Hospice

  • Medical Author:
    Siamak N. Nabili, MD, MPH

    Dr. Nabili received his undergraduate degree from the University of California, San Diego (UCSD), majoring in chemistry and biochemistry. He then completed his graduate degree at the University of California, Los Angeles (UCLA). His graduate training included a specialized fellowship in public health where his research focused on environmental health and health-care delivery and management.

  • Medical Editor: Melissa Conrad Stöppler, MD
    Melissa Conrad Stöppler, MD

    Melissa Conrad Stöppler, MD

    Melissa Conrad Stöppler, MD, is a U.S. board-certified Anatomic Pathologist with subspecialty training in the fields of Experimental and Molecular Pathology. Dr. Stöppler's educational background includes a BA with Highest Distinction from the University of Virginia and an MD from the University of North Carolina. She completed residency training in Anatomic Pathology at Georgetown University followed by subspecialty fellowship training in molecular diagnostics and experimental pathology.

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What is respite care?

Respite care is a rest period provided for hospice patients' families or caregivers. In cases where a patient's caregiver (either family or private caregiver) has an emergency or simply needs to rest temporarily from the burden of caregiving responsibilities, respite care can be arranged.

During respite care, a hospice patient can be moved for a period of up to five days to a nursing home while caregivers can take a brief time off. This period allows the family or the caregiver to address their own issues or simply take a much needed rest. After the respite period, the patient can return home.

Who is eligible for hospice care?

As a general guideline, hospice is recommended to a patient with an incurable terminal disease with a life expectancy of six months or less if the disease were to run its normal course.

Although this is the rule by which Medicare defines hospice eligibility, it is not always possible to predict whether an individual will live less than six months. Therefore, certain clinical criteria are in place for common hospice diagnoses. Physicians can use these guidelines to assess whether someone is a candidate for hospice referral.

In addition to disease specific criteria, there are also other general guidelines for hospice eligibility. These guidelines are based on the patient's functional status and physical signs and symptoms which can indicate advanced stages of a disease regardless of the diagnosis.

Even with these guidelines in place, many patients outlive the six-month period on hospice. If this happens, hospice can thoroughly reassess the overall condition of the patient and determine whether there are signs of ongoing clinical decline. They can then recertify the patient to remain on hospice if there is evidence of disease progression.

Sometimes, the disease may stabilize, or the patient's condition may show evidence of improvement during hospice care. In these situations, hospice will terminate hospice care and the patient can resume their routine health-insurance benefits which they had prior to the hospice enrollment.

Medically Reviewed by a Doctor on 10/6/2015

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