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