we have hospice at my ltc facility. here is my two cents.
[color=#993300]"hospice nurse and hospice aide were also present, but they sat with the families as if they were just there to comfort."
the hospice team provides care/assistance to the resident and the family
[color=#993300]"i gave all the meds"
our nurse gives the meds
[color=#993300]"and our ltc aides did all the adl. i was a little bit confused ..."
our hospice aide does all the personal care and adl for the hospice patient.
[color=#993300]"i am a nurse aide at a ltc facility, and what i'd just like to point out, is that, the ltc aides are there 24/7, but the hospice help is only there periodically."
hospice help may be there for what appears to be a short time, however, hospice is available
and may be called at any time = 24/7
[color=#993300]"in my experience, the ltc aides do the same thing for the dying ones as they do the rest of them,"
except the hour or two that the hospice aide is there.
[color=#993300]"and the nurse does what she normally does,"
for meds, treatments, charting, it's the same. one thing i noticed that is different, for a hospice patient the facility nurse calls the hospice nurse who will contact the doctor.
[color=#993300]"the hospice aides come and do it all over again "better",
if our cnas had one or two hours per patient they could do it 'better' too.
[color=#993300]"and the hospice nurse comes and tells the ltc nurse to give more morphine."
right, the doctor will give the orders to the hospice nurse who will give the orders to the facility nurse.
[color=#993300]"what i am trying to say is that hospice is just an extra helping hand to give to the patient and families of patients because we are so pressed for time."
hospice is not just an extra helping hand; hospice provides many services. thankfully, too, as we do not have the time (or knowledge) for the emotional, spiritual, financial, bereavement, comfort, counsel and support that the patient's family may need.
our hospice company representatives did an in-service for us. a different company, but i found a page online that appears to be the information we received at our in-service. hospice services overview http://www.tlcathome.com/wv/whatishospice.htm