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Case Study 16.4
Greg Cahill
Lakeview College of Nursing

1.  Hospice is a philosophy of care that focuses on making people comfortable when they die.  
2.  “Your doctor or hospital discharge planner can help you find hospices in your area. Hospice care providers also are listed in the phone book. Your community may have information and referral services available through your American Cancer Society, an Agency on Aging, a local United Way chapter, the Visiting Nurse Association, or your place of worship.” ("American cancer society," ) no quotes around the organization/author and need a date and pg nu becasue it is a direct quote

3.  The hospice care team will help manage pain, symptoms, provide spiritual care, home care and inpatient care, respite care and bereavement care ("American cancer society," ). same as above except for the direct quote

4.  “To get payment from Medicare, the agency must be approved by Medicare to provide hospice services. 
To qualify for the Medicare hospice benefit, a doctor and the hospice medical director (also a doctor) must certify that the patient has less than 6 months to live if the disease runs its normal course. The doctor must re-certify the patient at the beginning of each benefit period (2 periods of 90 days each, then an unlimited number of 60-day periods). The patient signs a statement that says he or she understands the nature of the illness and of hospice care, and that he or she wants to be admitted to hospice. By signing the statement, the patient declines Medicare Part A and instead chooses the Medicare hospice benefit for all care related to his or her cancer. The patient can still receive Medicare benefits for other illnesses. A family member may sign the statement if the patient is unable to do so.” ("American cancer society," ) same as the first comments 
5.  Dyspnea, constipation, anxiety and delirium are common symptoms of dieing (Mauk, 2010).
6.  The nurse can explain everything about her condition and what it will do to her.  The nurse can explain that the staff will make sure that she is pain free if that is her wish and will work to maintain her dignity.

7.   I would explain the benefits of hospice care to the family and assure them that they can be apart of Jane’s care. 

8.  There is nothing in the case study to suggest that Jane is incapable of making her own decision about hospice care. 

Please compare this with what you had. I am using word pad that is all that would open your file. There is no Running head or headers or page numbers.

References
American Cancer Society. (2012). Hospice care. Retrieved from http://www.cancer.org/Treatment/FindingandPayingforTreatment/ChoosingYourTreatmentTeam/HospiceCare/hospice-care-how-to-find
Mauk, K. L. (2010). Gerontological nursing: Competencies for care (2nd ed.). Sudbury, MA: Jones and Bartlett.