What is hospice?
Hospice is a Medicare Part A funded program to care for and support people with terminal diagnosis as well as their families and loved ones. Lucky Hospice is a service that is tailored for individuals facing a life-limiting illness. Our hospice team’s MAIN focus is on comfort and quality of life, as determined by the patient or their POA. Together we focus on the patient and their loved one’s addressing needs on every level – physical, emotional, psychological, and spiritual. You may be considering hospice due to noticing:
- Progressive loss of function
- Repeated hospitalizations
- Current medical treatment outweighs the benefit
- Decline despite curative treatments
- Decision to stop curative measures
What is palliative care and how does it work?
What is Hospice Medicare Part A Benefit?
Who is hospice for?
Where is hospice?
How does hospice plan?
Your doctor and the hospice team will work with you and your family to set up a plan of care that meets your needs. Your plan of care includes the following services:
- Hospice Doctor
- Bereavement Counselors
- Spiritual Counselors
- Home Health Aides
- Social Worker
- Case Manager
Lucky Palliative Services, Inc. will be available on call 24/7.
How does hospice work?
Four levels of Care: The hospice team will make the determination when a level of care change is needed and which is the most appropriate.
- Routine Home Care is provided whenever the patient resides 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 in a Skilled Nursing Facility if the usual caregiver needs rest for a period of 5 days when needed, on an occasional basis.
How long can you get hospice?
What are hospice benefit periods?
What are the 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)
Can I stop hospice care?
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.
Always contact your hospice team before you get any of these services, or you might pay the entire cost.
What are 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 in care for personal needs
What are examples of patient’s responsibilities?
- Inform the hospice of advance directives or any changes in advance directives, and provide the Hospice with a copy.
- Cooperate with your primary doctor, hospice staff, and other caregivers by providing information, asking questions, and following instructions.
- Provide a safe home environment in which care can be given.
- Obtain medications, supplies, and equipment ordered by your physician if they cannot be obtained or supplied by the hospice.
- Treat hospice personnel with respect and consideration.
- Sign the required consent and releases.
What happens once hospice is elected?
- RN Assessment
- Medications/ Comfort Pack
- All Disciplines Go Out