Discharging a terminal patient from palliative homecare

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    I am a homecare/hospice nurse. Was supposed to do pretty much straight hospice, but I won't get into that again, but I am doing palliative homecare.

    I find it very difficult to discharge a palliative patient who is terminal but doesn't not want hospice. I feel like most of the time in our agency, those patients are "dumped" into homecare because they need a discharge plan and there is nothing the MD's can do anymore.

    So, when it is apportiate to DC these patients? Just when symptoms are managed? Even if they aren't stable?

    Almost all palliative who get DC's get readmitted or die or atleast that's what's happening to me, but then again, my boss likes ot dump these cases on me.
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