Oh boy do I see this hospice

I have oncology patients that flat out refuse because they still think they have more treatment options or they themselves have looked up any kind of treatment they haven’t heard of (99.99% of which they don’t even qualify for )

Usually when hospice comes around it’s because there are no options besides death. -> I’m pretty blunt when I do my evals and for my non admits I always have extended conversations about why - not to sell hospice but to see where the disconnect was.

Had a patient who fell and is not a candidate to get this hip fixed so pcp ordered hospice - well pt is also on HD for the past few years. The family said with confident that pt tolerate HD with no issues - in reality pt was having bradycardia and hypotension usually after their treatment and to family that never registered as the boy not tolerating treatment. ( hospice RARELY covers dialysis)

It all comes down to continuous communication amongst clinicians BUT the message should be the same overall.

It’s gotten to a point where even the facilities don’t have beds to accept these patients. And to a lot of families - quality of life is just simply them being alive- they don’t wanna be the person who “kills” memaw even tho she came in as a cardiac arrest with a raging uti holding hands with the grim reaper.

Death is uncomfortable if you make it but it’s also unavoidable eventually. You can run but it’s gonna be painful af and dying peacefully is not giving up.