We never say "there is nothing more we can do"
Are you seeing patients who may be hospice or palliative-eligible, but not sure how to broach the subject?
- Cancer: Stage 4 or metastatic disease and reconsidering active treatment
- Heart Failure: NYHA Class IV
- COPD: GOLD Level 4 (FEV1<30%)
- Dementia: Stage 7 on the FAST scale
If you would not be surprised if the patient was no longer living in 6-12 months, call us for a palliative care consultation.
We talk to patients and families about their needs and wishes without focusing on prognosis—an inexact science at best. Our experience guides “the Conversation” – even if it takes more than one meeting – which can be in the clinic, at the hospital, at home, or at another location of their choosing.
Once a patient is on our service, our board-certified Medical Directors (oncology, internal medicine/palliative) ensure the highest quality clinical care. The nursing team has quarterly formal training in each of our Focused Care specialties. Our Hospice Programs help bridge the gap between traditional hospice and palliative care by including a disease management perspective and tools customized for the diagnosis and the individual.
Our Focused Care Programs
Patients With Cancer
We say “yes” to advanced symptom treatments
Patients With Heart Failure
We help keep them in balance
Patients With Lung Disease
We help them breathe easier
Patients With Dementia
We make their world better
Patients With Other Diagnoses
We bring over 37 years of serious illness expertise
Hospice Care FAQs
- Studies in patients with cancer and heart failure showed that those on hospice lived longer than those receiving active treatment
- About 15% of patients on hospice are discharged due to a stabilization or improvement in their health
Especially for people over age 70, going to the hospital has many risks. People with who are frail and have restricted mobility or cognitive impairment are especially at risk. At home, consistent monitoring by hospice RNs and CNAs helps prevent the development of problems that would require hospital or ER admission.
- Medications that effectively treat symptoms of the patient’s primary diagnosis can continue to be provided; each hospice has their own formulary, and ours includes many newer drugs with proven benefits.
- Medications unrelated to the hospice diagnosis can be paid under the patient’s Medicare Part D benefit or other private insurance.
The selection of their hospice physician is up to the individual. They can choose you, another community provider, or our hospice medical director. If our medical director is selected, we will stay in close contact with you on their care plan.
A Do-Not-Resuscitate order is not needed to be on hospice. We encourage people to fill out POLST forms and Advance Healthcare Directives to clarify their wishes, but no specific choices are required.
Whenever possible we use non-drug therapies and techniques. With medications, we strive to use the lowest doses necessary to meet patient needs/goals. We want to maximize quality of life, which includes the capacity to interact with family and friends. A number of people even travel with our assistance.
The hospice benefit includes 4 levels of care, one of which is general inpatient care (GIP) for symptoms that cannot be adequately managed in the home setting. Hospice patients may also be hospitalized for conditions unrelated to their terminal illness, if required.
Check out the presentation below for links to publications and more
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Care Partners is on call around the clock to meet your needs. Call now to speak with an experienced and caring nurse. We’ve been helping people like you for more than 37 years.