What is hospice?
Hospice provides a circle of support for the terminally ill and their loved ones. Hospice care seeks to enable patients to live every day to the fullest by managing their symptoms so that their last days may be lived with dignity. Hospice emphasizes the quality of life, and neither hastens nor postpones death.
Who qualifies for hospice care?
Hospice is appropriate when life expectancy is measured in months rather than years, when cure of the disease is no longer possible, and when comfort and symptom management are goals of the treatment.
How is hospice paid for?
Medicare and Medicaid offer benefits for hospice services provided by a certified Medicare/Medicaid hospice, such as Above and Beyond Hospice. Many health insurance plans also provide benefits for hospice care.
Where is hospice care provided?
Hospice care is provided in the patient’s home, hospital, long-term care facilities and assisted living homes.
What happens in the first 48 hours of hospice service?
The nurse or social worker visits the same day or within 24 hours of referral. The patient signs an informed consent and the nurse or social worker reviews financial and insurance information. A complete physical assessment is performed by the nurse, who collaborates with the physician on the hospice plan of care developed with the patient and family. Helpful suggestions are given to the patient and family regarding daily care and comfort measures. A schedule for visits is developed, and the nurse contacts the other services needed.
Does hospice cover equipment and supplies?
Hospice covers basic medical equipment such as hospital beds and wheelchairs, and medical supplies and medications that are directly related to the terminal illness. Items not covered by Above and Beyond Hospice include nutritional supplements, and over-the-counter or personal hygiene items such as tissues, lotion and shampoo.
How do we get medicine?
The hospice nurse obtains the medication order from the physician. Above and Beyond provides the medicines that are related to the patient’s primary diagnosis and are included in the hospice formulary. A 14-day or less supply is ordered at one time. All new medications require approval from Above and Beyond Hospice. The nurse reviews the medication supply with caregivers on home visits to ensure necessary medications are on hand.
Does hospice pay for a nursing home?
Room and board in extended care facilities are billed by hospice for patients who have Medicaid.
How often will a nurse visit and how long does the visit last?
Visit lengths vary according to the patient and family needs. Most patients are initially seen by a nurse two times per week, but visits may become more or less frequent based on the needs of the patient and family. Visits are approximately 60 minutes long.
What other services may be involved?
Other disciplines who may visit include a medical social worker, chaplain, hospice medical director, hospice aide, homemaker, music therapist, massage therapist, pet therapy, bereavement specialist and volunteer.
What does a homemaker provide?
A homemaker provides light housekeeping or meal preparation to assist the patients in remaining in their homes.
What if we don’t want all of the disciplines to visit?
The patient and family are free to decide which services are needed. A nurse, chaplain and medical social worker are the essential services required.
What kinds of things would a volunteer help with?
Volunteers do a variety of things including caregiver relief, errands, reading, making scrapbooks, cooking and housekeeping.
Does hospice have people who stay with the patient overnight?
Hospice is a visiting service and does not provide in-home hourly care. If you are interested in hiring hourly care, our social worker or nurses can provide you with resources.
What happens if we have a problem after hours?
Above and Beyond Hospice is available 24-hours-a-day, seven-days-a-week. Our phones are answered by an on-call nurse after hours. We don’t have an answering service, it will go directly to an on-call nurse.
Can we call 911?
We ask that you call Above and Beyond Hospice first for all of your urgent needs. We will facilitate any care you might need.
What if the patient needs to go back to the hospital?
By calling hospice first, we might be able to keep the patient from being admitted to the hospital. If we are unable to control the patient’s symptoms at home, we will arrange for the patient to be directly admitted to the hospital for symptom management, bypassing long stays in the ER.
What if the patient gets an infection?
Infections can be treated with oral antibiotics if the patient and family desire.
Will the nurse draw blood?
Blood draws can be provided for management of symptoms.
Will the patient keep his or her primary doctor?
Hospice encourages the patient and family to keep their primary physician. The nurse communicates with the primary physician on a regular basis, keeping the doctor updated on the patient’s condition and addressing any changes needed on the care plan. The patient may choose the hospice medical director as their primary physician.
What if we decided we don’t want hospice anymore?
The patient and family can discontinue hospice care at any time. Hospice will ask you to sign a revocation form if you no longer want hospice services.
What happens at the time of death?
Call Above and Beyond Hospice. We will send a staff member to the home, notify the physician, the medical examiner and the funeral home. You do not need to call 911.