Healthcare Providers

Hospice care is a critical component of your patient’s wellbeing.

How TenderCare Hospice Can Help

Click each to learn more.

 
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Patient Safety

  • During the pandemic, home health is especially beneficial for patients with conditions that make them vulnerable to infection. TenderCare provides skilled nursing and therapy in the safety of the patient’s home.
  • Some facilities are unable to accept new patients because of infection control issues. TenderCare Home Health can provide skilled care in the home following hospital discharge.
  • During the Public Health Emergency, we can provide a virtual visit with your patient while we are in the home.
  • Medications from all healthcare providers are reconciled during home visit, including vitamins and supplements, inhalers, and drops used in the home. We can notify you of potentially dangerous interactions, and verify patients are taking medications correctly.
  • We can also identify other safety issues and hazards in the home. This gives you insight on potential barriers to compliance.
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Communication

  • We work under your guidance on an individualized care plan. We will contact you if the patient has a significant change in condition or specific health concerns.

  • We communicate with you using the SBAR system to concisely provide you with actionable data.

  • Remote Patient Monitoring services track biometric trends daily. You will be contacted about actionable trends outside of designated parameters.

  • To reduce paperwork and office interruptions, you can utilize a secure electronic portal to sign orders and review patient data on demand.

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Improved Outcomes

  • By teaching patients self-management techniques, we can often reduce avoidable emergency visits and hospitalizations. Our “Call the Nurse First” programs helps triage patient concerns 24/7.

  • Patients learn to live safely and independently in their own home. Many services that once required the use of a SNF can now be provided in the home. This provides continuity of care while managing healthcare expenditures.

  • We can also help you capture quality measures for the Quality Payment Program and other value-based care initiatives.

  • We are preferred providers with hospitals and accountable care organizations because of our ratings for quality and patient satisfaction. Patients average only 2 episodes of service because they learn self-management skills to live independently.

Which of your patients would benefit from hospice?

Click each to learn more.

Arthritic Disorders

Patients with symptoms indicating impending disjunction, such as new or exacerbated:

  • Tenderness or pain in joints
  • History of joint swelling
  • Subcutaneous nodules
  • Fever
  • Malaise, discomfort.

Patients who:

  • Are experiencing increasing arthritic pain
  • Are Initiating a new medication regimen
  • Are at high risk of falling
  • Need strengthening, gait training or mobility aids
  • Need assistance during post-surgical recovery
  • Would benefit from a maintenance exercise program to reduce risk of deformities
  • Have had recent or frequent hospitalizations
  • Have had frequent or recent emergency visits
  • Would benefit from skilled therapy for strengthening or to avoid contractures
  • Would benefit from teaching on pain management techniques
  • Would benefit from joint protection education or teaching on the use of assistive devices.

Blood Disorders

Patients with new or exacerbated:

  • Tendency to hemorrhage
  • Sepsis
  • Skin itchiness, eruptions and hemorrhages
  • Other comorbidities, including cardiac conditions
  • Pernicious anemia, impaired iron absorption
  • Weakness and severe weight loss
  • Diagnosed malignant lymphoma

Patients who:

  • Have abnormal lab values
  • Are post-op splenectomy
  • Are Initiating a new medication regimen
  • Are at high risk of falling
  • Are at increased risk of in infection or impaired tissue integrity
  • Have had recent or frequent hospitalizations
  • Have had frequent or recent emergency visits
  • Would benefit from education on blood disorders
  • Would benefit from teaching on avoiding recurring infection.

Cancer

Patients with new or exacerbated:

  • Pain
  • Weight loss
  • Loss of function
  • Weakness or malaise
  • Dietary intolerance
  • Deterioration of patient’s condition

Patients who:

  • Need post-operative care following mastectomy, laryngectomy, ostomy, etc.
  • Are receiving chemotherapy, radiation or proton therapy
  • Are Initiating a new medication regimen
  • Are at high risk of falling
  • Have had recent or frequent hospitalizations
  • Have had frequent or recent emergency visits
  • Would benefit from therapy to maintain strength and function for continued medical intervention
  • Would benefit from teaching on new diagnosis, treatments or medication regimen.
  • Have a diagnosis with limited prognosis and may ultimately transition to hospice.
 

Digestive Disorders

Patients with new or exacerbated:

  • Anorexia, nausea or vomiting
  • Peptic ulcer
  • Diverticular disease
  • Abrupt weight loss
  • Suspicion of hematemesis, melena or hematochezia, blood in vomit or stools
  • Cirrhosis of the liver with weakness, fatigue, jaundice or fever Malnutrition.

Patients who:

  • Have recurrent fecal impactions
  • Are receiving hyperalimentation feedings
  • Had recent gastric surgery or gastrostomy
  • Are receiving nasogastric feedings
  • Are post-op ostomy or ostomy with complications
  • Are Initiating a new or changed medication regimen
  • Have had recent or frequent hospitalizations
  • Have had frequent or recent emergency visits
  • Would benefit from teaching on specified dietary modifications
  • Would benefit from speech therapy for dentition and swallowing.

Neuromuscular Disorders

Patients with new or exacerbated:

  • Chronic Obstructive Pulmonary Disease (COPD)
  • Lung cancer
  • Pneumonia, viral or bacterial infection
  • Pulmonary embolism
  • Other respiratory disorders

Patients who would benefit from:

  • Are post-op thoracic surgery
  • Have unstable or fluctuating vital signs
  • Are initiating the use of nebulizers or inhalers
  • Have upper respiratory infection combined with other medical conditions, such as heart failure / abnormal enlargement
  • Are initiating percussion or postural drainage techniques
  • Are taking antimicrobial medications
  • Have Activities of Daily Living challenges related to respiratory disorder
  • Would benefit from teaching pulmonary hygiene, clearing mucus and secretions from the airways.
  • Would benefit from therapy to teach energy conservation.
  • Would benefit from daily remote telehealth monitoring of vital signs to identify trends and potential exacerbations
  • Have a diagnosis with limited prognosis and may ultimately transition to hospice.

Musculoskeletal Disorders

Patients with new or exacerbated:

  • Joint Replacement
  • Fractures of the hip, lower leg, ankle, pelvis
  • Compression fracture of vertebrae
  • Amputation of lower or upper extremity
  • Paget’s disease of the bone
  • Degenerative joint diseases.

Patients who:

  • Are post-op joint replacement (hip, knee, shoulder)
  • Are at high risk for falls or post-operative complications
  • Have had recent or frequent hospitalizations
  • Have had frequent or recent emergency visits
  • Would benefit from pain management medication review, checking all medications, nutritional supplements and vitamins in the home
  • Would benefit from observation, evaluation and restorative nursing
  • Would benefit from physical therapy intervention for severe bone pain or bone deformities.
 

Kidney & Urinary Tract Disorders

Patients with new or exacerbated:

  • Indwelling catheters
  • Urinary tract infections
  • Vesicourethral suspension, bladder / urethra
  • Hematuria, blood in the urine
  • Renal failure, accompanying hypertension
  • Cancer of the bladder or prostate
  • Altered fluid or electrolyte balance.

Patients who:

  • Have abnormal lab values
  • Are post-op renal or urological surgery
  • Had a sudden weight gain
  • Have elevated or unstable vital signs
  • Have had recent or frequent hospitalizations
  • Have had frequent or recent emergency visits
  • Would benefit from bladder training for incontinence
  • Would benefit from specific dietary modification and teaching
  • Would benefit from therapy to maintain strength and ADL function
  • Have a diagnosis with limited prognosis and may ultimately transition to hospice.

Cardiovascular Disease

Patients with new or exacerbated:

  • Fluctuation or instability in vital signs
  • Orthopnea, dyspnea, shortness of breath
  • Chest pain or changes in pain patterns
  • Peripheral edema, swelling
  • Syncope and fainting
  • Hemoptysis, coughing up blood
  • Loss of function or control
  • Transient ischemic attacks
  • Aphasia, dysarthria, swallowing or cognitive disorders.

Patients who:

  • Had recent myocardial infarction, heart surgery or pacemaker insertion
  • Are initiating a new or changed medication regimen
  • Have had recent or frequent hospitalizations
  • Have had frequent or recent emergency visits
  • Would benefit from teaching on energy conservation
  • Would benefit from strengthening to improve Activities of Daily Living
  • Need extensive dietary modification and teaching.
  • Would benefit from daily remote telehealth monitoring of vital signs to identify trends and potential exacerbations
  • Have a diagnosis with limited prognosis and may ultimately transition to hospice.

Respiratory Disorders

Patients with new or exacerbated:

  • Age-related macular degeneration
  • Cataract
  • Diabetic retinopathy
  • Glaucoma
  • Incidence of falls

Patients who would benefit from:

  • Home safety assessment, including risk factors, self-care ability, meal preparation, medication use and other ADLs
  • Teaching on compensation techniques using contrast, color, lighting, tactile orientation and optical aids
  • Teaching on ADLs, including meal preparation, mobility, hygiene, household maintenance and safety
  • Medication review, checking all medications, nutritional supplements and vitamins in the home, along with their potential impact on visual function
  • Daily telehealth monitoring of vital signs to identify trends and potential exacerbations.
 

Interested in working with TenderCare?

We make the referral process simple for physicians. Get in touch to learn how we can help you provide great care for your patients, with less stress for you.