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Related Concept Videos

Continuing Care01:25

Continuing Care

Continuing care describes the variety of health, personal, and social services provided over a prolonged period. The need for continuing care is increasing because people are living longer. Many people do not have families or others to care for them. Continuing care is mainly for patients who are disabled, functionally dependent, or suffering from a terminal disease. It is available within institutional settings or in homes. Examples include nursing centers or facilities, assisted living,...
Pulmonary Embolism II: Diagnostic Studies and Interprofessional Care01:29

Pulmonary Embolism II: Diagnostic Studies and Interprofessional Care

Diagnosing Pulmonary EmbolismDiagnosing pulmonary embolism (PE) involves clinical assessment and advanced imaging tests. The preferred diagnostic tool is the spiral (helical) CT scan or CT angiography (CTA), which uses intravenous contrast media to visualize the pulmonary vasculature and identify emboli.A ventilation-perfusion (V/Q) scan is an alternative for patients unable to receive contrast media. This scan includes both perfusion and ventilation scanning. Perfusion scanning involves...
Documentation in Long-Term and Home Healthcare Setting01:29

Documentation in Long-Term and Home Healthcare Setting

Documentation in long-term care facilities and home healthcare settings is crucial for ensuring continuous, coordinated, and comprehensive care for patients. Each setting has its specific documentation processes and tools:
Long-Term Care Facilities
Pulmonary Embolism III: Nursing Management01:27

Pulmonary Embolism III: Nursing Management

A pulmonary embolism occurs when a thrombus, amniotic fluid, tumor tissue, fat, or air embolus blocks one or more pulmonary arteries. Effective nursing management and patient education are crucial for improving outcomes and preventing recurrence.Nursing management starts with obtaining a comprehensive patient history, particularly noting any history of deep vein thrombosis (DVT). Assess for clinical manifestations, including dyspnea, chest pain, crackles, heart murmurs, and signs of right-sided...
Peripheral Artery Disease III: Interprofessional Care01:27

Peripheral Artery Disease III: Interprofessional Care

Peripheral Artery Disease (PAD) is characterized by narrowed arteries that diminish blood flow to the extremities. Effective management of PAD requires an interprofessional approach involving various healthcare professionals. The critical aspects of interprofessional care for PAD patients focus on risk factor modification, drug therapy, exercise therapy, nutrition therapy, critical limb ischemia care, and interventional radiology and surgical procedures.The primary treatment goal for PAD...
Heart Failure VII: Nursing Interventions01:30

Heart Failure VII: Nursing Interventions

The first step in nursing management of a patient with heart failure involves thoroughly assessing the patient's medical history.Subjective Data: Obtain the patient's medical history of coronary artery disease, hypertension, myocardial infarction, and symptoms like dyspnea, orthopnea, and paroxysmal nocturnal dyspnea.Objective Data: Conduct a physical examination to identify findings such as jugular vein distention, pulmonary crackles, tachycardia, murmurs, peripheral edema, and vital signs,...

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Related Experiment Video

Updated: May 13, 2026

Setup and Execution of the Rapid Cycle Deliberate Practice Death Notification Curriculum
04:36

Setup and Execution of the Rapid Cycle Deliberate Practice Death Notification Curriculum

Published on: August 5, 2020

Hospice emergency kit for veterans: a pilot study.

Alexandra E Leigh1, Kathryn L Burgio, Beverly R Williams

  • 1Birmingham VA Medical Center, Birmingham, AL 35233, USA.

Journal of Palliative Medicine
|March 1, 2013
PubMed
Summary

Hospice emergency kits (HEKs) are valuable for managing symptoms in home hospice patients, potentially reducing emergency room visits and hospitalizations. However, concerns exist regarding medication diversion.

Related Experiment Videos

Last Updated: May 13, 2026

Setup and Execution of the Rapid Cycle Deliberate Practice Death Notification Curriculum
04:36

Setup and Execution of the Rapid Cycle Deliberate Practice Death Notification Curriculum

Published on: August 5, 2020

Area of Science:

  • Palliative Care
  • Geriatric Medicine
  • Pharmacology

Background:

  • Hospice emergency kits (HEKs) are widely provided by home hospice agencies.
  • Limited data exists on the utilization, safety, and impact of HEKs.

Purpose of the Study:

  • To evaluate medication utilization within HEKs.
  • To assess the safety and diversion of medications from HEKs.
  • To determine the perceived impact of HEKs on patient care and healthcare utilization.

Main Methods:

  • Retrospective chart abstraction of deceased veterans (N=76) discharged to home hospice.
  • Anonymous questionnaire survey of 78 home hospice nurses from 16 agencies.

Main Results:

  • HEK use was documented in 50% of patients; nurses estimated 66.3% utilization.
  • Morphine and antibiotics were most used; morphine, lorazepam, promethazine, and haloperidol were frequently cited by nurses.
  • 93% of nurses believed HEKs prevented emergency department visits or hospitalizations; 18% suspected medication diversion.

Conclusions:

  • HEKs are valuable for managing predictable symptoms in home hospice patients.
  • HEKs may help avoid unnecessary hospitalizations and emergency department visits.
  • Potential for medication diversion requires attention.