Dianah we are currently reading Demon Copperhead by Barbara Kingsolver
NJ22 that's a long time for a minor repair to glasses
Tweety that would have annoyed me too
Ado I would have thought mice would have steered clear of houses with cats
Stars hopefully once the thoracentesis is done as well he'll see some further improvement
Another good day at work yesterday, a nice surprise after being off, would have expected it to be busier. Schedule not looking that busy today either
After work got the grocery shopping done before the rains, then went out and got a haircut and did laundry
Today have counseling over lunch and nothing really scheduled for the evening. Rain is supposed to let up later in the day, might go for a walk. And check online to see if the dealer has any cars I might be interested in
Another cooler day around 60, with rain until at least the afternoon
Yes. One doctor recommends and Hospice doctor agrees or doesn't. Yes, patients with hospice can be hospitalized for care that isn't directly related to the terminal diagnosis or for palliative treatment of the hospice condition. While there may be some differences in payment by private insurers, CMS has created the standards for hospice care that all hospice providers follow.
Some hospice patients in some hospice settings may have TPN provided, but that would be based upon the capabilities of the hospice and the plan of care that is agreed upon. Paracentesis is usually done for comfort as all treatment becomes focused upon quality of life rather than quantity.
NSIME, social security is supposed to have a survivors benefit for spouses and parents. According to the website;
Thanks for the clarification. I took it you meant two doctors have to make the terminal diagnosis prior to consulting hospice. But yes, there obviously has to be an accepting MD at hospice, same as with SNF, rehab or any continuity of care. Here representatives from hospice analyze the patient, diagnosis, and talk to the family and make the recommendation to accept the patient or not. Kind of like when I went to a new MD recently and called to make an appointment, the staff basically accepted me and told the doc she was getting a new patient at such and such a time. The Hospice nurses accept the patient and tell the doctor. But they don't have to have six months or less to live.
We do have a separate palliative team that includes an MD that will sometimes adjust pain medications and make other recommendations.
Tweety, BSN, RN
36,367 Posts
Thanks for the clarification. I took it you meant two doctors have to make the terminal diagnosis prior to consulting hospice. But yes, there obviously has to be an accepting MD at hospice, same as with SNF, rehab or any continuity of care. Here representatives from hospice analyze the patient, diagnosis, and talk to the family and make the recommendation to accept the patient or not. Kind of like when I went to a new MD recently and called to make an appointment, the staff basically accepted me and told the doc she was getting a new patient at such and such a time. The Hospice nurses accept the patient and tell the doctor. But they don't have to have six months or less to live.
We do have a separate palliative team that includes an MD that will sometimes adjust pain medications and make other recommendations.