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Hospice Referral Guidelines
Table of Contents
Indicators of Decline Page 1
Palliative Performance Scale (PPS)Page 2
Cancer Diagnosis Page 3
Dementia/Alzheimer's Diagnosis Page 4
Functional Assessment
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How to fill out hospice referral guidelines
How to fill out hospice referral guidelines
01
Start by gathering the necessary patient information, such as their medical history, current diagnosis, and prognosis.
02
Identify if the patient meets the eligibility criteria for hospice care, which may include a life expectancy of six months or less, a decline in functional status, and a desire to focus on comfort measures rather than curative treatments.
03
Complete the referral form provided by the hospice organization, ensuring that all sections are filled out accurately and completely.
04
Attach any supporting documentation, such as medical reports, test results, and physician notes, that can provide additional information about the patient's condition.
05
Submit the completed referral form and supporting documents to the designated contact at the hospice organization, either through fax, email, or an online portal.
06
Follow up with the hospice organization to ensure that the referral has been received and processed.
07
Communicate any changes in the patient's condition or treatment plan to the hospice team, as this may require updating the referral or providing additional information.
08
Collaborate with the hospice team to develop a care plan that addresses the patient's physical, emotional, and spiritual needs.
09
Maintain open and regular communication with the hospice team, providing updates on the patient's condition and addressing any concerns or questions that may arise.
10
Continuously evaluate the effectiveness of the hospice care and make necessary adjustments to ensure the patient's comfort and well-being.
Who needs hospice referral guidelines?
01
Hospice referral guidelines are needed by healthcare professionals, such as physicians, nurses, and social workers, who are involved in the care of patients nearing the end of life.
02
These guidelines help ensure that patients who are eligible for hospice care receive the appropriate services and support during this critical stage of their lives.
03
Additionally, family members and caregivers of terminally ill patients may also benefit from understanding the hospice referral guidelines to navigate the process and access the necessary resources for their loved ones.
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What is hospice referral guidelines?
Hospice referral guidelines are criteria used to determine if a patient is eligible for hospice care.
Who is required to file hospice referral guidelines?
Healthcare providers such as physicians, nurses, and social workers are required to file hospice referral guidelines.
How to fill out hospice referral guidelines?
Hospice referral guidelines can be filled out by gathering information about the patient's medical condition, prognosis, and preferences.
What is the purpose of hospice referral guidelines?
The purpose of hospice referral guidelines is to ensure that patients who are nearing the end of life receive appropriate and compassionate care.
What information must be reported on hospice referral guidelines?
Information such as the patient's diagnosis, prognosis, symptoms, and goals of care must be reported on hospice referral guidelines.
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