Hospice is one of the finest places for the growth of nursing assistants; are you aware of it?
Do you know how beneficial will it be for you to work in such a facility?
Very few people are aware of hospice care. It is a better option for a nursing assistant, as they mostly lookout for entry-level employees. It provides complete care for terminally ill patients. It ensures comfort and peace to the dying client. It also provides support to the family members to deal with the happenings.
It is very affordable. Since they exist for a long time, they provide care with modern medicine along with providing support to the patients and their family members. Most of the people, especially the old ones, die due to cancer or heart attack in the hospice. The main aim is to take care of the needs and happiness of the patient and family members.
Hospice nurses are mentally and emotionally strong people who take care of patients who are at the last stage of their illnesses. In medical terms, the problems that afflict patients are known as terminal illnesses. Terminal illness is that disease that cannot be cured, and death is sure but slow. Any disease that has crossed all the initial stages and reached to the extreme one is incurable.
This includes the end-stage of cancer, heart and lung diseases, and AIDS. These nurses look after terminally ill patients and ensure that the dying process is pain-free. They also take care that the remaining days of patients are full of comfort and positive feelings.
These nurses work in hospitals or in patients’ residences. Hospice patients cannot be cured and death is imminent, so the job of these nurses perform is very critical. Since no one can save a person from death, except god, all that could be done by the nurses is to help patients in embracing death with dignity and without having much pain and discomfort.
Mainly, the role performed by these nurses is pain management and an educator. They provide mental and emotional support to patients and their families. These nurses are assisted by certified nursing assistants (CNA) in completing their tasks.
The main aim behind providing medical and nursing care to patients is to ensure that the last few days of their lives are spent comfortably and in less pain.
What is Hospice Care?
Hospice care consists of a team of members who are dedicated to working for dying patients. Nursing assistants play a pivotal role in the group, as they require spending time with patients and family members. Finding such a facility is not difficult.
There are several independent hospice facilities. Most of the hospitals also provide such facilities, where they allocate a floor or section for such patients, and special care is provided. Even nursing homes offer this facility. When you advance towards receiving this care, the medical staff studies the patient’s health, current scenario, and life expectancy.
Nursing assistants make patients and family members aware of the culture and services of their hospice facility. They do not possess any criteria. People who are generally in the last six months of their lives receive care. This is not necessary; even a child or a senior citizen suffering from a terminal illness like AIDS, respiratory disease, heart disease, etc., receives such care.
Nursing assistants, it ensures the care of patients till they attain a better stage or till the end. Most of the people come out feeling better after completing a program. Some of the clients even live longer than the expectations. If you are not happy and comfortable living in such a facility, you possess the right to be discharged from that facility. Several insurance companies also provide insurance.
How to Become a Hospice Nurse?
To become a hospice nurse, it is necessary to complete a Bachelor of Science in Nursing or an Associated Degree in Nursing. After completing the minimum qualification, it is compulsory to work for two years as a registered nurse in a hospice-care environment.
When you have met the initial requirements, you have to look for an accredited program to enhance your knowledge on subjects like anatomy, psychology, chemistry, biology, etc. Clinical training is also necessary to get the real feel of the job.
You can also specialize in gerontological nursing to understand the aging process and needs of elderly patients. Hospice patients may not always be elderly. Many young patients can also die because of a terminal illness. Having knowledge on different aspects of psychology and medical conditions will make the job easy. However, 90% of your job will be caring for age-related problems that are incurable.
Courses covered during the training course would include identifying disease symptoms, pain management, different stages of diseases, spiritual and psychological care. Few additional certification courses will deal with ethical and legal issues associated with hospice care. Pass the certification exam as mandatory by your state to get legal permission for practicing hospice care.
Thus with so much demand for nursing assistants and overall scope, working in such a facility is an excellent career alternative for a nursing assistant. For this, you do not need any specific training. All you need is completing a state-approved nurse aide program and passing the state competency evaluation exam.
After this, you can apply for a job. You need to complete a program and possess at least 2000 hours of work experience to take an exam that will certify you through the National Board for Certification of Palliative and Hospice Nursing.
After you pass this exam and once they verify your details, you will receive a certificate. This will help you in finding work in the hospice or facility providing such services of your choice. Thus if your interest lies in becoming a hospice nursing assistant, you must lead towards it.
Duties of Hospice Nurses
These nurses provide nursing and medical care to dying patients. The job is usually performed in the patients’ homes. However, some treatments and care require patients to be admitted to the facility. These nurses take their duties a few steps further than traditional nurses do. They monitor and keep an eye on the patient’s conditions and administer medications accordingly.
Since the complete cure of the illness is impossible at this stage, they help patients in accepting the inevitable. They especially listen and oblige to patients’ requests if it is ethical and included in the medical books. If patients demand to spend their remaining days at home, they have to oblige it and do the arrangements. They educate and support patients and families with the dying process.
In short, they do everything their knowledge and skills permit them in making the last few days comfortable for the patients.
Career Outlook for a Hospice Nurse
Millions in this world are suffering from terminal illnesses. This includes kids, young, adults and elderly people. Most of them die in healthcare facilities while some prefer to spend their last day in their homes. In either case, it is necessary for the families and the medical industry to ensure that patients get all sorts of medical and nursing care so that the dying process is painless. These nurses perfectly match up with the necessity of the job and try to make patients as comfortable as they can.
Since no one can stop or revise the aging process, and people are going to suffer from terminal illnesses; therefore the employment of these nurses is about to grow. The administration has slated a job growth of 22% for these nurses until 2018. If you are certified for the job, you can work in hospitals, hospice care and other facilities. You will have the opportunity to work as a Hospice Nurse – Case Manager. You will assess and manage patients’ care.
Moreover, you will be working with only one patient so that you can totally dedicate your skills and attention to that patient which will help in bonding. This position will help you in analyzing the last moments and sharing something emotional with the patients.
The salary of hospice nurses is more as compared to the certified nursing assistant (CNA). Salaries of these nurses depend on the geographical locations and employers. Your experience and additional certification you have achieved will also affect your salary. However, $70,000 is the average annual salary package in the U.S. Some expensive states offer an annual salary of $83,000.
Why are we emphasizing more on the hospice?
There are several reasons for it. In such a facility, service is available 24/7 with taking care of even the minutest need of the patient. Palliative care and not curing is the motive. They emphasize more on reducing pain.
The trained team of nursing assistants is equipped enough to connect to the patient’s emotions and pain and reduce them. Even if the patient expires, the team provides bereavement care to his/her family members until one year. Clients in such a facility possess the freedom to go out and enjoy the environment or perform activities of their interest (keeping in mind their ability).
Hospice nursing career will give you an opportunity to realize how death brings people under it its shadow since you will be working with patients who are going to die. If you are emotionally strong and want to help patients in dealing with death, then you can easily opt for this career profile.