EMDocs

MARCH 20, 2024

This approach has worked wonders in my own practice and is encouraged by the medical directors of both our hospice and palliative care departments. I don ’ t want to die hooked up to a bunch of tubes and machines.” They agree that the language we currently use when discussing code status isn’t doing us or our patients any favors.

Documentation/Coding 105

Documentation/Coding Hospice Resuscitation CPR 105

Sensible Medicine

OCTOBER 20, 2023

It was in room 23 that she first raised the possibility of hospice. It was in room 23 that she and I sat quietly — somewhat hopelessly — amid the dawning realization that her health was only going to get worse. It was in room 23 where she began to recount the positive aspects of her final years.

Hospice 96

Hospice Operations Hospitals Sepsis 96

Emergency Medicine Education

MARCH 30, 2023

88275 patients reviewed and in hospital mortality and discharge to hospice as a primary outcome measured. JAMA published a retrospective cohort study among septic patients who received vasopressor (norepinephrine) and hydrocortisone to show if adding fludrocortisone was more effective to this regimen compare with only giving hydrocortisone.

Hospice 40

Hospice Outcomes Hospitals Infectious Diseases 40

Sensible Medicine

OCTOBER 6, 2023

Sometimes we are initiating hospice; other times the patient is moving to be with family who will take responsibility for end-of-life care. That said, he would not hear about hospice care, telling us, and himself, that he might still regain enough strength for the oncologist to treat him.

Hospice 52

Hospice Stroke Hospitals Wellness 52

American Medical Compliance

JULY 9, 2024

First, Medicare Part A provides hospital insurance, covering inpatient hospital stays, skilled nursing facility care, hospice, and some home health services. It also covers some younger people with disabilities and specific medical conditions. Additionally, Medicare Part D helps cover the cost of prescription drugs.

Hospice 52

Hospice Hospitals Outcomes 52

JournalFeed

MAY 6, 2023

Steroids on Steroids Spoon Feed Patients with septic shock on norepinephrine who were treated with fludrocortisone and hydrocortisone had an associated reduction of in-hospital death or discharge to hospice compared to those treated with hydrocortisone alone.

Hospice 40

Hospice Shock Hospitals 40

American Medical Compliance

JANUARY 12, 2024

The hospice physician is in charge of the dying patient’s care, although coordination with an interprofessional healthcare team is essential. In any healthcare setting, the patient is typically treated by a variety of medical staff to achieve the best quality care possible.

Hospice 52

Hospice Legal Issues Teamwork Patient Safety 52

Sensible Medicine

JUNE 2, 2023

It was also me that the patient came to when it was time to initiate hospice. There was an entire team of physicians involved in his care, but it was always me he consulted before making treatment decisions. There is pain in this binder. Every name is familiar but many whom I recall nothing else about.

Hospice 88

Hospice Hospitals 88

Taming the SRU

FEBRUARY 22, 2023

Multitasking is performing two tasks simultaneously In studies of emergency physicians, around 70% of responses to an interruption result in a task switch Multitasking accounts for only 8% of responses to interruption Multitasking is only truly possible for manual tasks (hand-washing, gathering equipment, etc.)

Hospice 40

Hospice EKG/ECG Resuscitation Seizures 40

Sensible Medicine

JUNE 30, 2023

He had declined hospice care until the end and would not even accept “do not resuscitate” status. The next 9 months were marked by 9 hospitalizations. KS died during the final one when his inpatient team failed to resuscitate him after a cardiac arrest. I never could figure out what was behind his change of heart.

Hospitals 98

Hospitals Hospice Resuscitation COPD 98

Sensible Medicine

OCTOBER 20, 2023

It was in room 23 that she first raised the possibility of hospice. It was in room 23 that she and I sat quietly — somewhat hopelessly — amid the dawning realization that her health was only going to get worse. It was in room 23 where she began to recount the positive aspects of her final years.

Hospice 52

Hospice Operations Hospitals Sepsis 52

PulmCCM

MAY 8, 2023

Nursing home patients were no more likely to enter hospice after hospitalization than their community dwelling counterparts. Among 146,000 patients included in the database study, roughly equal proportions of nursing home patients (~21%) were admitted to the ICU as were community-dwellers.

Stroke 52

Stroke Hospice Blood Transfusions Anaphylaxis 52

Advanced Emergency Nursing from AENJ

AUGUST 2, 2016

Gentle Care Hospice advice (based on Los Angeles County, CA) upon " Death in the Home." . " United States: New Law Permits Registered Nurses To Sign Death Certificates When They Are Authorized To Pronounce Death. " " January 2005; Last updated May 16, 2005. Wiggin & Dana LLP. Accessed 07/25/2016. Lawyers.com. "

Documentation/Coding 40

Documentation/Coding Forensics CDC Fractures 40

Sensible Medicine

AUGUST 30, 2024

KN is a 90-year-old man I visit at an inpatient hospice. Sitting with him in hospice I wonder whether, if we had treated him, he’d be home, cancer free, with years left to live. His son warned me that my visit might “be a waste of time” because he sleeps much of the day and “can’t even get out of bed.”

Hospice 111

Hospice Dehydration Wellness Outcomes 111

Dr. Mike Sevilla

SEPTEMBER 14, 2022

MYTH: Grief Happens In An Orderly Process Close to the end of my father’s life, the family decided to place him on hospice services. There are a lot of myths when it comes to grieving, and I want to share three myths that I have experienced so I can help others through this mysterious process.

Hospice 52

Hospice Research 52

PulmCCM

MARCH 11, 2024

There was no difference in rate of discharge to hospice (6.8% for likelier hospice discharge after automatic palliative care consultation. More patients receiving triggered palliative care consults had DNR orders at discharge (37% vs 30%).

Hospice 52

Hospice Documentation/Coding Administration Hospitals 52

American Medical Compliance

MARCH 14, 2025

The Empowering Patients’ Rights in Hospice Training teaches healthcare providers how to uphold key patient rights in hospice care. Introduction to Patients' Rights in Hospice Most Americans prefer to die at home or in a home-like setting,yet over 30% die in acute care hospitals.

Hospice 52

Hospice Best Practices Outcomes Research 52

ACEP Now

SEPTEMBER 12, 2023

with a specialty in hospice and palliative care and thorough experience covering hospital medicine. Physicians who are not wondering if they’re going to have a job next week or receive payment for the work they did last week can better focus on the business of delivering patient care.”

Emergency Department 105

Emergency Department Hospitals Operations Hospice 105

PulmCCM

JANUARY 27, 2025

Concurrent palliative care should start promptly, and no later than 8 weeks after the diagnosis of advanced cancer (not as a final-hours transfer to hospice when death is imminent). ASCO: “Do not wait to refer all patients with advanced cancer to an interdisciplinary palliative care team until the end of life.”

Hospice 89

Hospice Outcomes Sepsis Emergency Department 89

Don't Forget the Bubbles

FEBRUARY 10, 2025

They may also encounter varying levels of support in areas such as education, respite care, and hospices. Many families must navigate a complex system, moving between primary care, emergency departments, and multiple specialist appointments.

Hospice 80

Hospice Outcomes Emergency Department Hospitals 80