QUESTION IMAGE
Question
- what philosophy of care do both hospice and long - term care models emphasize?
following a traditional medical model
caring for the physical, mental, and psychosocial domains
focusing only on spiritual well - being
relying on the minimum data set (mds) for care planning
- what must be included in the hospice and facility portions of the coordinated plan of care for a nursing facility resident receiving hospice services?
the attending physicians agreement and involvement in the plan of care
the hospice interdisciplinary groups goals
whether the hospice or facility is responsible for each problem
the residents past medical history
- what member of the hospice interdisciplinary group may best work with the resident or their family on anxiety related to imminent death?
rn
volunteer
social worker
physician
Brief Explanations
- Hospice and long - term care models emphasize holistic care. A traditional medical model is more disease - focused. Focusing only on spiritual well - being is too narrow. Caring for physical, mental, and psychosocial domains is a holistic approach.
- In a coordinated plan of care for a nursing facility resident receiving hospice services, it is important to know which entity (hospice or facility) is responsible for each problem. The attending physician's agreement is important but not the key inclusion here. The hospice interdisciplinary group's goals are part of the hospice plan but not the main thing for the coordinated plan. The resident's past medical history is not the main requirement for the coordinated plan.
- Social workers are trained to deal with psychosocial issues including anxiety related to death. RNs focus more on medical care. Volunteers may have limited training in dealing with such complex emotional issues. Physicians focus on medical diagnosis and treatment.
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- Caring for the physical, mental, and psychosocial domains
- Whether the hospice or facility is responsible for each problem
- Social worker