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 Legal Issues Operations 105

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

Sensible Medicine

APRIL 4, 2025

There had been talk about hospice, but she could not go home with hospice and IV meds. Even on the medication, her liver function tests climbed and her kidney function declined. Discussions began about transferring her home with IV medications. At this point, VB’s primary care physician met with her and her family.

Hospice 61

Hospice Hospitals Wellness Outcomes 61

Sensible Medicine

FEBRUARY 17, 2025

If these same investigators let me look through their clinic charts, I guarantee they never give one drug and then put a fit, trial eligible patient on best supportive care or hospice.

Hospice 106

Hospice Wellness Research 106

Northwestern EM Blog

JULY 2, 2025

While inpatient, the patient ultimately elected to be discharged home with hospice. In the subsequent days the patient went on to develop gangrene of multiple toes and had a skin biopsy that found significant RBC extravasation consistent with venous stasis and increased hydrostatic pressure - findings consistent with PCD.

Ultrasounds 59

Ultrasounds Hospice Emergency Department Radiology 59

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 110

Hospice Stroke Hospitals Wellness 110

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 103

Hospice Operations Hospitals Sepsis 103

Sensible Medicine

NOVEMBER 3, 2023

Others are transferred to inpatient hospice centers. Home hospice is never an option for someone with no family, no friends, and, often, no home. The decision to begin hospice brought guilt, grief, and relief.  Gunshot wounds, tuberculosis, amputations, protein-calorie malnutrition.

Hospice 127

Hospice Head Injuries Academics Hospitals 127

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 100

Documentation/Coding Hospice Resuscitation CPR 100

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

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 Wellness 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.

Legal Issues 52

Legal Issues Hospice Teamwork Patient Safety 52

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

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

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 96

Hospice Hospitals 96

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 COPD Resuscitation 98

Don't Forget the Bubbles

MARCH 31, 2025

There was also an interview of 23 bereaved parents of 22 children (aged 0 -18 years) who died between January 2021 and December 2022, either during hospital admission or under palliative care (at home or hospice).

Sepsis 57

Sepsis Fluid Resuscitation Shock Resuscitation 57

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 Blood Transfusions Hospice 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

EMDocs

JUNE 28, 2025

Patients in hospice with terminal illness presenting with Cheyne-Stokes respirations should receive comfort measures for symptom management. Often, Cheyne-Stokes respirations are a poor prognostic sign and a potential indicator of severe disease. Treatment involves treating the underlying cause.

EMS 76

EMS Poisoning Hyperthermia / Hypothermia Emergency Department 76

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 121

Hospice Dehydration Wellness Outcomes 121

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

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 78

Hospice Outcomes Emergency Department Hospitals 78

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