Hospice of Southern Illinois - One Legacy
Caregivers were contacted during the hospice team meeting when their cases Social small talk/greeting and technical quality issues were. Held at the Highway House Banquet Room, please come meet the 44 non-profits participating in this year's Giving Tuesday event and GIVE!. On Friday, August 21, Mike and Sonja Stith had the opportunity to participate in the 7th annual Meet & Greet event at the Hospice of Southern.
The medical director never uttered a single word; he merely signed the forms that were placed in front of him looking bored and disinterested.
He left the room twice for extended periods, returning with a weary harrumph as he sat down.
Question asking by family caregivers in hospice interdisciplinary team meetings
However, the meeting went on during his absences nonetheless. If his presence were not a regulatory requirement, would he even bother coming to these meetings? Why is he so disengaged?
Why is he a hospice medical director? The team was complying with requirements of As the patient-specific reports continued, the consultant became increasingly appalled by some of the information and commentary she heard. A patient on service for 5 days died without seeing a nurse after his initial admission assessment. Did he die alone?
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How, and how well, were his symptoms palliated? Did his family understand what was happening; were they prepared for his rapid decline and death?
What do your IDG meetings reveal about quality of care?
Contrast the above with another patient who was on service for over 2 years. Why was the family unprepared after 2 years of hospice care?
A relatively young patient with terminal bone cancer and contracted extremities reportedly needed a costly electric wheelchair for his mobility, positioning, comfort, and safety. How did you evaluate her as having a FAST score of 7b?
She could be alert and oriented for all anyone knows or in pain, or hungry, or in need of the bathroom, or frightened, or lonely, etc.
Why was no one jumping out of their seat to object to these unnecessary — not to mention unfortunate and inexcusable — treatment delays? Was substandard care and mediocrity the acceptable norm at this hospice? Am I the only person in the room who finds this outrageous? Do you not understand your responsibilities and obligations as healthcare professionals?
Can you not appreciate the fact that these patients have a limited life expectancy and, as such, time is of the essence?
What do your IDG meetings reveal about quality of care? – Hospice Compliance Network
Would she benefit from the involvement of other disciplines? Do the RNs function as gatekeepers for, or barriers to, other discipline involvement? Do RNs always defer to caregiver wishes despite potential patient suffering?
Data from this study suggest that when given the opportunity to participate in hospice team meetings caregivers will ask questions of hospice staff. The philosophy underlying hospice care requires that services be provided in a manner that is consistent with the values, cultures, beliefs, and lifestyles of patients and their family members Eagan, This commitment necessitates the active involvement of patients and families in developing and executing the hospice plan of care Connor et al.
This lack of involvement limits the abilities of patients and their loved ones to voice concerns, ask questions, and collaborate with the team as a whole.
This paper reports findings from a research project designed to overcome barriers to family involvement in care planning by allowing caregivers of hospice patients to participate in IDT meetings.
While both hospice staff members and caregivers were trained on the use of videophone technology prior to the study, they were not provided with a definitive script for the interaction.
It was unknown what questions, if any, caregivers would ask the hospice professionals and vice versa. As a result, this analysis was undertaken to systematically explore the types of questions asked by family caregivers and hospice staff during IDT meetings in order to identify which issue s were of importance to care providers and care recipients.
Specifically, we addressed the following questions: Method IDT meetings between caregivers and the hospice team were video-recorded thus making it possible to use a qualitative approach to investigate verbatim data. A content analytic approach, which focuses on the occurrence of selected terms in the data, was used to simplify an understanding of content in the data Schwandt, In this study a qualitative content analysis was used to explore caregiver concern and collaboration with hospice staff as facilitated by question-asking.
The purpose of the summative content analysis approach is not to infer meaning, but to explore the usage. The project was part of a larger intervention study examining patient and family participation in hospice team meetings.