Hospice charting (Neg- Charting) ?

[Joebrown]

I need help, am a new Grad. RN and new to hospice. The problem that am facing is charting. (Neg.- charting) What is Neg.- charting. Can I buy a book to help me with this. I start my new job next Monday March 02, 2009. Any advice and or example would be greatly appreciated. Thanks to all who respond.

[pammyf]

it seems like things maybe have changed from this interchange. But actually our mission is to help pts.

It is just that in hospice we are helping symptoms and the dying process be gentle loving and meaningful in a good way as possible. By negative charting we are, ironically, helping our patients by justifying their continued "stay" in hospice. That being said, when our patients graduate from hospice because they are improved then we thrilled. But usually their "graduation" from hospice is temporary and we see them again within a year. I do not know what the statistics are on the amt of time they are back with us. Perhaps someone who reads this knows the average length of time from discharge to readmission (dx dependent)

ANYWAY, to the nurse I am responding to: Our mission in nursing is to continue to help patients improve--but in hospice "improvement" is skewed. I have to make dinner our I can help define this more clearly!