Criteria for GIP

[Meliss214]

Does a pt automatically qualify for GIP when lopressors are discontinued?

[vampiregirl, BSN, RN]

I can't think of circumstances where discontinuing pressors would automatically qualify a patient for GIP.

GIP eligibility requires not only a terminal diagnosis but symptoms of discomfort that cannot be managed any other setting.

On the flip side, pressers typically are not continued on hospice due to not being consistent with hospice philosophy.

Sometimes the same patients for whom pressors are being discontinued are also experiencing symptoms that require interventions and frequent monitoring to transition the patient to a plan of care that can be implemented in another setting. Especially if they are already in patient at the hospital. For example, transitioning from frequent or higher doses of IV push pain meds to other routes of medication administration is one of the more common scenarios. Also patient's who are on very high flow oxygen. Seizures, nausea/ vomiting and severe anxiety are other symptoms that may be appropriate for GIP. Also extremely complex wound care needs.

[amoLucia]

Just reading this late.

Please, what's GIP?

[vampiregirl, BSN, RN]

GIP = General Inpatient level of care for hospice.

Most hospice patients are "routine" level of care which provides for hospice care in their residence (home, group home, SNF, ALF etc).

Other levels of hospice care are respite and continuous care. Respite is a benefit for caregiver respite and continuous care is for intensive symptom management requiring the presence of hospice staff for a specified period of time (there are other criteria as well).

[amoLucia]

TY for the info. Sorry, I'm not able to help answer OP's question.

[pmabraham, BSN, RN]

GIP requires the terminal patient to have uncontrolled symptoms where the hospital setting is the only place that can help control symptoms. Furthermore, GIP requires that the goal is to control the symptoms and then discharge from GIP to a routine level of care.

[db2xs]

Here's a list of GIP examples, straight from the HPNA's mouth

[db2xs]

The discontinuation of Lopressor (aka metoprolol) does not automatically qualify someone for GIP. In fact, it would be the opposite.