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Orderly duties can range in scope depending on the area of the health care facility they are employed. For that reason, duties can range from assisting in the physical restraint of combative patients, assisting physicians with the application of casts, transporting patients, shaving patients and providing other similar routine personal care to ...
UAPs also have higher than average rates of job-related injury; [3] in fact, many UAPs experience workplace violence from patients and residents in their care. Patients and residents, especially those who are cognitively impaired or mentally ill, may hit, kick, pinch bite, or verbally insult UAPs providing care.
The hospice home health nurse must be skilled in both physical care and psychosocial care. Most nurses will work with a team that includes a physician, social worker and possibly a spiritual care counselor. Some of the nurse's duties will include reassuring family members, and ensuring adequate pain control.
The first formal hospice was founded in 1948 by the British physician Dame Cicely Saunders in order to care for patients with terminal illnesses. [2] She defined key physical, emotional, social, and spiritual dimensions of distress in her work. She also developed the first hospice care as well in the US in 1974 - Connecticut Hospice. [3]
The hospice is required by law to give advance notification to the patient, and the patient can appeal the hospice's decision to Medicare. [85] Usually the hospice plans these discharges weeks in advance to make the transition off hospice, which can be traumatic for patients who have been preparing to die, as smooth as possible.
Until recently, hospice was a nonprofit service mostly catering to cancer patients. Hospice care usually happens at home, where a nurse or caretaker visits a dying patient and comforts him or her. Occasionally it happens in an institutional setting, such as a nursing home. A few hospices also have inpatient facilities.
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