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When I am writing or updating a care plan for a
hospice resident, I try to address the goal of comfort, dignity and quality of
life as it relates to each problem. Most approaches are conditional on
resident comfort/needs/desire.
For example, on nutrition, it is not really
realistic or appropriate to use an approach like "Encourage to consume
100% of food at meals" or whatever. I use approaches like, "Encourage to
consume food/fluids as desired to avoid discomfort associated with hunger or
dehydration." "Provide diet as ordered. Offer food/fluids of choice
to encourage intake as tolerated."
I also have a general Hospice/death/dying care plan
that includes approaches to communicate/coordinate plan of care with hospice
staff to promote optimal quality of life for the resident."
Hope this helps.
Holly
Holly F. Sox, RN, RAC-C
Clinical Editor
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