Hospice - The 4 Levels of Care

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There are four levels of care in case,granted by hospices in the United States. Every patient receiving hospice services will be on one of these four levels. A hospice patient can move from one level to other and back, depending on the services required to fulfill his or her needs. The need of the patient will determine their private level of care.

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Routine Home Care

Patient at home with symptoms controlled

A patient will be located at this level of care if he or she resides at home (or a long-term care facility) and does not have symptoms which are out of control. These symptoms could include-but aren't miniature to-severe pain, continuous nausea and vomiting, bleeding, acute respiratory distress, and unbearable restlessness or agitation. A patient at this level has way to the following services:

* Registered Nurse Visits

* communal worker Visits

* Chaplain Visits

* Home condition Aide Services

* Counselors

* Medications

* Equipment

The needs of the patient determine the estimate of visits from hospice staff members. These needs are established and outlined in a plan of care formed by the hospice team and the patient's physician. The care plan serves as a guideline to aid all those serving the patient with care. At this level of care the patient also has way to an on-call hospice nurse twenty-four hours a day.

Inpatient Care

Patient in installation with uncontrolled symptoms

A hospice patient may want patient care when his or her symptoms have gotten out of hand and can no longer be managed at home. When these symptoms cannot be controlled on routine home care, then the patient requires extra attentiveness until these symptoms subside. Hospices take aggressive actions to control the symptoms and make the patient comfortable. In order to do this, the patient may be temporarily located in a hospice home or an acute care hospital. At this level of care, a moment-to-moment estimation of what's happening and what needs to be done takes place. The hospice team and the patient's physician work together to ensure the patient obtains and maintains a tolerable comfort level. Once this has been achieved, the patient will return home and back to routine home care.

Respite Care

Patient at installation with symptoms controlled

A patient may be moved to respite care when the caregiver needs a break. Many hospice patients live at home, with their family providing most of the care, sometimes around the clock. Caring for their loved one can be exhausting and very stressful. The family members and/or caregivers need time to themselves and it's foremost that they take that time. Respite care allows a patient to be temporarily located in a installation with 24-hour care so the family can rest. If the patient is willing and the family requests it, hospice must provide placement in a installation or a hospice home for the patient. The patient will be transferred to the facility, and agreeing to Medicare regulations, can stay for up to five days before being transferred back home.

Continuous Nursing Care

Patient at home with uncontrolled symptoms

A patient would receive continuous nursing care if he or she has symptoms that are out of control and choose to stay at home. This is similar to patient care, except that the patient remains in his or her home instead of being located in a facility. A hospice nurse is required to provide continuous around-the-clock nursing care if the symptoms cannot be controlled while on routine home care. agreeing to the Hospice Patients Alliance, there is only one exception to this requirement: if the hospice has fewer than seven employees, is in a rural or nonmetropolitan area, and does not have the staff to provide continuous nursing care in the home. However, most hospices are required to provide this level of care if it is needed.

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