What is Hospice?
Hospice is a philosophy of care for those whose life expectancy is measured in weeks or months. To choose hospice care is to acknowledge death as the final stage of life and to ease the suffering of those who are passing through this stage.
Where is Hospice Care Provided?
Whenever possible, hospice patients live out their final days in the comfort of their own homes in the care of their loved ones. However, for those whose needs cannot be met at home, hospice care is provided in nursing homes, hospitals and adult living facilities. In addition, some hospices operate inpatient-care facilities for qualifying patients.
Whether care is provided at home or in a facility, family members are supported by a large interdisciplinary team. This team includes physicians, nurses, chaplains, social workers, therapists and volunteers. The entire team's goal is to optimize the patient's comfort.
History of Hospice
The term "hospice" can be traced back to early Western Civilization when it was used to describe a place of shelter and rest for weary or sick travelers on long journeys. The term was first applied to specialized care for dying patients in 1967, at St. Christopher's Hospice in a residential suburb of London.
The first hospice program in the United States began serving patients in 1974. Today, over 2,100 hospice programs in all fifty states offer comprehensive hospice care. It is estimated that hospice programs serve more than 200,000 terminally ill persons and their families each year.
Choosing a Hospice
Which hospice care option is right for you and your family? The answer will depend upon factors such as where you live and the services that you require. The hospices in your area will be able to provide the information that you need to make an informed decision. Other good sources of information include social workers, clergy, counselors, doctors, nurses and other professionals who provide your care.
Here is a list of suggested questions to ask when talking to hospice care providers:
- What services do you provide to the patient? And to the family?
- Who will provide these services?
- How are services provided "after hours?"
- How will pain be managed?
- What happens if in-patient care is needed?
- What happens if a move has to be made into a nursing home or other long-term care facility?
- Are you Medicare certified?
- What insurance plans do you accept?
