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Before taking the stage at the Huntington Center in Toledo, Ohio on Thursday night, Keith Urban made a surprise visit to the hospital bedside of a devoted fan. Vincent Hospital, where superfan Marissa English is currently in hospice care. She had tix for the concert but is now facing hospice.

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Holistic Hottie Inc| New York City | Amira Lamb

It looks like all the others, but in this one a man lies dying. His wife, still in hair curlers, answers the front door. In her 70s, she is getting ready for her day. She leads the way to the bedroom where her husband, Larry, sleeps in a hospital bed facing a window.

A slight breeze blows the curtains and there is the sound of birds chirping. He suffers from arteriosclerosis; his slight breath rattles from open lips. His tall frame is folded, knees up in the fetal position. To prevent pressure sores, a pillow is tucked between them.

It is pressure wounds that Yanet has come to take care of. She pulls on pink gloves from a box on the bedside table and begins the slow task of redressing one on his heel and the other on his hip. The late stage of a terminal illness leaves patients in a fragile condition. Just lying in bed becomes hazardous, as a small pressure sore can quickly turn into a deep, threatening wound.

Yanet will dress many such wounds during the day. Hospice care is about making someone near the end of life as comfortable as possible. Most people think the central focus is pain control, but personal and emotional care is a large part of what hospice nurses and aides do. Patients may be anxious about the past, the present, the future. Family caregivers may be elderly and lack the strength or endurance to turn the patient or bathe or change them as often as they should.

Driving to the next home, Yanet explains that sometimes it is the family that needs care. This makes them nervous, afraid.

Debra, who is retired, takes care of her mother during the day until sister Sylvia returns home from work. After administering to Gloria, Yanet takes time to hold her hand and speak softly to her. It is a private moment between nurse and patient. Throughout the day, while driving and during home visits, Yanet gets phone calls about other patients.

In fact, she can get as many as 50 phone calls in a day, which she juggles along with patient care, family conferences, driving and paperwork. Her phone calls may be from physicians, the pharmacy, or family members who want to speak only to the hospice nurse.

Carol is a new patient Yanet is seeing for the first time. Initial visits take more time, since there is much to discuss. Hospice patients receive all the medical supplies related to their terminal diagnosis they need, and each week they are replenished. Yanet selects a variety of supplies and packs them in a plastic bag. Yanet finds Carol in an awkward position in her bed. She checks vitals, dresses wounds and changes the diaper.

Experience has taught Yanet to choose her words carefully when talking to a family new to hospice. Yanet explains the importance of keeping their mother clean and dry at all times.

When Yanet suggests a nursing home, both Julia and Robert shake their heads no. Yanet reassures Julia that a hospice aide will be by the next day and can teach Julia everything she needs to know about personal care.

An hour later and after one last check on Carol, Yanet leaves. Yanet has seen similar situations where adult children must make the difficult decision about how to care for an elderly parent who was once independent but is now bed bound. Julia will need some extra support, Yanet decides, and she calls the team social worker to give her a heads up.

Pulling into a shady parking space for lunch, Yanet takes this time to return calls. While she eats, the hospice aide on her team calls to ask if Yanet can visit Pedro, a patient not scheduled for today.

She works with her team at NHPCO to develop regulatory and compliance tools, including hospice payment rates and wage index values and compliance guides.

She is also a certified compliance professional CHC. Carol has many years of experience as a hospice nurse. She served on the National Board for Certification of Hospice and Palliative Nurses for six years and is past chair of the Examination Development Committee for the certification examination for advanced practice hospice and palliative nurses.

Spence has experience in research design, and in developing, implementing and managing field research projects. She holds a doctoral degree from the University of Maryland School of Nursing and a Master of Science degree in mental health nursing. NHPCO designates this live activity for a maximum of 1 contact hours.

Nurses should claim only the contact hours commensurate with the extent of their participation in the activity.

Accredited status by ANCC refers only to continuing nursing education and does not imply endorsement of any commercial product discussed in conjunction with this activity. The National Hospice and Palliative Care Organization is accredited by the Accreditation Council for Continuing Medical Education to provide continuing medical education for physicians. Physicians should claim only the credit commensurate with the extent of their participation in the activity.

Certificate of Participation for Non-physician Healthcare Professionals: Web Design and Development by New Target. Skip to main content. National Hospice and Palliative Care Organization.

6 days ago Keith Urban Surpises His 'Biggest Fan' With A Visit To His Hospice She calls Urban "mister hottie," according to her mother, and keeps a. Dear friends,. Sorry to be so late in writing. Remember when I told you that going on hospice doesn't mean I'm on death's door? Scratch that. 6 days ago Hospice patient, Marissa English, got a personal concert after Keith Urban and hug it and kiss it (and) she'll point at it and say 'Mr. Hottie.'".