Take this free CHPN practice test to get a sample of the types of questions on the actual Hospice and Palliative Nurse certification exam.
The CHPN exam is a 3 hour exam covering 150 multiple choice questions. The CHPN exam focuses on five domain practice areas: Life-limiting Conditions in Adult Patients, Pain Management, Symptom Management, Patient and Family Care and Practical Issues.
The EPEC has a curriculum is available online. The EPEC Curriculum includes 16 modules that consist of information, video cases, and discussion boards. The target audience for the EPEC distance learning programs is physicians and other health care professionals who are engaged in palliative care education and clinical practice. EPEC distance learning is sponsored by the Postgraduate Institute of Medicine. The estimated time for each module is around 60 minutes. Modules can be purchased individually or in clusters. Each module is priced at $30. Once a module has been purchased, you will have unlimited access the module for 1 year.
CLICK HERE to learn more.
The End-of-Life Nursing Education Consortium (ELNEC) offers courses for undergraduate faculty, clinical end-of-life care educators and other continuing education/staff development educators. The ELNEC project, a comprehensive, national education program to improve end-of-life care by nurses, is funded by a major grant from The Robert Wood Johnson Foundation. Primary project goals are to develop a core of expert nursing educators and to coordinate national nursing education efforts in end-of-life care.
Learn about all the course options they provide.
We all need to know and understand the (CoPs) Conditions of Participation, because if hospice agencies do not comply with the conditions then they can (and do) lose their Medicare certification. Nationwide Medicare covers 40 million beneficiaries, an average over 80% of all Hospice patients.
In future articles we will deal with many of these areas individually, but in this post I want to go over all of the basics needed to comply with the CoPs:
Why It Is Important To Know CoPs:
Other than death, there are two ways a hospice can end hospice services:
1. The hospice can discharge the patient:
The update of the comprehensive assessment must be accomplished by the hospice interdisciplinary group (in collaboration with the individual's attending physician, if any) and must consider changes that have taken place since the initial assessment. It must include information on the patient's progress toward desired outcomes, as well as a reassessment of the patient's response to care.
The assessment update must be accomplished as frequently as the condition of the patient requires, but no less frequently than every 15 days.
Plan of Care
Finding A Balance: Self-Care For the Hospice Professionals
By Merry Lee, RN
As an individual attracted to hospice you need to have a special capacity to care those they serve. Your job as a hospice worker is not only make the person who is dying last days more pleasant, but to also help the family through their morning of their loved one.
Because of this unique environment, setting boundaries is often difficult to establish when dealing with special requests from a patient or members of the patient’s family. As hospice workers, you are often confronted with the burden of sacrificing your own time and well-being for those you serve. It is that compassion that makes for a good hospice worker; the ability to truly care for your patients. This is also the thing that can serve as a major source of stress in your lives.
Since compassionate care-giving is an important part of hospice work, you have a distinct and unique challenge that many other health-care workers deal with on a much smaller scale; that is having to deal with the loss of your patients on a regular basis. Unlike other health-care workers whose patients often get better, all hospice patients die.
In the midst of intimate and intense caregiving, you may forget to take care of your self. In order to continue doing this remarkable work, taking care of your self is essential. It is not enough to just take vacations. It is vital to incorporate ways to reduce stress.
As a hospice worker, you will continually meet new patients, with the knowledge that a farewell will soon follow. You need to find ways accept the goodbyes.
In hospice it is important to recognize and deal with your own grief. As a hospice worker, you often become very close to the patient’s family. You will know many of the fears that the patient and their family members have never dealt with before. So, just as the family members need to find ways to mourn, so do the hospice workers who deal with patient’s deaths on a regular basis, otherwise, they own emotional well-being can be compromised over time.
Whether you relieve your stress and feelings over patient’s passing through sculpture, painting, drawing, writing, or music. It is important to find something that works for you. Hiking out in nature may work for one person, but another will need something else; be it cooking, long quiet drives, or going to a health spa for a few hours. You need to find whatever works for you, and then use those releases on a regular basis.
Find ways to pamper yourself. As a hospice worker you give to others all day, and then many of you go home and give to your family members. This is all fine and good, but you still need to find time to give something to yourself. Take an hour for long warm bath with candles and soft music, or a massage, or a walk along a beach, or beautiful mountain path.
It is also important to have your own support system. Do you have an understanding spouse? If not do you a close friend that you can lean on when you are having a particularly hard day? It is important to have someone who can help relieve the stress when things get hard—because they occasionally will get hard.
When discussing issues with a spouse or friend, always remember HIPAA Rules. Never discuss a patient by name or reveal any information about any patient. Simply discuss your personal feelings about the day, “it was a very hard day at work, and I just need you to be there while I work through my feelings.”
A spouse, friend, or even a therapist can be of great help, and they never need to know anything about your patients. When talking to them, it should just be how your feel, and how they can help you.
It is important for you as hospice workers to have friends outside of work. What happens all too often when colleagues get together, they end up talking primarily about work. It is important to have people in your life that can discuss subjects other than hospice. This provides opportunities to share experiences and feelings unrelated to the stressors at work.
When doing things with friends from work, try to find things to do that are totally unrelated to work. Find hobbies that you may both enjoy or want to pursue.
There is also the possibility of joining a health spa together. These alternative settings provide opportunities to share common interests aside from work.
In summary, maintaining good physical and mental health is not only a gift to you, but will be a gift to your patients and their families. As they go through this very hard time in their lives, they need to find way to manage their own stress during their most trying times. By effectively handling your own stress management, you will become a better caregiver to one and all.