kokobean

Sharon I have been a hospice nurse for 15 years and am now a hospice educator. When I make a visit, I make sure to document all perteinet findings. I also documernt any decline in the pateint. Documentation needs to show some sort of decline if applicable, this will help when you need to recertify the patient. I document mainly on the primary diagnosis but if the co-morbitites are influecning deline than I document on that also. An example of documentation would be the patients vital signs, document delcine for example the patient is depdendent in 3 out of 6 adl's then if the pateint delcines and now needs assistance with say 5 out of 6 adl's it will be easiler to recongize the decline. I hope this helps

I have been a hospice nurse for 15 years and agree with many of the psot on crossing the creek and final gifts as good information to read. Another good pamplhelt is Gone from my sight by Barbara Karnes. You can also get alot of imformation from the NHCPO web site. www.nhcpo.org. Hope this helps