Description:
To provide quality, compassionate care to patients and families by providing wholistic care to alleviate end-of-life symptoms, provide education on disease trajectory, and aggressive support in the home and community nursing facilities.
Requirements:
Essential Duties & Responsibilities: Evaluate physical needs of the patient using a wholistic approach
Coordinate medication administration, education and assure accuracy
Evaluate the need for other services
Communicate patient/family information to the interdisciplinary team
Coordinate the development of the plan of care with goals defined by the patient/family and the hospice team, updating at least every 14 days and as changes occur
Provide nursing services according to the plan of care
Make referral to other services as needed in coordination with the medical social worker
Supervision of home health aide
Teach the primary caregiver/family by role model, repetition, and reinforcement
Provide ongoing supervision along with assessment of continuing needs for patient/family teaching
Instruct caregivers in hospice emergency responses and changes to anticipate
Make regular visits as determined by the IDG and as needed
Provide the patient/family with information concerning the disease process, the regimen of treatment process, and alternative methods of care
Respond to questions honestly and realistically
Help the patient/family make informed choices
Promote independence and responsibility throughout the course of the disease
Provide emotional support
Actively listen to patient and family concerns
Support individual coping mechanisms
Provide services at the time of death
Assist with bereavement follow-up by attending receiving or funeral services as appropriate
Evaluate the effectiveness of nursing interventions on a regular basis and whenever changes occur in the patient/family situation
Communicate with physicians as needed and as required by regulations
Maintain current knowledge and competency in providing care to terminally ill patients and their families
Provide on-call services as scheduled
Assist with nursing care on patient care unit as directed by supervisor
Assist with assessing patient appropriateness for continued services
Assist with visits to palliative care patients as needed
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