Hospice Care (cont.)
IN THIS ARTICLE
Considering Hospice Care
You may want to consider hospice care if:
Some people who might benefit from hospice care do not receive it for a variety of reasons. Many people, including some health professionals, simply don't know much about hospice care. It can be difficult for a doctor to acknowledge that a person is approaching the final stages of an illness and to introduce the concept of hospice services. It can also be difficult for you and your family to accept that the end of life is approaching. Some families choose to pursue aggressive medical care up to the end.
By choosing hospice, you decide to stop trying to cure your illness and to focus instead on comfort and quality of life. If you are at home, your hospice team will prepare your caregivers to cope with almost anything that could happen at home. But this does not mean that you cannot go to a hospital. When a hospice takes over your care, they will work with you to arrange for any medical care that you need. If something happens that causes a caregiver to call
The Medicare Hospice Benefit legislation, passed in 1982, pioneered the model for hospice programs in the United States. Eligibility for most hospice programs, as established by Medicaid, is based on two main criteria:
It can be hard for doctors to know how long a person will live. Some people live longer than expected. If you live longer than 6 months, you can continue on hospice. If your illness gets better, you can stop receiving hospice care.
Hospices usually take patients who are declining in their health and daily functioning. This means that the patient may need help with activities of daily living and isn't eating or moving around very well. The goal is to live out a natural life without artificial medical assistance. Medical care is provided to give comfort rather than to prolong life. For example, chemotherapy may no longer be used to cure your cancer, but it may be given to reduce pain. People who want to live as long as possible by any medical means are not a good match for hospice care.
Many people who are living with a disease that has an unpredictable but still terminal course may also want and be able to receive hospice care. In some of these cases, Medicare might not cover hospice care costs. Medicare covers the cost of hospice in the last 6 months of life. There are guidelines for terminal diseases that have an unpredictable course. People who have AIDS, amyotrophic lateral sclerosis (ALS), emphysema, heart failure, kidney (renal) disease, or Alzheimer's disease are all eligible for hospice care when their disease has reached an advanced stage.
People of any age, including children, may receive hospice services. In some areas, there are special hospice programs for children who have cancer or other serious diseases and for people who have AIDS.
Hospice care programs do not discriminate. Care is provided regardless of age, sex, religion, diagnosis or type of health problem, ethnic or cultural background, sexual orientation, or ability to pay.
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