Showing posts with label Cost of Dying. Show all posts
Showing posts with label Cost of Dying. Show all posts

Sunday, December 11, 2011

#Hospice, Death, Dying, #EndofLife, #Palliative Care, @hospiceheroes @terirnbsn @theyoganurse @nursewingpoems #nursefriendly

The Shortcut URL To This Section Is: http://www.4nursing.com/hospice/

See also: Hospice Nurses

Inspirational Categories: Bereavement, Grief, Loss, Sorrow, Death, Dying, End of Life, Hospice Poems, Parents & Parenting, Religious Poems, Christian Stories

New!

Gwenn Dalton, RN, Pro Hospice Solutions, LLC:"Pro Hospice Solutions, LLC understands that care is more than tending to the physical end of life; it is a way of caring for the patient, their family, and support group. Through our community outreach programs, continuing nursing education and continuing education workshops, we empower those care givers and end of life professionals with the ability to advance quality of life and to accept the gift of providing a compassionate end of life for their patient or loved one."
Gwenn Dalton, RN
CEO Pro Hospice Solutions, LLC
P.O. Box 327
Moody, TX 76557
254-853-9903 (office) / 254-853-9966 (fax)
Facebook: http://www.facebook.com/pages/Pro-Hospice-Solutions-LLC/220348904701791
Twitter: http://twitter.com/HospiceHeroes
http://www.prohospicesolutions.com/

Categories: Continuing Education,http://www.nursefriendly.com/ceu/
Facebook Nurses,http://www.nursingdiscussions.com/facebook/ Nursing Education, http://www.nursingentrepreneurs.com/education/
Hospice Nursing, http://www.4nursing.com/hospice/
Texas Nurse Entrepreneurs, http://www.nursingentrepreneurs.com/texas/
Texas Nurses, http://www.4nursing.com/texas/
Twitter Nurses, http://www.nursingdiscussions.com/twitter/

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Teri Yarbrough, RN
Gainesville, GA, United States
I am a Travel Nurse specializing in Hospice. I grew up in a Navy family spending time in Guam, Iceland, & Italy. Then married my husband who was a sailor. I have 3 children, Heather, 25; Bear, 23; & BJ (our 4 legged child, a chocolate lab)2. My faith in my Lord Jesus Christ helps get through each day & to minister to my patients. I had gastric bypass 9/11/06. Have lost 150lbs."
Blogger: http://www.blogger.com/profile/18090285584582869197
Twitter: https://twitter.com/#!/TeriRNBSN
http://www.realcaring.blogspot.com/

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Annette Tersigni RN, Yoga Nursing®:"I am the founder of Yoga Nurse Medical Yoga and Stress Management and am the creator of the enlightening new field of Yoga Nursing® and the Yoga Nursing Institute. Yoga Nursing is the marriage of modern nursing science with the ancient science of yoga. My programs are endorsed by lots of doctors and health care providers as a safe therapy to decrease pain and suffering and help folks to find peace instead of going to pieces. I have dedicated the past 16 years educating people around the world on leading healthier, spiritual lifestyles and with a dose of tough love and loads of laughter helped them to WAKE UP and GET CONSCIOUS NOW.

I am a sought after no barriers heart felt speaker, coach, teacher and writer and am featured extensively in the media including in the Associated Press and on NBC, CBS, Fox News affiliates and have been interviewed on national TV by Arielle Ford as one of America's Experts. I am producing, writing, and acting in several DVD documentary/educational projects: I am training and coaching other nurses, yoga teachers and health professionals throughout the USA and Canada to be Yoga Nursing Therapists and I lead fantabulous Yoga and Juice fasting Makeover Retreats on the magnificent Pyrate laden Crystal Coast of North Carolina. My programs our hip, conscious, filled with hilarious humor, enlightening and designed to inspire and leave a legacy. This is the most prolific, jamming and juicy time of my life and I get to do it all by serving others. SERVING RULES!"
Street Address: 103 short st apt. E
Beaufort, North Carolina, 28516
E-mail Address: theyoganurse@gmail.com
Phone: 252.725.1924
Facebook: http://www.facebook.com/profile.php?id=629639595&v=info
Homepage Address: http://www.yoganurse.com
http://www.nursingentrepreneurs.com/tersigni

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Tribute to a Hospice Nurse by E.V. Stankowski, RN, Inspirational Poems, Touching Stories:"When it comes to death and dying
There's a special gift you share
One that Angels all admire
One that goes beyond just care

http://www.inspirationalnursing.com/hn

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Hospice, Palliative Care Nurses, Nurses for a Healthier Tomorrow/STTI:"The hospice movement has evolved in the United States over the past 25 years. The focus of hospice care is on comprehensive physical, psychosocial, emotional, and spiritual care to terminally ill persons and their families. Hospice providers promote quality of life by protecting patients from burdensome interventions and providing care at home, whenever possibly, instead of the hospital. Hospice nurses provide care primarily under the guidelines of the Medicare Benefit Act of 1983, a federal program that allows patients to die in their homes with their families and friends at their side."
Nurses for a Healthier Tomorrow/STTI
Honor Society of Nursing, Sigma Theta Tau International
550 West North Street Indianapolis, IN 46202
bennison@stti.iupui.edu
http://www.nursesource.org/hospice.html


About.com: Death & Dying, Poetry, Blessings, Toasts, Quotes, Prayers and Words of Comfort:"Sometimes, it seems that all you need is the right quote, poem or inspirational message at the right moment to help provide perspective, insight and aid in surviving a loss or crisis. When coping with a death, a significant loss or crisis, it can help to read the words from others who have "been there," coped and survived. This section contains comforting poems and quotes that may be helpful when writing eulogies or obituaries, or used in memorial services, blessing helpful in the healing process, quotes about death and dying and famous last words."
http://dying.about.com/

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American Academy of Hospice and Palliative Medicine Web:"Originally organized as the Academy of Hospice Physicians in 1988, the American Academy of Hospice and Palliative Medicine (AAHPM) is the only organization in the United States for physicians dedicated to the advancement of hospice/palliative medicine, its practice, research and education."
4700 W. Lake Ave. Glenview, IL 60025-1485
(847)375-4712, tmckissack@amctec.com
http://www.aahpm.org/

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Aging with Dignity:"Something is terribly wrong: The majority of Americans want to die at home surrounded by family and friends, but most end up dying in the hospital or nursing home, cared for by strangers. Half of Americans die in pain that could have been treated. Sick people have come to fear losing their dignity or burdening their families more than they fear death. And this is all happening in a country that is meant to prize the rights of individuals and champion respect for personal wishes."
http://www.agingwithdignity.org/

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Choice In Dying...
...the nation's experts on end-of-life care Choice In Dying, the inventor of living wills in 1967, is dedicated to fostering communication about complex end-of-life decisions. The nonprofit organizat...
http://www.choices.org

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Hospice Patients Alliance: Consumer Advocates...
Hospice Patients Alliance is a consumer advocacy resource center for hospice patients, families, caregivers; promoting hospice patient rights, revealing what NO hospice will tell you; providing inform...
http://www.hospicepatients.org

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Perinatal Hospice/Supportive Care for the Dying Unborn Infant:"Perinatal hospice provides supportive care for parents and the infant with a serious or fatal birth defect both before and after birth. Most people think of hospice as applying to the elderly or at least adults. It has also been extended to children and even to babies. But it was Dr. Byron Calhoun of Madigan Army Hospital who developed the concept of perinatal hospice."
Supportive Care of the Dying: A Coalition for Compassionate Care Founded in 1994 c/o Providence Health System Sylvia McSkimming, PhD, RN, Executive Director
4805 NE Glisan Street,2E07 Portland, Oregon 97213
tel: (503) 215-5053 fax: (503) 215-5054 e-mail: Sylvia.McSkimming@providence.org
http://perinatalhospice.org/

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Africa, Hospice ...
Hospice Africa Charity No 1024903 Helping to establish Hospice Care in Africa The aims of Hospice Africa are to provide or support the provision of palliative care to terminally ill cancer patients i...
13 Pages Found, 1 Links Found, 551 Score, http://hospice-africa.merseyside.org

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American Academy of Hospice and Palliative Medicine...
Originally organized as the Academy of Hospice Physicians in 1988, the American Academy of Hospice and Palliative Medicine (AAHPM) is the only organization in the United States for physicians ...
32 Pages Found, 141 Links Found, 532 Score, http://www.aahpm.org

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American Board of Hospice and Palliative Medicine:"Working together, the American Academy of Hospice and Palliative Medicine (AAHPM) and the American Board of Hospice and Palliative Medicine (ABHPM) achieved recognition for the subspecialty of hospice and palliative medicine by the American Board of Medical Specialties (ABMS) and the American Osteopathic Association (AOA). Beginning in 2008, cooperating boards within the ABMS will offer a subspecialty certificate in hospice and palliative medicine. A parallel certification will be offered by cooperating boards within the AOA. AAHPM will support ABHPM diplomates through the expiration of their ABHPM certificates."
American Academy of Hospice and Palliative Medicine
4700 W. Lake Ave. Glenview, IL 60025
847/375-4712 Fax 847/375-6475 E-mail info@aahpm.org
http://www.aahpm.org

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American Hospice Management; Hospice Management Firm...
Since its founding in 1992 as the nation's first hospice management firm, AHM has grown to serve hospital-based, nursing home-based, and community-based hospice....
3 Pages Found, 0 Links Found, 1764 Score, http://www.americanhospice.com

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Arizona State, Hospice of the Valley...
Hospice of the Valley is celebrating 23 years of service in the valley.  Since 1977, we have served more than 32,000 patients ranging in age from newborns to over 100. ...
21 Pages Found, 7 Links Found, 183 Score, http://www.hov.org

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Arkansas Hospice Home Page...
    Enhancing the Quality of Life for the Terminally ill as a Charitable, Non-Profit Community Service Refer Donate Volunteer Get Involved About Arkansas Hospice In Home Care Hospice Center Care Get ...
32 Pages Found, 30 Links Found, 678 Score, http://www.arkansashospice.org

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Association for Death Education and Counseling:"The Association for Death Education and Counseling®, The Thanatology Association®, is one of the oldest interdisciplinary organizations in the field of dying, death and bereavement. Its nearly 2,000 members include a wide array of mental and medical health personnel, educators, clergy, funeral directors and volunteers. ADEC offers numerous educational opportunities through its annual conference, courses and workshops, its certification program, and via its acclaimed publication, The Forum."
ADEC Headquarters
111 Deer Lake Road, Suite 100
Deerfield, IL 60015 USA
Phone or Fax:
Phone 847-509-0403
Fax: 847-480-9282
http://www.adec.org

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Hospice of the Conejo:"Hospice of the Conejo is a team of caring people who are dedicated to providing a special blend of compassion and practical and emotional support to patients with life-limiting illnesses and to their families. Our focus is on living - helping people during the final stages of life to make the most of every hour. Our service area covers Thousand Oaks, Westlake Village, Newbury Park, Moorpark, Simi Valley, Agoura, Oak Park, and Calabasas, California. We are a non-profit agency and all services are provided free-of-charge."
Hospice of the Conejo, 80 East Hillcrest Dr., Thousand Oaks, CA (805)495-2145 hospice@adnetsol.com
http://www.hospiceoftheconejo.org

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Friday, April 22, 2011

More senior citizens are dying at home - Miami-Dade - MiamiHerald.com

jdorschner@MiamiHerald.com

After years of experts and patients saying people at the end of life might be more comfortable dying at home, a new study says that may finally be happening: fewer seniors in the United States and South Florida are dying in hospitals.

But the same survey finds that in the last months of life for seniors throughout the United States and especially in Miami, the trend is for more of them to see large numbers of specialists and to spend more time in expensive intensive care units.

Those are the results of the latest study from the Dartmouth Atlas, a project of the Dartmouth Medical School. The project for years has been using Medicare data to expose anomalies in healthcare costs and wide geographic disparities in expenses.

“Miami is practically off the charts,” says David Goodman, a Dartmouth researcher who was the lead author of the study. “It really continues to stand out” for having the highest costs and most extensive treatments in the last months of life, even when adjusted for age, ethnicity, race and severity of illness.

Click on the "via" link to read the full article.

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Sincerely,

Andrew Lopez, RN
Nursefriendly, Inc. A New Jersey Corporation.
38 Tattersall Drive, Mantua New Jersey 08051
http://www.nursefriendly.com info@nursefriendly.com ICQ #6116137
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Wednesday, January 5, 2011

Hospital care easier, faster with standing orders - CNN.com

My patient one day, a spry 80-year-old, started to cough and feel short of breath during a blood transfusion: classic signs of a transfusion reaction. I stopped her IV, but she needed a steroid to bring her breathing back to normal.

Unable to reach her primary physician, we called in a rapid-response team. An ICU doctor, respiratory therapist, two ICU nurses, a nurse anesthetist, and MDs and RNs from the floor all rushed into the room . . . . to authorize giving my patient this one needed drug.

The patient did not need rescuing, just a dose of solumedrol, and I could have given her that dose, without wasting the time and energy of multiple nurses and doctors, if we had a protocol, or "standing order," in place in my hospital for treating transfusion reactions.

A standing order is a kind of treatment algorithm used in hospitals to expedite care. Protocols are designed by doctors and nurses, implemented by nurses, and are typically used either in specific emergencies or to deliver routine care. A protocol for treating low blood sugar is an example of treating an emergency; putting silver nitrate in a newborn's eyes counts as routine.

Protocols make a lot of sense, according to Nancy Foster, vice president for Quality and Safety Policy for the American Hospital Association. The AHA supports the use of standing orders because, Foster says, "Standardization is an effective way to make sure we do the right thing for the right patient at the right time."

To read the complete article click on the above link:
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******************************************************

Sincerely,

Andrew Lopez, RN
Nursefriendly, Inc. A New Jersey Corporation.
38 Tattersall Drive, Mantua New Jersey 08051
http://www.nursefriendly.com info@nursefriendly.com ICQ #6116137
856-415-9617, (fax) 415-9618

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I'll Never Ration. Not Me. Not I. - NYTimes.com

Opposition to health-care rationing is a little like opposition to growing up. It sounds great. It’s just not very practical.

A society’s resources are always limited. So we have to make choices about what we can afford and what we can’t. Not everyone can afford to own a vacation home — which means vacation homes are rationed. Not everyone can afford to live in towns with excellent public schools — which means that good public education is rationed.

Similarly, we can’t afford to try every feasible medical treatment on every patient. Instead, we make choices. The most obvious form of rationing is the millions of Americans who lack health insurance today. Most of them get less medical care than they need and, in the process, keep down the nation’s total medical bill.

But even those with health insurance experience rationing. How? In many ways.

This country has not spent the money to install computerized medical records, and we suffer more medical errors than many other countries. We underpay primary care doctors, relative to specialists, and we’re left stewing in waiting rooms while our primary-care doctors try to see as many patients as possible. Specialists are usually not paid for time they spend collaborating with doctors in other specialties, and many hard-to-diagnose conditions go untreated. Nurses are usually not paid to counsel people on how to improve their diets or remember to take their pills, and manageable cases of diabetes and heart disease become fatal.

At some point we'll need to accept the fact that we cannot all have every test, every operation, every treatment, every new medicine or see every specialist.

To read the rest of the article, click on the link above:

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******************************************************

Sincerely,

Andrew Lopez, RN
Nursefriendly, Inc. A New Jersey Corporation.
38 Tattersall Drive, Mantua New Jersey 08051
http://www.nursefriendly.com info@nursefriendly.com ICQ #6116137
856-415-9617, (fax) 415-9618

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Sunday, December 19, 2010

Death in a hospital is not always comfortable, KevinMD.com

In America, too many people die in the hospital.

I don’t mean that they die due to medical error or incompetence, though that’s always a hot topic of discussion amongst doctors, researchers, administrators, and regulators.

What I mean is that if you ask most people, they say they’d rather die at home, surrounded by their loved ones, drifting off to sleep painlessly after having had last rites administered (feel free to plug in your religious/atheistic ritual of choice here).

Why, then, do so many who want this type of death instead die medically, here in the hospital, undergoing painful treatment and the deprivations and degradations of medical care?

The answer has both simple and complex aspects. But I’ll start by sharing something that most medical professionals believe:

When my time comes, the last place I want to be is in the hospital. Don’t get me wrong–I like GlassHospital–it’s a good place to work, teach, and learn. But when the grim reaper is calling my name, I want to be as far away from here as I can.

No IVs. No needle sticks to test my blood. No waking me up to check vital signs every shift. No hospital food. No fluorescent lights.

No feeding tubes; no bladder catheters (ouch!); for Heaven’s sake, no breathing machines (‘mechanical ventilators’).

Click on the link above for the full article

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Any questions, please drop me a line.

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******************************************************

Sincerely,

Andrew Lopez, RN
Nursefriendly, Inc. A New Jersey Corporation.
38 Tattersall Drive, Mantua New Jersey 08051
http://www.nursefriendly.com info@nursefriendly.com ICQ #6116137
856-415-9617, (fax) 415-9618

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