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Four Levels of Hospice Care

There are four levels of Hospice care that are “required services” and must be provided under specific circumstances. Click the tabs below to learn more about each level of Hospice care.

Routine Home Care
Routine home care is the basic level of care under the Hospice benefit. If a patient resides in a nursing home, it can also be called routine nursing home care. Routine home care services include: RN Case Manager visits, Medical Social Worker visits, Chaplain visits, Certified Nurse Aide services, Hospice Medical Director Therapy Services, if indicated, Medications that pertain to Hospice diagnosis and Medical Equipment and Supplies that pertain to Hospice diagnosis.

Respite Care
This level of care is used more for the family / caregiver than for the patient. The purpose is to provide a break for the caregiver who may be experiencing exhaustion/caregiver breakdown. The patient is temporarily placed in a contracted facility to provide rest for the caregiver. 

General Inpatient Care
Our goal is to keep the patient and family together at home during their Hospice care. However, there are times when pain or other distressing symptoms cannot be managed at home. These patients may be admitted to a contracted inpatient facility. This may only take a few days, after which the patient may return home. Inpatient care is considered short term and would be discontinued once the patient’s symptoms are under control and they are comfortable. 

Continuous Nursing Care
If a patient develops physical or emotional symptoms that are not easily managed with routine care, continuous care may be an option. Continuous care provides more intense care in the patient’s home environment. A nurse and/or a certified nurse aide will remain in the patient’s home environment for a minimum of 8 up to 24 hours per day to administer medications, treatments and support until the symptoms are under control. Continuous care is considered a short-term level of care and is re­evaluated every 24 hours. 


What Is Palliative Care?

Palliative care is treatment that enhances, comforts, and improves the quality of the patient’s life. The test of palliative treatment lies in the agreement by the patient, the physician, the primary caregiver, and the hospice team that the expected outcome is relief form distressing symptoms, easing of pain, and enhancement of quality of life.

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