#Supporting grieving families
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Compassionate Care: The Vital Role of Nurse Case Managers in Hospice
Hospice care is one of the most profound forms of support in healthcare, centered on offering comfort and dignity to individuals nearing the end of life. Within this delicate field, nurse case managers play a critical role in ensuring patients receive compassionate, quality care while supporting their families through what is often a deeply emotional time. Their presence is not only necessary for the coordination of care but also vital for providing emotional and logistical guidance during this unique phase of life.
What Do Nurse Case Managers Do in Hospice?
Nurse case managers fulfill a multifaceted role in hospice care. At its core, they are tasked with coordinating care plans that are tailor-made for patients’ medical, emotional, and spiritual needs. They act as the touchpoint between patients, families, and healthcare teams, ensuring seamless communication and collaboration. Here are some key responsibilities:
Developing Individualized Care Plans
A nurse case manager begins by assessing the patient’s condition, medical history, and expressed wishes. They design a care plan that respects personal preferences while addressing pain management, symptom control, and emotional wellbeing. For example, if a patient prefers to stay at home, the nurse case manager ensures that adequate in-home support and resources are provided.
Managing Symptom Control
Comfort is at the heart of hospice care. Nurse case managers work closely with physicians, nurses, and palliative specialists to adjust medications or therapies that alleviate symptoms like pain, nausea, or shortness of breath. Their expertise ensures patients remain as comfortable as possible throughout their hospice journey.
Serving as a Liaison
Hospice care involves a team approach, and nurse case managers act as the linchpin. They bridge communication between doctors, social workers, chaplains, and caregivers, ensuring that everyone involved understands the plan of care and their role in delivering it.
Supporting Families
Families often face immense stress and heartbreak as they prepare for the loss of a loved one. Nurse case managers provide not only medical guidance but also emotional support. For instance, they may help a family understand the signs of nearing death or guide them through difficult decisions, like when to transition to hospice care.
Advocating for Patient Wishes
One of the most important roles a nurse case manager plays is being an advocate for the patient. Whether it’s ensuring the patient’s wishes for spiritual practices are respected or advocating for better resources, they put the patient’s dignity and preferences above all else.
Skills Required for Success
Nurse case managers in hospice care need a unique combination of clinical expertise and interpersonal skills. Compassion is perhaps the most essential skill, as they deal with patients and families during some of life’s most difficult moments. Other critical skills include:
Strong Communication
They must communicate clearly and compassionately with families while also collaborating seamlessly with a care team that may include physicians, chaplains, social workers, and therapists.
Organizational Abilities
Coordinating care for multiple patients involves meticulous attention to detail and an ability to manage competing priorities.
Cultural Sensitivity
Hospice patients come from all walks of life, and nurse case managers must respect and honor diverse cultural and religious beliefs.
Problem Solving
Challenges often arise, whether it’s sourcing equipment for a home-care setup or resolving conflicts within a family. Nurse case managers need quick thinking and creative solutions.
The Impact of Nurse Case Managers
The impact of a nurse case manager in hospice care cannot be overstated. Their professional care often makes the difference between chaos and peace during a critical time.
For instance, consider a scenario where a patient wishes to spend their final days at home but requires specialized medications and equipment. A nurse case manager arranges home health aides, ensures proper delivery of supplies, and trains caregivers in providing basic medical support. This attentiveness transforms the experience for the patient and family, enabling them to focus on creating meaningful, lasting memories.
Equally important is their role in addressing family concerns. For example, a sibling may be struggling with the financial aspect of hospice care. The nurse case manager collaborates with a hospice social worker to explore financial assistance or insurance coverage, reducing stress and allowing families to focus on their loved one’s needs.
Elevating Quality of Life
At the heart of hospice care is the goal of enhancing quality of life, not just for patients but their families as well. Nurse case managers bring compassion and expertise to this mission, giving comfort both physically and emotionally to everyone involved. Through their efforts, patients live their final days with dignity, surrounded by understanding and support, while families find solace in knowing their loved ones are cared for.
Hospice care requires a concerted effort from an entire team, but nurse case managers are often its backbone. Their deep commitment ensures no detail is overlooked, no concern remains unaddressed, and no family feels alone during this overwhelming time.
If you or someone you love is considering hospice care, take heart in knowing that nurse case managers are there to guide you, shoulder the burden of logistical challenges, and help bring calm and comfort in moments that matter the most. Their role is more than a job—it’s a calling, and their compassion leaves an indelible mark on every life they touch.
#Nurse case manager#Hospice care#End-of-life care#Palliative care#Patient care coordination#Family support in hospice#Symptom management#Caring for terminal patients#Emotional support for families#Personalized care plans#Pain management in hospice#Advocacy for patient wishes#Hospice healthcare team#Role of nurses in hospice#Compassionate nursing care#Cultural sensitivity in hospice#Coordinating hospice services#Home-based hospice care#Hospice nurse responsibilities#Supporting grieving families#Quality of life in hospice#Dignity in end-of-life care#Skills for hospice nurses#Communication in hospice teams#Nurse-led hospice management
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People give Valka a lot of shit which makes me sad bc her flaws are what make her interesting, and I LOVE thinking about her character.
Like, Have we considered how she had Hiccup at 20 and was married before that? Have we considered that, though she was in love with Stoick, marrying the Chief (or soon-to-be-chief) is a lot of responsibility? Have we considered how young 20 is and Hiccup takes after her in so many ways, not feeling ready for responsibility or wanting to settle down could be one of them? Have we considered she deliberately didn't come back because she maybe felt she wasn't ready to be a mother? Have we considered she loves Hiccup and Stoick so dearly but needed to live her own life? Have we considered how bittersweet the reunion really was because she realized she missed her chance to actually be a mother and how much the guilt of not coming back must've weighed on her?
I LOVE YOU VALKA HTTYD!!!!!!!
#valka#how to train your dragon#httyd 2#httyd#shes still a deadbeat mom but i love her#i HATEE when ppl shit on valka like what happened to supporting womens wrongs :(#i wish we actually saw some kind of idk confrontation? discussion of how growing up withojt a mother affected hiccup#then perhaps an apology the kind that you know doesnt even begin to make up for the hurt.#bc theres nothing that can be done about it now but trying to move forward. but its bittersweet bc you know theyre at least trying#then possibly some more bonding over dragons as well as them GRIEVING STOICKS DEATH TOGETHER AND BECOMING CLOSER FOR IT#goddd never forgiving thw for how they MASSACRED valka#hiccup haddock#valka haddock#haddock family#httyd headcanon#kind of? more like speculation#speculation on things i know damn well the writers didn't gaf about 😭#valka httyd#moth.txt#deyas dragons
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jim gordon and alfred pennyworth basically co-parented bruce wayne send tweet
#alfred is the stay at home mom#jim is the dad who works 3 full time jobs to support the family#bruce is really just the product of two very violent men who made some interesting choices on what to say to a traumatized grieving 10 year#old#gotham tv#gotham tv show#gotham#gotham tv series#batman#bruce wayne#gotham!bruce#gotham!batman#gotham!bruce wayne#tv: gotham#gotham!alfred#gotham!jim gordon#jim gordon#alfred pennyworth
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Asshole Things Ambrose Has Said/Done #8: Describe Cyrus' relationship with Malistaire as "odd" then sends a child, essentially a stranger to Cyrus, with no business with being involved in their family issues, to extract information out of Cyrus on how to kill his brother (a grieving man)
#ambrose: can you go manipulate a man who's had to see his brother suffer insanity and grief and loss into telling us how to kill him? for me#hey ambrose i have an idea. why dont YOU go do that.#why dont YOU interrogate cyrus. the man that you distrust incorrectly. by the way. on how to hunt down and kill his brother. hm.#hey ambrose why dont YOU figure out malistaire's weaknesses#no lets not comfort the man grieving the loss of his sister in law and his brother. naw.#also using a stranger to be impartial to your feelings and loss is so dirty????? ☹️#if i was dealing with severe family issues and worrying for my lived ones 24/7-#and someone whom ive never met bursts into my house. sent by another person. tried to ask me how to kill my loved one#cyrus was an asshole dont get me wrong but yknow. he had a good reason to be one#like malistaire is my least favorite villain but still. he went through so much. and cyrus too#and ambrose HAD THE GALL.#'hey lets not support the guy who works for mw and instead secretly susoect him of Crimes because of his brother'#ambrose sent us not to go comfort cyrus. but to EXTRACT INFORMATION FROM HIM#SHUT UP SHUT UP JUST SHUT THE FUCK UP.#breathes. anyways hi :)#i refuse to shut up about the wizard being a kid by the way. sorry!#wizard101#wiz101#w101#text posts
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Actually re: that prev reblog. Nothing takes me out of a fic or revolts me in posts so quickly as fanon Alfred. When I see him, it’s all too clear that the poster has not read Batman comics.
#‘better do xyz or ill call Alfred’ VOMITS THROWS UP CRIES#that is NAWT how Alfred is!!!!!!#Alfred is NOT rigid about fucking. bedtimes or self care or shit#also he doesn’t even bake that much. fuck off with the Alfred’s cookies shit#Alfred supports what Bruce is doing even if he worries a bit#he supports Robin whichever one that is#he is part of the operations; let him be flawed in the ways that he’s meant to be#also!! he literally talks about this IN CANON: he is NOT a butler!! he is a valet who took on extra duties#out of a sense of loyalty and care to a family he’d grown to like. to a boy who was grieving#Alfred is a good dude but by god he also let Bruce become Batman and actively supported him in his journey#Alfred is such a nuanced character but fanon is like. allergic to that.#anti fanon#anyway.
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i keep saying i need to make some zhaoryu shit but i'm back on my y5 kazusaeji bullshit again they are just so. m
#ada speaks#there NEEDS to be more zhaoryu shit. but kazusaeji still holds my ass hostage so#if i am to write a comprehensive timeline of kiryu's sexuality and him coming to realizations about himself that lead to the way he's#changed in gaiden to be more. uh.#then i have got to start at 5 because its literally when he first begins to realize he's fr into men. and then gaiden & 8 he's like Out#i need his first time to be with saejima when he's at his lowest it just makes sense#theres so fucking much in 5 that feels like its really coming to a head#mayumi. why did they fucking do that. like also nakajima and his coworkers being like U Are Gay but.#mayumi. and hinata. why are you having him refuse sex with women TWICE in one game#i hc him as acespec but i also think he should get to fool around w saejima for narrative reasons#and by that i mean i think it would be absolutely devastating and tragic and also they would both legitimately be so normal about it#saejima knows he's going back to jail anyway so there's that#but god help kiryu he's absolutely trying to fill the loneliness void with People all the damn time#lowkey doing what he did with kaoru to saejima 😭#you're grieving the loss of your family? time to latch onto the woman going through the same thing just a year later#lost your emotional support daughter? allow a woman to live with you while you continuously rebuff her advances#lonely and directionless and feeling guilty for having dragged your loved ones into conflict again and again?#have sex with probably the Only guy who can understand exactly what you're going through but is consistently in a Way healthier mindset#it also makes the conversation they have on the rooftop of new serena so much more deranged if it happened before that#im normal btw thanks for asking
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ohhhh i didn’t think it was possible to be more exhausted than i was this morning. but here i am
#was at my sister’s house for like 4 hours planning and talking abt what needs to be done#i felt So fucking bad this morning. now i am in slightly better spirits but im just Completely exhausted#i hate all of this. i hate that i have to be here in this house for this. i hate that so much falls onto me bc of that#i hate that i was ready to get stabilized here and then this shit happened#and i hate that no one else in my family hates him Nearly as much as i do so i feel completely alone in having No good memories#and i hate that i had to experience the entire process of him dying firsthand#between his deterioration and him being collapsed on the floor#i hate that no one seems to understand how deeply traumatizing that was#i hate that everyone is saying nice things about him and he traumatized me So deeply and was just a piece of shit imo#and i hate tjat i have to continue living here and grieving over someone who i have fucking hated my entire life#and provide emotional and physical support for my mom who i also 75% hate#anyway. fuck my life ig
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The Red Wedding 🤝 Blood & Cheese
Being horrendously brutal and seeming smart in the moment, but actually being poor decisions in the long run due to turning the smallfolk against you and eliminating the rules of war
(Credit to @kirby.alice on TikTok for her analysis of The Red Wedding)
#this has become my new Roman Empire#because knocking out your enemies/traumatizing them seems smart#but instead you’ve made yourself look like a monster#you’ve made your enemies seem much better in comparison#(granted helaena and the kids were innocents regardless)#but now aegon aemond alicent and otto are all just grieving a horrible tragedy#and as kirby said robb was losing support#but then he became the glorious hero struck down by cowards#and that’s without mentioning the war playbook getting thrown out#small children are fair game now? how about we have your son watch you die rhaenyra?#acts of war can happen at private family events? i don’t know when and i don’t know how but that will come back to bite at least#one of the red wedding families HARD in the next two books#game of thrones#house of the dragon#a song of ice and fire#fire and blood#blood and cheese#the red wedding
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@beatingheart-bride
And it was very clear that this was the best gift the children could've gotten that day: After blowing out the candles and having a little cake, Lon and Erika tore into their mountain of gifts with gusto, finding all manner of delights, ranging from storybooks to dolls to costumes for dress-up to a pair of lovely watercolor sets, just to name a few. But while these gifts were delightful, and there was no denying the pair's excitement over them, it was clear that their grandparents staying at Gracey Manor was the most wonderful gift of all.
And while the festivities got underway (with Lon eagerly joining his great-uncles and Wilhelm in a little bobbing for apples, and Erika asking June and Josephine if they wanted to make some spooky arts and crafts with her), Dorian saw an opportunity to speak to his best friend, saying, "I have those fabric designs I'd like you to look at, if you don't mind."
"Oh, not at all!" Randall nodded, setting aside his slice of cake as he took the designs and looked them over, only for his brow to knit together: Bottles and rattles? Little storks? Teddy bears, stars, and moons in pastel pinks and blues?
"Dorian, these are patterns for baby clothes," he frowned. "Why do you want-!!!!"
It was at that moment that it hit him like a ton of bricks, his eyes widening and his jaws dropping open as his head whipped back to look at a smiling Elizabeth and a grinning Dorian. Randall spluttered for a moment, trying to get the words out, but all he could manage to do was point to Elizabeth and stutter out, "-You are?"
"Yes," she grinned, as he then pointed to Dorian, sputtering, "Y-You...you mean...?"
"We do," the young master grinned as he squeezed his wife's hand, saying what he and Elizabeth had been itching to tell their best friends all month long:
"We're expecting!"
#((ooooohhhhhh i am SO excited to write that little epilogue; it is going to be SO well-deserved!))#((all this time; they've known who the burke's daughter is; they *remember* june; they remember her husband))#((and they remember her son; and most importantly do they remember their TREATMENT of her and her family))#((and clearly don't regret what they did in the slightest! absolutely zero regrets for what they did!))#((they shunned june; offered her zero sympathy when wilhelm died; did nothing to help a grieving widow))#((working to provide for her young son; didn't give them any help or support or anything))#((they just shut them out...and now they think they can turn around and be chummy with her parents))#((and think said parents WON'T find out about that mistreatment and be upset by it?))#((they really don't think they'll ever find out about how they treated their family? oh yeah; they'll have it coming))#((and it'll be wonderfully cathartic-it's just a shame june and wilhelm themselves won't be there to see it!))#outofhatboxes#beatingheart-bride#V:Two Worlds; One Family
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I remember what death tasted like. Or at least I thought I did.
I lost Vinícius, it was tragic. He was my childhood friend, playing Sherlock and Watson with a .99 cent magnifying glass my mom bought for us. He’s gone, and I’ll never listen to the sound of his violin again.
But now it’s closer. Now it’s family. I thought I knew what death tasted like when I lost Vini, but nothing compares to the pain I feel now, slowly losing my godfather.
Please, whoever or whatever higher being there is in this world. It’s okay for him to go. We are sticking together like superglue to support one another when the day comes. We are grieving, yes, but we are prepared. He can go.
Just let him go without any pain. Please.
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another nurse killed by a patient (Joyce Grayson), it’s so fucking terrifying
nurses are constantly physically, sexually, and emotionally abused while trying to do their jobs and it’s looked at as something we “sign up for” and “part of the job”
and when it happens? we get little to no support from management, hospitals, employers, etc.
#i hope she rests in peace and her family are surrounded by love and support while they grieve#emily.txt
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Late night parasocializing on main:
I’m not saying these situations are the same AT ALL and I know I don’t know these people AT ALL, but the Joe/Taylor situation reminds me of two friends in my work friend group who we all watched crush on each other, start dating, become a couple, etc. To the point that they became a Unit and were together for years. Then they broke up and went their separate ways (something something how evergreen our group of friends don’t think we’ll say that word again) and there was a lot of hurt and bitterness and resentment there and we all went from thinking, “obviously they are going to be a couple they’re perfect for one another,” to “wow they’re such different people I can’t imagine them being together in the first place they have zero in common” to now close to a decade later legit forgetting they ever dated because it feels like soooooo long ago and their orbits would just never cross ever again. Like, not only would they clearly never date as the people they are now, they wouldn’t even give each other a second glance. (And this is a guy who once walked around with heart eyes whenever she was around and a girl who thought he hung the moon.)
And like, a year ago we as fans were all sad for Taylor because by all accounts she’d found her person and were hard pressed to picture her with someone else who’d get her as much as he did, and now looking at it from above the trees (ahem) I can’t even ever picture them together because they just seem sooooooo different (in lifestyle, temperament, priorities, personalities, etc.) And while admittedly I could not picture her at all with Travis when the rumours first started about them dating, seeing them now they just seem to make so much sense despite the superficial differences.
Life comes at you fast etc.
#but also yet another example of how as extraordinary as their lives are the breakup is the most painfully normal thing to happen#as for my friends the guy got engaged to the next girl he dated (of course)#the girl who is still one of my besties has had a series of unfortunate breakups with emotionally immature men lol#then went through her Activities era this fall after her last breakup lol#but may have finally found one of the rare emotionally intelligent men so there’s hope!#like obviously the situations aren’t analogous because my friends were much younger and while they were serious#they weren’t cohabiting serious#but their families were enmeshed and my friend did grieve losing her bf’s mom as support when they broke up#I’m just saying that as ‘perfect’ as Taylor and Joe seemed a few years ago#I can’t picture them as ever sharing more than a passing hello if they met as their current selves#it’s wild how people and circumstances change
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There's a very low chance of it happening but I really really hope we get HoO adaptated... How cool would it be for Rick to completely change the events so that the story was streamlined better? Now that we know he's not against changing details to suit the themes he's working with?
how cool would it be for him to revisit these characters that he struggled writing? especially now that he knows what the end goal is?
How cool would it be to see their development technically cross over two versions of the same timeline? An extended version of canon where things went slightly to the left but happened nonetheless?
#I want my kids to be given justice so bad#give Jason and Piper their proper development. make it more prominent in their characterisation and plot#give Frank and Hazel more impact in big battles. let them SHOW that they are children of War and Death#give Leo and Calypso more time to develop and overcome their traumas#Show that people CAN recover and that sometimes what you need is a friend#most of all#let them be a family#Show me Piper and Percy bonding over needing their parents there for support#show me Frank grieving his family and home and being supoorted by his friends#show me Jason slowly breaking down under pressure and Piper (and maybe Leo if he's there) holding him#show me Leo being dragged out of the engine room by Piper#show me Hazel with her sword out standing protectively in front of people older than her with vicious intent
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Moonbin, you will always be my star.
#it’s been years since I updated and I’m so terribly saddened that this was the reason#my heart goes out to his family and to his friends#I hope they can find support and comfort amongst each other#and I hope everyone is allowed to properly grieve#and are given the resources to do so
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thinking about lix and just wanna wrap him in a blanket burrito and give him hugs and give him little platonic pecks on the cheek and make him smile and laugh if he needs it and ugh I miss him
#izzy.txt★#tw death mention#tw grieving#in all seriousness I really do hope he’s alright#it’s never easy to lose a loved one and I know he has support with the members but also I’m sure he wants to be with his family as well#sending him all the love I can muster
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I don’t even really ship vash and wolfwood but GOD. That animation (the one reblogged b4 this) is GORGEOUS RAHHHHH
#my rambles#trigun spoilers#(bc of my tag rant. INCOMING)#98 trigun why…. why’d you have to go and murder my feelings like that….#the GRIEF#grieving bc one of the very few people you’ve ever kept close just died#and grieving bc it was *your* ideas that he adopted. and died because#*because of#what do you do? you haven’t had a family in 100 years.#well. a support system at least#and you’ve finally found one in these three people who won’t stop following you#and when you finally get close… bang. one of them is gone. and it’s because of *you*#because of the people after you. because he decided to finally follow your ideals#fucking rip. that guilt that eats at him just grew 3x bigger#SOBS SOBS SOBS#I need to read the manga. IMMEDIATELY#edit: oh I should probably clarify#I don’t hate the ship or anything#I just enjoy them in a platonic font
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