Health Care Professionals

 

 

 

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Employee of the Month

Kathy McNair is a RN On-Call/CaseManager for hospice. Kathy really defined “Because Life Matters” in the month of May. Her full-time job is on-call nurse during the week for all of our patients. Due to several nurses being out due to illness in May Kathy graciously agreed to also work during the daytime hours and make patient visits. Kathy is a very compassionate and caring nurse to all the patients she sees. Thank you Kathy.

 

 

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Question of the Month

Can My Family Afford Hospice?

You can't afford not to.

Most insurance companies, including Medicare and Medicaid, will pay for Hospice benefits. Generally there is very little that comes out of your pocket for Hospice care. Almost always coverage includes such things as beds, commodes, oxygen and even your medications related to your illness or hospice comfort care.

Please call and ask how you can be afforded the opportunity to receive hospice care from Catholic Community Hospice.

 

 

 

Health Care Professionals

yes no General Guidelines
Life-limiting condition(s), Karnofsky score >70
Progression of disease(s)
Need for frequent hospitalization, office or ER visits
Dependence in most ADL’s
Weight loss >10% over last 6 months
Serum albumin < 2.5g/dl
Cholesterol < 156mg/dl

yes no End stage lung disease (e.g. COPD, etc.)
Dyspnea at rest
FEV1 ,30% after bronchodilator
Recurrent pulmonary infections
Right heart failure
O2 sat < 88% on O2
Cardiogenic embolic disease (e.g. CVA)
Persistent resting tachycardia

yes no End stage renal disease
Creatine Clearance < 10cc/min (<15cc/min in diabetics)
Creatine > 8mg/dl (> 6mg/dl in diabetics)
Not a candidate for dialysis or renal transplant
Uremia present (pruritus, nausea, confusion)
Oliguria ( < 400cc/24 hours)
Hyperkalemia > 7 meq/l
yes no End stage neurologic disease (ALS, Dementia)
Inability to ambulate, needs assistance with all ADL’s
Barely intelligible speech
Nutritional status declining
Declines feeding tube
Significant dyspnea on O2

yes no End stage heart disease (CHF, CAD)
Functional Class III & IV NHYA assessment
Arythmia resistant to treatment
Ejection fraction < 20%
History of severe cardiac arrest
Cardiogenic embolic disease (e.g. CVA)
Persistent resting tachycardia
Symptomatic despite aggressive medical therapy