NHPCO NewsLine Fall 2020 - 17
The COVID-19 pandemic is an unprecedented event for our modern
health care system and is placing considerable strain on essential
health care workers who are now working double time to provide safe
quality care to their patients.
CMS provided relief shortly after the declaration of the Public Health
Emergency (PHE) in the form of 1135 waivers to provide a regulatory
burden respite which has been helpful as providers continue to struggle
with patient access, staffing, Personal Protective Equipment (PPE), and
fatigue issues from the ongoing crises. This PHE is challenging hospice
and palliative care providers to figure out how to deliver care that is
safe and viewed as a quality experience by patients and their families.
A hospice nurse enters the patient's home in full PPE (gown, gloves,
mask, face shield) that she donned before coming inside. There is already
that barrier between her and the patient and family, but it is necessary
for their safety and hers. The nurse completes her visit taking care to only
touch the patient when needed. She has a trusting relationship with this
patient and family and usually uses touch and hugs to communicate
comfort and reassurance but there can be no hugging today. She
completes her visit and removes her PPE after she leave the patient's
home, taking time to discard the PPE per her organization's policy.
Think about this visit. Will the patient's and family's perception of today's
visit impact their perception of a quality hospice experience? By the
contact limitations, how has this encounter added to feelings of isolation
for both the nurse and the patient, and how might it complicate grief for
the family down the road? These considerations may be new to many
clinicians which adds stress to their already stressed capacity.
These
considerations
may be new to
many clinicians
which adds stress
to their already
stressed capacity.
Specific COVID-19 infection prevention and control measures have
caused necessary clinical practice changes to ensure patients, families,
and staff are safe, but they also impact the care experience. So, the
question is, "what does quality hospice and palliative care look like
during a PHE"?
Patient/Family Experience
Patients and their family are feeling frightened, stressed, anxious, and
possibly depressed during the PHE thus far, depending on the
prevalence of COVID-19 in their community and the limitation of their
autonomy. Individualizing care to meet patient/family needs and
wishes during this PHE is an important factor in quality care
perception. Continuous expectation assessment will guide the hospice
team to tailor provision of service to meet patient/family comfort
levels with the highest quality support possible. Perhaps this means
providing care via telehealth visits, phone calls, or Zoom sessions to
Newsline / Fall 2020
17
NHPCO NewsLine Fall 2020
Table of Contents for the Digital Edition of NHPCO NewsLine Fall 2020
AXXESS Hospice (display ad)
Table of Contents
Virtual Interdisciplinary Conference (display ad)
Edo's Message
FY2021 Hospice Wage Index (feature article)
Virtual Conference Thank You (display ad 1/2 page)
Q&A on Election Statement
Quality Care in the time of COVID-19
Quality Connections
NHPCO Releases Facts & Figures Report
Seeing the World
NHPCO Career Center (display ad 1/2 page)
Weatherbee Resources (display ad 1/2 page)
NHF Gala Sponsor Thanks
Virtual Gala Recap
Highlight Value of Pediatric Care
State Pediatric Survey - Data Collection
We Honor Veterans Spotlight
New Courses Ondemand
New Podcast
Lighthouse of Hope (display ad 1/2 page)
Diversity Advisory Council Paper
AXXESS Hospice (display ad #2)
back cover
NHPCO NewsLine Fall 2020 - intro
NHPCO NewsLine Fall 2020 - 1
NHPCO NewsLine Fall 2020 - AXXESS Hospice (display ad)
NHPCO NewsLine Fall 2020 - Table of Contents
NHPCO NewsLine Fall 2020 - Virtual Interdisciplinary Conference (display ad)
NHPCO NewsLine Fall 2020 - Edo's Message
NHPCO NewsLine Fall 2020 - FY2021 Hospice Wage Index (feature article)
NHPCO NewsLine Fall 2020 - 7
NHPCO NewsLine Fall 2020 - 8
NHPCO NewsLine Fall 2020 - Virtual Conference Thank You (display ad 1/2 page)
NHPCO NewsLine Fall 2020 - Q&A on Election Statement
NHPCO NewsLine Fall 2020 - 11
NHPCO NewsLine Fall 2020 - 12
NHPCO NewsLine Fall 2020 - 13
NHPCO NewsLine Fall 2020 - 14
NHPCO NewsLine Fall 2020 - 15
NHPCO NewsLine Fall 2020 - Quality Care in the time of COVID-19
NHPCO NewsLine Fall 2020 - 17
NHPCO NewsLine Fall 2020 - 18
NHPCO NewsLine Fall 2020 - 19
NHPCO NewsLine Fall 2020 - Quality Connections
NHPCO NewsLine Fall 2020 - 21
NHPCO NewsLine Fall 2020 - NHPCO Releases Facts & Figures Report
NHPCO NewsLine Fall 2020 - 23
NHPCO NewsLine Fall 2020 - 24
NHPCO NewsLine Fall 2020 - 25
NHPCO NewsLine Fall 2020 - Seeing the World
NHPCO NewsLine Fall 2020 - 27
NHPCO NewsLine Fall 2020 - 28
NHPCO NewsLine Fall 2020 - 29
NHPCO NewsLine Fall 2020 - Weatherbee Resources (display ad 1/2 page)
NHPCO NewsLine Fall 2020 - NHF Gala Sponsor Thanks
NHPCO NewsLine Fall 2020 - Virtual Gala Recap
NHPCO NewsLine Fall 2020 - Highlight Value of Pediatric Care
NHPCO NewsLine Fall 2020 - State Pediatric Survey - Data Collection
NHPCO NewsLine Fall 2020 - We Honor Veterans Spotlight
NHPCO NewsLine Fall 2020 - New Courses Ondemand
NHPCO NewsLine Fall 2020 - Lighthouse of Hope (display ad 1/2 page)
NHPCO NewsLine Fall 2020 - Diversity Advisory Council Paper
NHPCO NewsLine Fall 2020 - AXXESS Hospice (display ad #2)
NHPCO NewsLine Fall 2020 - back cover
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