looking for some input frm Hospice nurses

  1. First of all I am a proponent of Hospice and a firm believer in all that you do
    I believe you are all angels

    I am a nurse in an Internal medcine office and we often refer to hospice for palliative end of life care

    My current dilemna.. we have a 94 Y/O female .. FX hip in 09/04.. since her hip FX she is unable to walk, cannot stand up without support on both sides and is for the most part bed bound.

    She has DX of Parkinsons and is blind. She currently can not carrry out ADL due to general debility

    her parkinsons has been well controlled

    The physician I work with states that she will most likely not live another six months

    Tha family has been involved with Hospice a few years ago with an Aunt who had cancer

    the family would like hospice care

    Will the above listed DX be adequate for hospice eval?

    Please let me know ASAP

    thank you!!

    Darla
  2. Visit darla80 profile page

    About darla80

    Joined: Mar '00; Posts: 237; Likes: 6
    office nurse

    11 Comments

  3. by   Katillac
    Quote from darla80
    First of all I am a proponent of Hospice and a firm believer in all that you do
    I believe you are all angels

    I am a nurse in an Internal medcine office and we often refer to hospice for palliative end of life care

    My current dilemna.. we have a 94 Y/O female .. FX hip in 09/04.. since her hip FX she is unable to walk, cannot stand up without support on both sides and is for the most part bed bound.

    She has DX of Parkinsons and is blind. She currently can not carrry out ADL due to general debility

    her parkinsons has been well controlled

    The physician I work with states that she will most likely not live another six months

    Tha family has been involved with Hospice a few years ago with an Aunt who had cancer

    the family would like hospice care

    Will the above listed DX be adequate for hospice eval?

    Please let me know ASAP

    thank you!!

    Darla
    If her primary physician certifies that in his belief one or more of her diagnoses is such that if the disease or condition runs its expected course she will not live longer than six months, and the hospice medical director concurs, she is eligible for hospice services. However, it can (and with us sometimes does) happen with supportive care that she improves to the point where debility no longer threatens her life, therefore making her ineligible for continued hospice services. But she would certainly appear to be eligible for services at present based on her debility diagnosis.

    Thanks for the good words.
  4. by   leslie :-D
    i'm w/katillac-

    it's the doctor's assessment that she has 6 mos or less to live, then it will be up to the medical director of hospice to see if she is indeed a candidate.

    if she receives services and as time goes on, the situation is reassessed and they don't find her eligible, then they will discharge her.

    leslie
  5. by   darla80
    Thank you, I started the process yesterday and hospice is going to evaluate her today.
    We had a pt once who rallied and was discharged from hospice and lived another year.

    People are absolutley amazing.. the nurses and the ones we take care of

    Have Blessed day!!

    Darla
  6. by   darla80
    Thank you, I started the process yesterday and hospice is going to evaluate her today.
    We had a pt once who rallied and was discharged from hospice and lived another year.

    People are absolutley amazing.. the nurses and the ones we take care of

    Have a Blessed day!!

    Darla
  7. by   Blackcat99
    I use to work at an assisted living facility. We had a hospice nurse say that the resident would probably die in a few days. However, he seemed to respond and perk-up with all the love and attention he got from the hospice nurses. He ended up living 2 more months.
  8. by   leslie :-D
    Quote from Blackcat99
    I use to work at an assisted living facility. We had a hospice nurse say that the resident would probably die in a few days. However, he seemed to respond and perk-up with all the love and attention he got from the hospice nurses. He ended up living 2 more months.
    yes, i've had sev'l of those types...they literally are on their death bed and by golly, they slowly become more alert and eating and then they die when you least expect it.....sudden and quick, as it should be.
  9. by   aimeee
    Patients like this one will often improve during their first benefit period due to extra care and attention they receive. Many patients have their symptoms controlled to the point of comfort for the first time in years and this helps their appetite, their sleep, and their general well being until the disease process advances.

    So, Darla, was she admitted to hospice care?
  10. by   pamula64
    [Have her evaluated-sound like she is.
    \
    QUOTE=darla80]First of all I am a proponent of Hospice and a firm believer in all that you do
    I believe you are all angels

    I am a nurse in an Internal medcine office and we often refer to hospice for palliative end of life care

    My current dilemna.. we have a 94 Y/O female .. FX hip in 09/04.. since her hip FX she is unable to walk, cannot stand up without support on both sides and is for the most part bed bound.

    She has DX of Parkinsons and is blind. She currently can not carrry out ADL due to general debility

    her parkinsons has been well controlled

    The physician I work with states that she will most likely not live another six months

    Tha family has been involved with Hospice a few years ago with an Aunt who had cancer

    the family would like hospice care

    Will the above listed DX be adequate for hospice eval?

    Please let me know ASAP

    thank you!!

    Darla[/QUOTE]
  11. by   leslie :-D
    Quote from pamula64
    [Have her evaluated-sound like she is.
    \
    QUOTE=darla80]First of all I am a proponent of Hospice and a firm believer in all that you do
    I believe you are all angels

    I am a nurse in an Internal medcine office and we often refer to hospice for palliative end of life care

    My current dilemna.. we have a 94 Y/O female .. FX hip in 09/04.. since her hip FX she is unable to walk, cannot stand up without support on both sides and is for the most part bed bound.

    She has DX of Parkinsons and is blind. She currently can not carrry out ADL due to general debility

    her parkinsons has been well controlled

    The physician I work with states that she will most likely not live another six months

    Tha family has been involved with Hospice a few years ago with an Aunt who had cancer

    the family would like hospice care

    Will the above listed DX be adequate for hospice eval?

    Please let me know ASAP

    thank you!!

    Darla
    [/QUOTE]

    why does the doctor think she has less than 6 months to live? what is he basing it on?

    from what i'm reading based on your information, i don't see why she'd be a candidate for hospice, acknowledging there has been an evident deterioration.

    leslie
  12. by   pamula64
    [It is an obvious deteriation in her condition-unable to ambulate do adls ect


    QUOTE=darla80]First of all I am a proponent of Hospice and a firm believer in all that you do
    I believe you are all angels

    I am a nurse in an Internal medcine office and we often refer to hospice for palliative end of life care

    My current dilemna.. we have a 94 Y/O female .. FX hip in 09/04.. since her hip FX she is unable to walk, cannot stand up without support on both sides and is for the most part bed bound.

    She has DX of Parkinsons and is blind. She currently can not carrry out ADL due to general debility

    her parkinsons has been well controlled

    The physician I work with states that she will most likely not live another six months

    Tha family has been involved with Hospice a few years ago with an Aunt who had cancer

    the family would like hospice care

    Will the above listed DX be adequate for hospice eval?

    Please let me know ASAP

    thank you!!

    Darla[/QUOTE]
  13. by   OneThunder
    You have given enough information for a hospice eval. There are medicare guidelines that put forth for various diagnosis. I agree with the other posters, End stage debility sounds like the correct catagory.

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