Hospice charting decline

• What is a good indicator of decline in a hospice patient?

  Appetite usually is a good indicator of decline in a hospice patient. Avoid documentation of good, fair or poor appetite. This cannot be measured. Instead give the number of meals that the patient ate per day along with the % of intake of each meal.

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• How often should a hospice organization review documentation and coding?

  The hospice organization should not assume that physicians and NPPs have a thorough understanding of documentation and coding, even if they have practice experience. Quality assurance to review documentation and coding should be done on a regular basis, either weekly, monthly, or quarterly.

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• How do you manage weight in a hospice care organization?

  ORGANIZATION AUGUST30, 2019 Utah Hospice & Palliative Care Organization November 14, 2019 4 CGS Administrators, LLC Weight –Very Important Document patient’s weight at least monthly and more often if possible Take weights in consistentfashion •Time of day •Clothing •Consistency in relation to meal time Show prior and current weights

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• What is hospice nursing documentation?

  Hospice nursing documentation must be very descriptive. This requires the nurse to look at the patients improvements and declines from visit to visit. Some items will need to be documented at least weekly: Mid-arm circumference and weight if able to stand safely on scales

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• Pocket Reference Guide for Hospice Eligibility Guidelines

  Signs: Decline in systolic BP below 90/progressive postural hypotension • Ascites • Venous, arterial or lymphatic obstruction due to local progression or metastatic disease • Edema • Pleural/ pericardial effusion • Weakness; change in level of consciousness Laboratory (when available; lab testing is not required to establish hospice eligibility)

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• [PDF File]Hospice Nursing Documentation: Supporting Terminal Prognosis

  https://info.5y1.org/hospice-charting-decline_1_4ce165.html

  Hospice Part I – Laboratory Results Decline in Karnofsky Performance Status (KPS) or Palliative Performance Score (PPS) due to progression of disease Progressive decline in Functional Assessment Staging (FAST) for dementia (from 7A on the FAST) Progression to dependence on assistance with additional

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• [PDF File]HOSPICE DOCUMENTATION: PAINTING THE PICTURE OF THE TERMINAL ...

  https://info.5y1.org/hospice-charting-decline_1_cd0d17.html

  indicator of decline. When a nurse is admi#ing any hospice patient, it is also good to document what the patient was doing 3 and 6 months ago as compared to what the patient is able to do now. This assists in proving decline of the patients status.

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• [PDF File]Documentation That Pays, Documenting Decline - HHAU

  https://info.5y1.org/hospice-charting-decline_1_1b3e80.html

  November 14, 2019 5 CGS Administrators, LLC Effective Documentation of Terminal Status Documentation is expected to show significant changes in the beneficiary’s condition and plan of care • Always include admission assessment • Decline must be evident in documentation • Chart or graph may be helpful 6 November 14, 2019 6

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• [PDF File]NHPCO Palliative Care Playbook for Hospices Documentation

  https://info.5y1.org/hospice-charting-decline_1_fddeb0.html

  Risks can include risk for disease progression, risk for symptom progression, risk for decline in function, risk for emergency room use and hospitalization, and risk for mortality. Some vendors have software programs that sit on top of the EMR to pull data out to inform the patient’s risk level.

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• Hospice Documentation: Painting the Picture of the Terminal ...

  Oct 14, 2021 ·

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