Oncology Competency- Pain, Palliative Care, and Hospice Care

Save this PDF as:
 WORD  PNG  TXT  JPG

Size: px
Start display at page:

Download "Oncology Competency- Pain, Palliative Care, and Hospice Care"

Transcription

1 Pain, Palliative Care, and Hospice Care Palliative medicine relieves suffering and improves the quality of life for patients with advanced illness. The goal is achievement of the best quality of life for patients and their families. The goal of all hospice agencies in the United States is to provide comfort to the patient. Comfort is defined by the patient or, if the patient is incapacitated, the patient's family. Alleviation of pain is critical to both. In this self-directed learning module is information you are expected to know in providing a safe and comforting environment for our patients, our guests and you. Carolinas Rehabilitation Target Audience: RN, LPN, PT, PTA, OT, COTA, SLP, TR, SW, MS, RT Contents Instructions 2 Learning Objectives 2 Module Content 3-7 Job Aid 8 Posttest 9

2 Instructions The material in this module is an introduction to important general information. After completing this module, contact your supervisor to obtain additional information specific to your department. Read this module. If you have any questions about the material, ask your supervisor. Complete the online post-test for this module. The Job Aid on page 8 may be customized to fit your department and then used as a quick reference guide. Completion of this module will be recorded under My Learning in PeopleLink. Learning Objectives When you finish this module, you will be able to: Discuss the different types of pain in a patient with cancer and be aware of ways of addressing it. State the role palliative care plays in patients with cancer. Understand the process and expectations associated with a hospice care referral and are prepared to explain this process to appropriate patients. Page 3 of 9

3 I. Cancer Pain and Pain Management Pain is a significant factor in how individuals can tolerate rehabilitation, chemotherapy, and radiation. It impacts their quality of life as both cancer survivors and when dying with dignity. Pain occurs in 50-70% of individuals in the early stages of cancer and in 60-90% of individuals in the late stages of cancer, and can occur for various reasons. The following may be causes of pain: Tumor pressure on a nerve or on an artery Tumor invasions of a bony area Cancer treatment causing inflammation Referred pain (pain felt at a location other than where the cause is located) from a tumor Managing Cancer Pain Pain management incorporates various approaches to prevent, reduce or stop the sensation of pain. Pain can be managed through pharmacological (with medications) and non-pharmacological techniques. Timing and dosage of pain medications will depend on each different patient and their varying activity levels during the day. Prescriptions will be discussed and determined by the patient s physician. Some nonpharmacological ways to treat pain are as follows: Heat (be sure to refer to MD orders) Ice (be sure to refer to MD orders) Relaxation techniques, such as guided imagery (visualization of improved health and/or positive thinking) or deep breathing techniques Repositioning for comfort Exercise Communication of Pain The Visual Analog Scale and Numerical Rating Scale are widely used tools in health care for individuals to express the amount of pain that they are experiencing. Barriers to Adequate Pain Control Self reported pain is not believed Confusion by the patient about addiction, tolerance, and physical or psychological dependency Concerns about adverse affects Bureaucratic restrictions Overdosing of medications, which may lead to death even though it is extremely rare

4 Page 4 of 9 Oncology Competency- II. Palliative Care Palliative medicine strives to relieve suffering and improve the quality of life for patients with advanced illness, while offering support to their families. Palliative medicine can be offered simultaneously with all other appropriate medical treatments. Consultations by physicians or nurse practitioners are provided in clinics, hospitals, skilled nursing facilities, and assisted living communities. Medical management is provided by a team of doctors, nurses, and other specialists who work together with a patient's other clinicians to provide an extra layer of support. What does Palliative Medicine do? Palliative medicine relieves suffering and improves the quality of life for patients with advanced illness. The focus includes pain control, physical symptoms, psychological issues, social situations, and spiritual concerns. The goal of palliative medicine is achievement of the best quality of life for patients and their families. Specifically, palliative medicine: Provides relief from pain and other distressing symptoms Integrates the psychological and spiritual aspects of patient care Offers a support system to help the family cope Who can benefit from Palliative Care? Patients with life-limiting illnesses Patients with uncontrolled physical symptoms Patients and/or families wishing to discuss: o Advance care planning o Goals of therapy o Comfort-directed therapy o Withdrawal of mechanical ventilation, artificial nutrition, and/or other forms of artificial life support Palliative Care Funding Palliative care is covered by Medicare, Medicaid, and private insurance companies. However, eligibility for these services is not based on a patient's ability to pay. Page 5 of 9

5 III. Hospice Care The goal of all hospice agencies in the United States is to provide comfort to the patient. Comfort is defined by the patient or, if the patient is incapacitated, the patient's family. This can help individuals experience freedom from physical, emotional, spiritual and/or social pain. Hospices typically do not perform treatments that are meant to diagnose or cure an illness, and they do not seek to hasten death or to extend life if the individual will suffer. It focuses primarily on end of life care, with the goal of easing the difficulties during the last stages of terminal illnesses. In order to qualify for hospice care, a patient must have certification from two physicians that he or she has less than six months to live if his or her disease runs its natural course; usually the patient's primary physician and the Hospice Medical Director will provide this certification. Patients can sometimes stay on hospice for longer than six months. If a patient stays on hospice for more than six months, certification is required by the hospice team with supporting evidence that the patient s condition is terminal. Insurance companies will usually continue to pay for hospice care in this situation. Benefits of Hospice The patient, family, and caregivers are the unit of care. Benefits of participating in hospice care can include exposure to a variety of disciplines that may help address challenges that the patient or family are experiencing. Services including the following: Skilled nursing services Equipment needs assessment 24-hour on-call staff for emergencies Bathing and personal care assistance Spiritual care services Bereavement support for families and loved ones experiencing grief and loss, which may also extended to the community at large Management of pain and other symptoms to ensure the patient's comfort Medical social work visits for counseling, support and advocacy Trained volunteer support for respite, companionship, and other needs Comprehensive individualized care and coordination of core medical services with the patient's physician and the hospice physician Liaisons with appropriate community resources for other necessary services Coordination of care plan, if hospitalization becomes necessary Assistance with advance care planning Page 6 of 9

6 Levels of Hospice Care Hospice also offers different levels of care within its services, which include: Routine Home Care o This accounts for the majority of hospice days of care. o The hospice staff visits on an intermittent basis at a frequency designed to meet the care, teaching, and support needs of the patient and family. Continuous Care o This is provided only in a time of crisis and is to be used only as necessary to maintain the patient at home. Short-term General Inpatient Care o This is available for the patient requiring pain control or acute and chronic symptom management. o It may be provided in a hospital, nursing facility, or hospice inpatient unit. Inpatient Respite Care o This is designed to relieve the caregivers of patients being cared for at home. o It may be provided occasionally for up to five days at a time. o Care may be provided in a nursing home, acute care facility, or hospice inpatient unit. Hospice Care Funding Some hospice services are covered by reimbursement from Medicare, Medicaid, and private insurance. Those on Medicare or Medicaid may be eligible for a special hospice benefit. Payment for services not covered by insurance is based on the patient's ability to pay. Those eligible for care are not denied hospice services because of an inability to pay. Hospice seeks contributions from individuals, foundations, corporations, communities of faith, and civic organizations to help pay for services not covered by reimbursement. Memorials, bequests, planned gifts, and other contributions are gratefully received and are important sources of funding. Page 7of 9 Oncology Competency-

7 References Hospice & Palliative Care Charlotte Region Marieke H.J. van den Beuken-van Everdingen et al. High prevalence of pain in patients with cancer in a large population-based study in the Netherlands. Pain 132 (2007) MHJ van den Beuken-van Everdingen et al. Prevalence of pain in patients with cancer: a systematic review of the past 40 years. Annals of Oncology 18 (9) (2007): Page 8 of 9 Oncology Competency-

8 Job Aid I. Cancer Pain and Management Cancer Pain is an important factor in how patients tolerate rehabilitation, chemotherapy, and radiation. It impacts their quality of life as both cancer survivors and when dying with dignity. Pain management incorporates various approaches to prevent, reduce or stop the sensation of pain. It can be managed through pharmacological (with medications) and non-pharmacological techniques. The barriers to adequate pain control are self reported pain that is not believed, confusion about addiction, tolerance, physical and psychological dependency, concerns about adverse affects, bureaucratic restrictions, and overdosing of medications which may lead to death (despite being extremely rare). II. Palliative Care Palliative medicine strives to relieve suffering and improve the quality of life for patients with advanced illness, while offering support to their families. Palliative medicine can be offered simultaneously with all other appropriate medical treatments. Palliative medicine relieves suffering and improves the quality of life for patients with advanced illness. The focus includes pain control, physical symptoms, psychological issues, social situations, and spiritual concerns. The goal of palliative medicine is achievement of the best quality of life for patients and their families. III. Hospice Care The goal of all hospice agencies in the United States is to provide comfort to the patient. Comfort is defined by the patient or, if the patient is incapacitated, the patient's family. This can help individuals experience freedom from physical, emotional, spiritual and/or social pain. Benefits of participating in hospice care can include exposure to a variety of disciplines that may help address challenges that the patient or family are experiencing. There are different forms of hospice care, which are determined based on the patient s or family s needs. Page 9 of 9 Oncology Competency-

9 Post-test Name: Date: 1. What percentage of patients with cancer develops some form of pain? a % of individuals in the early stages of cancer and in 60-90% of individuals in the late stages b % in any stage c % in individuals in the early stages of cancer and in 50-70% of individuals in the late stages d. 100% of patients with cancer 2. Which is a barrier to adequate pain control? a. Self reported pain is not believed b. Concerns about adverse affects c. Confusion about addiction, tolerance, physical and psychological dependency d. All of the above 3. Palliative medicine can be offered simultaneously with all other appropriate medical treatment. a. True b. False 4. Specifically, Palliative medicine: a. Provides relief from pain and other distressing symptoms. b. Integrates the psychological and spiritual aspects of patient care. c. Offers a support system to help the family cope. d. All of the above 5. Hospices typically do perform treatments that are meant to diagnose or cure an illness, and they do seek to hasten death or, primarily or unduly, to extend life. Hospice care is primarily end of life care, with the goal of easing the difficulties of the last stages of terminal illnesses. a. True b. False 6. What are the different levels of Hospice Care? a. Routine Home Care b. Continuous Care c. Short-term General Inpatient Care d. Inpatient Respite Care e. All of the above

Palliative Medicine, Pain Management, and Hospice. Devon Neale, MD Assistant Professor Dept of Internal Medicine UNM School of Medicine

Palliative Medicine, Pain Management, and Hospice. Devon Neale, MD Assistant Professor Dept of Internal Medicine UNM School of Medicine Palliative Medicine, Pain Management, and Hospice Devon Neale, MD Assistant Professor Dept of Internal Medicine UNM School of Medicine Pall-i- What??? Objectives: Provide information about Palliative Medicine

More information

Circle of Life: Cancer Education and Wellness for American Indian and Alaska Native Communities. Group Discussion True False Not Sure

Circle of Life: Cancer Education and Wellness for American Indian and Alaska Native Communities. Group Discussion True False Not Sure Hospice Care Group Discussion True False Not Sure 1. There is no difference between palliative care and hospice care. Palliative care is different from hospice care. Both palliative and hospice care share

More information

Frequently Asked Questions about Pediatric Hospice and Pediatric Palliative Care

Frequently Asked Questions about Pediatric Hospice and Pediatric Palliative Care Frequently Asked Questions about Pediatric Hospice and Pediatric Palliative Care Developed by the New Jersey Hospice and Palliative Care Organization Pediatric Council Items marked with an (H) discuss

More information

Family Caregiver s Guide to Hospice and Palliative Care

Family Caregiver s Guide to Hospice and Palliative Care Family Caregiver Guide Family Caregiver s Guide to Hospice and Palliative Care Even though you have been through transitions before, this one may be harder. If you have been a family caregiver for a while,

More information

HOSPICE CARE. and the Medicare Hospice Benefit

HOSPICE CARE. and the Medicare Hospice Benefit For more information, or to locate a hospice in your area, contact Caring Connections: www.caringinfo.org caringinfo@nhpco.org HelpLine 800.658.8898 Multilingual Line 877.658.8896 Item #: 810002 Hospice

More information

EndLink: An Internet-based End of Life Care Education Program www.endlink.rhlurie.northwestern.edu ABOUT HOSPICE CARE

EndLink: An Internet-based End of Life Care Education Program www.endlink.rhlurie.northwestern.edu ABOUT HOSPICE CARE EndLink: An Internet-based End of Life Care Education Program www.endlink.rhlurie.northwestern.edu ABOUT HOSPICE CARE What is hospice? Hospice care focuses on improving the quality of life for persons

More information

Palliative Care The Relief You Need When You re Experiencing the Symptoms of Serious Illness

Palliative Care The Relief You Need When You re Experiencing the Symptoms of Serious Illness Palliative Care The Relief You Need When You re Experiencing the Symptoms of Serious Illness Dealing with the symptoms of any painful or serious illness is difficult. However, special care is available

More information

Hospice and Palliative Care: Help Throughout Life s Journey. John P. Langlois MD CarePartners Hospice and Palliative Care

Hospice and Palliative Care: Help Throughout Life s Journey. John P. Langlois MD CarePartners Hospice and Palliative Care Hospice and Palliative Care: Help Throughout Life s Journey John P. Langlois MD CarePartners Hospice and Palliative Care Goals Define Palliative Care and Hospice. Describe and clarify the differences and

More information

Frequently Asked Questions Regarding At Home and Inpatient Hospice Care

Frequently Asked Questions Regarding At Home and Inpatient Hospice Care Frequently Asked Questions Regarding At Home and Inpatient Hospice Care Contents Page: Topic Overview Assistance in Consideration Process Locations in Which VNA Provides Hospice Care Determination of Type

More information

HOSPICE CARE. A Consumer s Guide to Selecting a Hospice Program

HOSPICE CARE. A Consumer s Guide to Selecting a Hospice Program HOSPICE CARE A Consumer s Guide to Selecting a Hospice Program Hospice It s About How You LIVE One of our greatest fears is dying alone in a sterile, impersonal surrounding. We don t want to be hooked

More information

Hospice Care It s About How You Live

Hospice Care It s About How You Live Hospice Care It s About How You Live Beth Mahar, Director of Member Services Hospice & Palliative Care Association of NYS Thank you to: Elizabeth Peters RN The Community Hospice of Columbia/Greene Mission

More information

Understanding Hospice Care. A Guide for Patients and Families

Understanding Hospice Care. A Guide for Patients and Families Understanding Hospice Care A Guide for Patients and Families CONTACT AND REFERRALS 24-hour phone 630.665.7000 Physician referrals 630.665.7006 Fax 630.665.7371 TTY for the hearing impaired 630.933.4833

More information

Making Choices. About Hospice. 1.800.233.1708 www.hospice.org

Making Choices. About Hospice. 1.800.233.1708 www.hospice.org Making Choices About Hospice 1.800.233.1708 www.hospice.org Belleville Location 618-235-1703 Marion Location 618-997-3030 Edwardsville Location Hospice Home 618-659-7900 Hospice of Southern Illinois is

More information

Introduction to Hospice

Introduction to Hospice Introduction to Hospice Objectives The learner will be able to: Understand general hospice services Discuss ways that hospice services can be accessed Discuss Medicare regulations for hospice services

More information

Palliative Care. The Relief You Need When You re Experiencing the Symptoms of Serious Illness. Healthcare & Rehab Centre

Palliative Care. The Relief You Need When You re Experiencing the Symptoms of Serious Illness. Healthcare & Rehab Centre Palliative Care The Relief You Need When You re Experiencing the Symptoms of Serious Illness Healthcare & Rehab Centre Palliative Care Improving quality of life when you re seriously ill Dealing with the

More information

Pain and symptom management. For persons. Alzheimer s Disease and Hospice Care. What is Hospice Care? Hospice Can Help. Hospice

Pain and symptom management. For persons. Alzheimer s Disease and Hospice Care. What is Hospice Care? Hospice Can Help. Hospice Caregivers Guidance Pain management Hospice Can Help Assistance Compassion Support Hospice What is Hospice Care? Alzheimer s Disease and Hospice Care Presented by Hospice Foundation of America, in Partnership

More information

HOSPICE CARE: A Consumer s Guide to Selecting a Hospice Program

HOSPICE CARE: A Consumer s Guide to Selecting a Hospice Program HOSPICE CARE: A Consumer s Guide to Selecting a Hospice Program One of our greatest fears is dying alone in a sterile, impersonal surrounding. We don t want to be hooked up to tubes, and cut off from

More information

Holy Cross Palliative Care Program. Barb Supanich,RSM,MD Medical Director June 19,2007

Holy Cross Palliative Care Program. Barb Supanich,RSM,MD Medical Director June 19,2007 Holy Cross Palliative Care Program Barb Supanich,RSM,MD Medical Director June 19,2007 Goals Define Palliative Care Scope of Palliative Care Palliative Care Services at Holy Cross Hospital Definition of

More information

PALLIATIVE CARE SERVICES AND RESOURCES. A guide for patients and their loved ones. Living well with serious illness

PALLIATIVE CARE SERVICES AND RESOURCES. A guide for patients and their loved ones. Living well with serious illness PALLIATIVE CARE SERVICES AND RESOURCES A guide for patients and their loved ones Living well with serious illness A patient and family centered approach to living with serious illness Palliative care addresses

More information

Palliative Care for Children. Support for the Whole Family When Your Child Is Living with a Serious Illness

Palliative Care for Children. Support for the Whole Family When Your Child Is Living with a Serious Illness Palliative Care for Children Support for the Whole Family When Your Child Is Living with a Serious Illness Palliative care provides comfort and support to your child and family. When a child is seriously

More information

Increased Support in the Continuum of Medical Care

Increased Support in the Continuum of Medical Care Patient Information Guide Increased Support in the Continuum of Medical Care 8700 BEVERLY BLVD., LOS ANGELES, CALIFORNIA 90048 Cedars-Sinai Cancer Program CP0500 041503 Introduction There may come a time

More information

Memories. R ichmond s ol d es t and only non-pr of it hospic e pr o gr am

Memories. R ichmond s ol d es t and only non-pr of it hospic e pr o gr am Caring for Life Memories R ichmond s ol d es t and only non-pr of it hospic e pr o gr am BON SECOU RS HOSPIC E is a program that affirms the dignity of life. It serves people affected by an advanced illness

More information

HOSPICE SERVICES. This document is subject to change. Please check our web site for updates.

HOSPICE SERVICES. This document is subject to change. Please check our web site for updates. HOSPICE SERVICES This document is subject to change. Please check our web site for updates. This provider manual outlines policy and claims submission guidelines for claims submitted to the North Dakota

More information

Creative Commons Image courtesy of mmmswan on Flickr. Palliative Care: Theories, Principles, and Innovations for Case Management

Creative Commons Image courtesy of mmmswan on Flickr. Palliative Care: Theories, Principles, and Innovations for Case Management Creative Commons Image courtesy of mmmswan on Flickr Palliative Care: Theories, Principles, and Innovations for Case Management OBJECTIVES: Define what Palliative care means. Describe the principles of

More information

ONCOLOGY REHABILITATION PROGRAM

ONCOLOGY REHABILITATION PROGRAM ONCOLOGY REHABILITATION PROGRAM fox oncology rehabilitation program It is a known fact that cancer can have devastating physical, emotional, and psychological effects on patients, caregivers and survivors.

More information

How do you get the most out of. Life?

How do you get the most out of. Life? How do you get the most out of Life? Tabitha Hospice Tabitha Hospice services may include: Care directed by your personal physician Skilled nursing visits How do you get the most out of Life? Tabitha Hospice

More information

Administrative Code. Title 23: Medicaid Part 205 Hospice Services

Administrative Code. Title 23: Medicaid Part 205 Hospice Services Title 23: Medicaid Administrative Code Title 23: Medicaid Part 205 Hospice Services Table of Contents Table of Contents Title 23: Division of Medicaid... 1 Part 205: Hospice Services... 1 Part 205 Chapter

More information

www.seniorclix.com www.elderweb.com National Eldercare Locator 1-800-677-1116 Administration on Aging www.aoa.gov Medicare 1-800-MEDICARE

www.seniorclix.com www.elderweb.com National Eldercare Locator 1-800-677-1116 Administration on Aging www.aoa.gov Medicare 1-800-MEDICARE Introduction This Patient and Family Guide to Hospice Care is designed to be a practical source of information about hospice care. It introduces you to the history and philosophy of the hospice movement.

More information

ECOG 0 Fully active, able to carry on all pre-disease activities Score 0 without restriction.

ECOG 0 Fully active, able to carry on all pre-disease activities Score 0 without restriction. Life Choices Program of Palliative Care PALLIATIVE CARE SCREENING TOOL (Not a permanent part of the medical record) Criteria Please consider the following criteria when determining the palliative care

More information

Palliative Care Program Wentworth-Douglass Hospital

Palliative Care Program Wentworth-Douglass Hospital Palliative Care Program Wentworth-Douglass Hospital Patrick S. Alix, MD Director Michele Loos, RN, MS, CHPN Nurse Coordinator DEFINITION: PALLIATIVE CARE Interdisciplinary care that aims to relieve suffering

More information

Hospice Care. What is hospice care?

Hospice Care. What is hospice care? What is hospice care? Hospice Care You matter because of who you are. You matter to the last moment of your life, and we will do all we can, not only to help you die peacefully, but also to live until

More information

Life Choices. What is Palliative Care? Palliative? Palliative care emerged. A Program of Palliative Care

Life Choices. What is Palliative Care? Palliative? Palliative care emerged. A Program of Palliative Care Life Choices A Program of Palliative Care Relieves suffering and improves quality of life for patients with advanced illnesses What is Palliative Care? Medical treatment that aims to relieve suffering

More information

HTips for Physicians. ospice. Talking About. Talking About Hospice

HTips for Physicians. ospice. Talking About. Talking About Hospice Hospice Care Hospice care is a compassionate method of caring for terminally ill people. Hospice is a medically directed, interdisciplinary team-managed program of services that focuses on the patient/family

More information

Hospice Care. To Make a No Obligation No Cost Referral Contact our Admissions office at: Phone: 541-512-5049 Fax: 888-611-8233

Hospice Care. To Make a No Obligation No Cost Referral Contact our Admissions office at: Phone: 541-512-5049 Fax: 888-611-8233 To Make a No Obligation No Cost Referral Contact our Admissions office at: Compliments of: Phone: 541-512-5049 Fax: 888-611-8233 Office Locations 29984 Ellensburg Ave. Gold Beach, OR 97444 541-247-7084

More information

What is hospice care? Answering questions about hospice care

What is hospice care? Answering questions about hospice care What is hospice care? Answering questions about hospice care Introduction If you, or someone close to you, have a life-limiting or terminal illness, you may have questions about the care you can get and

More information

What services are provided by JSSA Hospice? Our personalized services for patients and family members include:

What services are provided by JSSA Hospice? Our personalized services for patients and family members include: FAQ S ABOUT HOSPICE What is Hospice? Hospice is a specialized type of healthcare for patients and families who are faced with a terminal illness. A team of physicians, nurses, social workers, bereavement

More information

Compassionate Care Right at Home.

Compassionate Care Right at Home. Words cannot express how thankful we are for all that your nurses did for our dad during those last few weeks more than anything they treated him with respect and love and gave him the peace and comfort

More information

The Social Context. If you are young and thin, you will be happy and live forever! (Assuming you have an iphone )

The Social Context. If you are young and thin, you will be happy and live forever! (Assuming you have an iphone ) Improving Care Transitions through Better Use of Palliative Care Resources Cooper Linton, MSHA, MBA VP Marketing and Business Development The Social Context Forget the 2.3 kids and the white, picket fence,

More information

HOSPICE INFORMED CONSENT

HOSPICE INFORMED CONSENT HOSPICE INFORMED CONSENT PATIENT NAME: INSTRUCTIONS: This form is used to acknowledge receipt of our Orientation Booklet and confirm your understanding and agreement with its contents. Your signature below

More information

North Shore Palliative Care Program

North Shore Palliative Care Program North Shore Palliative Care Program This booklet is intended for patients and families who are facing a life threatening illness. We hope that this booklet provides you with answers to some of your questions

More information

3701-19-01 Definitions. As used in this chapter:

3701-19-01 Definitions. As used in this chapter: ACTION: Final DATE: 02/05/2015 10:15 AM 3701-19-01 Definitions. As used in this chapter: (A) "Advanced Practice Nurse" means a registered nurse authorized to practice as a certified nurse specialist, certified

More information

Community Resources CVA

Community Resources CVA Community Resources CVA As an individual recovers from a stroke and transitions to the community setting, (i.e. home from rehab) an awareness of available community resources is very helpful. There are

More information

End of Life Care - It Takes a Team

End of Life Care - It Takes a Team End of Life Care - It Takes a Team ROME New England August 16, 2015 Christina E. Fitch, DO, MPH, DTM&H Objectives "At the conclusion of the presentation, the learner will be able to:..." *Explain the difference

More information

the California Home Care guide How to navigate your home care options to find care for your loved ones Created for our clients by the team at:

the California Home Care guide How to navigate your home care options to find care for your loved ones Created for our clients by the team at: the California Home Care guide How to navigate your home care options to find care for your loved ones Created for our clients by the team at: Orange County Home Care Guide:: How to find care for your

More information

Moving Through Care Settings (Don t Send Me to a Nursing Home)

Moving Through Care Settings (Don t Send Me to a Nursing Home) Moving Through Care Settings (Don t Send Me to a Nursing Home) NCCNHR Annual Meeting October 23, 2009 Eric Carlson Alfred J. Chiplin, Jr. Gene Coffey 1 At-Home Care Getting More Attention Many federal

More information

PALLIATIVE CARE AGS. THE AMERICAN GERIATRICS SOCIETY Geriatrics Health Professionals. Leading change. Improving care for older adults.

PALLIATIVE CARE AGS. THE AMERICAN GERIATRICS SOCIETY Geriatrics Health Professionals. Leading change. Improving care for older adults. PALLIATIVE CARE AGS THE AMERICAN GERIATRICS SOCIETY Geriatrics Health Professionals. Leading change. Improving care for older adults. Why do we need palliative care? 1900 HOW AMERICANS DIED IN THE PAST

More information

Palliative Care Certification Requirements

Palliative Care Certification Requirements Palliative Care Certification Requirements Provision of Care, Treatment, and Services PCPC.1 1 Patients know how to access and use the program s care, treatment, and services. 2 3 Patients and families

More information

August Is Palliative Care and Cancer Pain Awareness Month

August Is Palliative Care and Cancer Pain Awareness Month August Is Palliative Care and Cancer Pain Awareness Month What Is Palliative Care? Palliative care is a growing research area that focuses on improving the quality of life of all people living with cancer,

More information

Collaboration Between Adult Day Services and Community Agencies

Collaboration Between Adult Day Services and Community Agencies Collaboration Between Adult Day Services and Community Agencies IDOA Supervisor Conference May 5, 2015 Written by: Tom Shoemaker, MSW, LCSW, OSF Hospice Social Worker & Community Education Coordinator

More information

Palliative care in an Intensive Care Unit

Palliative care in an Intensive Care Unit Palliative care in an Intensive Care Unit J O S I E N S C H O O N U R S E P R A C T I T I O N E R P A L L I A T I V E C A R E R I J N S T A T E H O S P I T A L A R N H E M T H E N E T H E R L A N D S Introduction

More information

Partnering for Success. The Nursing Facility and Hospice Partnership to Provide End-of-Life Care To Nursing Facility Residents

Partnering for Success. The Nursing Facility and Hospice Partnership to Provide End-of-Life Care To Nursing Facility Residents Partnering for Success The Nursing Facility and Hospice Partnership to Provide End-of-Life Care To Nursing Facility Residents 1 What will I learn today? Attitudes towards death & dying Overview of hospice

More information

Palliative Care Role Delineation Framework

Palliative Care Role Delineation Framework Director-General Palliative Care Role Delineation Framework Document Number GL2007_022 Publication date 26-Nov-2007 Functional Sub group Clinical/ Patient Services - Medical Treatment Clinical/ Patient

More information

HOSPICE ORIENTATION FOR SKILLED NURSING FACILITIES

HOSPICE ORIENTATION FOR SKILLED NURSING FACILITIES HOSPICE ORIENTATION FOR SKILLED NURSING FACILITIES (2008 Medicare Conditions of Participation for Hospice Care 418.122 (f)) Hospice Philosophy Hospice is a unique concept of care designed to provide comfort

More information

Hospice Manual for Facility

Hospice Manual for Facility Hospice Manual for Facility Home Health & Hospice Hospice in the Facility Objectives 1. Identify the mechanism for providing government regulated care in the facility. 2. Identify the Hospice policy and

More information

Medicare Hospice Benefits

Medicare Hospice Benefits CENTERS FOR MEDICARE & MEDICAID SERVICES Medicare Hospice Benefits This official government booklet includes information about Medicare hospice benefits: Who is eligible for hospice care What services

More information

Heartland Hospice Care

Heartland Hospice Care Heartland Hospice Care Enriching life. We enrich lives right at home. At Heartland, we proudly provide hospice care wherever you call home: the house you ve lived in for decades, a skilled nursing center,

More information

Community Resources for SCI Patients

Community Resources for SCI Patients for SCI Patients As an individual recovers from a spinal cord injury and transitions to the community setting, i.e. home from the rehab setting, an awareness of available community resources is very helpful.

More information

A Guide to Understanding Your Discharge Options After Hospitalization

A Guide to Understanding Your Discharge Options After Hospitalization A Guide to Understanding Your Discharge Options After Hospitalization DHMC Care Management: (603) 650-5789 Table of Contents Hospital to Home with Home Care... 3 Hospice Care... 5 Skilled Nursing Facility*...

More information

Hospice Update. Annette T. Carron, D.O., CMD, FAAHPM, FACOI Director Geriatrics and Palliative Care Botsford Hospital Farmington Hills, MI

Hospice Update. Annette T. Carron, D.O., CMD, FAAHPM, FACOI Director Geriatrics and Palliative Care Botsford Hospital Farmington Hills, MI Hospice Update Annette T. Carron, D.O., CMD, FAAHPM, FACOI Director Geriatrics and Palliative Care Botsford Hospital Farmington Hills, MI Sudden death, unexpected cause < 10%, MI, accident, etc Health

More information

Hospice Case Management

Hospice Case Management Defining Quality Hospice Case Management Cindy Henderson, BSN, RN, CHPN Director of Operations Acclaim Hospice and Palliative Care Kindred Healthcare, Inc. Objectives At the end of the session, participants

More information

Advanced Lung Cancer: Issues To Consider. Patient Education Guide

Advanced Lung Cancer: Issues To Consider. Patient Education Guide Advanced Lung Cancer: Issues To Consider Patient Education Guide A M E R I C A N C O L L E G E O F C H E S T P H Y S I C I A N S When a person is diagnosed with lung cancer, the doctors do their best to

More information

THE FIRST STEPS INTO SURVIVORSHIP

THE FIRST STEPS INTO SURVIVORSHIP 10 th Annual Nebraska Cancer Summit THE FIRST STEPS INTO SURVIVORSHIP Sheri Sheriff, PT, DPT April 16, 2014 History of Cancer Wellness Program Need for Enhanced Survivorship Services Fragmented Resources

More information

Lymphoma and palliative care services

Lymphoma and palliative care services Produced 2010 Next revision due 2012 Lymphoma and palliative care services Introduction Despite improvements in treatment, many people with lymphoma will not be cured. Death and dying are things that people

More information

Comprehensive Hospice Care

Comprehensive Hospice Care Comprehensive Hospice Care ONE CALL. HOME CARE FOR LIFE. Visiting Nurse Association of Northern New Jersey (VNA) Hospice is uniquely qualified to provide comprehensive supportive care for patients with

More information

4. Program Regulations

4. Program Regulations Table of Contents iv 437.401: Introduction... 4-1 437.402: Definitions... 4-1 437.403: Eligible Members... 4-2 437.404: Provider Eligibility... 4-3 437.405: Out-of-State Hospice Services... 4-3 437.406:

More information

HOSPICE 102. The Impact of Readiness & Teamwork. Sally Mattingly, R.N., CHPN Carrefour Associates. Management Company for Crossroads Hospice

HOSPICE 102. The Impact of Readiness & Teamwork. Sally Mattingly, R.N., CHPN Carrefour Associates. Management Company for Crossroads Hospice The Impact of Readiness & Teamwork Sally Mattingly, R.N., CHPN Carrefour Associates Management Company for Crossroads Hospice September 2009 Sooner is better. While most primary care physicians recognize

More information

A Provincial Framework for End-of-Life Care

A Provincial Framework for End-of-Life Care A Provincial Framework for End-of-Life Care Ministry of Health May 2006 Letter from the Minister British Columbia continues to develop a health care system that encourages choice and dignity, along with

More information

Engaging Spirituality in Social Work for Palliative Care and Hospice

Engaging Spirituality in Social Work for Palliative Care and Hospice Engaging Spirituality in Social Work for Palliative Care and Hospice Conversations about Comfort, Support, and Quality of Life written by Palliative Care Consulting Team and Hwi-Ja Canda Lawrence Memorial

More information

Ambitions for Palliative and End of Life Care:

Ambitions for Palliative and End of Life Care: Ambitions for Palliative and End of Life Care: A national framework for local action 2015-2020 National Palliative and End of Life Care Partnership Association for Palliative Medicine; Association of Ambulance

More information

Home and Community Care. A Guide to Your Care

Home and Community Care. A Guide to Your Care Home and Community Care A Guide to Your Care August 2007 For information on any of these services, contact the home and community care program at the local health authority. For contact information on

More information

Medicare Hospice Benefits

Medicare Hospice Benefits Large Print Edition Medicare Hospice Benefits a special way of caring for people who have a terminal illness This booklet explains... The hospice program and who is eligible. Your Medicare hospice benefits.

More information

Compliance Audit Tool

Compliance Audit Tool CMS FY 2011 Top 10 Hospice Survey Deficiencies Compliance Audit Tool National Hospice and Palliative Care Organization www.nhpco.org/regulatory This audit tool is based on CMS s national aggregated analysis

More information

Hospice care services

Hospice care services Hospice care services Summary of change: Effective February 1, 2015, hospice services will be a covered benefit covered by Amerigroup Louisiana, Inc. Amerigroup Louisiana, Inc. recognizes the importance

More information

Don t Delay Hospice Care Referrals

Don t Delay Hospice Care Referrals Don t Delay Hospice Care Referrals Timely hospice admissions provide greater benefits. Among the Medicare population, about nine out of 10 deaths are associated with chronic illnesses, such as cancer,

More information

A Call to Duty. Transforming Veteran s End-of-Life Care. Julie Benson, MD. Medical Director Hospice and Palliative Care. Jessica Martensen, RN

A Call to Duty. Transforming Veteran s End-of-Life Care. Julie Benson, MD. Medical Director Hospice and Palliative Care. Jessica Martensen, RN A Call to Duty Transforming Veteran s End-of-Life Care Julie Benson, MD Medical Director Hospice and Palliative Care Jessica Martensen, RN Director, Home Care and Hospice Lakewood Health System Staples,

More information

Hospice Volunteers: Helping People LIVE

Hospice Volunteers: Helping People LIVE Hospice Volunteers: Helping People LIVE More than 1 million people and their families are cared for by hospice each year, many with the support of hospice volunteers... H ospice volunteers provide companionship

More information

Compliance Tip Sheet CMS FY 2010 TOP TEN HOSPICE SURVEY DEFICIENCIES COMPLIANCE RECOMMENDATIONS CMS TOP TEN HOSPICE SURVEY DEFICIENCIES

Compliance Tip Sheet CMS FY 2010 TOP TEN HOSPICE SURVEY DEFICIENCIES COMPLIANCE RECOMMENDATIONS CMS TOP TEN HOSPICE SURVEY DEFICIENCIES Compliance Tip Sheet National Hospice and Palliative Care Organization www.nhpco.org/regulatory CMS FY 2010 TOP TEN HOSPICE SURVEY DEFICIENCIES COMPLIANCE RECOMMENDATIONS INTRODUCTION The Centers for Medicare

More information

Homeward Bound. Amanda Melvin, MSW Emily Hartman, BSN, RN Tiffany Curtis, BSN, RN, CRRN Cindy Regan, MSN, RN - BC

Homeward Bound. Amanda Melvin, MSW Emily Hartman, BSN, RN Tiffany Curtis, BSN, RN, CRRN Cindy Regan, MSN, RN - BC Homeward Bound Amanda Melvin, MSW Emily Hartman, BSN, RN Tiffany Curtis, BSN, RN, CRRN Cindy Regan, MSN, RN - BC Objectives Identify and differentiate the levels of stroke rehabilitation care. Identify

More information

Utah Medicaid Hospice Care Provider Training

Utah Medicaid Hospice Care Provider Training Utah Medicaid Hospice Care Provider Training Presented By: The Division of Medicaid and Health Financing Bureau of Authorization and Community Based Services October 2012 1 Hospice Training Topics Client

More information

Cancer and Advance Care Planning

Cancer and Advance Care Planning Cancer and Advance Care Planning You ve been diagnosed with cancer. Now what? You have a lot to think about and it can be difficult to know where to start. One important thing you should think about is

More information

SPECIALTY CASE MANAGEMENT

SPECIALTY CASE MANAGEMENT SPECIALTY CASE MANAGEMENT Our Specialty Case Management programs boost ROI and empower members to make informed decisions and work with their physicians to better manage their health. KEPRO is Effectively

More information

Maryland Cancer Plan Pain Management Committee

Maryland Cancer Plan Pain Management Committee Maryland Cancer Plan Pain Management Committee IDEAL MODEL FOR CANCER CONTROL PROBLEM or ISSUE Lack of provider awareness regarding appropriate pain assessment and management and relevant policy Definition:

More information

Hospice of the Western Reserve. Hospice and Palliative Care. Services for Serious, Chronic and Terminal Illnesses

Hospice of the Western Reserve. Hospice and Palliative Care. Services for Serious, Chronic and Terminal Illnesses Hospice of the Western Reserve Hospice and Palliative Care Services for Serious, Chronic and Terminal Illnesses A Tradition of Caring The leader in the community, Hospice of the Western Reserve is also

More information

Residential Care Facility Agreement

Residential Care Facility Agreement The owner and Chaplain of Treasure Valley Hospice, Clark E. Limb, has graciously agreed to make the contract his team developed for working with RALFs available to the RALF industry to use as a reference

More information

Inquiry into palliative care services and home and community care services in Queensland. Submission to the Health and Community Services Committee

Inquiry into palliative care services and home and community care services in Queensland. Submission to the Health and Community Services Committee Inquiry into palliative care services and home and community care services in Queensland Submission to the Health and Community Services Committee August, 2012 1 Introduction The Queensland Nurses Union

More information

Medical Rehabilitation. Rehabilitation Unit

Medical Rehabilitation. Rehabilitation Unit Medical Rehabilitation Rehabilitation Unit Medical Rehabilitation The purpose of this handout is to give you information about University Hospital s Rehabilitation Unit (2 North or 2N). It will explain:

More information

Medicare Hospice Benefits

Medicare Hospice Benefits CENTERS for MEDICARE & MEDICAID SERVICES Medicare Hospice Benefits This official government booklet includes information about Medicare hospice benefits: Who s eligible for hospice care What services are

More information

Finding Meaning and Purpose in Palliative Care

Finding Meaning and Purpose in Palliative Care Finding Meaning and Purpose in PALLIATIVE CARE WHAT IS IT? Jeffrey Rubins, MD Director, Palliative Medicine Hennepin Health Services deriv. from pallium, to cloak How do you pronounce palliative? medical

More information

Cathy Wagner RN, MSN, MBA Certified Hospice and Palliative Nurse Adjunct Faculty, Red Rocks Community College

Cathy Wagner RN, MSN, MBA Certified Hospice and Palliative Nurse Adjunct Faculty, Red Rocks Community College Cathy Wagner RN, MSN, MBA Certified Hospice and Palliative Nurse Adjunct Faculty, Red Rocks Community College Nurse Aide: A Support for Patients in Hospice and Their Families CHEO, Faculty Professional

More information

UW MEDICINE PATIENT EDUCATION. Your Care Team. Helpful information

UW MEDICINE PATIENT EDUCATION. Your Care Team. Helpful information UW MEDICINE PATIENT EDUCATION Your Care Team Helpful information In this section: You: The Patient Medical Staff Nursing Staff Allied Health Professionals Support Staff Peer Mentors for People with Spinal

More information

End-of-Life Care: Diversity and Decisions Participant Handout

End-of-Life Care: Diversity and Decisions Participant Handout FCH11 08 December, 2010 End-of-Life Care: Diversity and Decisions Participant Handout Every person is like all others, like some others, and like no others. -adapted from quote by Clyde Kluckhohn, American

More information

Level of Care Tip Sheet MANAGING CONTINUOUS HOME CARE FOR SYMPTOM MANAGEMENT TIPS FOR PROVIDERS WHAT IS CONTINUOUS HOME CARE?

Level of Care Tip Sheet MANAGING CONTINUOUS HOME CARE FOR SYMPTOM MANAGEMENT TIPS FOR PROVIDERS WHAT IS CONTINUOUS HOME CARE? Level of Care Tip Sheet National Hospice and Palliative Care Organization www.nhpco.org/regulatory MANAGING CONTINUOUS HOME CARE FOR SYMPTOM MANAGEMENT WHAT IS CONTINUOUS HOME CARE? TIPS FOR PROVIDERS

More information

Advanced Nurse Practitioner Specialist. Palliative

Advanced Nurse Practitioner Specialist. Palliative JOB DESCRIPTION ellenor Advanced Nurse Practitioner Specialist Palliative Care Responsible to Accountable to: Head of Adult Community Services Director of Patient Care General ellenor is a specialist palliative

More information

Pain and symptom management in pleural mesothelioma

Pain and symptom management in pleural mesothelioma Pain and symptom management in pleural mesothelioma MARF October 2006 Helen Clayson Hospice of St Mary of Furness University of Sheffield Outline Background to the study Symptoms in mesothelioma What is

More information

Reimbursement of Hospice and Palliative Care in the VA. Caroline Schauer, VISN 23 Hospice and Palliative Care Program Manager

Reimbursement of Hospice and Palliative Care in the VA. Caroline Schauer, VISN 23 Hospice and Palliative Care Program Manager Reimbursement of Hospice and Palliative Care in the VA Caroline Schauer, VISN 23 Hospice and Palliative Care Program Manager 1 What s the Vision of the Veterans Health Administration? Reliable access to

More information

Guidelines for the Provision of Hospice Services in Mainstream Medicaid Managed Care

Guidelines for the Provision of Hospice Services in Mainstream Medicaid Managed Care NEW YORK STATE DEPARTMENT OF HEALTH OFFICE OF HEALTH INSURANCE PROGRAMS Guidelines for the Provision of Hospice Services in Mainstream Medicaid Managed Care Overview Effective October 1, 2013, the provision

More information

SIP 222010 TO: Donald M. Berwick, M.D. Administrator Centers for Medicare & Medicaid Services

SIP 222010 TO: Donald M. Berwick, M.D. Administrator Centers for Medicare & Medicaid Services DEPARTMENT OF HEALTH &. HUMAN SERVICES Office of Inspector General Washington, D.C. 20201 SIP 222010 TO: Donald M. Berwick, M.D. Administrator Centers for Medicare & Medicaid Services FROM: Stuat1 Wright

More information

Regional Palliative Care Program Vision, Mission, Philosophy and Goals

Regional Palliative Care Program Vision, Mission, Philosophy and Goals Regional Palliative Care Program Vision, Mission, Philosophy and Goals Background The mission, vision, and philosophy of the Regional Palliative Care Program (RPCP) are congruent with those of Capital

More information

CARE AT HOME (CAH) I/II MEDICAID WAIVER PALLIATIVE CARE PROVIDER APPLICATION

CARE AT HOME (CAH) I/II MEDICAID WAIVER PALLIATIVE CARE PROVIDER APPLICATION CARE AT HOME (CAH) I/II MEDICAID WAIVER PALLIATIVE CARE PROVIDER APPLICATION The New York State Department of Health (DOH) invites interested Hospices and Certified Home Health Agencies (CHHA) meeting

More information

National Stroke Association s Guide to Choosing Stroke Rehabilitation Services

National Stroke Association s Guide to Choosing Stroke Rehabilitation Services National Stroke Association s Guide to Choosing Stroke Rehabilitation Services Rehabilitation, often referred to as rehab, is an important part of stroke recovery. Through rehab, you: Re-learn basic skills

More information