Progressive Changes in the Terminal Phase/Hospice Plan of Care - Charts

Important things to remember about the following information:
  • Progressive changes during the terminal phases in the physical and psychosocial condition varies with each patient.
  • The Hospice Team includes the following people, each having specific duties: the medical director, registered nurse, case manager, home health aides, social service workers, chaplain, volunteers.
  • All care is coordinated and integrated with the staff of a skilled nursing facility if the patient becomes a resident of a skilled nursing facility anytime during this period.

Month 6

Progressive Changes: Generally patient is ambulatory and coherent
Some side effects from curative measures and/or medications
Initial stages of grief, anger and denial
Medical Director: Initial examination of patient
Certification for hospice care
Develop plan of care
Orders
RN Case Manager: Assessment for hospice conference with family
Confer with physician
Develop plan of care
Order medications
Order DME (Durable Medical Equipment)
Train and instruct primary caregiver(s)
Home Health Aides: Start person care program
Instruct primary caregiver(s)
Social Service Workers: Assess patient and family psychosocial/bereavement needs to develop plan of care
Establish trusting relationships with patient and family
Chaplain: Spiritual assessment
Confer with other team members for development of plan of care
Volunteers: Conference with hospice team for direction
Learn interests of patient
Initial visitations

Month 5

Progressive Changes: Some weight loss, weakness, symptoms manifested
Signs of stress
Growing acceptance of terminal state
Fear, depression
Medical Director: Monitor and assess plan of care
ICC meeting
Orders
Evaluate symptoms
Manage pain
RN Case Manager: Follow plan of care and direct team members
Provide direct care
Report observations
Establish rapport with patient and family
Home Health Aides:

Establish supportive, loving, trusting relationship with patient and family
Provide personal care services as per plan of care

Social Service Workers: Monitor and implement approved plan of care
Determine need for referral to other community resources
Identify dysfunctional patient/family problems
Make recommendations
Chaplain: Implement plan of care conference with patient/family who desire spiritual support
Assess other needs requiring psychosocial intervention
Volunteers: Establish supportive, trusting relationship via ongoing visit and contact

Month 4

Progressive Changes: Continuing weight loss, decreasing appetite
Physical manifestation
Symptoms more pronounced
Grief work, planning, and resolving
Medical Director: Monitor and assess plan of care
ICC Meeting
Orders
Evaluate symptoms
Manage pain
RN Case Manager: Monitor ongoing implementation of approved plan of care
Increased need for symptom management and pain control
Evaluate psychosocial needs of family and patient with other team members
Home Health Aides: Assist with personal care needs
Identify and report special needs to Case Manager
Social Service Workers: Continued monitoring of plan of care
Ongoing assessment of patient/family abilities to cope with terminal diagnosis and its impact on daily living
Chaplain: Implement plan of care as appropriate
Contact spiritual support person of denomination of patient/family choice
Volunteers: Assist with letter writing, telephoning, reading, music
Provide emotional support to patient and family Respite for family

Month 3

Progressive Changes: Physical deterioration apparent
Symptomatology and pain increase
Beginning of withdrawal
Acceptance of terminal disease
Medical Director: Reassessment for new benefit period
Monitor and assess plan of care
ICC meeting
Orders
Evaluate symptoms
Manage pain
RN Case Manager: Monitor ongoing implementation of approved plan of care
Increasing need for order changes to manage symptoms and control pain
Continued coordination of patient, family and team
Home Health Aides: Continued assistance with personal care needs
Identify and report special needs to Case Manager
Social Service Workers:

Evaluate patient/family coping abilities and assess appropriateness of respite care
Assess need for referral to other community resources

Chaplain: Implement plan of care as appropriate
Encourage family to continue observance and rituals that provide meaning and support to them
Volunteers: Arrange for personal preferences of patient: food, visitation, special interests
Respite for family

Month 2

Progressive Changes: Progressive physical deterioration
Symptoms increase
Pain management primary
May be bedridden
Increasing withdrawal
Resolution and closure
Medical Director: Monitor and assess plan of care
ICC Meeting
Orders
Evaluate symptoms
Manage pain
RN Case Manager: Monitor more closely
Increase visits, as needed
Implementation of approved plan of care
Daily review of symptom management and pain control
Increase family support
Coordination of psychosocial plan of care
Home Health Aides: Provide bathing, dressing and other personal care needs, as necessary
Provide comfort measures
Report needs to Case Manager
Social Service Workers: Continued monitoring of approved plan of care
Assess patient and family for signs of dysfunctional grieving and provide appropriate intervention
Facilitate support systems
Chaplain: Implement plan of care
Provide spiritual support as appropriate to patient and family wishes
Assist with final arrangements as requested
Volunteers: Provide respite periods for family
Assist with visitation and personal needs

Final Month

Progressive Changes: End-stage - pronounced withdrawal
Requires total care
Intensive management of symptoms and pain
No appetite
Medical Director: Monitor and assess plan of care
ICC Meeting
Increased need for medication changes to manage symptoms and control pain
Support family
RN Case Manager: Daily monitoring of end-stage process
Monitor side effects of medications, symptoms manifested and pain management
Coordinate preparation for death with other team members
Increase patient/family support
Home Health Aides: Increase contact with patient and family for direct care
Assure all personal care needs are met
Provide comfort measures
Social Service Workers: Continued monitoring of approved plan of care
Assist patient and family in resolution and closure Ensure final arrangements
Facilitate support systems
Chaplain: Implement plan of care
Provide support to patient and family, as well as hospice staff in preparing for separation
Assist with final arrangements as requested
Volunteers: Provide respite periods for family
Provide patient with emotional support

After Death

Medical Director: May have further communication with the family
RN Case Manager: Call and/or visit family
Assess special bereavement needs
May attend funeral
Complete discharge charting
Home Health Aides: May attend funeral
Social Service Workers: Call and/or visit family
May attend funeral
Begin bereavement follow-up
Identify dysfunctional grieving and initiate appropriate intervention
Chaplain: May visit family
Instruct family regarding bereavement groups and memorial service
Provide grief/bereavement support
Volunteers: Provide bereavement support to family and significant others
Maintain regular contact for up to 12 months


Compiled by the Lincoln/Greater Nebraska Chapter of the Alzheimer's Association, 1999.