[{"data":1,"prerenderedAt":-1},["ShallowReactive",2],{"doc-seo-572290-105":3,"detail-sidebar-cat-1-en-105":72,"doc-detail-572290-en":118},{"code":4,"msg":5,"data":6},0,"ok",{"site_id":7,"language":8,"slug":9,"title":10,"keywords":11,"description":12,"schema_data":13,"social_meta":65,"head_meta":67,"extra_data":69,"updated_unix":71},105,"en","hospice-documentation-painting-the-picture-of-the-terminal-patient","HOSPICE DOCUMENTATION - PAINTING THE PICTURE OF THE TERMINAL PATIENT","","Hospice documentation guidance focused on accurately recording patient status to support continuous clinical management. The material outlines core objectives for identifying hospice note components, detailing routine note sections required each visit, and standardizing pain assessment using validated pain scales. It specifies nursing responsibilities across RN and LPN/LVN roles, describes documentation expectations for wound, weight, appetite, ADLs, cognition, dyspnea, edema, oxygen use, and depression signs, and highlights focused areas including pain, appearance, and sleep while tracking improvements and declines visit to visit.",{"@graph":14,"@context":64},[15,34,55],{"@type":16,"itemListElement":17},"BreadcrumbList",[18,23,27,31],{"item":19,"name":20,"@type":21,"position":22},"https://docshare.wps.com","Home","ListItem",1,{"item":24,"name":25,"@type":21,"position":26},"https://docshare.wps.com/template/","Template",2,{"item":28,"name":29,"@type":21,"position":30},"https://docshare.wps.com/template/presentations/","Presentations",3,{"item":32,"name":10,"@type":21,"position":33},"https://docshare.wps.com/template/hospice-documentation-painting-the-picture-of-the-terminal-patient/572290/",4,{"url":32,"name":10,"@type":35,"image":36,"author":41,"headline":10,"publisher":44,"fileFormat":47,"inLanguage":8,"description":12,"dateModified":48,"datePublished":49,"encodingFormat":47,"isAccessibleForFree":50,"interactionStatistic":51},"DigitalDocument",{"url":37,"@type":38,"width":39,"height":40},"https://docshare.wps.com/thumbnails/hospice-documentation-painting-the-picture-of-the-terminal-patient/572290.png","ImageObject",442,249,{"name":42,"@type":43},"sagouaw","Person",{"url":19,"name":45,"@type":46},"DocShare","Organization","application/pdf","2026-10-19","2026-10-13",true,{"@type":52,"interactionType":53,"userInteractionCount":26},"InteractionCounter",{"@type":54},"ViewAction",{"@type":56,"mainEntity":57},"FAQPage",[58],{"name":59,"@type":60,"acceptedAnswer":61},"What specific areas must be documented on every hospice nursing note?","Question",{"text":62,"@type":63},"Every note must include the terminal diagnosis, pain and pain medications, appetite, ADL abilities and how they differ from the last visit, education, medication review and response for symptom management, dyspnea, edema, cognition/level of consciousness changes, appearance, ascites, depression signs and symptoms, and oxygen use details including any increases in amount or frequency.","Answer","https://schema.org",{"og:url":32,"og:type":66,"og:title":10,"og:site_name":45,"og:description":12},"article",{"robots":68,"canonical":32},"index,follow",{"doc_id":70,"site_id":7},572290,1792435029,{"code":4,"msg":73,"data":74},"success",[75,79,84,89,94,99,104,109,114],{"id":76,"doc_module":22,"doc_module_name":25,"category_name":29,"show_sort_weight":77,"slug":78},11,90,"presentations",{"id":80,"doc_module":22,"doc_module_name":25,"category_name":81,"show_sort_weight":82,"slug":83},12,"Resumes",80,"resumes",{"id":85,"doc_module":22,"doc_module_name":25,"category_name":86,"show_sort_weight":87,"slug":88},14,"Invoices",70,"invoices",{"id":90,"doc_module":22,"doc_module_name":25,"category_name":91,"show_sort_weight":92,"slug":93},15,"Posters",60,"posters",{"id":95,"doc_module":22,"doc_module_name":25,"category_name":96,"show_sort_weight":97,"slug":98},16,"Social Media",50,"social-media",{"id":100,"doc_module":22,"doc_module_name":25,"category_name":101,"show_sort_weight":102,"slug":103},17,"Forms",40,"forms",{"id":105,"doc_module":22,"doc_module_name":25,"category_name":106,"show_sort_weight":107,"slug":108},18,"Letters",30,"letters",{"id":110,"doc_module":22,"doc_module_name":25,"category_name":111,"show_sort_weight":112,"slug":113},21,"Paper Templates",5,"papers-templates",{"id":115,"doc_module":22,"doc_module_name":25,"category_name":116,"show_sort_weight":4,"slug":117},158,"General","general-158",{"code":4,"msg":73,"data":119},{"doc_id":70,"user_id":120,"nickname":42,"user_avatar":121,"doc_module":22,"category_id":76,"category_name":29,"doc_title":10,"doc_description":12,"doc_content":122,"file_id":123,"file_url":124,"file_type":125,"file_size":126,"view_count":26,"is_deleted":4,"is_public":22,"is_downloadable":22,"audit_status":22,"page_count":127,"language":128,"language_code":8,"site_id":7,"html_lang":8,"table_of_contents":129,"faqs":130,"seo_title":131,"seo_description":12,"update_tm":132,"read_time":95},3985747862151,"https://ap-avatar.wpscdn.com/davatar_a8503ba1806abce46bf441b54a3ca4cd","HOSPICE DOCUMENTATION: PAINTING THE PICTURE OF THE TERMINAL PATIENT  \n1  \n1  \nOBJECTIVES  \nAt completion the participant will be able to:  \n• Identify 2 components of a hospice note  \n• Describe 3 parts of the routine note that need to be documented with each visit  \n• Define documentation of pain assessment to include 2 types of standardized pain scales.  \n• Listindithecatomports of daent arclineeas of documentation that are the best  \n• State 3 terms to avoid when documenting in a hospice chart  \n2  \n3  \nDOCUMENTATION OF THE NOTE  \nNURSING DOCUMENTATION  \n• The Hospice Nurse is responsible for management of the patient as a whole. The nurse has to know everything that is going on with the patient at any given time. Even if the LPN/LVN is seeing the patient on the majority of the visits, it is still the responsibility of the RN to ensure that he/she knows all aspects of the patients care and improvement/ decline.  \n• It isthe responsibility ofthe LPN/LVN to report any and all changes on the patient on a weekly basis and when changes occur at each visit.  \n4  \nCASE MANAGEMENT APPROACH  \nInterdisciplinary  \nDefense  \nCase Manager  \nEducator  \nKnowledge  \n5  \nDOCUMENTATION REQUIREMENTS  \nHospice nursing documentation must be very descriptive. This requires the nurse to look atthe patients improvements and declines from visit to visit. Some items will need to be documented at least weekly:  \n• Mid-arm circumference and weight if able to stand safely on scales  \n• Any wound characteristics to include: size, drainage, odor, wound bed, periwound, tunneling/undermining  \n• Use of a standardized tool depending on the patients terminal illness. This can include: FAST, Karnofsky, PPS, New York Heart Association Class  \n6  \nDOCUMENTATION ON ALL NURSING NOTES  \nThe Hospice Nurse must document on every note the following items:  \n• The terminal diagnosis  \n• Pain and pain medications used/available  \n• Appetite  \n• Current abilities to perform ADL’s and how this is different then the last visit. (this can be improvement or decline from visit to visit)  \n• Education  \n• Review of medications and response for symptom management  \n• Any dyspnea  \n• Edema  \n• Changes in cognition and level of consciousness  \n• Appearance  \n• Ascites  \n• Signs and symptoms of depression  \n• Use of any oxygen to include increase use/amount/ frequency Sleep  \n7  \nDOCUMENTATION OF DECLINE   \n8  \nSPECIFIC FOCUS AREAS OF THE NURSES NOTE  \n• Pain  \n• Appearance  \n• Weight  \n• Appetite  \n• Activities of daily living  \n• Sleep  \n9  \nPAIN ASSESSMENT  \nAll areas of the pain assessment need to be completed. This includes:  \n• Pain score using a standardized tool that is appropriate for the patients cognitive status. Numeric, FLACC, PAINAD, Baker-Wong FACES scale, etc….  \n• Medications available to the patient to include the name and how often the patient is utilizing/ response to medication/s (each note)  \n• Need to change the type/route/mg strength with rationale and patient/cg agreement.  \n• Education if needed regarding administration  \n10","cbCaidlLcxBWrCZF","https://ap.wps.com/l/cbCaidlLcxBWrCZF","pdf",4460903,46,"English","# Objectives\n# Documentation of the Note\n## Nursing Documentation\n## Case Management Approach\n# Documentation Requirements\n## Documentation on All Nursing Notes\n# Documentation of Decline\n# Specific Focus Areas of the Nurse’s Note\n## Pain Assessment","[{\"question\":\"What specific areas must be documented on every hospice nursing note?\",\"answer\":\"Every note must include the terminal diagnosis, pain and pain medications, appetite, ADL abilities and how they differ from the last visit, education, medication review and response for symptom management, dyspnea, edema, cognition/level of consciousness changes, appearance, ascites, depression signs and symptoms, and oxygen use details including any increases in amount or frequency.\"}]","HOSPICE DOCUMENTATION - PAINTING THE PICTURE OF THE TERMINAL PATIENT | PDF",1791926592]