Hospice is a type of care and a philosophy of care that focuses on the palliation of a terminally ill patient’s symptoms. These symptoms can be physical, emotional, spiritual or social in nature. The concept of hospice has been evolving since the 11th century. Then, and for centuries thereafter, hospices were places of hospitality for the sick, wounded, or dying, as well as those for travelers and pilgrims. The modern concept of hospice includes palliative care for the incurably ill given in such institutions as hospitals or nursing homes, but also care provided to those who would rather die in their own homes. It began to emerge in the 17th century, but many of the foundational principles by which modern hospice services operate were pioneered in the 1950s by Dame Cicely Saunders. Although the movement has met with some resistance, hospice has rapidly expanded through the United Kingdom, the United States and elsewhere.
Manages the planning and delivery of patient/family care, ensuring compliance with hospice, state/federal regulations and accreditation requirements. Monitors day to day compliance with regulatory and reimbursement requirements as defined by various government agencies and 3rd oversees and assures complaince with hospice qapi program.
In consultation with the attending physician, the NP provides pain and symptom management to patients who face chronic illness or debilitating disease, or who have a terminal diagnosis but still want aggressive treatment. The NP assists patients with goals clarification and with advance care planning. The NP also assists with identification of pt/family needs and aligns them with resources as necessary.