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Provides comprehensive, current information for addressing the physical, psychological, and spiritual needs of hospice patients and their families
Substantially updated and expanded, the second edition of this quick-access reference for hospice nurses continues to deliver the most current information on the clinical and administrative duties of the hospice nurse. It encompasses important regulatory changes and milestones, providing timely information on cultural issues, special communication considerations, and hospice care’s enduring growth.
This resource provides new content on levels of care, assessment and symptom management, and occupational stress, burnout, and self-care. New treatment guidelines and algorithms are included, as are updates on quality measures, the reimbursement schedule, compliance initiatives, and electronic documentation with specific examples.
An indispensable clinical resource, the book is a valuable reference for nurses who are seeking to specialize in hospice, those who work in long-term care settings, post-acute care settings, acute care setting, and those who are seeking to enhance their knowledge of end-of-life care within other specialties.
- New to the Second Edition:
- Includes new regulatory changes/milestones, such as The National Quality Forum New Priorities for Action 2019
- Provides updated information about levels of care, particularly the Last 7 Days rule from Medicare
- Covers the use of cannabis, non-pharmacological pain management interventions, care of the dying patient, and post-mortem care
- New chapters are included on the hospice nurse's role as case manager, patient discharge, religious and cultural influences on end-of-life care, pain assessment and interventions, wound care, care of the dying patient, and post-mortem care.
- Key Features:
- Reflects key competencies for the hospice nurse as designated by the Hospice and Palliative Nurses Association
- Delineates clinical and administrative responsibilities of the hospice nurse
- Simplifies complex information such as Medicare regulations and compliance
- Provides screening tools for depression, anxiety, and wound risk
- Includes the Palliative Performance Scale and the Karnofsky Performance Scale
- Serves as a concise study resource for certification
Section I: Overview of Hospice
1. An introduction to hospice and palliative care
2. History and evolution of hospice in the U.S.
3. Hospice philosophy and the role of the nurse
4. The hospice interdisciplinary team
Section II: Essentials of hospice nursing
5. The hospice nurse as case manager
6. Goals of care conversations
7. Establishing hospice eligibility
8. Hospice admission and level of care
9. Patient discharge
Section III: Spiritual and cultural issues
10. Spiritual and existential suffering
11. Religious customs in end-of-life care
12. Cultural influences on end-of-life care
13. Cultural influences on end-of-life communication
Section IV: Physical symptoms at the end of life
14. End of life symptoms
15. Cannabis & cannabinoids for pain management
16. Pain assessment
17. Pharmacological pain management
18. Non-pharmacological pain management
19. Pain management evaluation
20. Wound care at the end of life
Section V: Death, dying, and bereavement
21. Care of the dying patient
22. Post-mortem care
23. Grief and bereavement
Section VI: Quality and compliance in hospice
24. Defining quality in hospice
25. Monitoring quality
26. Ensuring compliance with hospice regulations
27. Electronic documentation in hospice
Section VII: Occupational stress in hospice nursing
28. Sources of occupational stress
29. Consequences of occupational stress
30. Addressing occupational stress
31. Self-care 101