...McDaniel Determining Your Perfect Position Agape Hospice is a reputable organization offering nursing care, physician services, social services, home health aides, trained volunteer services, bereavement services, spiritual support, and counseling. The services are offered to the northern region of Louisiana. As an employee of Agape Hospice; the perfect position would be director of marketing. My leadership style demonstrates a concern for people as well as task; with task being the priority. To be an employee for a Hospice group, the concern for people is very important. However; accomplishing a task creates security and a sense of accomplishment in the organization. Hospice provides “comforting care that emphasizes quality of life” (Hospice, 2011, pg. 1). This requires a concern for the needs of people. The mission of hospice is “serving faithfully as your partner through the final stages of a journey we know as life” (Hospice, 2011, pg 1). Hospice requires a sense of passion and concern with emphasize on task to accomplish a goal of security and serenity. Leadership style The leadership style most associated with my role in an organization is trait approach. Trait approach focuses on the personality, motives, and values of the leader. Trait approach is an adequate leadership style for a director of marketing because motive is an important issue in hospice care. The motive of hospice is to increase the patient census while offering a quality...
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...to no idea how home care health and hospice care was regulated by health insurance companies and Medicare. They both have different goals. Home health care aids at improving the patient’s condition through administration of treatment and other services, which must be covered by Medicare. According to Stanhope & Lancaster (2014), Hospice care can be either “home-based and/or in-patient…focus on comfort, pain relief, and mitigation of other distressing symptoms.” The simulation was focused on three different scenarios; home health care, transition to hospice and hospice care. This paper will discuss my experience with each scenario, the debriefing process and how the experience changed my nursing practice....
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...Bristol Hospice, which is design to provide psychosocial needs, and promote quality care to patients who has a few months left to live. Clients who are in the hospice care usually have friends and family to come visit them while others do not. As a volunteer, this is where I come in to become one of their extended families (don't know how to say it should I say close friends? Relatives? Or its fine the way it is?) by providing them a stimulating environment such as activities that they love to do or simply just listening and talking to them. While having the privilege to provide companionship to my patients, I also had the opportunity to witness the interaction between the professional nurse and the ones that they caring for. I did find few RN's who are insanely compassionate about their profession but most of the time I have encountered nurses who lack one of the six core competencies, which are patient-centered care, team work and collaboration, evidence based practice, quality improvement, safety, and informatics which are all under the category of Quality and Safety Education for Nurses (QSEN) that is identified by the Institute of Medicine. One of the QSEN that stands out the most is patient-centered because throughout my volunteer work at hospice facility, I noticed that some nurses did not know how to connect well with their patients. In order to achieve patient-centered care, undergrad nurses need to be culturally competent by gaining the appropriate knowledge, skills...
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...Come Join the Hospice and Palliative Nurses’ Association Houston chapter! Why Join HPNA Houston Chapter? • Free monthly subscription to CHPNA TODAY, a nursing journal with up-to-date articles and the most cutting edge research in hospice and palliative nursing • Speakers teach us how to apply research findings in clinical practice! • Bi-annual workshops and CEU’s • Fellowship with like minded professionals and networking opportunities • Houston chapter sponsors a bi-monthly newsletter for all things local in Hospice and Palliative Care! • Free study materials for CHPN certification! • Free Tote bag, T-shit and professional pin! Requirements for Membership: • Must be RN or LVN practicing in Hospice and/or Palliative Care setting for 18 months+ (special circumstances considered) • $120 yearly member ship fee, waived for members 55 years and up! American Cancer Society says, “HPNA is leading the charge for evidence based practice in a bourgeoning specialty.” Ruth M RN says, “ I have been a hospice nurse for 10 years, and yet I learn something new about this field and how to deliver care nearly every week!” Come see for yourself! This Monday November 15th HPNA Houston chapter is hosting an Ice Cream Social with keynote guest speaker Dr. John Wessley. Topic: “Caregiver Fatigue: Caring for yourself and Others, an RN’s perspective” Monthly meetings held the third Friday of the month 7:00p-8:30p In the M.D. Anderson...
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...The Hospice Movement What is a hospice? A hospice is a place where people who are fatally ill can find care during their illness and then return home. The word hospice comes from the Latin word “hospes”, a word referring both to guests and hosts. Cicely Saunders She was a British registered nurse who pursued a career in medical social work due to chronic health problems. She fell in love with a dying patient (David Tasma, a Polish refugee), this helped her solidify her ideas that terminally ill patients needed compassionate care to help address their fears and concerns as well as comfort for physical symptoms. One of her most important quotes is: "You matter because you are you, and you matter to the last moment of your life." After the refugee's death she volunteered at St Luke's Home for the Dying Poor where she was told that she could best influence the treatment of a terminally ill person as a physician. She then entered medical school and achieved her degree in 1957. Saunders believed that it is more important to focus on the patient rather than on the disease and introduced the term “total pain”, which included the psychological, spiritual and the physical aspects. She also believed that the needs of the patient's family should not be ignored. She spread her philosophy internationally in a series of tours of the United States that began in 1963. In 1967, Cicely Saunders and her colleagues opened St. Christopher’s Hospice, the world’s first...
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...customers http://www.richardson.com/Who-We-Are/Thought-Leadership/Defining-Consultative-Selling/ • Consultative Selling is all about the dialogue between the salesperson and the customer. The word dialogue comes from the Greek and means “to learn.” In Consultative Selling, the salesperson learns about customer needs before talking product. Product knowledge is transformed into a tailored solution when the solution is delivered and positioned based on the customer’s needs and language. http://www.richardson.com/Who-We-Are/Thought-Leadership/Defining-Consultative-Selling/ • With Consultative Selling, the customer’s needs come first. Needs are identified through a combination of preparation and effective probing and drilling-down into customer answers. Consultative Selling took the hard edge from product selling and replaced it with the strong but flexible edge that is custom fit to the customer’s needs. http://www.richardson.com/Who-We-Are/Thought-Leadership/Defining-Consultative-Selling/ • The Account Liaison is responsible for generating business from territory referral sources to meet territory and agency revenue and census goals. Responsible to develop and implement programs to raise and establish...
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...on caretakers, physicians and more specifically hospice doctors, nurses, social workers and counselors. All of whom care for both the patients who must bear the knowledge that they are dying for as much as six months ahead of time and for their families and loved ones who are present throughout the whole process. Unfortunately, this branch of medicine, palliative medicine, is relatively new. Thus it is critical now more than ever that more funding and research are dedicated to its advancement and upkeep. The need for hospice care throughout...
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...Hospice Care When a loved one dies, the place of death may have important implications for families’ experience of death and subsequent bereavement, although it may not be the sole factor impacting this experience. (Siden, 2008) Home hospice helps the entire family and family members are encouraged to take an active role in providing supportive care to the patient. In doing so, the family experiences fewer feelings of helplessness and the patient is not relying solely on strangers for all of his/her care. The goal of hospice care is to achieve the best quality of life not only for patients, but also for their families. Enabling death at home, if this is the patient's choice, is often seen as part of ensuring the best possible quality of life. There are hospitals which have a hospice program to give terminally ill patients access to support services and other health care professionals. Many hospitals have a special hospice unit. These units provide intensive medical and psychological support to patients who need aggressive symptom management. Home hospice provides end-of-life care in a setting which is familiar to the patient and their family therefore making their final days more comfortable and beneficial to all. Excellent end-of-life support, in the location of choice, is in itself, an essential aim but my goal is to determine which choice provides the best care for the patient and the family. Palliative care It has been noted that the most common answer to the question...
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...Review of Literature Essay When a person is placed on hospice, it is generally seen as a comfort measure instead of a curative measure (Villet-Langomarsino 2018). Pain management of the hospice patient is of great importance because it is one of the few things that can be done during the end stage of life when treatment of a disease is no longer desired. Pain is a common symptom in health care and should be one of the easiest to treat due to its popularity, but unfortunately it is not. Since pain is so unique to person, assessment and treatment must be custom tailored to each patient. The problem with pain management is its specificity to each person and disease plus the numerous ways to treat it. Without one specific roadmap of treating...
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...Risk and Quality Management Assessment: Hospice Care HCS/451 Hospice Care The only two things that are guaranteed in life are birth and death. It seems that every time I tell my husband that his drinking habits are going to be the death of him one day. He always responds by saying “We’ve all got to day someday in one way or another, so why not enjoy life while you have it”. But in some cases the choices that we make will often determine whether we live to see the age of 90 verses just the age of 40 or 50. Nevertheless, whether it is death by a life full of bad choice, by accident, or by the luxury of old age. My husband is absolutely correct in saying we all have to die one day and because of that fact hospice care is available. This will be an in depth description of the hospice organization as a whole. As well as the demographics of whom they serve and the types of resources and services the organization has to offer its clientele. This executive summary will also including a summary of the risk management and quality management operatives that are associated with hospice organizations as a whole. Hospice Description The hospice program was pioneered in England back in the early 1970’s. It was a program established to assist patients and their families with end-of-life care. A hospice care team is comprised of nursing assistants, licensed vocational nurses, registered nurses, social workers, pastoral counselors, and many other health professionals. All of whom are under...
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...practice became a prominent focus during the second half of the 20th century.1 More recently, attention has been paid to methods of determining which of multiple proven approaches to a healthcare problem works best for which patients.2 Evidence-based practice encompasses implementing the best-known practices into the clinical setting using a scientific approach. It evolved from evidence-based medicine, which was developed in Canada to teach medical students. “Evidence-based medicine has been defined as the conscientious, explicit, and judicious use of current best evidence in making decisions about the care of individual patients.”3, p. 3 The National Quality Forum’s report A National Framework and Preferred Practices for Palliative and Hospice Care Quality is a consensus report that is a first step toward introducing evidence-based measures into palliative practice on a formal, national level.4 The Agency for Healthcare Research and Quality (AHRQ) supports organizations in their efforts to improve the quality and efficiency of healthcare by facilitating the use of evidence-based research findings in clinical practice.5 The nursing discipline has also embraced evidence-based practice over the past 25 years, initially through its support of “research utilization,” the integration of research into nursing curricula, and the education of nurse scientists. Sigma Theta Tau International, the Honor Society of Nursing, considers evidence-based nursing “as an integration of the best evidence...
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...Hospice Care LaToya L. Howard HCS/212 January 1, 2013 Denise Brown I first heard about hospice from a co-worker a few years ago when that co-worker was preparing to check her mother in hospice and she was in her forties. As she discussed with me her mother had a drug addiction problem her entire life. At that time I had never heard about hospice and I became interested in learning more about it. “Hospice is a special concept of care designed to provide comfort and support to patients and their families. Patients are referred to hospice when life expectancy is approximately six months or less. Hospice care can continue longer than six months if needed but requires physician certification” (Kinzbrunner, BM, 2002, p. 29-45). As I researched on the internet I found out during the 1960’s, Dr. Cicely Saunders began the modern hospice movement by establishing St. Christopher’s Hospice near London Street. According to Saunders (1975), the word “hospice” originated from the Latin word “hospitium” which means guesthouse. It was originally used to describe a place of shelter for sick travelers returning from religious pilgrimages. In addition to this information there have been more than 4,700 hospice programs in the United States. As I learned from my previous co-worker hospice care is there to make the patient’s life more comfortable as they prepare for their end of life and to provide support...
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...Patients' and End of Life Care: A Multidisciplinary Concept Analysis With an aging population in our country we are facing an increasing number of patients’ that are coming to the end of their lives and are presenting with terminal illness. As life expectancy increases we are seeing more and more patent that are 65 year old and older in need of end of life care. Research and medical developments have provided a vast array of treatment options available to our patients’. After patients’ have exhausted all available treatment options for their disease processes they face the reality that their life is coming to an end. Patients’ near the end choose between quality of life over quantity of life. One service available to terminal patients’ is hospice care which offers palliative care to patients’ at the end of life. Health care providers must be able to face and appropriately care for patients’ with terminal illness and end of life care. At times it may be difficult for health care providers to face or present the truth to a patient that further treatment is futile and end of life care would be appropriate. Advanced practice nurses’ will face terminal illness and it is required of them to be able to sufficiently treat, manage, and discuss end of life care with these patients. It is necessary for practitioners to establish understanding and acceptance of end of life care. It is necessary to analyze terminal illness, end of life care, and treatment options available to our patients’...
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...RUP1: Professional Roles and Values in Nursing Allegra Connors Western Governors University Functional Differences There are many differences in functions of a regulatory board of nursing such as the Illinois Board of Nursing (IBN) and a professional nursing association such as the Hospice and Palliative Nurse Association (HPNA). The Illinois Board of Nursing functions as the licensing body for professional nursing, regulatory enforcer and where complaints about nurses or nursing practice can be addressed. It’s role is to protect the public safety in regards to nursing and it’s practice (Cherry & Jacob, 2010). The role of the HPNA is one of advocacy for it’s members and their profession, including lobbying for laws and policies, communicating with members about issues that affect us as in end-of-life care, they allow networking and sharing among hospice professionals, they disseminate knowledge of new practices and issues and they offer professional development through courses and seminars as well as credentialing in the specialization of a nurse in hospice and palliative care. (Matthews, 2012) In regards to credentials the IBN sets the standards and scope of practice that nurses are responsible for in the state of Illinois. In essence they define nursing and what that means in their state. They are responsible for verifying through transcripts that an individual has obtained the correct schooling required and they administer the NCLEX-RN exam that an individual...
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...Executive Summary When people think of Hospice, they think of someone who is dying within the next couple of days, but it isn’t what it seems. Hospice is not a place; it’s a philosophy of care that enhances life as it nears its end for the patients and their families and friends. (Odyssey Health Care, 2013). Some people may feel that it’s scary to have to see someone going through something that they cannot fix, but what people have to realize is that you are making a difference in their lives. Some of the patients don’t have any family, so for someone to just go and talk to them for less than 30 minutes can really make a difference. The patients that are in Hospice sometimes don’t even show symptoms and act completely normal. Most patients accept that they are going to pass, so they usually do whatever they can before that happens. As soon as the physician let’s the patients know that hospice care is appropriate, they call Odyssey Hospice nurses. Within three hours, 24 hours a day, seven days out of the week, the patient is admitted into the program. At the end of life, what often matters most to a person who is dying is simply taking the time to hold a hand, give support and just be there. We as Odyssey Hospice volunteers would like to improve the quality of life of all individuals who see Hospice as something different then what it actually is. Mission Statement To provide compassionate care to those we serve during the end of life’s journey through our commitment to...
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