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When to Consider Hospice Care

August 13, 2024

Discussing hospice care can feel daunting, but it’s important to understand that it doesn’t mean giving up hope. In fact, starting hospice care earlier often leads to better quality of life and sometimes even longer life. Here’s a simple guide on when and why to consider hospice. 

What Is Hospice Care? 


Hospice care is about providing compassionate support for people facing a life-limiting illness. It focuses on improving comfort and quality of life rather than curing the illness. Knowing when to consider hospice can be tricky, but certain signs can help guide the decision. 


Why Early Hospice Care Matters 


  • Personalized Attention: Early referral allows the hospice team to better understand and address the patient’s needs and preferences. 
  • Enhanced Comfort: Starting hospice care early can improve pain and symptom management, making the patient’s experience more comfortable. 
  • Home-Based Care: Patients in hospice are more likely to stay at home, avoiding the stress of hospital settings. 
  • Family Support: Families often find that early hospice care provides valuable support and guidance, making the journey easier. 



Signs That It Might Be Time for Hospice 


  • Significant Weight Loss: A noticeable decrease in appetite and progressive weight loss. 
  • Frequent Infections or Falls: Regular occurrences of infections or falls. 
  • Decline Despite Treatment: Worsening condition despite ongoing medical treatments. 
  • Frequent Hospital Visits: Increased hospitalizations or emergency room visits. 
  • Increased Weakness: Growing weakness and fatigue. 
  • Worsening Symptoms: Escalation in pain, nausea, anxiety, or shortness of breath. 
  • Inability to Recover: Difficulty bouncing back from acute episodes. 
  • Decreased Function: Greater need for help with daily activities like walking, bathing, dressing, and eating. 
  • Reduced Alertness: Notable decline in alertness, emotional withdrawal, and trouble understanding. 
  • Medication Issues: Frequent changes or increased dosages in medications for symptom management. 


If you notice these signs in a loved one, it may be time to consider hospice care. Consult with your primary doctor or a hospice team member for more information and guidance on this important decision. 


November 13, 2024
Choosing the right hospice company for a loved one is a deeply personal and significant decision. Here are some key considerations to help guide you through this process, along with specific questions you might ask based on Piedmont’s recommendations. Understanding Hospice Care Hospice care focuses on providing comfort and support to individuals with terminal illnesses. It emphasizes quality of life, pain management, and emotional support for both the patient and their family. Steps to Choose the Right Hospice Service 1. Assess Your Loved One’s Needs Medical Needs: Determine the level of medical care required. Some patients may need specialized care for conditions like cancer or dementia. Emotional and Spiritual Needs: Consider the emotional and spiritual support your loved one might need. Many hospice services offer counseling and spiritual care. 2. Research Hospice Providers Reputation and Reviews: Look for reviews and testimonials from other families. Visit medicare.gov to compare providers. Personal recommendations can also be invaluable. 3. Evaluate Services Offered Comprehensive Care: Check if the hospice provides a full range of services, including medical care, pain management, emotional support, and respite care for family members. Availability: Ensure that the hospice can provide care 24/7, as needs can arise at any time. 4. Meet with Hospice Staff Initial Consultation: Arrange a meeting with the hospice team to discuss your loved one’s needs and ask questions about their services. Comfort Level: Assess your comfort level with the staff. It’s important to feel confident in their ability to provide compassionate care. 5. Understand Costs and Insurance Coverage Insurance: Check what services are covered by your loved one’s insurance, including Medicare or Medicaid. Out-of-Pocket Costs: Understand any additional costs that may not be covered by insurance. Questions to Ask Potential Hospice Providers Nursing Home with Hospice: 1. What medications will my loved one take under your services? Are they allowed to take [specific medication]? 2. How often does the hospice nurse come to check on my loved one? 3. Will there be out-of-pocket expenses? 4. How often does the CNA come? Home Hospice: 1. What happens at the first home visit post-hospitalization? 2. What type of staff comes to the home and how often? Are they there for weekend services? 3. How often can the nurse come check on my loved one? 4. What happens if there is a change in medical condition and my loved one declines further? 5. If I call at 2 am for help – will I get help right away or will I get an answering service? 6. What if I cannot take care of my loved one at home anymore? 7. What equipment do you provide? 8. What medications will my loved one take under your hospice services? Are they allowed to take [specific medication]? 9. What is the response time based on where I live if I have an emergency? 10. How quickly can you come back to my home if I need you? 11. What are your bereavement/grief services and when do they start? 12. What is respite care? How often can I get respite? Where can I get respite services? 13. How can your social worker assist me? 14. What support is there to help with finances, documents, etc.? 15. Do you have an inpatient should my loved one need respite or a higher level of care? Inpatient Hospice Centers: 1. What are the visiting hours? 2. What makes your inpatient hospice facility better than others? 3. What medications will my loved one take under your services? Are they allowed to take [specific medication]? 4. Can people go outdoors? 5. What amenities are in the room? Is the inpatient hospice facility for families? 6. Where do you transition my loved one if they are doing better? 7. Can I bring pets? Children? Are there age restrictions? 8. Does my loved one need anything? Conclusion Choosing the right home hospice service involves careful consideration of your loved one’s needs, thorough research, and open communication with potential providers. By taking these steps and asking the right questions, you can ensure that your loved one receives compassionate and comprehensive care during this important time.
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