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The hospice nurse needs to describe what they see when they come into the home. This can include the patients dress, color, cleanliness, tired/sleepy, sad, affect, where found during visit (bed/chair), still in pajamas in the middle of the day, etc.
Use descriptive words such as the following which can be medical, psychosocial and/or spiritual in nature and therefore are not discipline specific: requires, throbbing, unrelenting, uncontrolled, hurting, suffer, severe, pain, endure, needs, persistent, intolerable, agony, constant, excruciating, distress, irregular,
The three-day measure assesses the percentage of patients receiving at least one visit from a registered nurse, physician, nurse practitioner, or physician assistant in the last three days of life.
The narrative summary should include objective data or metrics, such as height, weight, body mass index, mid-arm circumference, Karnofsky Performance Score (KPS), Palliative Performance Score (PPS), Functional Assessment Staging Scale (FAST), New York Heart Association class (NYHA) and pertinent diagnostic test results
Hospice care covered by Medicare Medicare hospice coverageCost coveredDays covered General inpatient care Up to $1,068 per day Periods of patient crisis for eight to 24 hours per day Inpatient respite care for caregivers Up to $473 per day Short period for respite of caregiver3 more rows Oct 24, 2023
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The hospice interdisciplinary team (IDT) has 5 calendar days from the effective date of the hospice election statement to complete the comprehensive assessment. CMS does not dictate how the comprehensive assessment is completed or what forms a hospice provider utilizes to document the comprehensive assessment.

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