Dietetics in Health Care Communities
of New Jersey (DHCC of NJ)

Developing care plans for residents on Hospice?

03 May 2011 4:26 PM | Anonymous

I struggle with this... can anyone share what they do for such residents? Obviously they are in declining health, so I don't see the point of writing a care plan about no weight loss, etc. Any tips would be appreciated, thanks, Nancy McMahon


  • 03 May 2011 1:39 PM | Joyce Lin
    I write frequent offering of nourishments if tolerated, stop feeding if s/s of swallowing difficulty observed, observed for constipation for comfort. So my focus is on safety and comfort. Anyone else cares to comment and help?
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  • 04 May 2011 2:51 AM | Anonymous
    I write in simple phrases: problem weight loss d/t (whatever diagnosis)- goal: will be comfortable- intervention: provide foods that resident/family requests. I don't do weights, sometimes I don't even send full trays just whatever they will eat.
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  • 04 May 2011 3:03 AM | Anonymous
    Hi Nancy
    The Hospice/Comfort Care Plan I use is
    Problem-Resident is at Nutritional Rsik due to poor intake/weight loss. Resident is now on Hospice Care.
    Goal-Resident will be offered food and fluids through out the day,but emphasis is on comfort.
    Goal-Resident will be offered comfort foods/fluids of choice
    Interventions- Food preferences
    D/C Routine weights
    Counsel family that weight loss/dehydration may be progression of end of life status
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  • 28 May 2011 7:09 AM | Anonymous
    Other comments excellent. Based on conversations with our hospice nurses, I actually state as a Goal that resident and family will accept declining intake as part of end of life. It would be great to have a book of LTC care plan examples.
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