Admission Eligibility Guidelines

Would you be surprised if a patient of yours died within the next 6 months?

Meaningful conversations between providers and their patients about appropriate care choices can lead to better outcomes. Evidence-based medicine is more than just using clinically proven procedures: it is equally important to decide what not to do. When having a dialogue with patients about their care goals when they have a terminal illness, it is helpful to have criteria about hospice guidelines to augment your clinical judgment. The Guideline for Hospice Admission (shown as tabs below) has some helpful tips and descriptions about the benchmarks commonly used when determining eligibility for hospice. Informational visits are available for your patients and can take place at home or in a hospital setting.

Disease Specific Eligibility Guidelines

Tools & Resources

Printable Guidelines to Hospice Admission
Hospice Comfort Medications

Palliative Pearls

 

 

Palliative Pearls – “Isopropyl Alcohol for Nausea”

Another new study showed inhaled isopropyl alcohol significantly reduced nausea, this time in patients in the ED.

Several studies have shown inhaled isopropyl alcohol can provide rapid relief of nausea.  It may perform well enough to avoid systemic anti-emetics or provide enough nausea control that longer acting, oral anti-emetics may be tolerated.

Open an alcohol pad and have patient hold it near the nose, inhaling deeply through the nose as often as required to relieve nausea.  Repeat with a new pad every 10 minutes as necessary.

April et al, Annals of Emergency Medicine, 2018.

Hines et al, Cochran Database of Syst Rev 2018

Smiler, Anaesth Analg, 1998;87:1211

Ann Emerg Med 2016 Jul;68(1):1-9

For more information contact Dr. Leslie Estep or Dr. Anita Meyer at Hospice of the Northwest, 360-814-5550, or lestep@hospicenw.org  or  ameyer@hospicenw.org

All Palliative Pearls and other resources can be found under the provider tab at www.hospicenw.org

 

Other Provider Resources

Fast Facts
Palliative Doctors
Conversation Project
National Hospice & Palliative Care Organization
Vital Talks – Having the tough conversations

For more provider resources contact our office at (360) 814-5550

Provider of the Quarter

Each quarter we are honoring a provider or department for their commitment to Hospice of the Northwest and the care of the patients we serve.

This quarter we are honoring Kevin Bingham, RPh from Hilltop Pharmacy in Mount Vernon, WA

Thank you for your dedication!