How is hospice different from other medical care?
Some of the ways that hospice is different from standard medical care are:
What services does hospice provide?
Hospice includes the services of an interdisciplinary team of health care professionals:
Who pays for hospice care?
Hospice is covered by most insurance plans, including Medicare and Medicaid, with few out-of-pocket costs to the patient. The Medicare hospice benefit covers costs related to the terminal illness, including the services of the hospice team, medication, medical equipment and supplies. Medicare reimburses for different levels of hospice care recognizing sometimes patients require special attention.
When should patients and families consider hospice?
After a diagnosis of life-limiting illness, patients and their families hould consider their choices for care. A patient does not have to be bed-bound or critically ill to be admitted to hospice. A hospice representative would be happy to talk with you or your family about the hospice options.
Who is eligible for hospice care?
A physician must certify that a hospice patient has an illness and an estimated life expectancy of six months or less if the illness runs its usual course. The patient must agree to hospice care.
Generally most hospice providers accept everyone who meets those criteria, regardless of the patient’s financial situation or insurance coverage. The patient does not have to have family caregivers in the home in order to receive hospice services.
Doesn’t accepting hospice care mean giving up?
Hospice involves acknowledging that most diseases in their advanced form cannot be cured. It does not mean giving up hope. The focus of hope shifts towards helping the patient achieve maximum physical comfort and peace of mind.
What are the different levels of hospice care?
Most hospice patients live at home or in nursing home. Routine home hospice care covers the services, of the interdisciplinary hospice team, medications and equipment. Other categories of care are available when needed.
What if I choose hospice and then live more than six months?
Hospice care does not automatically end after six months. Medicare and most other insurers will continue to pay for hospice care as long as a physician certifies that the patient continue to have a limited life expectancy.
What if my condition improves?
Occasionally, the quality of care provided by hospice leads to substantially improved health, and life expectancy exceeds six months. When this happens, the hospice provider will transfer care to a non-hospice care provider. Later, when the patients become eligible for hospice, they can re-elect the hospice benefit. There is no penalty for getting better!
How does hospice manage pain and other symptoms?
Hospice physicians and nurses are experts at pain and symptom control. They are continually developing new protocols for keeping patients comfortable and as alert and independent as possible. They know which medication to use simply and in combination to provide the best results for each patient.
Doesn’t pain control medication make people feel “doped up”?
When morphine and other pain control medications are administered properly for medical reasons, patients find much-needed relief without getting “high” or craving drugs. The result is that hospice patients remain more alert and active because they are not exhausted by uncontrolled symptoms.
What kind of emotional and spiritual support does hospice provide?
Hospice recognized that people are more than a collection of symptoms. People nearing the end of their lives often face an enormous emotional and spiritual distress. They are dismayed as their physical abilities begin to fail. They don’t want to be a burden on their families. They worry how their loved ones will manage without them. Sometimes, they feel deep regrets about things they have done or said- or things left undone and unsaid. Hospice professionals and volunteers are trained to be active listeners and to help patients and families work through some of these concerns so that they can find peace and emotional comfort in their final days.