HC Basics
True or false: Hospice care is only for cancer patients
False
If you are with the patient and they pass away, what should you do next?
Call the hospice nurse
What does OARS stand for?
Open ended questions, affirmations, reflections, summaries
This type of drug is often used in pain management, and some may be concerned about addiction
Opioids, remember that addiction is uncommon for people with pain at end of life
True or false: According to HIPAA, you must ensure a patient's personal health information remains protected.
True
In your own words, describe what it means to be a hospice health coach
Support patients and their families, listen, communicate, share skills, encourage self management, problem solve, educate, emotional support
This stage, as part of the 5 stages of death and dying, is when the patient may grieve what they have already lost, as well as their impending death
Depression
What is one reason why Motivational Interviewing is used in hospice care?
Effective way to have difficult conversations, helps to elicit client goals and values, helps to develop action steps, helps to overcome barriers, respects and encourages patient's autonomy
Name a nonverbal indicator of pain
Moans, groans, facial grimaces, restlessness, resisting care
What kind of support might you give to caregivers?
Emotional support, skills to care for the patient, education, listening, ask how they are feeling
What is the difference between hospice and palliative care?
No curative treatment in hospice care, and six months or less life expectancy. Palliative care can be offered at any stage of illness
Name one aspect of a good death
Closure, where they want to be, symptoms managed, decisions made
What are the three types of coaching styles?
Directing, following, guiding
Name one way to assist someone experiencing constipation
Encourage liquids, warm drinks, privacy, exercise, time of day, sitting upright
Name one communication barrier
Directing, commanding, threatening, telling someone what to do, arguing, shaming, labelling, etc
Name another professional you may find on your hospice care team
Nurse, doctor, social worker, physical therapist, speech language pathologist, spiritual care counselor
If someone is getting closer to death and start talking about going on a trip, how should you respond?
Listen to them
What is a common phrase to start a reflection with?
It sounds like... or What I'm hearing you say is... or So you feel... or you are...
Reflections help to validate client's feelings, shows you heard and understood them, and restates their words back to them
A client is complaining of pain one hour after they took the proper dose of medication, how would you respond?
Tell them you will call the hospice nurse
Before sharing any helpful knowledge with the patient, what should you do first?
Ask permission
What would you say to someone who said "hospice is giving up"
Hospice is about living, focusing on comfort and dignity of someone whose life is coming to a close
This type of advance directive explains what kind of medical treatment the patient wants or does not want at end of life
Living will
What is included in the Spirit of Motivational Interviewing?
Partnership, acceptance, compassion, evocation
Name one way to support someone experiencing anxiety
Listen, provide reassurance, turn lights down, engage in activity they enjoy, report to the team
When would you use a summary?
To sum up the patient's most important points, make sure you are on the same page, to recap before changing topics