
Which hospice member helps with medication changes and medicine education for families?
RN
How to you explain hospice to make people more comfortable agreeing to it?
Explain it as a nursing service that provides the most support possible at home compared to other nursing services
Hospice means a patient may never see their primary doctor again
How quick can hospice be arranged?
Hours to days
Which of the 5 senses is it thought that patients lose last?
Which hospice member helps coordinate transfer from home to inpatient or vice versa
Social work
How do you give medications for nausea if you cannot give by mouth?
Can use a subcutaneous button
As part of being a Comprehensive Cancer Center, the University of Chicago needs to provide hospice care.
FALSE
What days do hospice agencies take off?
None (work 24/7)
What facial change occurs at the end of life?
Loss of nasolabial fold
Which hospice member helps with bereavement?
All, but especially chaplain, social work
How do you manage bad smells at home?
Kitty litter
Choosing hospice means a patient can never get a procedure again (like a paracentesis, MRI...)
FALSE
What is the youngest age a patient can be to be on hospice?
0
How often does "death rattle" occur in the last three days of life (within 5 percentage points)?
66%
How much of the hospice workforce is made up by volunteers?
5% (mandated by federal law)
How do you manage bad smells in a wound?
Crush flagel and sprinkle over the wound
Patients without insurance cannot receive hospice
False