CHPN Chap 1 & 2, Top Exam Questions and answers, 100% Accurate.

CHPN Chap 1 & 2, Top Exam Questions and answers, 100% Accurate. First Hospice in the U.S - -Connecticut hospice founded by Florence walled in 1971 Balfour Mount, MD opened what in 1975? - -The first hospice palliative care service program in North America (Canada) at Royal Victoria Hospital. This was the first use of the term "palliative care" for terminally ill patients. Medicare hospice benefit became permanent in what year? - -1986 Top 3 most common diagnoses for Hospice - -Cancer at 36.5% Dementia 15.2% Heart Disease 13.4% Average length of stay - -72.6 days and gradually decreasing Place of death - -41.7% died at home 26.4% Hospice inpatient facility 17.9% at SNF 7% ALF and Acute Care Hospital Palliative care - -For people with long term/terminal illness that may still seek treatment to prolong life, such as chemotherapy, and may not quite meet hospice eligiblity. First formal palliative care program - -St. Luke's in New York City in the 1970's. Multidisciplinary team - -Team participants from other professional disciplines operate together, but also function on independent levels. Generally there is limited coordination or consultation between the disciplines and the teams are organized in a hierarchical manner which can result in limiting sharing of decisions and leadership. The interdisciplinary team - -Interdisciplinary teams have a more collaborative approach to communication and function and are considered a best practice and model of care. The five central elements of the interdisciplinary team - -Interdependence, recently organized expert exercises, flexibility, shared ownership of goals, review of process Advantages