I actually went to apply for a home health position and was talked into hospice, I had asked if I didn't like it could I go to home health, but I never asked!
It seems there are always positions open here in San Antonio, most people do not think about hospice unless they go through it with a loved one.
as a case manager, we are given around 12 pts. some are in nursing homes and some are at home. we usually see them 1-2 times a week, depending how they are doing. We make our own schedule so there is flexability which is great when you have small kids who sometimes have "bad" mornings. I'm not worried about being late and punching a time clock.
We don't use a lot of skills, when we go see a pt, we do a head to toe assessment, check their medications, and talk to the family. Some visits take 30min, but if a pt doing really bad, we could be there for a few hours. We use certain medications to get symptoms under control, but sometimes it is the family we are talking to for so long. We explain the disease process, what is going to happen to them, and just reassure the family that they are doing a good job caring for their loved one.
HHA go out 3-5 times a week for the bath, so we do not do not clean the pt unless he/she has a wet or soiled brief, and then like I said before, I always make the family help me. I do not get the pt out of bed.
we have social workers and chaplains who visit the pt. also.
its not all roses though, alot of medicare paperwork, and you get mad at management rules just like in a hospital. i look at it this way, there are going to be tmes you get angry in any job, but would you rather be mad in a hospital where you cannot get away and cool off, or be mad in your car drinking a soda listening to the radio?
it is emotionally draining, but not physically. my feet do not ache, or my back doesnt kill me when i get home and i actually feel like i make a difference in peoples lives. I dont save anyone, but i help the pt stay comfortable on their journey, and help the families. its the best job ever.
ps. sorry about any typos. im doing this one handed while holding my little girls hand with the other til she falls asleep.