Hospice Tools
This scale is used for patients with Alzheimer's/Dementia to help determine their functional level.
What is the Functional Assessment Scale?
These are the four levels of hospice care.
What are routine, continuous, respite, and GIP?
Long pauses in breathing; Irregular breathing patterns; Significant drop in blood pressure; Skin color changes (mottling) and extremities feeling cold to touch.
What are signs and symptoms of actively dying?
This is considered the same as the admission day.
What is the effective date of hospice?
This scale requires a nurse to take a "best fit" decision related to its multiple rows and columns.
What is the Palliative Performance Scale?
In order to support continued hospice eligibility, documentation should include _______ and _____, not merely conclusions.
What are observations and measurable data?
grimacing, wincing, restlessness, guarding
What are nonverbal signs of pain/discomfort?
This is billable outside the hospice benefit.
What are unrelated services?
The ambulatory ability of a patient with a PPS of 30%.
What is totally bed bound?
To be eligible to be admitted for this disease process, a patient must have a PPS of <40%, poor nutritional status, and supporting documentation that includes aspiration pneumonia within the last 6-12 months.
What is stroke/CVA?
This term refers to when a patient wakes up during the night short of breath.
What is paroxysmal nocturnal dyspnea?
This is obtained within 2 days of the start of benefit period.
What is the hospice verbal CTI order?
This FAST score identifies a patient who no longer has the ability to smile and can no longer hold head up independently.
What is 7E?
To be considered for hospice for end-stage liver failure, a patient must have a serum albumin level of ____.
What is less than 2.5 gm/dL?
The most common documentation reason for ADRs in hospice.
What is failure to document decline?
Right to immediate advocacy.
What is the QIO?
The NYHA Class required for hospice eligibility for end-stage cardiac disease.
What is NYHA Class IV?
Hospice eligibility for a malignant (cancer) diagnosis includes ALL of these criteria.
What are:
1) Clinical findings of malignancy with widespread, aggressive, or progressive disease or evidence of metastatic disease.
2) PPS < 70%
3) Refuses further life-prolonging therapy?
When documenting on a patient, always follow up with these 3 words to fully describe what you see.
What are "As Evidenced By"?
Requested at admission and due within 5 days.
What is the Addendum?