Patient Transition into Hospice Care Essay -- Analysis of Care Transit

I. Introduction The patient pre directed in this paper is Ms. H an 83 year old African American woman that appears younger than stated age with a register of triune Myeloma. The patient chart was reviewed and an interview conducted. Interestingly the patient had maintained all note, lab, hospital H&P and discharge summary in a file folder in her possession. Ms. H was diagnosed with Multiple Myeloma in April of 2008 when she was being worked up at her dentist for a toothache. X-rays performed revealed she had bone lesions in her zygomatic process and in her skull above her right eye. She was referred to Oncology Hematology circumspection for further work-up. A bone marrow biopsy revealed she had Multiple Myeloma. During the course of manipulation the patient received Thalidomide, Revlimid, Velcade, Aredia, Zometa, and Decadron. Remission was achieved and the patient underwent stem cell change in February of 2009. The transplant was successful and the patient was cancer f ree until portentous of 2012 when she received news that her cancer had recurred. Current meds atomic number 18 Lisinopril 20 mg PO daily for HTN, Omeprazole 40 mg PO for GERD, Topamax 25 mg BID for headaches, Calcium 500 mg PO TID for osteoporosis, Zofran 4 mg every 6 hrs/prn for nausea, Vicodin 5/325mg every 4 hours/prn for pain control. Ms. H has 3 adult children and 4 grandchildren that are in their early 20s. During the initial treatment human body Ms. H was employed part time at J.C. Penney. Once she was sent to Jewish for bone marrow transplant, she retired. She is on traditional Medicare with Medicaid due to stretch the cap on her secondary Humana plan. Ms. H is divorced but has a supportive friend Mr. P that has been at her side throughout her diagnosing and treatment. He... ... benefit.V. Analysis of Transition Admission Forms Admission forms include Consent, HIPPA Acknowledgement Form, persevering and Family Rights Statement Receipt, Permission to Bill Medicare. Forms required for hospice admission are some and concisely written to reflect the Medicare Hospice Benefit. Patients who are compromised enough to sign their confess forms are usually ill enough that the number of forms needed are appreciated. Ms. H and family were amazed and happy with the need for fewer signatures to admit. References (1.)Blood. 2008 March 15 111(6) 29622972. doi 10.1182/blood-2007-10-078022 PMCID PMC2265446(2)ASH 50th Anniversary Review Article on Multiple Myeloma(look up)(3)Publication Date 2008-03-18Medicare Benefit Policy Manual Chapter 9 - Coverage of Hospice (4) journal OF PALLIATIVE MEDICINEVolume 9, Number 6, 2006