One challenging admission involved a patient with complex medical needs and a resistant family. I started by conducting a thorough assessment to understand the patient's condition and the family's concerns. I then coordinated with the interdisciplinary team to develop a tailored care plan. By maintaining open communication and providing clear explanations, I was able to gain the family's trust and ensure a smooth transition into hospice care. This experience reinforced the importance of empathy, patience, and collaboration in hospice nursing.

I prioritize tasks by assessing the urgency and impact of each case. Critical patient assessments and immediate care needs take precedence. I also ensure that I communicate effectively with the interdisciplinary team to delegate tasks when necessary. Time management is key, so I often create a to-do list at the start of the day, updating it as new tasks arise. This helps me stay organized and ensures that all patients receive timely and appropriate care.

Building rapport starts with active listening and empathy. I make a conscious effort to understand the patient's and family's concerns and fears. I use open-ended questions to encourage them to share their thoughts and feelings. Additionally, I ensure that I explain the hospice process clearly and answer any questions they may have. Small gestures, such as holding a hand or offering a reassuring smile, can also go a long way in building trust and comfort.

Ethical dilemmas require careful consideration of the patient's wishes, the family's perspective, and the clinical guidelines. I approach these situations by engaging in open dialogue with the patient and family, ensuring they understand all options and implications. I also consult with the interdisciplinary team to gather diverse viewpoints. Ultimately, the goal is to make a decision that aligns with the patient's best interests and respects their autonomy, while also considering the family's emotional and practical needs.

Technology is crucial in streamlining documentation, improving communication, and enhancing patient care. Electronic health records (EHRs) allow for efficient data entry and retrieval, ensuring that all patient information is up-to-date and accessible. Telehealth tools can facilitate remote consultations, especially in rural areas or during emergencies. Additionally, mobile apps and patient portals can help families stay informed and engaged in the care process. While technology is a valuable tool, I ensure that it complements, rather than replaces, the human touch in hospice care.