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Search Results Type: Posts; User: Stella1688

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  1. Medicare Diagnosis Changes
    Hi SuesquatchRN...just to put this out there, there is a bill in congress requesting increased funding for hospice and palliative education to be mandatory in all accredited medical and nursing...
    Sep 19, '13
    Forum: Hospice Nursing
  2. Medicare Diagnosis Changes
    I would be leery too! That is still quite functional and inappropriate for a dementia primary dx
    Sep 19, '13
    Forum: Hospice Nursing
  3. Medicare Diagnosis Changes
    Thanks PamRNinTX, I have often used 294.21 or 331.0 if their chart specifically says Alzheimers. It seems like Senile Degeneration of Brain is a safe bet though.
    Sep 19, '13
    Forum: Hospice Nursing
  4. Medicare Diagnosis Changes
    I'm more curious on everyone's views on dementia as a terminal diagnosis. I think most of us agree that debility is way overused. What about the patient with advanced dementia that can no longer...
    Sep 18, '13
    Forum: Hospice Nursing
  5. Medicare Diagnosis Changes
    Just curious, who decided on coding "senile degenerative brain" for dementia? Is there any documentation that this is a better coding choice than just regular dementia, or was it just a company...
    Sep 18, '13
    Forum: Hospice Nursing
  6. Medicare Diagnosis Changes
    NC29mom I am referring to the most recent updates from CMS and looking for help from those who have read them. I understand that comorbs should be listed, my question is a matter of the primary dx. I...
    Sep 9, '13
    Forum: Hospice Nursing
  7. Medicare Diagnosis Changes
    Hi All, I have read and reread the Federal Register from CMS that was released 8/7/13 with the final rule on these diagnoses...and it is very vague for Dementia. On one hand it looks like they don't...
    Sep 9, '13
    Forum: Hospice Nursing
  8. Hospice Resources
    Join HPNA, they have a member's only educational section and try to attend a conference in the future. Purchase the core curriculum book from HPNA (it is what is used to study for the certification...
    Sep 9, '13
    Forum: Hospice Nursing
  9. Ripped into a million pieces
    YES! It has taken a long time to learn not to take it personally. Like the others said we are entering someone's life at the most vulnerable time, but also the families most overwhelming time. It is...
    Sep 9, '13
    Forum: Hospice Nursing
  10. Medicare Diagnosis Changes
    I agree Tewdles and Nurse_Diane! In a way I am not surprised about AFTT and debility since they have been talking about that for years (and I believe some agencies do overuse these dx and put people...
    Jun 10, '13
    Forum: Hospice Nursing
  11. Medicare Diagnosis Changes
    Hi All, I got the following message from NAHC regarding proposed CMS changes: NAHC is reporting that in the CMS Open Door Forum held on May 8, CMS indicated thatin the future they will be...
    Jun 6, '13
    Forum: Hospice Nursing
  12. Let's talk $$ for hospice. (Idea lifted from Agency nursing)
    Oops I forgot to say I am an RN and mileage is 0.55, but we do have a high cost of living and gas prices
    Apr 25, '13
    Forum: Hospice Nursing
  13. Let's talk $$ for hospice. (Idea lifted from Agency nursing)
    I work full time in CT $35/hour, don't usually have to take on call but anything over 40 hours is time and a half
    Apr 25, '13
    Forum: Hospice Nursing
  14. Is providing continuous home care required?
    I work for a small hospice agency that is only 1 year old and the majority of my patients have been in facilities or home with appropriate care so I have not yet needed to implement continuous care,...
    Apr 25, '13
    Forum: Hospice Nursing
  15. Going to Facilities
    Try to educate the nurses at the facility as much as you can and empower them to get involved in end of life care. For the most part I have found LTC nurses to be caring and receptive to education,...
    Apr 25, '13
    Forum: Hospice Nursing
  16. CHPN Exam
    Thank you! My test is June 28 so I better start studying!
    Apr 11, '13
    Forum: Hospice Nursing
  17. CHPN Exam
    Hi All, I just started studying the core curriculum and study guide today. I am waiting for my employer to send in my application so I can schedule a date, but I am hoping for June. Does anyone know...
    Apr 2, '13
    Forum: Hospice Nursing
  18. New to Hospice
    Good luck! You will know rather quickly if it is right for you. I started almost a year ago when the homecare agency i work for decided to start a hospice program and so far I love it. Just like any...
    Oct 10, '12
    Forum: Hospice Nursing
  19. Newbie hospice nurse, newbie agency
    Hi all, I work for a company that started off many years ago as a nursing home and has now branched out in several different directions, and I really enjoy it because the company and higher-ups are...
    Jun 12, '12
    Forum: Hospice Nursing
  20. Preparing for state certification!
    Thank you for the response, tewdles! Sorry I just noticed it, have been so busy...after the grueling process we passed and just received certification yesterday! All the points you mentioned were...
    Jun 12, '12
    Forum: Hospice Nursing
  21. Preparing for state certification!
    Hi All, I am a fairly new hospice nurse, I work for a homecare agency and we just started a hospice team a few months ago. Most of the patients live in the nursing home of the facility that our...
    Apr 18, '12
    Forum: Hospice Nursing
  22. Health issues in elementary school children
    Hi All! I am an RN in Home Health and Hospice... I know, what the heck am I doing here?! I am in the last class of my RN-BSN course and have to do a "field experience" in public health. I chose to...
    Mar 5, '12
    Forum: School Nurses
  23. 1st Nursing Cartoon caption contest - win $100
    Excuse me sir, you have to ambulate with your "walker"!
    Mar 5, '12
    Forum: Nurses Rock


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