How does the process for priority setting differ in hospice nursing than in traditnl

[Dockashocka]

I am a nursing student thinking through the process for priority setting in nursing care plans. When prioritizing nursing diagnoses for a hospice pt, how do you handle the tendency to want to put ABC's first when someone is in comfort care? Shouldn't pain come first? Or should pain come directly after ABC's. What about fall prevention? Tissue Integrity? Is pain and comfort more important than those? But they cause pain if they occur...so...I'm so confused - there are so many variables!

[leslie :-D]

I am a nursing student thinking through the process for priority setting in nursing care plans. When prioritizing nursing diagnoses for a hospice pt, how do you handle the tendency to want to put ABC's first when someone is in comfort care? Shouldn't pain come first? Or should pain come directly after ABC's. What about fall prevention? Tissue Integrity? Is pain and comfort more important than those? But they cause pain if they occur...so...I'm so confused - there are so many variables!

much of it will depend on code status.

not all hospice pts are dnr.

furthermore, let's say a pt has pancreatic cancer, and has an allergic reaction to a med...

would you still intervene and save him?

of course you would, so abc's are still priority.

as for ncp's, they will be as individual as the pts you are writing about.

best of everything.

leslie