Answers to the most frequent questions regarding Hospice Care
What Is Hospice?
- Progressive loss of function
- Repeated hospitalizations
- Current medical treatment outweighs the benefit
- Decline despite curative treatments
- Decision to stop curative measures
Who Is Hospice For?
- It is for people who have been diagnosed to have about 6 months or less to live if the illness runs its normal course.
- Frequent Hospitalizations in past six months
- Compromised activities of daily living such as eating, bathing, dressing, toileting, transferring-walking and continence.
- Deteriorating mental abilities.
Where Is Hospice Provided?
Nine out of ten adults say they would prefer to live out their lives peacefully at home with their loved ones, rather than in a hospital or nursing home.
Who your Hospice Team consist of?
- Hospice Doctors
- Home Health Aides
- Social Workers
- Case Managers
- Spiritual Counselors
- Bereavement Counselors
Lucky Palliative Services, Inc. will be available on-call 24/7
How Does Hospice work?
- Routine Home Care is provided wherever the patient resides, be it at home or in a skilled nursing facility.
- Acute Inpatient Care is provided during periods of crisis in a hospice inpatient unit or skilled nursing facility.
- Continuous Care is provided during periods of crisis when a patient remains at home while acute symptoms are being resolved.
- Respite Care is provided on an occasional basis in a skilled nursing facility if the usual caregiver needs rest for five days when needed.
How Long Can You Get Hospice?
Hospice care is given in benefit periods. You can get hospice care for two 90- day period followed by an unlimited number of the 60-day period. At the start of each period, the hospice medical director or another hospice doctor must recertify that you’re terminally ill, so you can continue to get hospice care.
A benefit period starts the day you begin to get hospice care, and it ends when your 90-day or 60-day period ends.
Documents to Sign
- Election of Hospice Benefits and Informed Consent
- Patient’s Rights and Responsibilities
- Plan for Caregiver’s Services
- Request for Confidential Communications regarding Medical Information
- DNR/ DNI (Do Not Resuscitate / Do Not Intubate)
- POLST (Physician Orders for Life-Sustaining Treatment)
Stopping Hospice Care
You always have the right to stop hospice care at any time for any reason.
If you’re eligible, you can go back to hospice care at any time.
What Medicare Will Cover
- Durable Medical Equipment (DME)
- Medications Related to Terminal Diagnosis
- Incontinent Supplies (diapers, pull-ups, chux, wipes, etc.)
What Medicare Won’t Cover
- Treatment intended to cure your terminal illness
- Prescription drugs to cure your illness ( rather than for symptom control or pain relief)
- Care in an emergency room, inpatient facility care, or ambulance by your hospice team or is unrelated to your terminal illness.
Examples of Patient’s Rights
- Be informed of your rights in a manner, which you understand.
- Make informed decisions regarding proposed and ongoing care and services.
- Have complaint heard, reviewed, and if possible, resolved.
- Confidentiality of information, privacy, and security.
- Be involved in the care planning process.
- Be treated with consideration, respect, and full recognition of dignity and individuality, including privacy in treatment and care for personal needs.
What Happens Once Hospice Care Is Acquired?
- RN Assessment
- Medications/Comfort Pack
- All Disciplines Are Implemented
Eligibility requirements for Medicare and Medi-Cal benefits will be determined when a patient meets the following criteria.
- The patient has chronic illness such as emphysema, heart failure, Alzheimer’s disease, or a terminal diagnosis with a limited life expectancy if the conditions take its natural course.
- The focus will be on palliative treatment, including pain control and emotional/spiritual support.
- The patient’s physician authorizes hospice care.
Who Pays for Hospice
- Private Insurances/HMO
Services We Provide
Lucky Palliative Services, Inc. provides four types of care:
ROUTINE HOME CARE
Lucky Palliative Services, Inc. provides residential care in patients’ homes and has established partnerships with long-term care facilities and nursing homes, assisted living facilities, and residential care facilities for the elderly.
(Intensive Comfort Care SM): If a patient develops the need for more constant care, we can provide shifts of hospice staff at the home for a brief period so that the patient can avoid being transferred to a hospital.
DEDICATED INPATIENT UNITS
Lucky Palliative Services, Inc. has special arrangements with local hospitals and other facilities if patients require additional support that can’t be provided at home. Patients may receive necessary and appropriate care and return home as soon as possible.
Limited to five consecutive days, respite care provides a period of rest for the patient’s primary caregiver. Home care patients will be admitted to an in-patient facility without having to meet the normal pain and symptom management criteria.
Lucky Palliative Services, Inc. Caregiving
No finders fee.
No charge to you.
Private Caregivers for you to choose from, along with your budget.
Most caregivers start from $15 an hour and up. For 24/7 in-home private caregiver, negotiated rates may apply between you and the caregiver. Lucky Palliative Services, Inc. Caregiving we will give you certified options of knowledgeable caregivers to choose from, along with answering any questions you or your family may have along the way. All other agencies will be double the cost.