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What Is Hospice?

Hospice provides comfort and support to people nearing the end of life. This helps them and their family let go with dignity. Hospice focuses on quality of life. And it helps someone live their last days with a sense of control. Hospice programs support both the person and their family. They include physical, emotional, and spiritual services. This sheet tells you more about hospice. It may help you decide if this care is right for you or your loved one.

Man comforting older man with walker
An interdisciplinary team provides hospice care.

The goals of hospice

Hospice is a special type of care for people who are ill and have 6 months or less to live. Its goal is not to shorten life. Instead the goal is to give comfort and support to a dying person and their loved ones. Hospice care helps to ease disease symptoms such as pain, nausea, and breathing problems. It also helps to meet the emotional and spiritual needs of a dying person. And those of their family and friends.

Qualifying for hospice

A person with an illness can go into hospice when a healthcare provider believes he or she has about 6 months or less to live. Hospice care can be used by people in the end stages of cancer, severe lung disease, heart failure, and other diseases. Hospice continues as long as it is needed. If a person’s health gets better, they can end the hospice care and start it again later. A person also has the right to leave hospice care at any time for any reason.

The services of hospice

Hospice is most often provided in the home. It can also be offered in a nursing home, assisted living facility, or hospital. This depends on the person's care needs. Hospice care is provided by a healthcare team that includes doctors, nurses, and other healthcare providers. A registered nurse case manager (RN case manager), coordinates care given by the hospice team. He or she also provides skilled nursing care as needed. The RN case manager makes visits no less than every 14 days and more often as needed to meet the needs of the client and their family. Hospice also offers access to other providers. These include:

  • Social worker

  • Home health aide

  • Counselor

  • Chaplain or other spiritual advisor

  • Other providers, as needed

 

If hospice is done at home, family members give day-to-day care. Hospice support is given to the person and their family in many ways. This may include:

  • Making sure medicines are given for the person's comfort

  • Helping the family set up the home

  • Supplying medical equipment as needed

  • Helping the family arrange 24-hour care

  • Helping the person and family find emotional, spiritual, and financial resources

  • Managing contact between the person, family, and healthcare providers

  • Help for loved ones in mourning (bereavement care) must be available for a year after the person’s death

Common questions about hospice

Here are answers to some common questions about hospice care:

  • Where is hospice provided? Hospice is a method of care. It is not a physical location. It may be offered in the person’s home, a nursing home, or in another facility.

  • Does hospice only offer one type of treatment? People in hospice care receive treatments and interventions to give them the most comfort and quality of life. In some cases, they may have the same treatments they received before hospice. This can include palliative chemotherapy, radiation, and heart failure treatments. People can also come and go from hospice at any time. Once a person leaves hospice, they may come back to the program at any time if they qualify. For example, if their healthcare provider finds that they only have 6 months or less to live.

  • Can anyone who is ill receive hospice care? A person must have about 6 months or less to live to receive hospice. 

  • Do people have to have a "Do not resuscitate" (DNR) order to receive hospice? In the U.S., people are not legally required to have made DNR arrangements to have hospice care. People must be informed that taking part in hospice is a choice to accept that death is coming. Aggressive life-sustaining treatments are not part of hospice. These treatments include ventilator therapy, intensive care, and vasopressors.

  • What happens if the person lives longer than 6 months? About 1 in 10 people in hospice care live beyond the 6-month limit. When this happens, the hospice staff must discharge the person. Or the person may still qualify for hospice if their healthcare provider finds they are still close to dying. In many cases, people who are discharged from hospice are hospitalized or become frail. They often pass away soon after.

  • Does hospice care shorten a person' life or bring about death? No. In fact, people in hospice care have been shown to live longer than people with similar illnesses who don't use hospice. 

  • Can someone in hospice still keep their primary healthcare provider? Yes. The primary provider still plays an important role in the person's care.    

Who pays for hospice?

Medicare and Medicaid cover hospice care for people age 65 or older. Most health insurance companies also cover hospice care. Hospice is often available at no extra charge as a free benefit.

Online Medical Reviewer: Lu Cunningham RN BSN
Online Medical Reviewer: Steven Buslovich MD
Online Medical Reviewer: Wanda Taylor RN PhD
Date Last Reviewed: 8/1/2019
© 2000-2019 The StayWell Company, LLC. 800 Township Line Road, Yardley, PA 19067. All rights reserved. This information is not intended as a substitute for professional medical care. Always follow your healthcare professional's instructions.
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