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In this episode I review the last year and which episodes were the most popular. I discuss what those episode tell us about this community and what it means for the coming months..

The top 6 episodes from this last year are as follows.

1. Episode 16 “The Last 7 Days.”
2. Episode 10 “On call strategies with Tania.”
3. Episode 3 “For the record.”
4. Episode 6 “Plan your work. Work your plan.”
5. Episode 11 “Orientation strategies part 1.”
6. Episode 15 “Success in the ALF.”

In this episode I discuss one of my most recent blog posts where I journal the last seven days for one of my patients.

Click HERE to read, “The Last Bath.”

I also discuss solutions that include my PRIVATE community, this show, and something even more powerful….personal accountability.

I review some of the private group services available at The Hospice Nursing Community. Specifically, I discuss the private groups only for hospice leadership.

In closing I discuss the importance of changing habits to achieve more success. I also encourage everyone to find ways to avoid burnout and have more work satisfaction. I encourage a review of my “Avoiding Hospice Burnout Series” I wrote in 2021.

Happy New Year from The Hospice Nursing Podcast!

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In this episode I discuss my communication strategy when communicating with patients, families and facility staff.

Instead of trying to discuss specific scenarios, I review my overall 6 strategies I use to communicate effectively.

I don’t describe these strategies as the umbrella I function under. They are more like a roof. A roof is complicated. There isn’t just one item that provides the cover we need for our home. There are 2×4 and 2×4 wooden supports. There is also plywood sheeting that needs to be applied before the shingles can be attached.

The six roofing supports are as follows.

1. Be Non-Confrontational
   
2. Listen, Validate then Communicate
   
3. There is nothing wrong with a quiet room
   
4. Let people be wrong if it helps them feel better
   
5. Stop feeling pressure to know all the answers
   
6. Be like a four-year-old kid

Please don’t forget to complete the “Your Opinion Matters” survey being conducted by Shelley Henry.

If you want to take your communication to the next level, consider joining The Hospice Nursing Community.

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In this episode I interview Shelley Henry with Amity Staffing.

Shelley shares her 20 year experience in hospice and how it lead her to starting Amity Staffing.

She shares with us some of her strategies on bringing awareness to the challenges hospice nurses are facing in the field.

We discuss some of the details of her “Your Opinion Matters” survey for hospice nurses.

Shelley shares with us her social media journey, and how she is trying to help hospice nurses in her own unique way.

I highly recommend you follow her. Please use these links to follow Shelly on your social media outlet of choice.

Facebook
Tiktok
Instagram
linkedIn
Amity Staffing Contact Page

Be sure to take a few minutes right now and complete the SURVEY!

We spend a few minutes at the end allowing Shelley to share some of her hospice insights with us.

At the end of the episode I provide a few updates for The Hospice Nursing Community.

This Friday, December 8th, the website will take on a whole new look. I am rolling out a $10.00/month plan that will give you access to 90% of what is happening inside.

This includes my personal journaling of many of the hospice cases I am managing right now. My focus is to give my members an inside look on how I manage my patients in the last 7 days of life, and how I communicate effectively.

As always, don’t forget to call, text or email to leave feedback! I would love to hear from you! If you leave a voicemail I will play it on the air!

816-834-9191
James@confessionsofahospicenurse.net

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Ten weeks ago I left my role in leadership and went back to case management.

In this episode I review some things that I have had to learn as well as some things that have been reinforced.

I also discuss my assignment to a hospice friendly facility, and the strategy I used to gain favor with the staff.

I discuss the importance of communication, and I also discuss some of my own struggles to adjust from leadership to full-time case management.

I review how to be a leader from a case manager position, and I discuss some psychosocial strategies I utilize when case managing.

At the end of the episode I discuss some major changes coming to Hospice Nurse Training including a name change and tiered pricing for members.

As always, don’t forget to call, text or email to leave feedback! I would love to hear from you! If you leave a voicemail I will play it on the air!

816-834-9191
James@confessionsofahospicenurse.net

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In this episode I go into depth on best practices for the admission process.

I cover the following points in depth.

First impressions
Time Management
Admission in-home schedule
Importance of calming presence
Review of services
Records review
Consents

Click HERE to download the clinical data sheet and watch an instructional video.

I provide some additional updates on Hospice Nurse Training community and all the extra content available for members.

As always please don’t forget to reach out to me via email or text message with your comments and suggestions.

James@confessionsofahospicenurse.net
816-834-9191

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In this episode I pick back up on my ”Avoiding Hospice Burnout” blog series with part 7.

Check out the whole series by clicking HERE!

For this episode I review the fallout I received after posting the following visit schedule.

6 patients who will be known as 1-6
All Charting completed at the bedside.

Patient 1 – 8:00am – 8:45am (no new orders)
Travel 43 miles to Patient 2
Patient 2 – 9:30am – 10:30am (Actively dying)
Travel 30 miles to Patient 3
Patient 3 – 11:15am – 12:00pm (pillbox)
Travel 0 (same building)
Patient 4 – 12:00pm – 1:00pm (pillbox)
Travel 25 miles to Patient 5
Patient 5 – 1:30pm – 2:30pm (new orders)
Travel 23 miles to Patient 6
Patient 6 – 3:00pm – 4:00pm (no new orders)

Drive 5 miles to where my daughter works to pick her up since her car is in the shop. She gets off at 5:30pm.

Worked from 4:00pm-5:30pm to do Recert notes on patients 5 and 6 above. Also completed IDT notes on 3 patients for a nurse who is out sick.

Start nice and early. Chart at the bedside. Be intentional!

I discuss that my main goal of the post was to show that bedside charting can be accomplished in any situation. This post turned into more than I ever imagined with a lot of different feedback. Some was positive and some was negative.

I then discuss the following color wheel, and how it completely changed how I looked at my day. I also share what I learned from the color wheel.

I then engage in some reflection and discussion regarding the color wheel and how it applies to all of us.

To close out the episode I challenge all of us to begin to take the next step in our journey to complete as much as possible at the bedside of our patients.

I also provide some updates on Hospice Nurse Training (click HERE) and how I will be changing the free trial period to 3 days instead of 14 and why I’m making the change.

As always, don’t forget to call, text or email to leave feedback! I would love to hear from you!

816-834-9191
James@confessionsofahospicenurse.net

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In episode nineteen I go into detail my strategies for managing visit frequencies.

To start out the episode I discuss the importance of following agency protocol regardless of any advice I provide. I also challenge leadership to reconsider any expectations that do not make sure patients get visits from their primary nurse for all crisis.

I discuss how increased visits help build the two most important tools we have in our nursing bags.

I compare the hospice experience with a good book and explain what the first 7 days should look like and what the last 7 days should look like.

I discuss situations when we should put patients on daily visits even though they are not in steep decline or actively dying.

At the end of the episode I provide an update on my new website Hospice Nurse Training, and I discuss the upcoming training schedule.

In episode nineteen I go into detail my strategies for managing visit frequencies.

To start out the episode I discuss the importance of following agency protocol regardless of any advice I provide. I also challenge leadership to reconsider any expectations that do not make sure patients get visits from their primary nurse for all crisis.

I discuss how increased visits help build the two most important tools we have in our nursing bags.

I compare the hospice experience with a good book and explain what the first 7 days should look like and what the last 7 days should look like.

I discuss situations when we should put patients on daily visits even though they are not in steep decline or actively dying.

Don’t forget to call, text or email to leave feedback! I would love to hear from you!

816-834-9191
James@confessionsofahospicenurse.net

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In this episode I announce the creation of a special website I have launched for my listeners.

At the end of the episode I give away 5 free memberships to this new community. Listen to the episode to get the instructions!

In this community you will be able to count on the following deliverables.

1. Live Q&A following each episode (2nd and 4th Monday Night)
2. Monthly recertification round table (zoom call to help you)
3. Monthly work shops – First one opioid titration with deliverables 
4. Camaraderie with like-minded hospice nurses
5. Private groups for each specialty (on-call, RNCM, Administrator, PRN)
6. Weekly disease process discussion groups
7. Weekly prayer live streaming
8. Daily hope, help and encouragement (keeping negativity at a minimum)
9. Less than a dollar a day (2 week Free trial with launch party and give always on October 1st)

Don’t forget to call, text or email to leave feedback! I would love to hear from you!

816-834-9191
James@confessionsofahospicenurse.net

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In Episode Seventeen Brian returns to discuss strategies for success in long term care facilities.

We answer several great questions from The Hospice Nurse Support Group on Facebook.

Throughout this episode we discuss many of the challenges hospice faces when providing care in LTC facilities.

Towards the end of the episode we address a very difficult situation a nurse named ”Peggy” has recently had to deal with.

At the end of the episode we conclude with some practical advice to help build deeper relationships with staff and leadership.

In my final thoughts, we discuss the importance of considering the bigger picture when working with all facilities. We discuss the fact that working with any facility is about long term goals, and how it takes time to build a mutually beneficial relationship that will ultimately help hospice patients and their difficult journey towards end of life.

Don’t forget to call, text or email to leave feedback! I would love to hear from you!

816-834-9191
James@confessionsofahospicenurse.net

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In this episode I share my strategies for managing patients and their symptoms in the last 7 days of life.

I discuss when to start patients on daily visits, what what science and mathematics I use to calculate scheduled and as needed medications to maintain control of symptoms.

I discuss the difference between transitioning and actively dying patients. I also discuss some changes in terminology that will help cut down on confusion or misunderstanding between hospice staff and our caregivers.

I discuss what kind of schedule to keep when making those visits in the last 7 days of life including visit times and how to help our caregivers feel more at peace with the schedule.

Towards the end I discuss the opioid conversion chart I created. I have added a download to the ”download tools” area of the website. I also created a video explaining how to use the conversion chart.

Don’t forget to call, text or email to leave feedback! I would love to hear from you!

816-834-9191
James@confessionsofahospicenurse.net

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