Facts
Death
Multidisciplinary Team
Tips and Tricks
Myths

100

The expected life expectancy of someone entering hospice

What is 6 months or less

100

What clinical sign has the highest frequency in patients who are at the end of life?

Palliative performance scale <20%

100

Which hospice member helps with cleaning and bathing?

CNA

100

How do you manage pain at home if patient cannot swallow?

Liquid morphine or methadone

100

True or false: A patient must be DNR to go to hospice?

False


(may be true for inpatient setting however)

200

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

200

What clinical sign has the highest likelihood ratio in patients who are at the end of life?

Pulselessness of radial artery

200

Which hospice member helps with medication changes and medicine education for families?

RN

200

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

200

Hospice means a patient may never see their primary doctor again

Likely false

300

How quick can hospice be arranged?

Hours to days

300

Which of the 5 senses is it thought that patients lose last?

Hearing

300

Which hospice member helps coordinate transfer from home to inpatient or vice versa

Social work

300

How do you give medications for nausea if you cannot give by mouth?

Can use a subcutaneous button

300

As part of being a Comprehensive Cancer Center, the University of Chicago needs to provide hospice care.

FALSE

400

What days do hospice agencies take off?

None (work 24/7)

400

What facial change occurs at the end of life?

Loss of nasolabial fold

400

Which hospice member helps with bereavement?

All, but especially chaplain, social work

400

How do you manage bad smells at home?

Kitty litter

400

Choosing hospice means a patient can never get a procedure again (like a paracentesis, MRI...)

FALSE

500

What is the youngest age a patient can be to be on hospice?

0

500

How often does "death rattle" occur in the last three days of life (within 5 percentage points)?

66%

500

How much of the hospice workforce is made up by volunteers?

5% (mandated by federal law)

500

How do you manage bad smells in a wound?

Crush flagel and sprinkle over the wound

500

Patients without insurance cannot receive hospice

False