AMERICANS HOME HEALTH AND HOSPICE Presented by Tracey LeBlanc RN DCS By the end of this presentation the audience will Be able to spot indicators and benefits of hospice Recognize the indicators and contraindicators of opiate and other pain medications ID: 580688
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Slide1
HOSPICE AND PAIN
AMERICANS HOME HEALTH AND HOSPICE
Presented by: Tracey LeBlanc RN DCSSlide2
By the end of this presentation, the audience will:
Be able to spot indicators and benefits of hospice.
Recognize the indicators and contra-indicators of opiate and other pain medications.Learn ways to store and dispose of medications.Identify ways to prevent diversion.
GoalsSlide3
Hospice is a medicare
benefit that an individual may choose when they have a terminal disease and no longer wish to seek aggressive treatment.
Hospice is usually covered by most insurances. And is considered a medicare benefit. With medicare there is no charge to the patient.
WHAT IS HOSPICE?Slide4
In order to enroll in hospice a doctor must write and order that states the patient has a life expectancy of less than six months to live if the disease runs it’s normal course
.
Other criteria may be required with certain disease processes.HOSPICE REQUIREMENTSSlide5
Having a terminal illness such as COPD, Heart Failure, Parkinson’s, CVA,
and Alzheimer’s etc.
These are just some of the Diagnosis.Other indicators include: weight loss, increased sleeping, current medications are no longer effective, un-controlled pain, wounds, etc.
HOSPICE INDICATORSSlide6
That varies from company to company.
Americans Hospice covers the following:All medications related to comfort and the admitting diagnosis and comfort.
All incontinent supplies.
Nutritional supplements such as ensure or boost.
All DME equipment such as hospital bed, oxygen etc.
WHAT DOES HOSPICE COVER? Slide7
Hospice specializes in controlling the symptoms associated with the end of life journey.
SYMPTOM CONTROLSlide8
Pain
is the number one symptom that needs to be addressed.There are many factors that attribute to pain medication being difficult to control and monitor.
PAINSlide9
ADDICTION
TOLERANCE
THEFTDIVERSIONDISPOSAL
PAIN MEDICATION OBSTACLESSlide10
Opiates (morphine,
oxycodone
, fentanyl)Long acting and short acting.Contra indicators would be low respiratory rate and allergy.Indicators would be uncontrolled pain, and
cachectic
patients
with
fentanyl
.
OPIATESSlide11
Long term use can lead to tolerance.
Average
doses now become less effective.More instances of breakthrough pain.TOLERANCE and ADDICTIONSlide12
The Michigan Automated Prescription System (MAPS).
Monitors patient schedule 2-5 controlled substances.
Enables practitioners to determine if patients are receiving controlled substances from other providers and assist in the prevention of prescription drug abuse. Only authorized health professionals and law enforcement agencies have access to the database.
THEFTSlide13
If at any time drug diversion is suspected, follow company policy.
This policy should include informing
your supervisor of the suspicion.Call the police.CALL THE POLICESlide14
Keep medications in a locked box and in their original packaging.
Put these medications in a
location not easily accessible to others.Track dosing.Ensure proper dosing.
DIVERSION PREVENTION TACTICSSlide15
DO NOT FLUSH UNLESS LABEL SAYS ACCEPTABLE
Dissolve meds in a small amount of hot water.
Mix with an undesirable substance such as coffee grounds or kitty litter.Put in a container and seal with duct tape.DRUG DISPOSALSlide16
Call if you have any questions.
Americans Hospice Care
Tracey LeBlanc RN DCS2575 N. McLeod Dr. Suite C. Saginaw MI 48604QUESTIONS?