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1. What
is hospice?
Hospice care is a team of professionals and volunteers who provide in-home
physical, psychosocial and spiritual support to the patient and family of
the terminally ill. Our goal is to alleviate suffering and to enhance the
quality of our patient’s life.
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2. Who
are the members of this team?
Hospice services are provided by a team; consisting of the primary care
physician, registered nurses (who are available 24 hours a day/7 days a
week), certified nurses aides, social workers, dieticians,
physical/occupational/speech therapists, clergy, and volunteers.
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3. Can
the patient continue to see his or her own doctor?
The
patient’s primary care physician is an important part of the hospice team.
As long as the physician is agreeable to working with the hospice team,
the patient may choose any physician to be his or her primary care
provider.
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4.
Who would be a candidate for hospice care?
People who
meet the following requirements are eligible for hospice care:
-
Have
a life-limiting condition with a prognosis of six months or less if the
disease runs its expected course. This does not mean that care will only
be provided for 6 months. Hospice care can be provided as long as
a person's physician and hospice team certify that their condition
remains life-limiting. Although hospice services are mostly
known for treating patients with cancer, other end-stage illnesses,
including Alzheimer’s, heart or lung failure, and neurological diseases
are cared for as well, to name a few.
-
Have
an attending or primary physician who is willing to work with our team
-
Have
a person who is willing to be responsible for daily care.
-
Is
no longer interested in pursing curative treatments, but is interested
in comfort care
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5.
How are hospice services paid for?
Hospice services are covered by Medicare (Part A), by Medicaid in
Colorado, and by most private health insurance policies. There are
provisions for patients who have no insurance coverage, which will allow
them hospice care at the end of their life. Hospice care covers the cost
of the medications and medical supplies related specifically to the
terminal illness.
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6.
Where is hospice care provided?
Our
hospice services our typically provided in patient’s home. However,
services can be provided in a variety of settings; including assisted
living centers, nursing homes, in-patient hospice settings and hospital
settings for short periods of time.
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7.
What services does hospice provide?
-
Nursing
visits a minimum of once a week
-
Patient
comfort and pain control
-
Psychosocial assessment
-
Family,
individual and group counseling
-
Support
and respite care for primary care givers
-
Physical,
occupational, speech therapy if needed
-
Alternative methods of therapy as requested
-
Dietary
assessment if needed
-
Grief and
bereavement support for family members for up to one year after the
patient’s death
-
Spiritual
counseling
-
Certified
nursing aide assistance if necessary
-
Volunteers
for socialization and support to the family and patient
-
Access to
medical equipment as needed
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8. How
do you know if Hospice care is appropriate for you?
Anyone
can contact our hospice office at 887.9074 to inquire about services or
with questions. THE EARLIER HOSPICE IS INVOLVED, THE MORE IT WILL BENEFIT
PATIENTS AND FAMILIES. Our Hospice nurse would then contact the patient’s
primary care doctor to verify whether he or she is appropriate for hospice
care. Once the physician has made the referral the hospice nurse will
arrange for a home visit for the patient to sign a consent form and
insurance papers.
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9.
What are the advantages of hospice care?
-
Hospice
care allows terminally ill patients and their families to remain
together in the comfort and dignity of their home and to die in familiar
surroundings
-
At Heart
of the Mountains Hospice we treat the person, not the disease;
focus on the family and emphasize the quality of life and not its
duration
-
Hope care
relies on the combined knowledge and skill of a team of professionals,
including physician nurses, certified nurse aides, social workers,
counselors and volunteers.
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10.
Does choosing hospice care mean that the patient is giving up?
Hospice care focuses on enhancing the quality of life in its final stages.
Hospice does not attempt to shorten or prolong life. On diagnosis of a
terminal disease the hope is for a cure. If over time, a cure cannot be
achieved, then hope changes to focusing on the quality of life rather than
the quantity of life. A patient can choose to leave hospice care at any
time and return to aggressive curative treatment for the disease. The
choice is always the patient’s and his or her family’s.
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11.
When should hospice be contacted?
There are
several things that can alert one that it may be time for hospice to be
contacted. The family could benefit from an information
meeting with a hospice admission nurse when one or more of the following
is present: a) When your loved one seeks advice about advanced directives
or other life issues; b) you see a sudden decline in your loved one's
condition; c) the person has been admitted to the hospital two or more
times in the last year for symptom control; d) there are often urgent
calls to the doctor; e) your loved one mentions that maybe s/he should
stop curative treatments; f) the family has private conversations with the
doctor about how long s/he might have to live.
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“You matter to the
last moment of your life, and we will do all we can, not only to
help you die peacefully, but to live until you die.”
Dame Cicely Saunders
Founder of Hospice
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