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What should be monitored closely in a resident transitioning to hospice care?

  1. Vital signs

  2. Medication adherence

  3. End-of-life decisions

  4. Nutritional needs

The correct answer is: End-of-life decisions

When a resident transitions to hospice care, closely monitoring end-of-life decisions is crucial. This phase of care emphasizes comfort and quality of life rather than curative treatments. The focus is on respecting the wishes of the patient and their family regarding care preferences, advanced directives, and goals of treatment. Understanding and facilitating these preferences helps ensure that the patient experiences a dignified and peaceful end-of-life journey, aligning care with their values and beliefs. This includes discussions about interventions that may or may not be pursued, ensuring that the care provided reflects the individual's desires for their final days. While other aspects, such as vital signs, medication adherence, and nutritional needs, are important in hospice care, they serve secondary roles to the primary goal of honoring and implementing the patient’s end-of-life wishes.