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Say you are in a Hospice Program w Pacemaker to assist your heart
Aging Well | Last Active: Jun 2 8:47am | Replies (25)Comment receiving replies
Hospice can be provided both in Hospital and at patient' home.
Please show me a law where it says that Hospice can be done only at home and not in hospital!
Name few instances in simple language that Hospice is effective only if it done at home by untrained none professionals today.
Replies to "Hospice can be provided both in Hospital and at patient' home. Please show me a law..."
@vijay26, you're right hospice care can be delivered by medical professionals at the patient's home (home hospice) or in a hospital or hospice medical setting, often referred to a residential hospice.
Hospice care professionals on a team (home or residential settings) may include specially trained physicians, nurses, social workers, occupational therapists, chaplains and others depending on the services needed. Hospice services often also include specially trained hospice volunteers and/or end-of-life doulas, who are non-medical professionals providing holistic, emotional, and practical support to both the hospice patient and their families.
@vijay26, I can see that you have a lot of questions about palliative and hospice care. Are you or a family member preparing for hospice care?
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@vijay26: I'm afraid I'm not following what the question is here. Hospice provisions are not guided by where the services are provided. In fact, I am going to visit a client today who has transitioned from home to inpatient hospice where the goal remains the same: comfort as opposed to curative care. In both cases, hospice services are provided by all trained professionals, whether they are doctors, RNs, LPNs, CNAs, aides, pharmacists, occupational/physical therapists, social workers, chaplains/spiritual counselors, bereavement counselors. Untrained individuals are not considered part of the team, however, family, friends and other loved ones are encouraged to be involved to the extent they can and as per the individual's wishes who is receiving care.
Whether at home or at an in-patient setting, the goal remains keeping the indivual clean (that means changing soiled garments and linens), relieving physical discomforts such as pain, nausea, breathing difficulties, and fatigue. However, curative medical treatments are stopped because they are no longer considered compatible with a life expectancy of 6 months or less, a standard hospice requirement. Should a patient desire a curative intervention, they must discontinue hospice servies. This is in the contract.
Guidelines are detailed in https://www.medicare.gov/coverage/hospice-care. I would suggest for any additional clarification, further discussion take place with the specific hospice organization that may be involved with indivual care.