Hospices provide four levels of care. Each patient receiving hospice care will fall into one of four groups. A hospice patient may move from one level to another and return depending on the services required to suit his or her needs. The degree of therapy a patient receives will be decided by their needs.Learn more by visiting SilverStone Hospice
On a Regular Basis, Home Care
The patient is at home and in control of his or her symptoms.
This level of care will be given to a patient who lives at home (or in a long-term care facility) and does not have uncontrolled symptoms. These symptoms include severe pain, continuous nausea and vomiting, bleeding, acute respiratory distress, and painful restlessness or agitation. The following services are available to this patient level:
* Visits by a Licensed Practical Nurse
* A social worker will pay you a visit.
* The Chaplain’s Visits
* A Home Health Aide’s services
* Prescription medications
* Equipment and tools
The frequency of hospice caregivers’ visits is dictated by the patient’s needs. The hospice team and the patient’s doctor collaborate to identify and document these needs in a care plan. The care plan serves as a guide for everyone involved in the patient’s care. At this level of care, the patient also has 24-hour access to an on-call hospice nurse.
Treatment at a hospital
In a hospital, a patient with uncontrolled symptoms
When a hospice patient’s symptoms have become too much to handle at home, he or she may need inpatient care. When regular home care fails to treat these symptoms, the patient will need extra attention until they go. Hospices are actively involved in symptom management and patient comfort. To do this, the patient may be temporarily placed in a hospice home or an acute care hospital. This level of care entails a constant assessment of what is happening and what needs to be done. The hospice team and the patient’s physician work together to ensure that the patient reaches and maintains a comfortable level of care. After this is completed, the patient will return home and continue regular home care.
Taking Care of Yourself During a Break
The patient has been admitted to the facility and his or her symptoms have been managed.
A patient may be sent to respite care when a caregiver needs a break. Many hospice patients are able to stay at home with their family, who frequently offer 24-hour care. Caring for a loved one may be draining and stressful. Family members and/or caregivers need personal time, which must be taken. When a patient is temporarily placed in a facility that offers 24-hour care so that the patient’s family may rest, this is known as respite care. Hospice is obliged to place the patient in a facility or a hospice home if the patient accepts and the family requests it. According to Medicare guidelines, the patient will be transferred to the facility and may stay for up to five days before being returned home.
Continuum of Nursing Care
Symptoms that are uncontrollable in a patient at home
If a patient’s symptoms are uncontrolled and he or she decides to stay at home, he or she will get round-the-clock nursing care. This is similar to inpatient treatment, except instead of being admitted to a hospital, the patient is treated at home. If symptoms can’t be controlled with regular home care, a hospice nurse is needed to provide round-the-clock nursing care. According to the Hospice Patients Alliance, there is just one exception to this rule: if the hospice has less than seven employees, is situated in a rural or nonmetropolitan area, and does not have the staff to provide continuous nursing care in the home. Most hospices, on the other hand, are required to provide this level of care if requested.