Guest guest Posted January 15, 2011 Report Share Posted January 15, 2011 when daddy was put on hospice, it was beucase we decided not to do anything to prolong his life, he was diangnosed with a terminal illness. and i neeeded asssitance in c aring for him. and the doctor requested it. hugs. sharon Subject: hospice question To: LBDcaregivers Date: Saturday, January 15, 2011, 11:23 AM Â What are the qualifiers to be eligible for hospice in your state ? Kathy Quote Link to comment Share on other sites More sharing options...
Guest guest Posted January 15, 2011 Report Share Posted January 15, 2011 Hi Kathy, Did you get my response to your question? I didn't realize that I sent it to your e-mail and not to the group. > > > What are the qualifiers to be eligible for hospice in your state ? > > Kathy > > > > > > > > Quote Link to comment Share on other sites More sharing options...
Guest guest Posted January 16, 2011 Report Share Posted January 16, 2011 Hey Kathy, I can give you a summary of guidelines from our hospice information but this still isn't written in stone. So many times we think someone may not pull through and they do, for a little while longer. When your Dad is unable to walk, you need to ask the doctor to call in hospice because they can get your mom a hospital bed and so many other supplies. She could really use the assistance in giving him a bath and keeping him clean and dry. From one to three months: withdrawal from the world and people,decreased food intake, increase in sleep, going inside of self,less communication. One to two weeks: 1)disorientation, agitation,talking with the unseen,confusion,picking at clothes--2)physical-decreased blood pressure,pulse increase or decrease,color changes-pale,bluish, increased perspiration,respiration irregularities,congestion,sleeping but responding, complaints of body tired and heavy,not eating,taking little fluids,body temperature, hot/cold Days or hours: intensification of one to two week signs,surge of energy,decrease in blood pressure,eyes glassy,tearing,half open,irregular breathing,stop/start,mouth open,restlessness or no activity, purplish knees,feet, hands,blotchy. Pulse weak and hard to find,decreased urine output,may wet or stool the bed. Minutes: cannot be awakened,pulse below 30 beats per minute,breathing stops for 1-1 1/2 minutes at a time in between a breath, unable to get a blood pressure. These things are just signs to watch for and not neccesarily what might happen. Each person is different and has different circumstances. A hospice nurse could teach you about all of these things and give you additional information. Your Dad sounds a lot like mine. He has a lot of pain and muscle jerking that hospice assists in controlling. I pray for you as I do all the people on this forum. I wouldn't wish this disease on my worst enemy and I pray for you and your Mom's well being during this time. HUGSSSSS, > > > > > > What are the qualifiers to be eligible for hospice in your state ? > > > > Kathy > > > > > > > > > > > > > > > > Quote Link to comment Share on other sites More sharing options...
Guest guest Posted January 18, 2011 Report Share Posted January 18, 2011 Kathy, I tell my clients to ask a hospice liaison to come out to the home to interview and learn about hospice. This serves multiple purposes. First, it gives you an idea of what the guidelines are for hospice when the time comes. It also gives families an opportunity to explore all their options early. All hospice companies are not created equal. Some have different services than others - for example- music therapy, an active volunteer program, pet therapy program. Some have in patient hospice unit if respite is needed or preferred. I feel, no , I know that doctors wait to long to refer to hospice. So I educate families that they can self refer. The hospice companies know the rules and regs and will know when someone is appropriate. So many times the families would benefit from an earlier referral and doctors neglect to make that referral. Diane Carbo http://www.aginghomehealthcare.com http://www.dementiacaresecrets.com > > > > > > > > > What are the qualifiers to be eligible for hospice in your state ? > > > > > > Kathy > > > > > > > > > > > > > > > > > > > > > > > > Quote Link to comment Share on other sites More sharing options...
Guest guest Posted June 28, 2011 Report Share Posted June 28, 2011 , Sorry to read all that is going on in your family. Hospice is ordered when an MD certifies that someone is within 6 months of death. I would ask the MD you have the best relationship with -- PCP, neurologist, psychiatrist -- to order hospice. Interview several agencies, and select the one you like the best. If your father is to remain at the care facility, you may be limited to the hospice agencies that facility works with. Ask if any of the residents are currently on hospice. Talk to their families. Does your father have an advanced care directive giving his instructions on a feeding tube, intubation, tracheotomy, and any end-of-life treatments? If you want to get confirmation of the diagnosis, you need to have your father's brain examined upon his death. (The backwards falls are odd. This could be an indication a different disorder is at play.) Make the arrangements now for brain donation. Good luck, Robin > > > Hi > > My Dad is 86 and spent 21 days last summer in Rehab and now he is back since June 12. Parksinsons advanced and Lewy Body Dementia has been mentioned but not definite. We can take him home if we have 24/7 nursing care - that we have to pay for. Also the rehab sets you up with Home Health Aid that comes 2 or 3 times a week for a half an hour. We were all excited about this last year, until we realized how little they are there. Insurance pays for that for 6 weeks, I believe. My mother is very frail 84 year old. My sister has very bad back issues and is scheduled for her spine to be fused - she can do no lifting. She lives close by and tries to help every day. I live about 45 minutes away and try to help a few times a week, or whenever I can. I have some health issues and can't do anything strenuous at this time.- I am hoping to get better. My husband needs my help and just had a heart attack, so I have to try to help him, get all his meds straight and take him to all his appointments. I also have to have surgery on July 8- do not want to do it because I want to be able to do all this stuff. But dr is insisting. > > > The question is this - when is hospice ordered? does the doctor order hospice and what is the criteria ? I understand that 911 is not called anymore and the patient is given something (don't know what they can be given - can have no opiates, narcotics or sedatives with Parkinsons). My Dad falls frequently, they call 911 frequently. He has started falling straight backwards. His feet trip over eachother too. Everytime he falls - nothing is broken. - this time he fell June 12, nothing is broken - went in ambulance. EMT gave him morhpine on the way to the hospital - hospital kept him for a week - hallucinating like crazy from the morphine for 5 days,. then transferred to Rehab where he is learning to stand and to hopefully walk. > > > H > > Quote Link to comment Share on other sites More sharing options...
Guest guest Posted September 20, 2011 Report Share Posted September 20, 2011 What is the criteria for the doctor to order Hospice care? My Dad is not doing well and it was heartbreaking to see him declining, yesterday. please write to me at hanleylin@... so I can see answer faster Moderator - I hope that is OK - thanks Hanley Quote Link to comment Share on other sites More sharing options...
Guest guest Posted September 21, 2011 Report Share Posted September 21, 2011 The general criteria (aside from what others have answered) is that there should be evidence of a steady decline. Quote Link to comment Share on other sites More sharing options...
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