Hospice Care and What to Expect

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If you or a loved one has been diagnosed with a terminal illness, you may be considering hospice care. Learn what you can expect from a hospice provider.

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Hospice Care and What to Expect

  1. 1. Hospice Care What to Expect
  2. 2. Hospice Care <ul><li>Guided by Medicare Hospice Benefit </li></ul><ul><li>95% in the form of routine home care </li></ul><ul><li>Four levels of care </li></ul>
  3. 3. Routine Home Care <ul><li>Most common </li></ul><ul><li>Hospice care team provides core services in patient’s home </li></ul><ul><ul><li>Anywhere the patient may live </li></ul></ul><ul><li>Includes physician or specialist visits </li></ul><ul><li>Nursing and home health aide visits 1-3 times per week </li></ul><ul><li>Counseling, medications, medical equipment/supplies, lab services, physical therapy included </li></ul>
  4. 4. Respite Care <ul><li>Allows family members time away from caregiving </li></ul><ul><li>Short-term inpatient care </li></ul><ul><li>Limited to five consecutive days </li></ul><ul><li>Patient admitted to a facility so caregivers can relax </li></ul>
  5. 5. General Inpatient Hospice Care <ul><li>Acute care hospital or other setting </li></ul><ul><li>Intensive nursing, other support </li></ul><ul><li>Uncontrolled and distressing physical symptoms </li></ul><ul><li>Psycho-social problems </li></ul><ul><li>Three types of facilities: </li></ul><ul><ul><li>Free-standing facility </li></ul></ul><ul><ul><li>Hospital </li></ul></ul><ul><ul><li>Long-term care facility </li></ul></ul><ul><li>Considered short-term, re-evaluated </li></ul>
  6. 6. Continuous Home Care <ul><li>For patients who qualify for general inpatient hospice care , but prefer to stay in their own home </li></ul><ul><li>Need support through brief periods of crisis </li></ul><ul><li>Home health aide or general homemaker services provided 8-24 hours per day </li></ul><ul><li>More intense form of support than routine home care </li></ul><ul><li>Nurse and/or home health aide remains in home to administer medications, treatment, and support </li></ul>
  7. 7. What to Expect <ul><li>Referral made by physician, other medical professional or family </li></ul><ul><li>Doctor must sign order </li></ul><ul><ul><li>Patient must be terminal with six months or less to live </li></ul></ul><ul><li>Patient admitted to hospice by a social worker and nurse </li></ul><ul><li>Hospice team members visit </li></ul><ul><ul><li>Nurses </li></ul></ul><ul><ul><li>Chaplains </li></ul></ul><ul><ul><li>Social workers </li></ul></ul><ul><ul><li>Home health aides </li></ul></ul><ul><ul><li>Volunteers </li></ul></ul><ul><li>Weekly assessment </li></ul><ul><li>Administer medications, change bandages, address social needs </li></ul>
  8. 8. SeniorHomes.com <ul><li>SeniorHomes.com is a resource for seniors and families searching for housing and care services </li></ul><ul><li>Visit http://www.seniorhomes.com for more information on senior housing </li></ul><ul><li>Information in this presentation provided by senior housing writer Marky Olson </li></ul>

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