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Continuing Care01:25

Continuing Care

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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,...
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Documentation in Long-Term and Home Healthcare Setting01:29

Documentation in Long-Term and Home Healthcare Setting

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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
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SBAR II: Application of SBAR01:14

SBAR II: Application of SBAR

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SBAR is an effective communication tool used by healthcare professionals to communicate patient information accurately. SBAR stands for Situation, Background, Assessment, and Recommendation. For a better understanding, an example is given below.
SBAR Report from a Nurse to a Health Care Provider
S: "Hello, Dr. Smith. This is Jane, RN, from the Med Surg unit. I am calling to tell you about Ms. White in Room 210, who is experiencing increased pain and redness at her incision site. Her recent...
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Nursing Assessment01:29

Nursing Assessment

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The two sources for collecting information are primary and secondary. After gathering information, interpretation and validation help to complete the data. The purpose of assessment is to establish data with the initial information, to interpret data about the patient's perceived needs and health problems, and to respond to these problems identified.
The nurse collects all aspects of the patient's health in the initial assessment, establishing priorities for ongoing focused assessments...
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Respiratory Assessment: Purpose and Indications01:19

Respiratory Assessment: Purpose and Indications

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Respiratory assessment is a cornerstone of nursing assessments, crucial for the early detection of patient deterioration. This evaluation transcends routine procedures, representing a critical skill nurses must master to ensure optimal patient care.
Objectives and Importance:
The primary goal of respiratory assessment is to evaluate patients at early risk of clinical deterioration. Since respiratory distress often precedes other signs of declining health, breathing patterns and sounds become a...
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Assessment of the Cardiovascular System I: Subjective Data01:23

Assessment of the Cardiovascular System I: Subjective Data

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A thorough health history and physical assessment are essential for identifying cardiovascular disease (CVD) symptoms and distinguishing them from other health issues.
Initial Enquiry
Ask the patient about their primary concern and thoroughly explore all reported symptoms.
Medical History
Investigate past illnesses affecting the cardiovascular system, such as angina, anemia, rheumatic fever, congenital heart disease, stroke, thrombophlebitis, dysrhythmias, varicosities
Inquire about symptoms...
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Updated: Apr 30, 2026

Oral Health Assessment by Lay Personnel for Older Adults
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Developing the H-5, a Quantifiable Spiritual Assessment for Hospice Care.

Stacey Michelle Morgan1,2, Brianne Reimer Kruger1,3, George Fitchett4

  • 1Providence Hospice, Providence Health and Services, Portland, OR, USA.

The American Journal of Hospice & Palliative Care
|April 29, 2026
PubMed
Summary

A new spiritual assessment model (H-5) was developed for hospice care, improving spiritual distress identification for patients and families. This model enhances care quality and interdisciplinary communication.

Keywords:
chaplainend of lifehospicespiritual assessmentspiritual carespiritual distress

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Area of Science:

  • Palliative Care
  • Spiritual Health
  • Clinical Assessment Tools

Background:

  • Hospice care mandates comprehensive spiritual assessments.
  • Current spiritual assessment methods lack standardization in hospice settings.
  • Existing tools may not fully capture the complexities of spiritual needs in end-of-life care.

Purpose of the Study:

  • To develop and validate a quantifiable spiritual assessment model for hospice patients and families.
  • To address the need for a standardized tool to identify spiritual concerns in end-of-life care.
  • To enhance the quality and consistency of spiritual care provided in hospice.

Main Methods:

  • A modified spiritual assessment tool (H-5) was adapted from the PC-7 model by hospice chaplains.
  • The H-5 model was piloted and utilized by a larger team of hospice chaplains (n=15).
  • Feedback was collected through individual interviews over a 1-year period.

Main Results:

  • The H-5 model includes 5 spiritual concern themes with added indicators for support, resources, and access.
  • It broadens assessment to include both patient and family concerns, with a scoring rubric for distress severity.
  • Chaplains reported increased care quality, consistency, and improved interdisciplinary communication.

Conclusions:

  • The H-5 assessment model provides a standardized approach to identifying spiritual concerns in hospice care.
  • It offers a quantifiable method to assess spiritual distress in patients and families.
  • Implementation of the H-5 model can improve spiritual care delivery and team collaboration in hospice settings.