Odyssey RN Case Managers coordinate the care of the hospice patient and their family to ensure we meet their goals for care. They will assess the patient and family on admission and on each visit. Most important is controlling pain and other distressing symptoms. Education regarding the physical aspects of care, as well as what to expect as the disease progresses is very important. Titration of medications under the direction of the physician, wound care, maintenance of optimal body functions, supervision of the Home Health Aide and working with other disciplines are also part of their daily care. The nurse or another member of the team will contact the patient/caregiver every day to make sure needs are being met. Early intervention is often the key to good comfort care.
The nurse is a active member of the interdisciplinary team. They will visit at least weekly and usually two to three times a week. All visit schedules are based on patient need. The RN will assess the need for other services and make arrangements as necessary to facilitate home care or move to the appropriate level of care to best meet patient need.