Assessment Tools and Comparative Documentation for Hospice
Hours: 1.25
Comparative charting for patients’ activities of daily living (ADLs), showing their functional decline, is a necessary skill to support determinations of hospice eligibility. In addition, discussions about functional changes should occur often among interdisciplinary group (IDG) members for the purposes of updating the plan of care. Medicare guidelines for hospice eligibility include parameters for various functional assessment tools for patients with a prognosis of 6 months or less. These tools are also valuable to further the work of the IDG to document, and support hospice care.
This course describes documentation for ADLs in a comparative manner. Also presented are how to use common assessment tools to evaluate and document hospice eligibility at admission and throughout the course of care. The tools covered in this course include the KPS, PPSv2, FAST and NYHA classification. Without this knowledge and understanding, clinicians may be unable to provide the documentation required to support hospice eligibility and maintain compliance.
Comparative charting for patients’ activities of daily living (ADLs), showing their functional decline, is a necessary skill to support determinations of hospice eligibility. In addition, discussions about functional changes should occur often among interdisciplinary group (IDG) members for the purposes of updating the plan of care. Medicare guidelines for hospice eligibility include parameters for various functional assessment tools for patients with a prognosis of 6 months or less. These tools are also valuable to further the work of the IDG to document, and support hospice care. This course describes documentation for ADLs in a comparative manner. Also presented are how to use common assessment tools to evaluate and document hospice eligibility at admission and throughout the course of care. The tools covered in this course include the KPS, PPSv2, FAST and NYHA classification. Without this knowledge and understanding, clinicians may be unable to provide the documentation required to support hospice eligibility and maintain compliance.
California Board of Registered Nursing
Provider approved by the California Board of Registered Nursing, CEP# 13791
Nurses will receive 1.25 contact hours for participating in this course.
District of Columbia Board of Nursing
District of Columbia Board of Nursing Approved Continuing Education program (CEBroker Provider #50-290).
Nurses will receive 1.2000 contact hours for participating in this course.
Florida Board of Nursing
Florida Board of Nursing (CEBroker Provider #50-290)
Nurses will receive 1.0000 contact hours for participating in this course.
American Nurses Credentialing Center
In support of improving patient care, Relias LLC is jointly accredited by the Accreditation Council for Continuing Medical Education (ACCME), the Accreditation Council for Pharmacy Education (ACPE), and the American Nurses Credentialing Center (ANCC), to provide continuing education for the healthcare team.
Nurses will receive 1.25 Nursing Contact Hours after successfully completing this course.
Georgia Board of Nursing
Georgia Board of Nursing (CEBroker Provider #50-290)
Nurses will receive 1.25 contact hours for participating in this course.
South Carolina Board of Nursing
South Carolina Board of Nursing (CEBroker Provider #50-290)
Nurses will receive 1.25 contact hours for participating in this course.
West Virginia Board of Registered Nursing
West Virginia Board of Registered Nursing (CEBroker Provider #50-290)
Nurses will receive 1.25 contact hours for participating in this course.
New Mexico Board of Nursing
New Mexico Board of Nursing (CEBroker Provider #50-290)
Nurses will receive 1.25 contact hours for participating in this course.
Arkansas State Board of Nursing
Arkansas State Board Of Nursing Approved Continuing Education program (CEBroker Provider #50-290).
Nurses will receive 1.25 contact hours for participating in this course.
Kentucky Board of Nursing
Kentucky Board of Nursing (CEBroker Provider #50-290)
Nurses will receive 1.25 contact hours for participating in this course.
Mississippi Board of Nursing
Mississippi Board of Nursing (CEBroker Provider #50-290)
Nurses will receive 1.25 contact hours for participating in this course.
North Dakota Board of Nursing
North Dakota Board of Nursing (CEBroker Provider #50-290)
Nurses will receive 1.25 contact hours for participating in this course.
Describe at least two methods of documenting activities of daily living (ADLs) to illustrate disease progression.
Determine how to use each of the documentation tools including the Karnofsky Performance Scale (KPS), Palliative Performance Scale, and the Functional Assessment Staging Test to document patients’ functional abilities.
Identify at least two key documentation elements pertaining to the New York Heart Association (NYHA) classification system.
Outline:
Section 1: Introduction
About This Course
Learning Objectives
Section 2: Why Function Matters
Hospice Eligibility and the Plan of Care
Activities of Daily Living
Meet Mr. Edwards
Bathing
Dressing
Feeding
Transfers
Toileting
Ambulation
Review
Summary
Section 3: Karnofsky Performance Scale (KPS)
What is the KPS and How to Use It?
A Caution about Duplication
Review
Summary
Section 4: Palliative Performance Scale, Version 2 (PPSv2)
Structure of the PPSv2 Tool
Descriptions of Function within the PPSv2
Review
Summary
Section 5: Functional Assessment Staging (FAST)
FAST Scale Components
Using the FAST
Clarifying Points: Using the FAST
Review
Summary
Section 6: New York Heart Association (NYHA) Classification
The Significance of the NYHA Classification
Meet Mrs. James
What Went Wrong?
Review
Summary
Section 7: Conclusion
Summary
Course Contributor
Resources
References
Elizabeth Vaccaro earned her Bachelor of Science in nursing from Kean University. She is certified as a Multiple Sclerosis Nurse Educator. Elizabeth has worked in a variety of healthcare settings from the hospital to the pharmaceutical industry which has allowed her to have a great appreciation for all the challenges that span the healthcare field. She has practiced in the hospice setting for nine years in a variety of roles from Case Manager, Educator, and Director of both inpatient and home care hospice. Disclosure: Elizabeth Vaccaro, BSN RN, MSCN discloses the following potential conflict of interests/commercial interests: Relevant Financial Relationship with Relias LLC as a Salaried Employee All of the relationships listed for this individual have been mitigated.Relevant Non-Financial Relationship with No Entities Exists as a Contributor All of the relationships listed for this individual have been mitigated.
The target audience for this course is: Nurses; in the following settings: Hospice.
Asynchronous/Online Distance Learning; please see certificate details for specifics on delivery format.
Relias has a grievance policy in place to facilitate reports of dissatisfaction. Relias will make every effort to resolve each grievance in a mutually satisfactory manner. In order to report a complaint or grievance please contact Relias.
If you require special accommodations to complete this module, please contact Relias Support by completing the web form (https://www.relias.com/help) or by using the chat functionality.
All courses offered by Relias, LLC are developed from a foundation of diversity, inclusiveness, and a multicultural perspective. Knowledge, values and awareness related to cultural competency are infused throughout the course content.
Reference herein to any specific commercial product, process, or service by trade name, trademark, service mark, manufacturer or otherwise does not constitute or imply any endorsement, recommendation, or favoring of, or affiliation with, Relias, LLC.
All characteristics and organizations referenced in the following training are fictional. Any resemblance to any actual organizations or persons living or dead, is purely coincidental.
To earn continuing education credit for this course you must achieve a passing score of 80% on the post-test and complete the course evaluation.
If you require special accommodations to complete this module, please contact Relias Customer Support here.
