Hospice And Palliative Nurse Case Manager
Current- Completes an initial, comprehensive and ongoing assessments of patient and family to determine hospice needs. Provides a complete physical assessment and history of current and previous illness(es).- Provides professional nursing care by utilizing all elements of nursing process.- Assesses and evaluates patient’s status by: > Writing and initiating plan of care > Regularly re-evaluating patient and family/caregiver needs> Participating in revising the plan of care as necessary- Uses health assessment data to determine nursing diagnosis.- Develops a care plan that establishes goals, based on nursing diagnosis and incorporates palliative nursing actions. Includes the patient and the family in the planning process.- Initiates appropriate preventive and rehabilitative nursing procedures. Administers medications and treatments as prescribed by the physician in the physician’s plan of care.- Counsels the patient and family in meeting nursing and related needs.- Provides health care instructions to the patient as appropriate per assessment and plan.- Assists the patient with the activities of daily living and facilitates the patient’s efforts toward self-sufficiency and optional comfort care.- Acts as Case Manager when assigned by Clinical Supervisor/Nursing Supervisor and assumes responsibility to coordinate patient care for assigned caseload.- Teaches the patient/family/caregiver self-care techniques as appropriate. Provides medication, diet and other instructions as ordered by the physician and recognizes and utilizes opportunities for health counseling with patients and families/caregivers. Works in concert with the interdisciplinary group.- Provides and maintains a safe environment for the patient.- Assists the patient and family/caregiver and other team members in providing continuity of care.- Works in cooperation with the family/caregiver and hospice Interdisciplinary Group Members to meet the emotional needs of the patient and family/caregiver.