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GiveMeFreedom

(976 posts)
Fri Nov 1, 2013, 02:10 PM Nov 2013

What to expect from hospice?

Hi,

I am new to the dying scene. Never tried dying before. I done a lot of shit in my life, both figuratively and literally. I am 56 years old now with kidney cancer. The tumors are winning and no chemo drugs are effective in treating the disease. So off to Hospice me and my tumors go to die. Sure like DU and all its manifestations of political banter. Some good reading! Tried to make friends here, not much luck with that.
So any information about the process, procedures, what to expect? Thanks for helping me out. Will post again. Not dead yet Repubs, (would be a great user name).

87 replies = new reply since forum marked as read
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What to expect from hospice? (Original Post) GiveMeFreedom Nov 2013 OP
(((GiveMeFreedom}}} leftynyc Nov 2013 #1
Sorry about your Dad GiveMeFreedom Nov 2013 #4
Wish I could do more leftynyc Nov 2013 #7
thanks lefty GiveMeFreedom Nov 2013 #2
Hi. I'm very sorry to read this. babylonsister Nov 2013 #3
My life partner was in hospice at the end. William769 Nov 2013 #5
You've exhausted every possible option? No transplant possibility, or anything of that nature? MADem Nov 2013 #6
All possible modern GiveMeFreedom Nov 2013 #11
good luck.. I wish you a journey free of pain and fear. Voice for Peace Nov 2013 #21
Thank you GiveMeFreedom Nov 2013 #65
Someday somewhere on this endless continuum of life. Voice for Peace Nov 2013 #75
I love your post BuddhaGirl Nov 2013 #72
Thanks. Words are easy of course, and Voice for Peace Nov 2013 #76
Well, I will hope for spontaneous remission for you. And if that doesn't happen, I'll hope you MADem Nov 2013 #68
This is sad to read qanda Nov 2013 #8
One question, qanda Nov 2013 #9
Never to late for friendships GiveMeFreedom Nov 2013 #14
I could not find the PM button so here it is GiveMeFreedom Nov 2013 #16
Aloha Paul mahina Nov 2013 #20
THANK YOU GiveMeFreedom Nov 2013 #61
So sorry GiveMeFreedom CountAllVotes Nov 2013 #10
I had a hospice conversation with my dad just yesterday. cry baby Nov 2013 #12
Thank you Cry baby GiveMeFreedom Nov 2013 #62
We did hospice in-home for a relative and glad we did. KurtNYC Nov 2013 #13
Your right Kurt GiveMeFreedom Nov 2013 #63
Sorry to hear about your situation. ladyVet Nov 2013 #15
my sister went into hospice care noiretextatique Nov 2013 #17
My husband had hispice at home and he had kidney cancer too. Auntie Bush Nov 2013 #18
(( GMFreedom )) LiberalAndProud Nov 2013 #19
So sorry to hear this is happening to you. haele Nov 2013 #22
No words.......... panader0 Nov 2013 #23
You will be in my thoughts. Hospice - we've had 3 experiences with them for family members. NRaleighLiberal Nov 2013 #24
hospice volunteers are real angels hopemountain Nov 2013 #25
Not all Hospice is non-profit. ForgoTheConsequence Nov 2013 #27
thank you for the post hopemountain Nov 2013 #32
Professional hospice services are a Medicare benefit. Para-professional support agencies pinto Nov 2013 #36
I'm aware that hospice is a medicare benefit. ForgoTheConsequence Nov 2013 #40
Ah, fraud. Thanks for the info. pinto Nov 2013 #41
Money ruins everything. ForgoTheConsequence Nov 2013 #42
Here in the Chicago area the small non profit hospices formed a collective mucifer Nov 2013 #53
That's a great idea! ForgoTheConsequence Nov 2013 #54
I googled it. I couldn't find anything. I think it's more internal mucifer Nov 2013 #57
Hospice Medicare Benefit pinto Nov 2013 #33
thank you, pinto! hopemountain Nov 2013 #38
hospice can be a wonderful thing dembotoz Nov 2013 #26
Hospice helps. mahannah Nov 2013 #28
It depends what you want out of it. Barack_America Nov 2013 #29
Make sure you, because you are what counts, are comfortable with your hospice care. ScreamingMeemie Nov 2013 #30
Sorry, sorry to hear about your situation. RebelOne Nov 2013 #31
I used hospice with both parents, a step parent, and a sibling. I've also worked for a hospice for Tarheel_Dem Nov 2013 #34
They will care for you with kindness and grace. QuestForSense Nov 2013 #35
I worked for a hospice for several years mcar Nov 2013 #37
So sorry to read this. My father in law madibella Nov 2013 #39
Been through it once with a family member. Cleita Nov 2013 #43
Loving tom_kelly Nov 2013 #44
Hope Hospice was absolutely wonderful for my mo Pretzel_Warrior Nov 2013 #45
One of the best things about hospice care, outside of the direct professional services, pinto Nov 2013 #46
a few books NJCher Nov 2013 #47
Believe me, you'll have friends here until the end. Buns_of_Fire Nov 2013 #48
Our family made use of hospice services Blue_In_AK Nov 2013 #49
GiveMeFreedom riverwalker Nov 2013 #50
{{{{GiveMeFreedom}}}} My husband just passed away in Sept and he was arthritisR_US Nov 2013 #51
We'll all be joining you soon enough, GMF LittleBlue Nov 2013 #52
Hi GiveMeFreedom Nov 2013 #78
I wish you peace and comfort ... and joy ... never forget small joys etherealtruth Nov 2013 #55
Thank you. nt. GiveMeFreedom Nov 2013 #64
I'm sorry Yo_Mama Nov 2013 #56
Sorry LPA elehhhhna Nov 2013 #58
Thanks GiveMeFreedom Nov 2013 #82
so what ar you thinking re; afterlife? elehhhhna Nov 2013 #86
Concentrate on your best memories. xfundy Nov 2013 #59
Dear GiveMeFreedom, do you want to die at home or in a dedicated facility? KittyWampus Nov 2013 #60
... Liberal_in_LA Nov 2013 #66
Thanks GiveMeFreedom Nov 2013 #81
You should expect comfort, and to depart this life in style curlyred Nov 2013 #67
I'm so very sorry, GiveMeFreedom pinstikfartherin Nov 2013 #69
Thank you GiveMeFreedom Nov 2013 #83
Hopice is wonderful and most people don't connect with them soon enough cynannmarie Nov 2013 #70
K&R for sure! nt Ernesto Nov 2013 #85
(((((((((((((( : > (( )))))))))))))) glinda Nov 2013 #71
Thanks GiveMeFreedom Nov 2013 #84
I'm sorry to hear this BuddhaGirl Nov 2013 #73
Thanks GiveMeFreedom Nov 2013 #80
... Mnemosyne Nov 2013 #74
Well Sir, peace to you. Please let me share our story. JimboBillyBubbaBob Nov 2013 #77
Thank you GiveMeFreedom Nov 2013 #79
My experience, like so many other replies, was an extremely positive one. adirondacker Nov 2013 #87
 

leftynyc

(26,060 posts)
1. (((GiveMeFreedom}}}
Fri Nov 1, 2013, 02:12 PM
Nov 2013

I'm so very sorry. The only experience I had with hospice was my dad - very caring staff, willing to go the extra mile in terms of allowing many people to visit and no complaints about kids making noise. They will do what they can to make your journey as painless as possible.

babylonsister

(172,759 posts)
3. Hi. I'm very sorry to read this.
Fri Nov 1, 2013, 02:14 PM
Nov 2013

I volunteered for Hospice for awhile, and my mom was in their gentle care while she died.
It's a fabulous organization that, at least here in Savannah, had the patient's care and comfort as their primary concern. You will be in good hands; anything you want, need, etc., just ask them. If it's within their power to help, they do.

And hugs to you.

William769

(59,147 posts)
5. My life partner was in hospice at the end.
Fri Nov 1, 2013, 02:15 PM
Nov 2013

They gave him a more comfortable ending than I or any one else could have. To me they were saints no doubt about it. Caring, giving. What ever David wanted he got. He passed into the next world at peace.

I wish I had gotten to know you sooner & know my prayers are with you.

Peace be with you my friend.

Bill

MADem

(135,425 posts)
6. You've exhausted every possible option? No transplant possibility, or anything of that nature?
Fri Nov 1, 2013, 02:15 PM
Nov 2013

No targeted radiation? Will they try other things, even as you abide in hospice?

Where there's life, there's hope.

My only experience w/hospice is the "at home" kind, where people come in when the patient requires a lot of assistance and partner with the family caregivers, rather than the patient leaving and living in a group setting.

I've never met a hospice worker who wasn't patient, caring and kind, if that's any help.

Keep us in the loop as to your progress.

GiveMeFreedom

(976 posts)
11. All possible modern
Fri Nov 1, 2013, 02:29 PM
Nov 2013

medical procedures have been applied to my disease. Everyone like you, who hope against hope that there is some thing the doctors have not tried, some new medical trial that will magically cure me is not an option. YOU SEE THEY HAVE TRIED EVERYTIHNG IN THEIR COLLECTIVE MEDICAL FIELDS TO CURE ME AND USED EVERY DRUG THEY HAVE AVAILABLE. ITS TIME FOR DEATH, NO WAY AROUND IT. Sorry for shouting but you have to understand the doctors have tried, really. Thanks for the observation about the caring peeps at hospice. Peace.

 

Voice for Peace

(13,141 posts)
21. good luck.. I wish you a journey free of pain and fear.
Fri Nov 1, 2013, 03:44 PM
Nov 2013

People have been dying for a very long time so it
can't be too hard. Maybe it is even an astounding
and marvelous experience.

Until then I wish you peace, fun, good herbs
& medicines, whatever you like best;

and to be surrounded by kindness and whatever,
whomever, you want or need there;

and that when your moment comes, you are ready
to let go, and fly.

We are immortal beings in a mortal box. The box
breaks, it stays here, and we go onward.

 

Voice for Peace

(13,141 posts)
75. Someday somewhere on this endless continuum of life.
Sat Nov 2, 2013, 02:12 PM
Nov 2013

I live in New Mexico so in case you are local
and want local friends I am here. Otherwise
please feel free to stay in touch online. Or from
the afterlife, if you get there before I do, and
if they have some sort of wifi. Which I'm sure
they ought to, by now. Lots of geeks and
geniuses have passed through that door.



BuddhaGirl

(3,708 posts)
72. I love your post
Sat Nov 2, 2013, 01:07 PM
Nov 2013

bookmarking for reference.

Thank you for sharing. My dad is getting hospice care at the moment.

 

Voice for Peace

(13,141 posts)
76. Thanks. Words are easy of course, and
Sat Nov 2, 2013, 02:14 PM
Nov 2013

when you are in the middle of that process with
somebody, I know it is, or can be, really hard.

Still I am absolutely certain that what survives
untouched is the joy in us, the love, which itself
is not a mortal thing.

MADem

(135,425 posts)
68. Well, I will hope for spontaneous remission for you. And if that doesn't happen, I'll hope you
Fri Nov 1, 2013, 10:37 PM
Nov 2013

cross gently and easily.

Peace back at ya.

qanda

(10,436 posts)
8. This is sad to read
Fri Nov 1, 2013, 02:18 PM
Nov 2013

Sorry that you didn't make many friends here. Truth be told, I was more successful at creating a few relationship when DU was new but not so much lately. I used to work at a hospice so I know that the staff, especially the nurses, are very skilled and dedicated to their patients. My only advice would be to get whatever medication you need to relieve the pain. I wish you a peaceful passage.

qanda

(10,436 posts)
9. One question,
Fri Nov 1, 2013, 02:22 PM
Nov 2013

Is it too late to become friends? Can you send me your address via pm? I would love to send you a card.

GiveMeFreedom

(976 posts)
16. I could not find the PM button so here it is
Fri Nov 1, 2013, 02:36 PM
Nov 2013

L. Paul Austin
2553 Gold Run Ct.
Valley Springs, CA 95252

Maybe others want the address, I won't need after a few months. Peace

mahina

(20,645 posts)
20. Aloha Paul
Fri Nov 1, 2013, 03:38 PM
Nov 2013

I'm sorry we couldn't be friends sooner too.

It would be a good idea to consider PM'ing your private info to those who request it, just a thought.

Hassles, you don't need.

I don't know anything about hospice other than that they came and helped us when my grandmother was passing, and they helped her get through the process with dignity and as much comfort as possible.

I agree with the poster upthread that it was easier to make friends here before...I don't know why that is. It's a bigger site now I guess.

Anyway I'm happy to know you now and wish you peace.

aloha

CountAllVotes

(22,215 posts)
10. So sorry GiveMeFreedom
Fri Nov 1, 2013, 02:28 PM
Nov 2013

My late mother was under the care of hospice (she had lung cancer).

They came to the place she was staying at the last few months she was alive as necessary, at least once or twice a day.

They helped her out a lot best I could tell and made arrangements for things she needed.

She was given any/all pain medication she needed (she told me she felt "too doped up" toward the end).

She passed away without incident. I was glad that hospice was there for her and I don't know what I would have done without their help.

I hope that you do not suffer and that things are not upsetting for you in any way at all.

I hope that what friends/family you may have will take time to visit you often as I found that helped my late mother quite a bit.

Again, very sorry to read about your condition.

In the meantime, here is a for you.

cry baby

(6,876 posts)
12. I had a hospice conversation with my dad just yesterday.
Fri Nov 1, 2013, 02:31 PM
Nov 2013

Dad has leukemia, plus he's 85. He wants to be at home, so we'll probably be talking to hospice about home care.

Hospice is a hard thing to talk about since after entering hospice, there will be no more treatments to extend life.

2 other loved ones in my life have cancer, too...one 24 yrs old and one is your age...way too young! It's a terrible disease.

My heart goes out to you and yours. I wish you the best. I'll bookmark this thread and when my dad goes through his experiences, I'll come back to the thread and report.

KurtNYC

(14,549 posts)
13. We did hospice in-home for a relative and glad we did.
Fri Nov 1, 2013, 02:32 PM
Nov 2013

Chemo and radiation is no way to spend the last weeks of one's life. My relative got to have her dog at her side, favorite music, and the smell of lavender and sage wafting through the window. No beeping machines, no hourly wake ups to take your temperature.

Many people don't get a chance to say goodbye to loved ones but hospice was that plus a chance to give a little back. It was a profound experience and I feel it prepared me to better face my own passing but mostly it let us all, including the person who passed, try to tie up loose ends and focus on the spiritual (rather than mechanical) side of passing.

Hospice centers on helping the patient feel comfortable and letting them do as much as they are able to do.

It sounds like you are feeling a mix of resignation, perhaps acceptance, and anxiety. That's a whole lot better than denial and anger.

GiveMeFreedom

(976 posts)
63. Your right Kurt
Fri Nov 1, 2013, 08:39 PM
Nov 2013

I am feeling all those things you said and am past the"it's not fair" routine. Thanks for sharing the information. Peace.

ladyVet

(1,587 posts)
15. Sorry to hear about your situation.
Fri Nov 1, 2013, 02:36 PM
Nov 2013

If the hospice in your area is anything like mine, it will be very helpful, with kind and loving staff/volunteers.

My sister's MIL was seen at home by hospice, and a dear friend from work died in-house, so I've seen how helpful the organization is. My father will probably be needing their services in a couple of years, as he has an incurable bone marrow disease.

Ours has a thrift store that I try to shop at, to help out as best I can (have little funds, really, so buy what I can from there).

I wish I could tell your more details, but your local organization should be able to help you, and answer all your questions.

My thoughts are with you.

noiretextatique

(27,275 posts)
17. my sister went into hospice care
Fri Nov 1, 2013, 02:56 PM
Nov 2013

for metastatic breast cancer. my only regret is that we didn't do it sooner because the hospice staff took much better care of her than the skilled nursing staff. they did a great of job of managing her pain, and she died peacefully. i am so sorry about your situation, and i wish you the best. i know it cannot be easy for you, but you have an amazing outlook.

Auntie Bush

(17,528 posts)
18. My husband had hispice at home and he had kidney cancer too.
Fri Nov 1, 2013, 03:08 PM
Nov 2013

When he got too uncomfortable he stopped eating and drinking. I was given a small bottle of morphine to give him a few drops at certain hours. I followed the directions carefully and he died peacefully and comfortably in a couple weeks. He suffered no pain! It isn't painful going without food and water. It's really one of the best ways to go...when you are ready.

I'm so sorry for your situation Give Me Freedom. Bless you! May you have a gentle crossing.

haele

(15,402 posts)
22. So sorry to hear this is happening to you.
Fri Nov 1, 2013, 03:45 PM
Nov 2013

My father had a stroke he was not going to survive, so the hospital transferred him to the short-term hospice they had on the top floor. They put him in a comfortable room with a view that was very much like a hotel room with a couch and two beds and a very small kitchenette and bathroom with a shower. They had a larger hospital bed for him (with built in monitoring and other medical hook-ups that were unobtrusive), and a full sized bed for anyone who would want to stay.
The nurses were very attentive - they checked in every half hour, and ensured that they did everything they could to keep him (and Mom, who stayed with him) comfortable, even though he wasn't really "there". They allowed mom to bring in his portable stereo system and help her figure out how to run it to play the music he liked, and they had all sorts of electronic doo-dads that had he been conscious, he could watch TV, go on the internet, or watch a dvd or stream his favorite shows, or just read or write.

Hospice is a blessing. Very few "beeps and blinking lights", and most of the nurses and doctors will treat you with the care and respect you need.

If he had shown any signs of improvement, they would have begun stabilization treatment - a woman in the room next to him had started to make a turn towards recovery, so they stabilized her for re-evaluation and she went up back in the hospital proper.

Haele

NRaleighLiberal

(61,857 posts)
24. You will be in my thoughts. Hospice - we've had 3 experiences with them for family members.
Fri Nov 1, 2013, 04:05 PM
Nov 2013

Staffed by angels. It to me is the kindest and gentlest and most comforting way to say farewell.

As for the dying scene - we here will all face that scene eventually, sooner or later. It is great you reached out - you will see how many friends you now have!

hopemountain

(3,919 posts)
25. hospice volunteers are real angels
Fri Nov 1, 2013, 04:08 PM
Nov 2013

and most of the nursing staff - except for one that i know of. hospice sends a huge bill to medicare to cover the nursing staff, volunteers, meds, and the doctor(s). currently, my mom's hospice sends a $10k bill per month to medicare - and medicare PAYS it!!!

the bill is in addition to the care home facility bill (my sis pays this bill >$8k/mo) and mom's other medical care.

hospice may call themselves nonprofit - but i don't see how a $10k bill justifies non profit - especially when their contract with medicare requires they cover the cost of meds prescribed by their doctor - yet they send the bill to my sis and insist they are not responsible.

ForgoTheConsequence

(5,186 posts)
27. Not all Hospice is non-profit.
Fri Nov 1, 2013, 04:12 PM
Nov 2013

In fact, more and more for-profit Hospice organizations are popping up. I'm almost positive at this point there are more for-profit than non-profit Hospice providers.

It's become a problem. Hospice is a great service and a fantastic holistic approach to the inevitable. However, like anything in the United States it's also become a money making scheme.

hopemountain

(3,919 posts)
32. thank you for the post
Fri Nov 1, 2013, 04:22 PM
Nov 2013

we were shocked to discover this truth, forgotheconsequence.

p.s. "sí se puede"

pinto

(106,886 posts)
36. Professional hospice services are a Medicare benefit. Para-professional support agencies
Fri Nov 1, 2013, 04:35 PM
Nov 2013

are usually non-profit trained volunteer support provided in coordination with the professional hospice team. Medicare and local Medicare certified hospice programs can assist with locating and verifying a non-profit volunteer support organization, if one is available.

ForgoTheConsequence

(5,186 posts)
40. I'm aware that hospice is a medicare benefit.
Fri Nov 1, 2013, 04:51 PM
Nov 2013

As it should be. I'm also well versed in Hospice administration.

My point was that Hospice is a wonderful thing that is being exploited by multi-million dollar corporations.

See: US vs Golden Gate Ancillary LLC.

http://www.justice.gov/opa/pr/2012/January/12-civ-001.html




Hospice Statistics - Non-profit vs for-profit.

There are almost 5,000 hospices in the US. Forty-nine percent are nonprofit, 47% are for-profit, and government providers make up the balance.


http://www.nhpco.org/press-room/press-releases/message-nhpco-0

mucifer

(25,667 posts)
53. Here in the Chicago area the small non profit hospices formed a collective
Fri Nov 1, 2013, 06:46 PM
Nov 2013

to purchase things in larger volume to keep the costs lower. So far it's helping.

ForgoTheConsequence

(5,186 posts)
54. That's a great idea!
Fri Nov 1, 2013, 07:05 PM
Nov 2013

If you happen to have a link could you share it? I'm always interested in bringing new ideas and procedure to the table.

mucifer

(25,667 posts)
57. I googled it. I couldn't find anything. I think it's more internal
Fri Nov 1, 2013, 07:30 PM
Nov 2013

There are about 5 non profits that are doing it in Chicago. They are contracting together for durable medical equipment (oxygen, beds etc.), medications, supplies like wound care soaps diapers etc, and ambulance services. I know about it because I work for one of the nonprofit hospice members.

There are some for profit ones that are huge and one is currently being investigated by the justice department for fraud. http://www.justice.gov/opa/pr/2013/May/13-civ-500.html





I do want to send out a big hug to givemefreedom. Sending best wishes.

pinto

(106,886 posts)
33. Hospice Medicare Benefit
Fri Nov 1, 2013, 04:26 PM
Nov 2013

Hospice Medicare Benefit -

Hospice & respite care

How often is it covered?

Hospice care is usually given in your home and includes these services when your doctor includes them in the plan of care for palliative care (for comfort) for your terminal illness and related condition(s):
Doctor services
Nursing care
Medical equipment (like wheelchairs or walkers)
Medical supplies (like bandages and catheters)
Drugs for symptom control or pain relief (may need to pay a small copayment)
Hospice aide and homemaker services
Physical and occupational therapy
Speech-language pathology services
Social work services
Dietary counseling
Grief and loss counseling for you and your family
Short-term inpatient care (for pain and symptom management)
Short term respite care (may need to pay a small copayment)
Any other Medicare-covered services needed to manage your pain and other symptoms related to your terminal illness, as recommended by your hospice team

When you choose hospice care, you've decided that you no longer want care to cure your terminal illness and/or your doctor has determined that efforts to cure your illness aren't working.

Medicare won’t cover any of these once you choose hospice care:

Treatment intended to cure your terminal illness. Talk with your doctor if you're thinking about getting treatment to cure your illness. As a hospice patient, you always have the right to stop hospice care at any time.
Prescription drugs to cure your illness (rather than for symptom control or pain relief).

Care from any hospice provider that wasn't set up by the hospice medical team. You must get hospice care from the hospice provider you chose. All care that you get for your terminal illness must be given by or arranged by the hospice team. You can't get the same type of hospice care from a different provider, unless you change your hospice provider. However, you can still see your regular doctor if you've chosen him or her to be the attending medical professional who helps supervise your hospice care.

Room and board. Medicare doesn't cover room and board if you get hospice care in your home or if you live in a nursing home or a hospice inpatient facility. If the hospice team determines that you need short-term inpatient or respite care services that they arrange, Medicare will cover your stay in the facility. You may have to pay a small copayment for the respite stay.

Care in an emergency room, inpatient facility care, or ambulance transportation, unless it's either arranged by your hospice team or is unrelated to your terminal illness.

Contact your hospice team before you get any of these services or you might have to pay the entire cost.

Who's eligible?

People with Medicare who meet all of these conditions are covered:
You're eligible for Medicare Part A (Hospital Insurance).
Your doctor certifies that you're terminally ill and are expected to have 6 months or less to live.*
You accept palliative care (for comfort) instead of care to cure your illness.
You sign a statement choosing hospice care instead of routine Medicare-covered benefits for your terminal illness.

*In a Medicare-approved hospice, nurse practitioners aren't permitted to certify the patient's terminal illness, but after a doctor certifies the illness, the nurse practitioner can serve in place of an attending doctor. You can continue to get hospice care as long as the hospice medical director or hospice doctor recertifies every 6 months that you continue to be terminally ill.

Your costs in Original Medicare

$0 for hospice care.
You may need to pay a copayment of no more than $5 for each prescription drug and other similar products for pain relief and symptom control.
You may need to pay 5% of the Medicare-approved amount for inpatient respite care.
Medicare doesn't cover room and board when you get hospice care in your home or another facility where you live (like a nursing home).

Related resources
How hospice works
Medicare Part A coverage—hospice
National Hospice and Palliative Care Organization (NHPCO)
Hospice Association of America (HAA)
Hospice Foundation of American (HFA)

http://www.medicare.gov/coverage/hospice-and-respite-care.html

hopemountain

(3,919 posts)
38. thank you, pinto!
Fri Nov 1, 2013, 04:38 PM
Nov 2013

our family just went over this a few days ago. these are the contract items medicare has with hospice organizations.

 

dembotoz

(16,922 posts)
26. hospice can be a wonderful thing
Fri Nov 1, 2013, 04:09 PM
Nov 2013

not sure if all are created equal so shop around a bit if you can.

my first wife died in a hospice around 30 years ago now
leukemia

was more pleasant setting--more pleasant does not make sense but it is true than the hospital.

there was no pain involved for my wife just a slower shutting down.

i would think i would want to have some clear idea of pain management prior to entrance.
i am sure they have some sort of tangible points as to when you better head in for admittance.
With my wife it was when the fevers became hard to manage.
It was good that we had a defined point because i might have been tempted to keep her home too long and she might have
suffered more than she could have. Her stay in hospice was a week.
What is funny is that when we were first married, her grandmother developed lung or breast cancer--not sure which she stayed at the hospice for months.....
hope this is of some help

mahannah

(893 posts)
28. Hospice helps.
Fri Nov 1, 2013, 04:14 PM
Nov 2013

I have been hospice volunteer here in West Michigan for a number of years. I have nothing but good things to say about the hospice concept and practice. If they can help, they will. Do not be afraid to ask.

Barack_America

(28,876 posts)
29. It depends what you want out of it.
Fri Nov 1, 2013, 04:17 PM
Nov 2013

Whatever you need to complete your final journey in this life, they should be willing to help you achieve it. It should not be all about morphine, unless that is what you want.

I'm very sorry to hear of your diagnosis. I wish much peace and comfort to you.

ScreamingMeemie

(68,918 posts)
30. Make sure you, because you are what counts, are comfortable with your hospice care.
Fri Nov 1, 2013, 04:21 PM
Nov 2013

When my cousin was placed in hospice, the first group my aunt and uncle chose were less than up to the task. Make sure your needs are met.

My thoughts and my heart are with you.

RebelOne

(30,947 posts)
31. Sorry, sorry to hear about your situation.
Fri Nov 1, 2013, 04:22 PM
Nov 2013

I may be facing the same thing in a few years. I am now 74 and hope to make it to 80. But when the time comes, I will definitely choose in-home hospice care.

Tarheel_Dem

(31,454 posts)
34. I used hospice with both parents, a step parent, and a sibling. I've also worked for a hospice for
Fri Nov 1, 2013, 04:28 PM
Nov 2013

nearly 20 years, on the financial side. My personal experience, as well as my professional experience have been equally rewarding. Our clinical staff and volunteers are real life angels. Not only will you have access to excellent physican care & pain management, but you can take advantage of the many counselling services provided by Hospice. They're all trained professionals, and never shrink away from declaring what YOU need. At this point, it's all about YOU.

And remember, not every prognosis is a death sentence. We've had patients leave our services after being certified & recertified in 6 month increments. There are other patients who have been in our care for years, although they still meet the hospice criteria, they are enjoying a relatively good quality of life. There are still others who were given a 6 month prognosis, they got better, they revoked our services, went off and lived their lives for years, and returned to us at the end.

All that being said, I am so sorry to hear this, and I hope you'll reach out to this board whenever you find yourself in need of support.

QuestForSense

(653 posts)
35. They will care for you with kindness and grace.
Fri Nov 1, 2013, 04:30 PM
Nov 2013

Two of my closest friends had them -- one at home and other in a nursing home setting. They were like angels to my friends, but also to their loved ones and families, who need what they provide every bit as much as the patient. Sorry you didn't have much luck making friends here, but you probably already know that sometimes what draws people together is also what drives them apart. New friends await your arrival in the great unknown. I wish you only the best, now and always.

mcar

(46,058 posts)
37. I worked for a hospice for several years
Fri Nov 1, 2013, 04:35 PM
Nov 2013

On the admin side. The clinicians are the most caring people I have ever met. My advice: meet with the chaplain, even if you are not religious. They are trained to meet you where you are spiritually (or not) and they are great listeners.

I wish you a peaceful pain free journey. Hospice is how it should be for us all.

madibella

(208 posts)
39. So sorry to read this. My father in law
Fri Nov 1, 2013, 04:42 PM
Nov 2013

passed away at home with the aid of hospice. They provided him with whatever comforts and support he and his family felt were needed.
I hope you know that you have a friend in me. I do not know you, will never meet you, but that doesn't matter.
It's important for you to know that people do care. I do.
I wish you peace.

Cleita

(75,480 posts)
43. Been through it once with a family member.
Fri Nov 1, 2013, 04:59 PM
Nov 2013

the hospice people in my experience are wonderful and you and your family will receive the kindest of care.

tom_kelly

(1,051 posts)
44. Loving
Fri Nov 1, 2013, 05:04 PM
Nov 2013

GMF, you'll be in the most loving hands that give the most loving care on this earth. They will ensure your dignity right up till God welcomes you home. Good luck brother!

 

Pretzel_Warrior

(8,361 posts)
45. Hope Hospice was absolutely wonderful for my mo
Fri Nov 1, 2013, 05:04 PM
Nov 2013

And sister who both died of cancer. They not only provide a ton of home health care and equipment, they also do therapies for people such as music, art, aromatherapy, etc. to make things as comfortable as possible for a loved one who is dying. They also provide counseling to the person as well as grief counseling to family members. I don't want to imagine how things would have gone without hospice.

pinto

(106,886 posts)
46. One of the best things about hospice care, outside of the direct professional services,
Fri Nov 1, 2013, 05:16 PM
Nov 2013

is the support structure for all involved - the person in hospice care, family, friends, etc. All are seen as part of the big picture. Take care. ~ pinto

NJCher

(43,165 posts)
47. a few books
Fri Nov 1, 2013, 05:19 PM
Nov 2013

Since you say you're new to the dying scene, I suggest a few books:

Weiss, Brian Many Lives, Many Masters

Alexander, Eben Proof of Heaven

Long, Jeffrey Evidence of the Afterlife

All three of the above are medical physicians. More and more doctors are trying to get the word out about this.

Below is Long's web site, which has thousands of reports of people's experiences of almost crossing over.

http://www.nderf.org/


Cher

p.s. on edit, forgot to add that there's also a book out with the experiences of hospice workers regarding this phenomenon. I can't recall the name, though.

Buns_of_Fire

(19,161 posts)
48. Believe me, you'll have friends here until the end.
Fri Nov 1, 2013, 05:27 PM
Nov 2013

My mother spent her last days in hospice last year, and they're angels.

As long as you feel like it, please stick around.

Blue_In_AK

(46,436 posts)
49. Our family made use of hospice services
Fri Nov 1, 2013, 05:30 PM
Nov 2013

when my dad was dying. He stayed at home, didn't go into a facility, but the hospice people came out to see him every day and they were wonderfully helpful to my mother.

riverwalker

(8,694 posts)
50. GiveMeFreedom
Fri Nov 1, 2013, 05:39 PM
Nov 2013

Don't be afraid to ask your nurses anything you want to know. Hospice nurses are a special breed, and they are there for you. No question is too "dumb". When will I die? how will I die? how much time is left? how will I know I am near death? these are things they will be as honest with you as you can bear. Don't be afraid to ask them anything. Peace to you baby.

arthritisR_US

(7,810 posts)
51. {{{{GiveMeFreedom}}}} My husband just passed away in Sept and he was
Fri Nov 1, 2013, 05:53 PM
Nov 2013

in hospice for the last 6 weeks of his life. The hospice staff were wonderful and the facility, that the Social Worker from the palliative home care team chose for him, was as close to our home environment as one could get. Walking for him was very difficult so she picked his room as the one closest to the outdoor patio given he loved to enjoy the fresh air and have his fag, 10 steps and he was there. The outdoor furniture, flowers and shrubbery were almost identical to what we have at home in the front where he always relaxed and soaked in the rays. His room at the hospice was more like a tiny apartment.

His biggest fear before going in was that it would be like being in the hospital. He had had too many hospital stays in his lasts months and he hated all of them. Some hospitals had been better than others but those distinctions are in degree not in kind. Gone was the clinical and sterile atmosphere of the hospital, gone were the horrible hospital "meals" he could once again enjoy home cooking! The staff attention was constant and he was no longer having to wait for pain meds.

The entire focus of hospice care is for patient comfort. Address the pain as well as offer any emotional/spiritual support as patients need or want. There are no visiting hours, visiting is 24/7. They brought us a cot into his room for our last three weeks (as we requested) so we stayed there with him non stop. We rearranged his room a bit, no problem, whatever made him happy. We brought in personal items of his to decorate his room and his favourite comforter which made him squeal in glee like a small child

The doctors, the staff, everyone was absolutely wonderful.

My heart and my love go out to you mate. I hope this helps you and you will be in my thoughts always

 

LittleBlue

(10,362 posts)
52. We'll all be joining you soon enough, GMF
Fri Nov 1, 2013, 06:09 PM
Nov 2013

I'm so sorry for what's happened.


Only a question of when. It's the knowing that must be bad.

Have you thought about assisted suicide? It's available here in Washington and Oregon. Forgive me for asking if this offends your beliefs, just wanted you to know there is an alternative to hospice.

GiveMeFreedom

(976 posts)
78. Hi
Sat Nov 2, 2013, 02:44 PM
Nov 2013

Hi LittleBlue,

Thanks for the suggestion. I have looked at Oregon's law, must be a resident for a year. As for "we'll all be joining you soon enough" oh? really? should I hold the gate? come on then. Kinda scary, huh? I am not comfortable when people sympathize with "me too, I am dying, look one breath at a time" You see, you could die in your sleep for all know, but cancer is a painful, disfiguring, vital organs shut down kinda disease that you people that are dying one breath at time know nothing about. How I wish I was dying one breath at time. Peace.

etherealtruth

(22,165 posts)
55. I wish you peace and comfort ... and joy ... never forget small joys
Fri Nov 1, 2013, 07:19 PM
Nov 2013

My first career was as a nurse. of the ten years I spent in nursing, 5 were as a hospice nurse. I believe in the hospice philosophy with all of my heart.

I am hesitant to give any advice or even state my experience as a hospice nurse. At the time I practiced ... hospice was slightly more than a grass roots movement. I worked for a non-profit that was the only hospice in the overall area. Every employee was dedicated to the hospice principles and worked tirelessly for their patients (and their families and significant folk) My understanding is that hospices greatly proliferated ... many for profit and many non-profit .... good and bad.

A good hospice will try their absolute best to make sure you are physically and emotionally comfortable. If a hospice is not meeting your needs, you make revoke your participation and receive your care from an other hospice.

Yo_Mama

(8,303 posts)
56. I'm sorry
Fri Nov 1, 2013, 07:21 PM
Nov 2013

Hospice is set up to help you and make you comfortable. They don't provide life-extending care, but they are set up to provide excellent palliative care, so that you don't have to die alone, worried and in pain.

The best source of information will be your local hospice coordinator. They can explain it all to you.

 

elehhhhna

(32,076 posts)
86. so what ar you thinking re; afterlife?
Sat Nov 2, 2013, 05:03 PM
Nov 2013

are your beliefs, if any, becoming stronger? You don't have to address this of course, but it must cross your mind. If this is an inappropriate question, that's cool. I have no agenda btw (like weird proselytizing or something).

xfundy

(5,105 posts)
59. Concentrate on your best memories.
Fri Nov 1, 2013, 07:54 PM
Nov 2013

Your brain is fully capable of helping you relive them. Let go of grudges, and those who wronged you. it really is all about you, now. Live, more freely now than ever, without the BS and obstacles we've all faced. Live fully now, with no restraints. Remember the best times, the beautiful scenery, the awesome faces, the kindness, the boundless opportunities, the sunrises and sunsets, the rainstorms and the growth of flowers. You've earned it.

 

KittyWampus

(55,894 posts)
60. Dear GiveMeFreedom, do you want to die at home or in a dedicated facility?
Fri Nov 1, 2013, 07:55 PM
Nov 2013

I'd very much like to send love and light to you as you look forward to transitioning.

I hope it's okay to ask bluntly, but it would seem you might have to make that decision… do I want to die at home or in a facility…

Whatever comes, peace to you.

curlyred

(1,879 posts)
67. You should expect comfort, and to depart this life in style
Fri Nov 1, 2013, 10:12 PM
Nov 2013

These people know things about pain management that will blow you away. They make it an art form, and you should feel like a million bucks. My mom was never more comfortable. It was awesome.

Edited to add: she was at home, in her own bed, in her own room, with her family there.

pinstikfartherin

(500 posts)
69. I'm so very sorry, GiveMeFreedom
Fri Nov 1, 2013, 11:12 PM
Nov 2013

Hospice can be a very helpful, wonderful service. I worked for hospice, my mom managed a hospice, and I currently work with hospice companies helping the residents in the assisted living facility where I work. Hospice provides nursing care, social workers, chaplains, aids for bathing, and volunteers to help fulfill your needs. They are only a phone call and visit away any time they are needed and they work directly with your doctor to make sure you are comfortable and well-taken care of. Hospice will bring in any medical equipment you may need, cover any medicines related to your hospice diagnosis, and take care of other needs such as catheters, wounds, etc. Not all of them, but the hospice I worked for/my mom managed and a couple others have a crisis team so when the time comes, you or your family needs a nurse there to help take care during the final days and hours, they will send someone to stay and provide care. That is something I would ask about when finding the right hospice for you. All you need to do it contact a hospice in your area or ask your doctor to refer you to a hospice and their staff will walk you through the process.

It's a scary thing, but hospice staff can be wonderful, compassionate individuals that provide more than physical care... they often provide emotional support for everyone involved. It takes special people to do their jobs.

GiveMeFreedom

(976 posts)
83. Thank you
Sat Nov 2, 2013, 02:50 PM
Nov 2013

For your well thought out post. I actually learned some things and thats what I needed. Once again thanks for what you and your mom do for people like me. Peace.

cynannmarie

(114 posts)
70. Hopice is wonderful and most people don't connect with them soon enough
Sat Nov 2, 2013, 02:21 AM
Nov 2013

It's not just for the very end of life---there are so many benefits to have them with you as soon as possible, even if the projected time frame is many months.
I am very sorry to hear your story. I have lost 8 friends in my cancer support group in the past 10 months and we miss every one of them.
I hope you can treasure every remaining day and live each one fully, knowing love and beauty. And when the time comes, that you can let go in peace and acceptance. It's what we all want, and I certainly wish that for you. Hugs.

JimboBillyBubbaBob

(1,389 posts)
77. Well Sir, peace to you. Please let me share our story.
Sat Nov 2, 2013, 02:30 PM
Nov 2013

This January 10th will be six years since our 18 year old daughter left us. She had been battling brain cancer for nearly three years. She put up an amazing fight but finally said she needed to let go. I am still thinking of the peace and satisfaction she had. In a eulogy I noted how she had this wonderful wisdom about what was going down. I kept asking how one so young achieved such a state. It was beautiful. We brought her home from the hospital on December 24th in the evening, that's where she wished to be. The hospice folks were so good at what they did. I think now of the enormous sense of empathy they all exuded. Her last days at home were great, that's the memory We keep. Peace to you my friend.

adirondacker

(2,921 posts)
87. My experience, like so many other replies, was an extremely positive one.
Sat Nov 2, 2013, 05:34 PM
Nov 2013

Last edited Sat Nov 2, 2013, 11:58 PM - Edit history (1)

The two hospice nurses we had for my sister, who died from melanoma, were very kind, knowledgeable and supportive.
Don't hesitate to ask for whatever will make you comfortable in the moment. I'm hoping you will have family and close friends nearby for support. Best wishes, and Peace.



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