An on-the-go reference for hospice nurses and those interested in end-of-life care, this practical guide covers the essential elements in the compassionate and holistic care of terminally ill patients and their families. Nurses care for patients facing end-of-life issues in every practice specialty and, as the U.S. population continues to age, the need for proficiency in end-of-life skills will become increasingly important. Fast Facts for the Hospice Nurse: A Concise Guide to End-of-Life Care is an invaluable resource that provides emotional, administrative, and palliative support, whether in a hospice, long-term care facility, or acute care setting. This vital go-to text clearly and concisely lays out not only how to care for patients facing end-of-life issues, but also how to engage in self-care and cope with occupational stress.
Beginning with an overview of hospice care, including its history and philosophy, this book offers a timeline of the growth of the hospice movement in the United States. Subsequent sections include up-to-date information on the clinical responsibilities of the hospice nurse in addressing the physical, psychological, and spiritual needs of terminally ill patients and their families in a culturally sensitive way. This book also outlines the administrative duties of the hospice nurse, including hospice documentation, a review of hospice regulations, and quality management. The closing section focuses on occupational stress in hospice nursing and how to engage in self-care. This text can serve as a useful clinical resource and also as a reference for nurses seeking hospice certification from the Hospice and Palliative Credentialing Center.
Key Features
- Organized within the context of the scope and standards of practice of the Hospice and Palliative Nurses Association.
- Addresses key points about issues unique to hospice nursing and highlights evidence-based interventions
- Addresses important Medicare regulations and reimbursement
- Offers numerous clinical resources to assist with hospice nursing practice
- Serves as a concise study resource for hospice nursing certification
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Contents
Foreword Betty Ferrell, Ph D, MA, RN, FAAN, FPCN, CHNP
Preface
Acknowledgments
Part I OVERVIEW OF HOSPICE
1. The Difference Between Hospice and Palliative Care
2. History and Evolution of Hospice in the United States
3. Hospice Philosophy and the Role of the Nurse
4. The Hospice Nurse as a Member of the Interdisciplinary Team
Part II THE NUTS AND BOLTS OF HOSPICE NURSING
5. Establishing Goals of Care
6. Establishing Hospice Eligibility
7. Hospice Basics: Admission and Ongoing Care
8. Levels of Care
Part III END-OF-LIFE CARE FOR PATIENTS AND FAMILIES
9. Recognizing Existential Suffering and Spiritual Needs and Providing Appropriate Support
10. Nursing Considerations for Cultural Variations at the End of Life
11. Assessing and Responding to Physical Changes and Symptoms at the End of Life
12. Supporting Family Members and Caregivers
13. Understanding Grief and Bereavement
Part IV ENSURING QUALITY CARE IN HOSPICE
14. Defining Quality in Hospice
15. Monitoring Quality
16. Ensuring Compliance With Hospice Regulations
17. Electronic Documentation in Hospice
Part V OCCUPATIONAL STRESS IN HOSPICE NURSING
18. Sources of Occupational Stress
19. Consequences of Occupational Stress
20. Addressing Occupational Stress
21. Self-Care 101
Appendix
Index
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Patricia Moyle Wright, Ph D, MBA, MSN, CRNP, ACNS-BC, CHPN, CNE, FPCN is a Professor of Nursing at The University of Scranton in Scranton, Pennsylvania, where she teaches in the undergraduate and graduate nursing programs. Dr. Wright brings her more than 25 years of experience in the field of hospice and palliative care to her teaching and truly loves to inspire students to provide the best possible care to those facing their last moments. She also continues to provide direct care to terminally ill patients through her work as a per diem hospice Nurse Practitioner. Outside of the classroom and clinical settings, Dr. Wright shares her love of end-of-life nursing care with others through her writing. She is the author of numerous articles and book chapters on issues related to end-of-life care. She is co-editor of the award-winning text Perinatal and Pediatric Bereavement in Nursing and other Health Professions (Springer Publishing), which was chosen as the 2016 AJN Book of the Year in the category of Palliative Care and Hospice. She is also the author of a ready reference text for nurses entitled Fast Facts for the Hospice Nurse: A Concise Guide to End-of-Life Care, as well as Certified Hospice and Palliative Nurse (CHPN) Exam Review: A Study Guide with Questions, which was a 2020 AJN Book of the Year award-winner in the category of Palliative Care and Hospice.