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The Amity Group, 210 Magnate Drive, Suite 201, Lafayette, LA (2026)

04/01/2026

Tips for Hospice Nurses:
When you’re documenting in the encounter section for a well-managed patient, be careful with phrases like “no complaints,” “no issues,” or “stable.” Those statements can work against you.

This is still a terminally ill patient.

Instead, document that Patient does not have a primary complaint or concern at this time, while clearly showing that Patient continues to have ongoing needs that are being actively managed under the hospice plan of care. Include that Patient reports the current plan is effective in managing symptoms and maintaining comfort.

We are not documenting absence of problems. We are documenting skilled management of serious, ongoing problems.

In this video, I’ll also show you exactly where to find these phrases inside DAHN (D-A-H-N), the Documentation App for Hospice Nurses. If you’re not using DAHN yet, you can still take these phrases and adapt them into your own documentation.

Learn more at: www.getdahn.com

Ya’ll be safe out there! I love you guys … xoxo ~ Shelley 💕

03/31/2026

Those of us who work in hospice know how much the quality of orientation and clinical education matters — not just for our teams, but for the patients and families we serve.

A colleague of mine, Dr. Monika Virk, is building something really meaningful: a hospice education module as part of HOP (Healthcare Orientation Platform), an AI-powered platform designed specifically for home health and hospice agencies.

She is gathering input from hospice clinicians and leaders to make sure this module reflects the real needs of our field — and I want to make sure your voice is part of it.

If you work in hospice or post-acute care, I would be so grateful if you could take 3 to 5 minutes to fill out this short survey:

https://docs.google.com/forms/d/e/1FAIpQLSdiX31B7SbK1bvT2y20b7halI3XlMZQ4SBGb15JdjlHlU1PmQ/viewform

Your insight could directly shape the tools that support hospice clinicians for years to come. Please share with anyone in your network who would have valuable perspective.

Thank you for all you do for this sacred work. 🤍

03/31/2026

To make sure your hospice narrative notes hit every element and support eligibility, I recommend using the structure I teach called H.E.A.R.T.S. — follow this structure every time, and every required element will be there. ✅

Even better? The D.A.H.N. app — the documentation app I built for hospice nurses — includes a ready-to-use H.E.A.R.T.S. template. When you write your notes in D.A.H.N., you automatically follow the H.E.A.R.T.S. format, and D.A.H.N. provides all the phrases you need.

D.A.H.N. is not artificial intelligence — it’s EXPERT GUIDANCE that helps you write strong, supportive notes for eligibility while still reflecting your voice and your patients’ unique needs.

Download D.A.H.N. from the App Store, or use the web version at www.getDAHN.com

Ya’ll be safe out there! I love you guys … xoxo ~ Shelley 💕

-A-H-N

03/31/2026

If you want a new way to do Hospice Nursing, consider becoming an Amity Nurse - you control your schedule and the days you work. You’re paid a good hourly wage that reflects your skill and talent, and you’re paid for every minute you work (including drive and documentation time). There are no on call requirements either!Best of all … work with a company that respects you, and the important work you do, and whose mission is to Preserve the Art of Hospice Nursing 🥰

Learn more, and complete the application at: www.AmityStaffing.com

Ya’ll be safe out there! I love you guys … xoxo ~ Shelley 💕

shelleyhenry

03/30/2026

Tip for Hospice Nurses: Terminal Fever

In the last days or hours of life, your patient may suddenly spike a temp 🌡️ as high as 103 - 104, which disappears 💨as fast as it came on. In hospice we call this a terminal fever. There is not a lot of research on terminal fever, but my theory is that, like the rest of the body, the hypothalamus🧠 is shutting down and is no longer able to regulate the temp, so we see erratic fluctuations in temperature. A couple of points to consider:
1. Usually asymptomatic
2. Interventions are ineffective
3. Educate the CG/family when the pt first starts transitioning so they are prepared if it does occur
4. Avoid any uncomfortable interventions

For products designed just for hospice nurses go to my website: AmityStaffing.com/products

hospicenurses amity amitygroup amitystaffingTerminalFever

03/30/2026

Tip for Hospice Nurses: Terminal Fever

In the last days or hours of life, your patient may suddenly spike a temp 🌡️ as high as 103 - 104, which disappears 💨as fast as it came on. In hospice we call this a terminal fever. There is not a lot of research on terminal fever, but my theory is that, like the rest of the body, the hypothalamus🧠 is shutting down and is no longer able to regulate the temp, so we see erratic fluctuations in temperature. A couple of points to consider:
1. Usually asymptomatic
2. Interventions are ineffective
3. Educate the CG/family when the pt first starts transitioning so they are prepared if it does occur
4. Avoid any uncomfortable interventions

For products designed just for hospice nurses go to my website: AmityStaffing.com/products

03/29/2026

Tip for Hospice Nurses:
Dyspnea has a diagnosis code… but can you use it as your primary hospice diagnosis? Unfortunately, No, you cannot use symptoms as your Primary Hospice Diagnosis.

Symptoms don’t stand alone, they must be traced back to the underlying disease process. Here’s how:

1️⃣ Dyspnea → often tied to end-stage chronic obstructive pulmonary disease, pulmonary fibrosis, or another lung condition.
2️⃣ Edema → may be from end-stage congestive heart failure, end-stage renal failure, or end-stage liver failure.
3️⃣ Stroke (CVA) → while this may be acceptable, it is stronger to state it as end-stage cerebrovascular disease with the complication of a CVA.

The physician has the final say in determining the admitting diagnosis; however, these days making that determination is not as cut and dry as it used to be and may require involvement from the whole IDT.

📲 Need help phrasing documentation?
Check out my Documentation App for Hospice Nurses (DAHN) - it’s available on the app stores, or at www.getDAHN.com
or
if books are more your thing, go to www.AmityStaffing.com/products to learn more about my Hospice Documentation Master Bundle.

Ya’ll be safe out there! I love you guys … xoxo ~ Shelley 💕

03/28/2026

Tip for Hospice Nurses: As clinicians who provide care in out patient’s home, we are all at risk - below are some things you can do to prioritize your safety:

1. If there are any concerns about the nature of the pt, or anyone in the pt’s home … don’t go see the pt.
2. If your company says they will send another team member with you … don’t go see the pt. because now both of you are at risk.
3. If you have a weird gut feeling anytime before or during the visit, make an excuse, get in your car and leave. You can call the pt when you a safe distance away.
4. Keep your key fob in a secure pocket in your scrubs - always keep it on your body. Never in your bag or scrub jacket because if you have to run you will be able to get in your car.
5. Park you car so it cannot be blocked in and so you can pull away quickly.

No matter what anyone says, your safety is priority, so take care of you first!

Ya’ll be safe out there! I love you guys … xoxo ~ Shelley 💕

To learn more about being a Certified Amity Nurse and have complete control over your life, visit me website: www.AmityStaffing.com/nurses

03/26/2026

Tips for Hospice Nurses: If you’re struggling to finish your day in 8 hours, the first question isn’t always “What am I doing wrong?”

It’s this: Is it a time management issue… or is it an unmanageable caseload?

If your caseload is 10–12 patients and you’re still running behind, take a look at your workflow, your documentation habits, and how your day is structured.

But if your caseload is 18, 20, 25 or more … that’s not a time management problem. That’s an unmanageable caseload.

Over the last 5 years of the Hospice Nurse Experience Survey, nurses have consistently said the same thing: manageable caseloads fall between 12 and 15. That has not changed.

So when agencies push higher caseloads to “save money” on paper, what actually happens in real life?
* Cost PPD increases
* Documentation quality drops
* Live Discharges Increase
* Risk increases
* After-hours cost increases
* Revenue is impacted

Savvy hospice leaders already know this.

As hospice nurses, we have to protect ourselves and our energy. Not just for us, but for our patients and our teams. Because when we are stretched too thin, everyone feels it.

If your caseload is unmanageable, speak up for yourself, your agency and your patients.

And if your agency needs support during growth or staffing shortages, this is exactly where Amity comes in.

The Amity Group is the only hospice-only staffing partner providing experienced, handpicked, vetted, local nurses who can step in day one and stabilize your team while you hire the right people.

This is how you protect your staff, your patients, your revenue, and your reputation.

This is how we continue Advancing the Art of Hospice Care.

Learn more at www.AmityStaffing.com

Ya’ll be safe out there! I love you guys … xoxo ~ Shelley 💕

03/26/2026

Tips for Hospice Nurses: If you’re struggling to finish your day in 8 hours, the first question isn’t always “What am I doing wrong?”

It’s this: Is it a time management issue… or is it an unmanageable caseload?

If your caseload is 10–12 patients and you’re still running behind, take a look at your workflow, your documentation habits, and how your day is structured.

But if your caseload is 18, 20, 25 or more … that’s not a time management problem. That’s an unmanageable caseload.

Over the last 5 years of the Hospice Nurse Experience Survey, nurses have consistently said the same thing: manageable caseloads fall between 12 and 15. That has not changed.

So when agencies push higher caseloads to “save money” on paper, what actually happens in real life?
* Cost PPD increases
* Documentation quality drops
* Live Discharges Increase
* Risk increases
* After-hours cost increases
* Revenue is impacted

Savvy hospice leaders already know this.

As hospice nurses, we have to protect ourselves and our energy. Not just for us, but for our patients and our teams. Because when we are stretched too thin, everyone feels it.

If your caseload is unmanageable, speak up for yourself, your agency and your patients.

And if your agency needs support during growth or staffing shortages, this is exactly where Amity comes in.

The Amity Group is the only hospice-only staffing partner providing experienced, handpicked, vetted, local nurses who can step in day one and stabilize your team while you hire the right people.

This is how you protect your staff, your patients, your revenue, and your reputation.

This is how we continue Advancing the Art of Hospice Care.

Learn more at www.AmityStaffing.com

Ya’ll be safe out there! I love you guys … xoxo ~ Shelley 💕

The Amity Group

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