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Nursing Home End-of-Life Care and Hospice Services Audit Checklist

A comprehensive checklist for auditing end-of-life care and hospice services in nursing homes, covering areas such as advance care planning, pain management, emotional support, family involvement, and coordination with hospice providers to ensure compassionate and dignified care for residents in their final days.

Nursing Home End-of-Life Care and Hospice Services Audit Checklist

by: audit-now
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About This Checklist

Providing compassionate and high-quality end-of-life care is a crucial responsibility of nursing homes. This comprehensive audit checklist is designed to evaluate and improve practices related to end-of-life care and hospice services in long-term care facilities. By addressing key areas such as advance care planning, pain management, emotional support, family involvement, and coordination with hospice providers, this checklist helps ensure that residents receive dignified and comfort-focused care in their final days. Regular audits using this checklist can significantly enhance the quality of end-of-life care, improve family satisfaction, and ensure compliance with palliative care standards in nursing homes.

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Industry

Healthcare

Standard

Hospice Care Standards

Workspaces

Healthcare Centers

Occupations

Palliative Care Specialists
Nursing Supervisors
Social Workers
Chaplains
Quality Assurance Specialists
1
Is there a documented pain management plan for each patient?
2
Are family members regularly involved in care planning discussions?
3
On a scale of 1-5, how would you rate the emotional support provided to patients?
Min: 1
Target: 5
Max: 5
4
Is there documentation of advance care planning for each patient?
5
Summarize the feedback received from patients regarding their care.
6
Was dignified care provided to all patients at the facility?
7
How many hours of palliative care training have staff completed in the last year?
Min: 0
Target: 20
Max: 100
8
What was the last date the individual care plans were reviewed?
9
How often is pain assessed for each patient?
10
Is there a nutritional support plan in place for each patient?
11
How many emotional support sessions have been conducted in the last month?
Min: 0
Target: 5
Max: 50
12
When was the last meeting held with the patient's family?
13
Describe how cultural sensitivity is integrated into patient care.
14
Are advance directives readily available for each patient?
15
How many hours of volunteer support have been logged in the last quarter?
Min: 0
Target: 30
Max: 500
16
What was the date of the last staff training on palliative care practices?
17
How satisfied are patients with the care they receive?
18
Are regular care coordination meetings held among the staff?
19
How many crisis intervention incidents have occurred in the last month?
Min: 0
Target: 2
Max: 100
20
When was the last comprehensive review of patient care conducted?

FAQs

End-of-life care and hospice services audits should be conducted regularly, typically on a semi-annual basis. However, more frequent reviews may be necessary if there are changes in regulations or identified areas for improvement.

Key components include reviewing advance care planning processes, assessing pain management protocols, evaluating emotional and spiritual support services, examining family communication and involvement practices, and assessing coordination with hospice providers.

The audit team should include palliative care specialists, nursing supervisors, social workers, chaplains or spiritual care providers, and quality assurance personnel. Input from hospice partners and feedback from families of deceased residents can provide valuable insights.

Audit results can be used to enhance staff training on palliative care, improve pain management protocols, strengthen relationships with hospice providers, update advance care planning processes, and develop better emotional support systems for residents and families.

Cultural competence is crucial in end-of-life care. Audits should assess how well the facility accommodates diverse cultural and religious beliefs and practices surrounding death and dying. This includes evaluating staff training on cultural sensitivity and the availability of culturally appropriate end-of-life rituals and support.

Benefits of Nursing Home End-of-Life Care and Hospice Services Audit Checklist

Ensures residents receive compassionate and appropriate end-of-life care

Improves compliance with regulations and best practices for palliative care

Enhances coordination between nursing home staff and hospice providers

Increases family satisfaction with end-of-life care services

Promotes a dignified and comfortable environment for residents in their final days