- When is the right time to ask about hospice?
- How does hospice care begin?
- Is Lourdes Hospice available after hours?
- How does Hospice work to keep the patient comfortable?
- What role does the hospice volunteer serve?
- Can I be cared for by Hospice if I reside in a nursing facility or other type of long-term care facility?
- What happens if I cannot stay at home due to my increasing care need and require a different place to stay during my final phase of life?
- How can I be sure that quality hospice care is provided?
- Do state and federal reviewers inspect and evaluate hospices?
A. Now is the best time to learn more about hospice and ask questions about what to expect from hospice services. Although end-of-life care may be difficult to discuss, it is best for family members to share their wishes long before it becomes a concern. This can greatly reduce stress when the time for hospice is needed. By having these discussions in advance, patients are not forced into uncomfortable situations. Instead, patients can make an educated decision that includes the advice and input of family members and loved ones.
A. Typically, hospice care starts as soon as a referral is made by the patient's doctor. A Lourdes Hospice program representative will make an effort to visit the patient within 48 hours of that referral, providing the visit meets the needs and schedule of the patient and family/primary caregiver. Usually, hospice care is ready to begin within a day or two of the referral. However, in urgent situations, hospice services may begin sooner.
A. Hospice care is available 'on-call' after the administrative office has closed, seven days a week, 24 hours a day. Lourdes Hospices has nurses available to respond to a call for help within minutes, if necessary. Hospice also has chaplains and social workers on call as well.
A. Many patients may have pain and other serious symptoms as illness progresses. Our hospice staff receives special training to care for all types of physical and emotional symptoms that cause pain, discomfort, and distress. Because keeping the patient comfortable and pain-free is an important part of hospice care, there are ways to measure how comfortable the patient is during the course of their stay in hospice. Hospice staff works with the patient's physician to make sure that medication, therapies, and procedures are designed to achieve the goals outlined in the patient's care plan. The care plan is reviewed frequently to make sure any changes and new goals are in the plan.
A. Lourdes Hospice volunteers are available to provide different types of support to patients and their loved ones including running errands, preparing light meals, staying with a patient to give family members a break, and lending emotional support and companionship to patients and family members. Because hospice volunteers spend time in patients' and families' homes, Lourdes Hospice has an application and interview process. There is an intensive training program for the volunteers. The training program includes: understanding hospice, confidentiality, working with families, listening skills, signs and symptoms of approaching death, loss and grief and bereavement support.
Q. Can I be cared for by hospice if I reside in a nursing facility or other type of long-term care facility?
A. Lourdes Hospice services can be provided to a terminally ill person wherever he/she lives. This means a patient living in a nursing facility or long-term care facility can receive specialized visits from hospice nurses, home health aides, chaplains, social workers, and volunteers, in addition to other care and services provided by the nursing facility.
Q. What happens if I cannot stay at home due to my increasing care need and require a different place to stay during my final phase of life?
A. These patients may require a different place to live during this phase of their life when they need extra care, usually in a nursing home. However, care in nursing homes is not covered under the Medicare or Medicaid Hospice Benefit. It is best to find out, well before hospice may be needed, if insurance or any other payer covers this type of care or if patients/families will be responsible for payment.
A. Lourdes Hospice uses tools to let them see how well they are doing in relation to quality hospice standards. In addition, our program uses family satisfaction surveys to get feedback on the performance of their programs. To help our hospice program in making sure they give quality care and service, the National Hospice and Palliative Care Organization has developed recommended standards entitled 'Standards of Practice for Hospice Programs' as one way of ensuring quality. There are also voluntary accreditation organizations that evaluate hospice programs to protect consumers. These organizations survey hospices to see whether they are providing care that meets defined quality standards. These reviews consider the customary practices of the hospice, such as policies and procedures, medical records, personal records, evaluation studies, and in many cases also include visits to patients and families currently under care of that hospice program. Lourdes Hospice is accredited by the Joint Commission as meeting these high standards
A. Yes. There are state licensure requirements that must be met by hospice programs in order for them to deliver care. In addition, hospices must comply with federal regulations in order to be approved for reimbursement under Medicare. Hospices must periodically undergo inspection to be sure they are meeting regulatory standards in order to maintain their license to operate and the certification that permits Medicare reimbursement.