Health Care Plan For Hospice Essay

Health Care Plan For Hospice Essay

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They were also concerned about their mother being alone and that she won 't do any activities while she is alone, which I educated them on having the option of a companions. We explained that we offer hospice aides to come in and help with her ADL 's. I also informed them we have volunteers that would be companions with her so she is not alone. I told them the volunteers and hospice aides could suggest doing activities with her. I also informed them, all this care is covered under their Medicare insurance. However, I did inform them we don 't offer continuous care, but at minimum we could see the patient for eight hours a day. This does not mean we will be at the bed side for eight consecutive hours, but it would be spread out through the day, unless the aides or nurses could stay at the bedside.
I offered the family to express their concerns with us and if they can 't think of anything now, they also could call us and we would be happy to answer any questions. The son and daughter in law believe their mother could increase her physical activity and was adamant about her going to physician therapy and occupational therapy. So much so, they did not want her to be in hospice since hospice does not offer these services. The patient was ready and expressed the desire to be put into hospice. This again leads to the ethical concern of the patient’s own autonomy. The family is considered the power of attorney (POA) and felt they had the final say in her care. However, it depends on the power of attorney paper work and the mental status of the patient. If the POA paper work states that all power is given to the POA at the time of the signing, then the patient does not get to make a medical decision. If the POA paper work sta...


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...urs long and during this time, and the nurses from one of the two teams are present during these meetings. The problem is, these are the same nurses who visit the patients. So, while the nurses are here, the other team of nurses have to see their own patients as well as the patients of the nurses that are in the conference meetings. I was informed that the team that was not in the meeting was short staffed today. My concern was who was going to get to see all the patients while being short a nurse? Is there a different method about going over these patients so that and entire team of nurses is unavailable for care? My suggestion was getting more nurses on staff. Another option is doing a one to one with individual nurses about all their patients weekly. This would give the other nurses time to see their patients and switch off with the nurses in the meetings.

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