A hospice patient can move from one level to another and back, depending on the services required to fulfill his or her needs. There are four levels of care provided by hospices in the United States. If you or family members aren’t equipped to do this, hospice workers may help secure other caregivers take over or contribute to the work. If you or any family members are able, you can be responsible for much of the hands-on care, such as administering medicines and changing dressings. The hospice agency will typically assign a case manager to ensure all care needs are met and to coordinate the comings and goings of all involved, which is especially important if the care is at home. Hospice care is typically a team effort, combining the talents and training of doctors, nurses, social workers, counselors, home health aides, clergy, therapists and trained volunteers. In some cases, hospice nurses provide around-the-clock care at home. If symptoms can’t be controlled or the patient experiences severe distress or pain, continuous nursing care may be required.
If your loved one’s symptoms are controlled, care can be delivered by visiting nurses, social workers, aides and counselors as needed. Hospice care can also be provided in the patient’s home.
Again, the aim is to make the patient feel as comfortable and cared for as possible.
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Visitors are generally free to come and go as they wish, and meals are often family favorites. In hospice facilities, the usual rules for visiting hours and mealtime schedules are relaxed. If a patient requires elaborate medical care and monitoring, hospice care may be given in a building dedicated to hospice or in a hospital or skilled nursing facility, generally in specific rooms or wards decorated with touches such as curtains and couches to lend a more homelike feeling. Bereavement support to help survivors cope and grieve after a death.Respite care to provide breaks for the usual caregivers.Physical, occupational and speech therapy to help maintain or regain lost functioning.Help with household chores, meals and basic personal needs such as getting out of bed, walking, bathing and dressing.Spiritual services in keeping with the patient’s religious or spiritual beliefs.Social services, including counseling and referrals or coordination with other community resources to help the patient and his or her family.Medical care that involves monitoring the patient and administering medication, controlling pain and providing other medical support.The specific type of care and service hospice provides differs depending on individual needs and preferences but may include the following.
Hospice services offer physical, emotional, spiritual and practical comfort and support to patients and families who are facing death - at home, in the hospital or in other settings. For example, if a patient is in hospice care and goes into remission - a period of relief from the symptoms of an illness - the hospice care can be stopped and resumed again if the symptoms reoccur or the condition gets worse. Hospice care isn’t necessarily continuous, and a patient may switch into and out of it as a medical condition improves or deteriorates. To qualify for care, a patient must typically be diagnosed with a medical condition likely to cause death within six months or less. Hospice care can be received at home someone can also receive this end-of-life care in a hospital, nursing home or private hospice facility. Hospice can result in a significant improvement in the patient’s quality of life with a focus on the person rather than the disease. Patients who are still receiving aggressive curative treatments can also receive palliative care to address pain or other issues of comfort during that time. This is known as palliative care, which is often part of hospice care but isn’t the same thing as hospice care. Instead, its goal is to control pain and other symptoms and make the patient’s last stretch of life as comfortable as possible. Instead of continuing to try curing or delaying the fatal disease or condition, hospice ends curative treatment altogether. Hospice care is for people who can no longer benefit from regular medical treatment and are likely in their final months of life.
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