On Death and Dying - Ten Things You Need to Know About Hospice Care

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Your family doctor and your neighbor have both recommend you call hospice for your ill loved one but you continue to be reluctant. You fear that accepting hospice is "giving up" and that your loved one will no longer receive state of the art medical care. This record will help you to sort straight through many of your spoken and unspoken concerns about hospice care.

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1. Isn't hospice a place where population go? No, hospice is a service, not a place. Hospice brings care into your own home, be it a secret residence, an assisted living installation or a nursing home. Most population want to and can stay at home but if your care becomes too complicated to manage at home, hospices also supply short term outpatient care to control symptoms in a hospice unit, a hospital or a skilled nursing facility.

2. What does hospice provide? Hospice provides a lot of expert services. Hospices are mandated to supply both disposition and after hours nursing visits. This means that the nurse will visit regularly, collate for changes and arrange for medicines and medical supplies as they are needed. She/he will put crisis medications and oxygen in your home in advance of a crisis. The nurse will spend a great deal of time answering your questions and preparing you for what comes next. Where in the past, you brought your ill loved one to the doctor's office or to the crisis room, now the services will come to you. Should you need help or direction on a Saturday or Sunday, a nurse will visit. You are no longer alone; help is just a phone call away. Other services that the hospice provides comprise an aide to help with bathing, counselors to help meet emotional needs and volunteers. Some hospices supply doctor visits. Some hospices even supply music therapy, massage therapy, aroma therapy, pet therapy and art therapy.

3. When do you qualify for hospice care? Unfortunately most population get hospice care too late, in the final days or weeks of life. They qualify for it as much as six months earlier. Getting hospice care earlier reduces the family's stress, avoids burnout and guarantees an improved potential of life. It keeps the outpatient well, which allows for extra moments and memories to be shared. It affords both you and your loved one the chance to say "thank you" and "good bye."

4. Don't most population die at home? While is true that 90% of Americans want to die at home, in actuality, very few do. Currently, 75-80% of Americans die in facilities (hospitals and nursing homes) and less than 25% of them die at home. In contrast, hospice patients almost all the time get their wish to die at home as their families are well ready and supported to care for them at home. Hospice patients rarely die in the hospital.

5. Can hospice patients die in a hospital? Of course. If they choose to die in the hospital, the outpatient will need to be discharged from the hospice, a simple matter of signing a paper.

6. Will entering a hospice make you die sooner? There is a great deal of unfounded concern about the use of medications like Morphine and the fear that its use will shorten life. There are some studies that show that Morphine eases pain but does not shorten life even in the most debilitated and ill patients. Someone else unfounded fear is that person will die sooner if they find out that they are terminally ill. family members sometimes insist that no one mention the word "hospice" to their loved one out of fear that their loved one will give up on life. The reality is, being ill and in failing condition is a lonely experience. Most patients know on some level how ill they are. Many want to talk about it and put plans in place. Sometimes they don't bring it up because they see how painful it is for you and they are trying to protect you. This conspiracy of silence robs both parties of opportunities. Many patients want to ask questions about what will happen to them. They look for reassurance that their symptoms will be controlled and that they will remain in control and comfortable. You also may want to ask them questions. Questions about their funeral and how they want issues handled after their death.

7. Do patients admitted to hospice ever improve? Yes, some patients admitted to hospice positively enhance and in time, they are discharged from hospice. This makes sense that when you enhance someone's pain and ease their loneliness, they will eat and sleep great and secure some health.

8. Will hospice make me give up treatments that are currently benefiting me? You don't have to give up treatments or medications that are benefiting you. The hospice focus is on potential of life. Medications that promote potential of life are normally covered by the hospice. If you find a new treatment that may prolong your life (but not enhance your potential of life), you can sign off the hospice benefit and return at a later date.

9. Is hospice care expensive? Hospice care is covered by most insurance. Medicare and most Medicaid insurances cover hospice care at 100%. Many secret insurances have modeled themselves after these federal and state programs and also cover hospice care at 100%.

10. Hospice care is a considerable service that many population never receive.

Sometimes it is never offered and other times, the outpatient or family is reluctant to accept hospice care. Most families who did receive hospice care say that they could have benefited from hospice much earlier. Ask you doctor about hospice care. If your doctor is not sure that you qualify, most hospices will send a nurse to the home to value your appropriateness for hospice. Don't allow your fear to prevent you from getting the help that you need.

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