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Hospice
Hospice gives home health care to terminally ill patients.
249 Questions
Who is authorised to certify death?
The doctor must give a death certificate.
Only a doctor can verify, confirm and certify that a person is dead or not.
When the feet were cold and all of a sudden warm with red blotches what is happening?
When your body is below the average tempreature of 37.5 degree's the body restricts blood flow to the skin capillaries allowing your body to keep in as much heat as possible when shocked with warmth soon after the thermolagatory centre in your brain tells your body that there is sufficient heat avaliable therefore increases blood flow to the surface of the skin attempting to loose heat which is why your skin turn red and blotchy so you can see the blood vessles.
Do you feel addressing spiritual needsare important for paitiant and families in hospices?
Yes, it is important as hospices have Chaplains on staff for the patients and their families.
Why would hospice give morphine when patient has no pain?
The hospice patient probably would have pain if not given the pain meds, so it is to keep the pain at bay.
What is the standard roxanol dose for a hospice pt?
0.25 ml hourly. It is usually given in conjunction with ativan. The dosage can be increased from advice with a health care professional.
What technologies are used in cars to help paraplegics and quadriplegics drive?
Currently there are no technologies that I am aware of for quadriplegics to drive cars that are certified for use. There are technologies for moving a motorized wheelchair with a mouth "puffer" or "joystick", however typically quadriplegics are not independent enough to be able to place themselves into a wheelchair after driving is completed. This means they must rely on the help of another for driving purposes as there's no technology present that can be used once a quadriplegic person arrives at the destination for the transfer of themselves to the wheelchair.
Paraplegics do have systems that assist for driving purposes. It's a bar of buttons that typically sit below the steering wheel that they can control with their fingers for braking and acceleration. These systems do come at a cost and are aftermarket systems, so some paraplegics opt for "alternative devices" such as canes attached to objects to push the pedals that are still located on the floor.
As a side note the buttons used for those with paraplegia are also useful for those that are vertically challenged (aka short statured people that literally cannot reach the gas/brake pedals of the car).
Where is most hospice care delivered?
At present, over 90% of hospice care is delivered in patients' homes, although the hospice programs that direct the care may be based in medical facilities.
What does it mean when you're put on hospice?
This means that your type of care is not going to be geared towards treatment of your condition. Instead, you have accepted that you have condition is terminal and for which there is no cure. Therefore your care will be geared towards making you feel comfortable and happy during those final months of her life. At any time, however, if you feel that you might be able to be treated, such as because you discovered a new treatment that hasn't been tried yet, you can revoke your hospice care and return to aggressive treatment.
What are some typical hospice services at the hospice centers?
Some typical hospice care services that you can expect include feeding and cleaning. You usually take care of all of the basics.
Do hospice programs only care for cancer patients?
Not necessarily. Some hospices are specifically geared to care for cancer patients, but most hospices will help care for any terminally ill individual.
Do most physicians refer patients to hospice programs too early or too late?
This quite often happens. There is no set way to tell when a person is about to die.
How many hospices are there in Northern Ireland?
As of my last update, Northern Ireland has several hospices, with the main ones being Marie Curie Hospice in Belfast and the Northern Ireland Hospice, which operates facilities in both Belfast and Newtownabbey. While the exact number can vary, there are generally around 5-6 hospices across the region, including both adult and children's services. For the latest statistics, it's advisable to refer to local health authorities or hospice organizations.
How is hospice able to determine when cancer patient is close to the end of life?
Hospice comes in when nothing else can be done for the patient and they can live at home until the end. Sorry.
In the US, hospices are paid in the same manner as hospitals, nursing homes, and home care.
Depending on the patient's or family's type of insurance and financial ability to self-pay, health
care first would use in this order: Self-pay, then Private Insurance, then Federal Medicare, then State Medicaid. IF one of these is not available (for example, the patient has no ability to pay), it skips to the next source in the list. There may be co-pays for Private Insurance, Federal Medicare, or State Medicare; co-pays vary by State and by income. The patient or patient's family are required to pay the co-pays. Also, under State Medicaid, a family may be required to sign over the patient's assets (example: their home).
How does topical or transderml Ativan compare to PO or IV Ativan?
They will take longer to have the effect on the patient vs. PO or IV.
Can hospice make you put your parent in a nursing home?
No they can not make you put your parent in a nursing home.
What does perdiem mean as pay for hospice?
Per diem in hospice care refers to a daily payment rate for services provided to patients. This compensation model allows hospices to receive a set fee for each day a patient is under their care, covering various services such as nursing, counseling, and medications. It simplifies billing and ensures that patients receive comprehensive support throughout their hospice experience.
Yes; call and report the death to the hospice staff
How is the frequency of visits for hospice social workers determined?
Visit frequency for a social worker in hospice is determined by the doctor's order
on the patient's plan of care.
How do you know ethically when hospice should come in?
As soon as the care for the dying becomes overwhelming to the care giver, it is time for hospice. It is not good for family members to provide care near the end because they can not think straight, nor care adequately for them. This is not good for the hospice patient. Why would a family member not want the health care professionals, who are trained in this area, not to care for their loved one, to be in the least amount of pain and suffering?
What type of people do the hospice movement help?
Those that are near end of life and their families.
As far as I know, only one doctor needs to certify a patient for hospice, and it can be the patients doctor that does this. I've work with hospice for 20 years, and in that 20 years I've never heard that it took two doctors or just the medical director with hospice to certify a patient to be enrolled in the hospice care program. The patient does hwoever need to be deemed terminal for the hospice care program to be considered.
