Hospice

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Hospice

• Joan Pollner, RN, BSN, CHPN
• j_pollner_at_hotmail.com
• Updated June, 2006
• All information contained in this presentation is
  based on medical principles and is provided for
  general education.  Always consult your doctor
  before you engage in any type of health remedy or
  program.  This information is not a substitute
  for regular medical care.

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If your doctor has told you that you or a loved
one is appropriate for Hospice services, you no
doubt have many questions. This presentation is
designed to answer some of those questions and to
provide you with resources for additional
information.
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What will you learn?

• Who the members of the Hospice interdisciplinary
  team are.
• The differences between palliative and curative
  care.
• The different care settings of Hospice care.
• The different ways Hospice care is paid for.

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After viewing this presentation you will have a
better understanding of the Hospice
interdisciplinary team, its members and how they
work together to bring you the best care
possible. You will also learn the differences
between palliative and curative care. You will
learn about the different places Hospice care can
be provided in and the different ways for payment
of Hospice care.
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What is Hospice?

• Caring for terminally ill individuals stressing
  palliative care as opposed to curative care.

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The Federal Government defines Hospice as an
approach to caring for terminally ill individuals
that stresses palliative care which is relief of
pain and uncomfortable symptoms as opposed to
curative care which focuses on curing the disease.
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What is Hospice? (continued)

• Physician and nursing services
• Medications
• Durable medical equipment
• Supplies
• Counseling and bereavement services
• Spiritual support

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Many services are available through Hospice care.
These services include physician, nursing and
home health aide services, medications for
symptom management, durable medical equipment
such as beds, wheelchairs and oxygen, supplies,
counseling and bereavement services for both the
patient and family and spiritual support.
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Who is Hospice?

• Interdisciplinary team
• Physicians
• Nurses
• Home health aides
• Social workers
• Spiritual advisors
• Pharmacists

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Hospice utilizes an interdisciplinary team that
works together with the patient, family and
friends to develop and implement a comprehensive
plan of care. The team consists of physicians
who oversee the medical care delivered and nurses
who make visits and communicate with physicians
for medical management. Home health aides
provide hands on assistance with activities of
daily living such as personal care, shopping and
light housekeeping. Social workers provide
counseling, crisis management and insurance
assistance. Spiritual advisors provide spiritual
support at the request of the patient or family.
Pharmacists work with medical team members
concerning the most efficient medication
management procedures and ensure adequate and
timely delivery of the medications.
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Who is Hospice? (continued)

• Therapists
• Volunteers

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Physical, Occupational and Speech therapists are
used when necessary to provide comfort for the
patient or instruction to caregivers to ensure
safe care delivery. Volunteers provide the
extra touches needed to ensure quality of life
for all involved. Some activities of volunteers
include journal writing, companionship, shopping,
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Where is Hospice?

• Patients home
• Nursing homes
• Assisted living facilities
• Day Care Centers
• Shelters
• Prisons
• Hotels
• Hospitals

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Hospice services can be provided wherever a
patient considers home. That can be in the
community setting, nursing and assisted living
facilities, and day care centers. Hospice
services have even been provided in shelters,
prisons and hotels. On a limited basis, hospice
services can be provided in hospitals.
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How is Hospice?

• Medicare
• Medicaid
• Most insurance plans
• Private pay

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Hospice services are completely covered under
Medicare and Medicaid. Most private insurance
plans include a hospice benefit as well. In
addition, patients may pay for Hospice services,
usually on a sliding scale related to the
patients income. No one is ever denied limited
hospice services due to inability to pay.
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Ask your health care professional
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If you think you or a loved one could be
appropriate for hospice services, you should ask
you health care professional. Hospice services
can only be provided when ordered by a physician.
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Test Yourself
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The following slides include some simple
questions designed to test your knowledge of
hospice services. At the end of the test section
are additional resources for you to explore if
you would like additional information.
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Which person would NOT be a member of the
interdisciplinary team?

• Physicians
• Social workers
• Nurses
• Home health aides
• Delivery person
• Pharmacists
• Spiritual Advisors

22
Try again

• Physicians are very active members of the
  interdisciplinary team.

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23
Try again

• Social workers participate very actively in the
  interdisciplinary team.

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24
Try again

• Nurses are very active members of the
  interdisciplinary team.

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25
Try again

• Home health aides are frequently members of the
  interdisciplinary team.

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Correct

• The delivery person is an employee of the
  supplier and is not a member of the
  interdisciplinary team.

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27
Try again

• Pharmacists are active members of the
  interdisciplinary team.

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28
Try again

• Spiritual advisors are active members of the
  interdisciplinary team.

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If you cannot pay for hospice services, you will
not get hospice services.

• True
• False

30
Incorrect

• No one is denied limited Hospice services due to
  the inability to pay or for lack of insurance.

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31
Hospice care stresses palliative care rather than
curative care.

• True
• False

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Correct

• Hospice care stresses palliative care which is
  relief of pain and uncomfortable symptoms as
  opposed to curative care which seeks to cure the
  underlying disease.

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Incorrect

• Hospice care stresses palliative care which is
  relief of pain and unco9mfortable symptoms as
  opposed to curative care which seeks to cure the
  underlying disease.

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Additional Resources

• National Hospice and Palliative Care Organization
• http//www.nhpco.org/i4a/pages/index.cfm?pageid32
  54
• U.S. Department of Health and Human Services
• http//www.cms.hhs.gov/center/hospice.asp

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Additional Resources

• California Hospice Foundation
• http//hospicefoundation.info/hospice_information.
  htm

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Reference

• Volker, B.G. Watson, A.C. (Eds.). (2002).
  Core Curriculum for the
• Generalist Hospice and Palliative
  Nurse. Dubuque Kendall/Hunt.

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Credits

• Graphics from Microsoft

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Correct

• This statement is false. No one is denied
  Hospice services due to the inability to pay or
  for lack of insurance.

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