It appears you have not yet Signed Up with our community. To Sign Up for free, please click here....



Hospice Message Board
Post New Thread   Closed Thread
LinkBack Thread Tools
Old 08-18-2011, 06:12 PM   #1
Senior Veteran
(female)
 
slenderella's Avatar
 
Join Date: Nov 2010
Location: NY
Posts: 1,002
slenderella HB Userslenderella HB Userslenderella HB Userslenderella HB Userslenderella HB Userslenderella HB Userslenderella HB Userslenderella HB Userslenderella HB Userslenderella HB Userslenderella HB User
who determines hospice care?

My Dad, 78, decided today that he was going to stop treatment for his acute leukemia. He is going to be taken from the hospital into hospice care in a day or two. Since I was not at the hospital today, can you help me understand if the doctor recommended this or if at any time the patient themselves can determine how they want to spend the rest of their lives?

I had imagined hospice care was for a very small window of time. Do you have loved ones in hospice care for many months??

Thanks, and I am so sorry for your pain, everyone.

 
Sponsors Lightbulb
   
Old 08-23-2011, 03:01 PM   #2
Senior Veteran
(female)
 
ninamarc's Avatar
 
Join Date: Mar 2011
Location: Canada/USA
Posts: 1,703
ninamarc HB Userninamarc HB Userninamarc HB Userninamarc HB Userninamarc HB Userninamarc HB Userninamarc HB Userninamarc HB Userninamarc HB Userninamarc HB Userninamarc HB User
Re: who determines hospice care?

Quote:
Originally Posted by slenderella View Post
My Dad, 78, decided today that he was going to stop treatment for his acute leukemia. He is going to be taken from the hospital into hospice care in a day or two. Since I was not at the hospital today, can you help me understand if the doctor recommended this or if at any time the patient themselves can determine how they want to spend the rest of their lives?

I had imagined hospice care was for a very small window of time. Do you have loved ones in hospice care for many months??

Thanks, and I am so sorry for your pain, everyone.
There are regulations for hospice. Basically the hospice rules goes with Medicare A/B's rules. The patients have to be dying in 6 months to qualify for the service. Even if the patient wants to have hospice, the doctor has to determine that this fits the rules. For acute illness, the doctors usually have to write a letter saying the person is dying in 6 months. There are lots of hospice co. or home hospice services that go with the rules.

It is more complicated with people who have dementia or Alzheimer's. Basically this kind of patients are dying slowly and may not die in 6 months. So as long as they are qualified for some 5 disabled conditions plus some critical illness like heart failure, they can stay in hospice for 6 months. If they don't die in 6 months, the family can re-apply for hospice again. It is more complicated for Alzheimer's because the patient becomes very anxious and makes it hard to take care of the person. Often the family goes for hospice when the patient is in the very late stage.

If he still lives after 6 months, I think he can re-apply to stay.
Some people even get out of hospice alive. So it depends.

I am sorry your Dad wants to give up the treatment. Acute leukemia is very hard to be treated unless he wants to try bone marrow transplant.

Also, it is up to the patient to sign up for hospice. No one can force him to go there. However, in the end, when the pain comes, he will need hospice for sure to feel comfortable.

Take care,
Nina

Last edited by ninamarc; 08-23-2011 at 03:08 PM.

 
The Following User Says Thank You to ninamarc For This Useful Post:
slenderella (08-23-2011)
Sponsors Lightbulb
   
Old 08-23-2011, 07:14 PM   #3
Senior Veteran
(female)
 
slenderella's Avatar
 
Join Date: Nov 2010
Location: NY
Posts: 1,002
slenderella HB Userslenderella HB Userslenderella HB Userslenderella HB Userslenderella HB Userslenderella HB Userslenderella HB Userslenderella HB Userslenderella HB Userslenderella HB Userslenderella HB User
Re: who determines hospice care?

Thank you so much for your reply, Nina.
Dad died yesterday morning and I am grateful that he didn't have any more suffering.

Sue

 
Old 08-23-2011, 08:24 PM   #4
Senior Veteran
(female)
 
ninamarc's Avatar
 
Join Date: Mar 2011
Location: Canada/USA
Posts: 1,703
ninamarc HB Userninamarc HB Userninamarc HB Userninamarc HB Userninamarc HB Userninamarc HB Userninamarc HB Userninamarc HB Userninamarc HB Userninamarc HB Userninamarc HB User
Re: who determines hospice care?

Quote:
Originally Posted by slenderella View Post
Thank you so much for your reply, Nina.
Dad died yesterday morning and I am grateful that he didn't have any more suffering.

Sue
Sue,

I am so sorry he passed away yesterday.

Please accept my condolences.

Take care,
Nina

 
The following user gives a hug of support to ninamarc:
slenderella (08-31-2011)
Closed Thread

Similar Threads
Thread Thread Starter Board Replies Last Post
Hospice wants me to stop feeding my dad daddiesprincess Hospice 47 04-20-2010 03:03 PM
Mom has COPD on hospice, need advice on morphine drops Copingdaughter Hospice 7 06-15-2009 11:59 PM
Hospice care now? janeslk Hospice 4 10-28-2007 06:32 AM
Last stage - can you stay home with hospice care? marypar Hospice 5 08-01-2007 05:47 PM
Now hospice in-patient care....... ellengrace Hospice 23 12-19-2006 10:10 PM




Thread Tools

Posting Rules
You may not post new threads
You may not post replies
You may not post attachments
You may not edit your posts

BB code is On
Smilies are On
[IMG] code is Off
HTML code is Off
Trackbacks are Off
Pingbacks are Off
Refbacks are Off




Sign Up Today!

Ask our community of thousands of members your health questions, and learn from others experiences. Join the conversation!

I want my free account

All times are GMT -7. The time now is 01:46 PM.



Site owned and operated by HealthBoards.comô
Terms of Use © 1998-2014 HealthBoards.comô All rights reserved.
Do not copy or redistribute in any form!