Comfort care: how long since, one tap to log it, and the last day at a glance

Where it is. Comfort care is its own page in the menu under ID Care Plan, right after Health Tracking. It shows only while the care chapter is set to hospice care, and never to the patient's own sign-in or to the friends ring. While the circle is in hospice care, Health Tracking also has one line at the top, for example Jane is in hospice care. See Comfort care; every tab of Health Tracking stays as it is. If the care chapter is not hospice care, the page says so and links to the care chapter page.

How long since. The top of the page lists seven things with how long ago, the time and who logged it: Last ate, Last drank or sips, Last pee, Last bowel movement, Last turned, Last mouth care and Last comfort medication. Each is read from the log Health Tracking already keeps: the meals log, the water log and sips, the pee and bowel movement logs, personal care (Turned / repositioned and Teeth / mouth care) and the dose log for medications ordered by the hospice. Nothing logged yet reads None logged yet.

Log it. Under How long since is a small menu with four tabs, each with its own address. Log it has eight buttons. Pee asks how much (None, A little, Normal, A lot) and the color if you like; None is saved as Checked: no pee and never counts as a pee. Bowel movement logs one now and clears the bowel watch. Ate asks how much (None, A few bites, Some, Most); None is saved as food offered and not eaten, never as a meal. Sips, ice chips or mouth swab, Mouth care, Turned or repositioned (Left side, Right side or Back) and Sleeping or awake each take one tap. Comfort check asks five things you can see, each 0 to 2: breathing, restlessness, face, sounds, and whether the patient settles with comfort, and shows the total out of 10. It is what you saw, not a diagnosis; share it with the hospice nurse. Every entry is saved with the time and your name, and shows in Health Tracking, the reports and the care team's feed like any other entry.

The last 24 hours. A list of everything above and every dose of a hospice medication in the last 24 hours, newest first, with the time and who logged it.

Comfort medications. The medications ordered by the hospice, each with the hospice's directions, Give a dose, the time since the last dose and Call the hospice nurse, exactly as on Prescriptions. See Hospice medications.

Watches. Tell us if no pee is logged in: Off to start, or 6, 8, 12 or 24 hours. When it is on and no pee has been logged for that long, the tab shows a short block, for example No pee has been logged for Jane in 9 hours (the last one was 6:10 AM). Tell the hospice nurse, and whoever runs the account, the caregiver role and the professional clocked in at that moment get one phone notification a day while nothing is logged. The notification says only Pee watch, with no name and no number. It checks every 15 minutes and only while the circle is in hospice care. The account owner, the caregiver role and a clinician on the care team set it. The bowel watch stays on in hospice care; its threshold stays on Health Tracking.