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Criteria for GIP

Hospice   (548 Views | 7 Replies)

Meliss214 has 9 years experience and specializes in Oncall Hospice RN.

3,858 Profile Views; 247 Posts

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

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vampiregirl has 10 years experience as a BSN, RN and specializes in Hospice.

1 Article; 684 Posts; 13,588 Profile Views

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. 

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amoLucia specializes in LTC.

5,465 Posts; 46,621 Profile Views

Just reading this late.

Please, what's GIP?

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vampiregirl has 10 years experience as a BSN, RN and specializes in Hospice.

1 Article; 684 Posts; 13,588 Profile Views

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).

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amoLucia specializes in LTC.

5,465 Posts; 46,621 Profile Views

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

Edited by amoLucia

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pmabraham has 3 years experience as a BSN, RN and specializes in Hospice, Palliative Care.

2 Articles; 2,532 Posts; 46,332 Profile Views

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.

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618 Posts; 10,993 Profile Views

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

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618 Posts; 10,993 Profile Views

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

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