Hospice F2F Assessment NoteBook (Available ONLY in Paperback on Amazon: $21.99)

A Clinical Worksheet for Recertification and Hospice Assessment

Available only in Paperback on Amazon: $21.99

A practical documentation notebook designed for hospice clinicians.

The Hospice F2F Assessment Notebook is a structured clinical tool created to help hospice providers efficiently document face-to-face (F2F) visits required for hospice recertification. Accurate documentation during these encounters is essential for capturing patient decline and supporting continued hospice eligibility.

Designed with real-world hospice practice in mind, this notebook provides a clear and organized format that allows clinicians to record key assessment findings during visits while maintaining consistent and efficient documentation.

Inside this notebook you will find space to document:

• Patient information and hospice diagnosis
• Functional status including Palliative Performance Scale (PPS) and Karnofsky Performance Status (KPS)
• Ambulation and Activities of Daily Living (ADL) dependence
• Cognitive status and behavioral symptoms
• Respiratory status and oxygen use
• Nutrition and intake changes
• Skin and wound assessments with staging and description checkboxes
• Disease-specific scales including FAST staging for dementia, NYHA classification for heart failure, and COPD dyspnea scale
• Decline indicators commonly reviewed during hospice eligibility evaluations
• Notes supporting continued hospice eligibility during recertification

The streamlined layout allows hospice clinicians to quickly check boxes, document observations, and organize findings during each visit, making documentation more efficient and consistent.

Ideal for:

• Hospice Nurse Practitioners
• Hospice Physicians
• Hospice Registered Nurses
• Palliative Care Providers
• Hospice and Palliative Care Teams

Whether used during home hospice visits or facility rounds, this notebook helps clinicians capture important clinical information while staying organized during face-to-face encounters.

By Dr Christine Nganbou Kamkeu DNP (Author)