FAQ
When should a decision about entering a hospice program be made - and who should make it?
At any time during a life-limiting illness, it's appropriate to discuss all of a patient's care options, including hospice. By law the decision belongs to the patient. Understandably, most people are uncomfortable with the idea of stopping an all-out effort to "beat" the disease. Hospice staff members are highly sensitive to these concerns and are always available to discuss them with the patient and family. The patient and family should feel free to discuss hospice care at any time with their physician, other healthcare professionals, clergy, or friends.
Is hospice care covered by insurance?
Hospice care is usually covered by Medicare, Medicaid and most private insurance plans. The Jefferson Memorial Hospital Hospice program is Medicare certified. Hospice staff will explore payment options with individuals and families who are not covered by medical insurance. Sometimes family members express concerns about the alternatives available if Hospice patients require hospital care. With the Hospice program at Jefferson Memorial Hospital, this is not a problem. If the patient's physician recommends hospitalization for a brief period of acute care, patients may be admitted to Jefferson Memorial Hospital and members of the Hospice team will continue to support the patient and the family.
If the patient is not covered by Medicare or any other health insurance, will hospice still provide care?
The first thing hospice will do is assist families in finding out whether the patient is eligible for any coverage they may not be aware of. Barring this, most hospices will provide for anyone who cannot pay using money raised from the community or from memorial or foundation gifts.
How does hospice "manage pain"?
Hospice believes that emotional and spiritual pain are just as real and in need of attention as physical pain, so it addresses each. Hospice nurses and doctors are up to date on the latest medications and devices for pain and symptom relief. In addition, physical and occupational therapists assist patients to be as mobile and self-sufficient as possible, and they are often joined by specialists schooled in music therapy, art therapy, massage, and diet counseling. Finally, counselors of all kinds, including clergy, are available - to assist family members as well as patients.
Is there any special equipment or changes I have to make in my home before hospice care begins?
Your hospice provider will assess your needs, recommend any equipment, and help make arrangements to obtain any necessary equipment. Often the need for equipment is minimal at first and increases as the disease gets worse. In general, hospice will assist in any way it can to make home care as convenient, clean, and safe as possible. After the family and physician give approval for a hospice visit, a registered nurse will stop by your home and develop a plan of care that meets the needs of the patient and family members.
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