Bundles/Hospice & Palliative Care
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โœจ New Bundle8 Core Sections๐Ÿ•Š๏ธ Palliative Care

Hospice & Palliative Care Complete Guide

The definitive interactive reference for hospice and palliative care โ€” covering eligibility, levels of care, IDT roles, symptom management, E-Kit protocols, goals of care conversations, and Medicare benefit periods.

A comprehensive guide for clinicians managing patients at the end of life. Evidence-based, practical, and easy to navigate.

HospicePalliative CareEnd of LifeSymptom ManagementGoals of CareMedicare
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$12
One-time purchase ยท Lifetime access
Complete hospice & palliative guide
  • Hospice eligibility criteria
  • 4 levels of Medicare hospice care
  • IDT roles and responsibilities
  • Comprehensive symptom management
  • E-Kit medication protocols
  • Goals of care conversation guides
  • Medicare benefit period details
  • Works offline in any browser
  • Lifetime updates included

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Compassionate, Comprehensive End-of-Life Care

A practical guide to providing the best possible quality of life for patients and their families.

8
Core sections covered
From eligibility to bereavement
4
Levels of care explained
Routine, Continuous, Inpatient, Respite
20+
Symptoms managed
Pain, dyspnea, nausea, and more
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Access โ€” works offline
Lifetime Access

Core Content Sections

Eight comprehensive sections covering the full spectrum of hospice and palliative care, from initial assessment to bereavement.

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Overview

  • Hospice philosophy and history
  • Palliative vs. hospice care
  • Core principles of care

Pearl: Hospice focuses on comfort and quality of life for patients with a terminal illness, not on curing the disease.

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Eligibility Criteria

  • Terminal illness diagnosis with a prognosis of 6 months or less
  • Patient's desire for comfort care over curative treatment
  • Certification of terminal illness by two physicians

Pearl: Eligibility is not just about prognosis, but also about the patient's goals for their care.

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4 Levels of Care

  • Routine Home Care
  • Continuous Home Care
  • General Inpatient Care
  • Respite Care

Pearl: The level of care is determined by the patient's needs and can change over time.

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IDT Team Roles

  • Physician/Medical Director
  • Nurse Case Manager
  • Social Worker
  • Chaplain/Spiritual Counselor
  • Hospice Aide
  • Volunteers

Pearl: The Interdisciplinary Team (IDT) works together to create a holistic plan of care for the patient and family.

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Symptom Management

  • Pain management (opioid and non-opioid)
  • Dyspnea (shortness of breath)
  • Nausea and vomiting
  • Constipation
  • Anxiety and agitation

Pearl: The goal of symptom management is to relieve suffering and improve quality of life, not to hasten death.

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E-Kit Protocols

  • Emergency Kit (E-Kit) contents
  • Indications for use of each medication
  • Dosage and administration guidelines
  • Documentation and reporting

Pearl: The E-Kit provides immediate access to medications for common end-of-life symptoms, avoiding unnecessary hospital visits.

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Goals of Care Conversations

  • SPIKES protocol for breaking bad news
  • Discussing code status (DNR/DNI)
  • Advance directives and living wills
  • Addressing family dynamics and conflict

Pearl: Goals of care conversations are an ongoing process to ensure that the care provided aligns with the patient's values and wishes.

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Medicare Benefit Periods

  • Initial 90-day period
  • Subsequent 90-day period
  • Unlimited 60-day periods
  • Recertification requirements

Pearl: Patients can revoke the hospice benefit at any time if they wish to pursue curative treatment.

What Makes This Guide Essential

Built for the entire clinical team โ€” providing clarity and confidence in end-of-life care.

Symptom Timelines

Understand the expected trajectory of common end-of-life symptoms and how to manage them proactively.

Evidence-Based Protocols

Practical, evidence-based protocols for managing pain, dyspnea, agitation, and other common symptoms.

Medicare Regulations

Navigate the complexities of Medicare hospice benefit periods, levels of care, and recertification with ease.

E-Kit Management

Safe and effective use of the hospice emergency kit (E-Kit) to manage acute symptoms at home.

Difficult Conversations

Frameworks and scripts for navigating challenging goals of care conversations with patients and families.

Interdisciplinary Team

Clarify the roles and responsibilities of each member of the IDT to ensure seamless, coordinated care.

Who Is This Guide For?

Essential for any clinician involved in the care of patients with serious illness โ€” from fellows and residents to experienced attendings and nurses.

Hospice & Palliative Fellows

Master the core competencies of hospice and palliative medicine for your fellowship training and board exams.

Internal & Family Medicine Residents

Gain confidence in managing end-of-life symptoms and conducting goals of care conversations on your rotations.

Hospitalists & Oncologists

Learn when and how to refer patients to hospice, and how to co-manage patients with the hospice team.

Nurses & Advanced Practice Providers

A practical guide to symptom management, patient and family education, and the unique challenges of end-of-life care.

๐Ÿง Related Bundle

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Comprehensive psychiatric assessment and management tool covering DSM-5 criteria, psychopharmacology, risk assessment scales, and evidence-based treatment algorithms for common psychiatric conditions in palliative settings.

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