Hospice reddit Basically, if you are considering putting a loved one into Hospice care, do it! Hospice is an incredible organization that does so much not only for the patient but also for their families. etc. 23. I tried to find her a hospice facility but she has only medicare and just enough assets for medicaid to deny her. Yes. Changing diapers while she's bedbound (your hospice staff will show you how). New. They started him on dilaudid. I’m thinking of switching my hospice service, after receiving a complaint from the social worker that my son doesn’t help the hospice aide enough, I received another complaint from the nurse that we are allegedly force feeding my father. Hi! I did home hospice with grandma for 2-3 years, she passed at 95 from heart failure, having survived multiple rounds of cancer and Alzheimer’s. The job says one month of orientation or more if needed, 3-4 patients/day, can chart/admin time at home. Why would a dementia patient not go on hospice? They are losing ground every day and eventually the "stay with it meds" fail them too. (I have worked LTC and taken care of patients in their last moments, but not as their “hospice nurse” that was through a different company of the patient’s choice. She's having a lot of issues with eating. Her decline was very rapid when she discontinued chemo and I could not have cared for her successfully without the support of hospice. We're very big on compliance and education, and I know the expectations and Medicare requirements. hospice. Heart failure -> yes; about 2. Hospice staff will help her with bathing, dressing, toileting, eating -- all those tasks of daily living that can be so difficult for us family caregivers to get our demented loved ones to accept. It's the time to get everything in order and make sure you have all the awkward talks. Hospice has always been in the back of my mind as an option. My mom passed away in February from Stage 4 cervical cancer, and my dad asked the hospice doc the day after she moved in how long she had left. Open comment sort options. I had been asking about hospice for a couple months and they finally agreed he should be evaluated for it. Submissions which break the rules will be removed. Hospice/End of Life Care is a part of the palliative approach and represents just one part of the All the supplies, meds, hospital bed etc was free. hospice nurses will tell you pretty accurately when someone is about to go. Just looking for if anyone could share their experiences and feelings about doing a hospice foster. In my state it is $6000 per month to cover everything for the month. Not true for all, I took care of both my parents, who had cancer, they were both under hospice care who told us they were " actively dying stage ", my mother ate until the night before she passed, my dad drank half a glass of water 30 minutes before he passed, not everyone is the same when it comes to passing. I'm a mess. My mom opted for hospice she doesn't want to attempt chemo or radiation since her breast tumor has eroded into her chest wall and part of her lungs. I love the teamwork of the OR but I am unsure it fits my personality. I currently work for a newer hospice and our census has been about 60 at its highest. Document everything, how the family is responding and appropriate steps you took. Hospice has had him on morphine, Atavan and fentanyl patches. From what I've seen of the end-of-life industry, it already is, palliative care and hospice reduce health care spending for America's sickest and most costly patient populations. I just don't see the purpose of medical appointments, testing, therapies when he doesn't even remember 10 minutes ago. The major goal of hospice care is to provide maximum comfort and support when it is clear there is no cure from a disease/condition. The aim is to ensure they are comfortable, and able to live their last days as fully as possible. I've sat with actively dying people and it fills me with pure love. Someday, that could be YOUR mom, your grandma, or maybe one of your friend's loved ones. Most of my classmates are focused on OB, but I’m the weirdo that finds the end of life more interesting and fulfilling. Terms & Policies Terminal Agitation or not? My dad is on hospice with pancreatic cancer. CMS sets the rules for hospice care and the guidelines for the services. Our goal is to support you through your personal journey. You will provide support to families and do some assessments, but it's primarily connecting families & patients to other resources. Sometimes you can have patients on hospice for years, other times it can be less than a day. Hospice support continues even after the patient’s death. He is still at home. Please feel free to post related news, articles, stories of hospice journeys, stories of loss and anything else associated with hospice or palliative care. The hospice staff were amazing, and we now receive grief counseling through them for a year. The cancer spread to her liver and lungs (maybe more but I think I mentally tuned out after that) and the oncologist said there’s nothing more they can do now. Hey guys. When you look at all areas of practice for hospice and palliative medicine, hospice is probably the one place where a physician CANNOT be replaced by a mid level. However this one little old lady wasn't on Hospice care can occur in any location, from people's homes to a hospital. I've tried to get her to ask hospice what they think about starting on enzymes, but she says that hospice really doesn't care if you eat and wouldn't recommend it I'm lost on what to think or what to do. If it’s a clerical job with little to no patient interaction, then it’s hard to sell it as clinical and it might even look bad if you can’t back it up I believe my friend was robbed of several weeks or a few months of life by a) early abandonment of chemo, b) early entry into hospice which meant zero coverage for occupational/physical therapy or other quality of life procedures that hospice in the US does not pay for, and c) early start of morphine therapy which precipitated a far more rapid deterioration than had been the Welcome to /r/hospice Please take a moment to review our reasonable rules. I have spent hundreds of hours volunteering with hospice and I love it. Welcome to r/dogs!We are a discussion-based subreddit dedicated to support, inform, and advise dog owners. In my state, hospice lets you keep any left over drugs & trusts you to get rid of them safely. This subreddit is your go-to destination for navigating the world of adulting in the Philippines. My mother (who didn't have dementia) went into afib and developed kidney failure. It serves individuals needing Cancer, no. Since the Hospice can help place a person into a facility as well. There are so many emotions right now I wouldn’t even know where to start. r/HospiceCare: This is a place for people who have family members in hospice care and those who work with patients in hospice care, created to be a Hospice has done nothing to help. All are welcome! Users with stars have been recognized for consistently strong contributions—thank you. I’m considering my next foster being a dog in what is essentially a hospice program at my shelter. She was placed on hospice at the end of August, sadly, she got out of bed and fell on Jan. She has mets on her adrenal, most likely liver but those were never biospied. Caregiving is no joke and I'm so burnt out. Old. He’s on dilaudid for the pain. Her pain, discomfort, and anxiety was so much better managed with hospice and they really helped me and the family at the end of things (she passed in July of 2022). After she passed, I moved to Houston to work in hospice and have been doing it ever since. Members Online I’m finishing my first year of nursing school and I think I’m leaning towards a position in hospice. You can see these, each year, by searching "Hospice Final Rule (insert year)". Well, if Hospice is in the area, they are there to make someone's last moments less painful. In 2014, I wrote a paper on PAS for my final exam for Eng102 even before my grandmother passed. The problem is that the payment for Hospice is 1 monthly payment of a set amount. Here is a summary for 2023. This is my first hospice job after years in other SW positions, and my colleagues who've done it for a while say that the difference is the company you work for. So there are a lot of things to consider to determine if home is a viable option. My Nanny went into hospice care and this is something no one told me but I wish they would have. I think FNP gives you a good versatility, but obviously, your patients will be adults in PC, more than likely. Inpatient hospice is EXACTLY what I dreamed about. Reddit iOS Reddit Android Reddit Premium About Reddit Advertise Blog Careers Press. I love hospice work, to me, it's very rewarding. . Best of luck - I know this is such a difficult time. Source: My grandma was a Hospice volunteer for over 20 years. I had a caseload of 30-45 patients and covered a certain geographic territory. If it is hospice care, you might also ask if in-home hospice is an option. If hospice is your end goal, I don’t think you necessarily need the acute care NP degree. Make Welcome to /r/hospice! Please feel free to post related news, articles, stories of hospice journeys, stories of loss and anything else associated with hospice or palliative care. My mom opted for chemo initially. Please hurry with a Hospice or Palliative Care consult. A community of Speech-Language Pathologists (SLPs), Speech Therapists (STs), Speech-Language Therapists (SLTs), Clinical Fellowship Clinicians (SLP-CFs), Speech-Language Pathology Assistants (SLPAs), graduate clinicians and students. Best. Do not hesitate to message the mods for suggestions, complements, concerns, or ideas that grow our community. The only thing really that would let you sleep at night is making sure your documentation is good enough to cover your a$$. It can be dangerous to move around or transfer Hospice patients from facility back to home. My company is a small hospice that just got bought out by a In hospice, you cannot be undergoing curative treatment (like chemo or radiation - unless it is simply to treat symptoms) for your terminal illness, but in palliative care you can. But there's an understanding that if my mom can no longer handle it on her own, then we will make that difficult transition to inpatient hospice. Correct, hospice SW is more resource-management than counseling. The majority of Hospice physicians travel to the homes of Hospice patients, but I work in a 26-bed inpatient hospice center which is like a hospital for hospice patients. My youngest patient was 2, my oldest 103. Hospice care Hospice care is a specific type of palliative care that is provided in the final weeks or months of life. Hospice has already been here. Hospice itself needs physicians as hospice medical directors. I usually got “oh how much time does she have left?” Like thank you for reminding me of how sad it is. ” Welcome to /r/hospice Please take a moment to review our reasonable rules. I enjoy talking with patients and family members. You'll see our team as a consulting team in the hospital, get enrolled in our community service who do home visits, see us in clinics and may be admitted under our service as an inpatient in the hospice or hospital. There is so much texturing to this piece, Reddit's home for all things related to Jazz. So as one may assume, I am completely burnt out. At his request we have been doing smaller, more frequent doses on more of an as needed basis to keep him comfortable without as much sedation. I loved the patients but I hated the company. 17, we went to the hospital where they admitted her to in pt. You mess with Hospice, you're messing with the person whom is helping someone's grandma, grandpa, elderly aunt or uncle, be more at peace when they die. Before you post or comment, please review the subreddit rules here. Hospice care is usually called for when they think the person has less than 6 months. However, the past couple of weeks he has gotten SO confused, aggressive, and restless. Whether you're seeking advice, sharing experiences, or looking for tips and hacks to conquer the challenges of adulthood, you've come to the right place. Hospice provided us with: personal wipes, personal body cleansing spray, we preferred pull ups and we would just rip them off at the side seams. Most call this CMS for short. Hospice workers of Reddit, any good stories about people crossing over? Archived post. The workplace environment is simply incredible, we truly work together to do what's best for our patients. I was so grateful for them. That's IF we can even get her to take them- usually she spits them out in your face. It seems like you had overall favorable outcomes with both home hospice and inpatient hospice. But also the time to have the heart to heart talks, to tell them how you truly feel, what's in your heart. Rightly or wrongly I’m not comfortable getting into answering that myself, plus, everyone is different. Everything. Hospice staff members and adjacent: your questions and comments are welcome. Hospice staff members and adjacent: your questions and Hospice care is a service for people with serious illnesses who choose not to get (or continue) treatment to cure or control their illness. I’m a hospice CNA at a small hospice house. I'm working on nursing pre-reqs and I've discovered I need a little more stimulation than what doing only bathing can provide. I learned all about hospice 14 years ago when my mom had lung cancer and we started this journey. Then we can revisit hospice at a later time. In Hospice, you can ask for and get just about any thing you need and it will be paid for. I’ve been volunteering with hospice as a student: There is a lot of paperwork involved, some charting for admissions will run about 2-3 hours long for one patient because you’re getting all of their history, all of it. That is only if it would be more comfortable for your family. I've been a Palliative Care NP for five years, both outpatient and inpatient at a large regional hospital. They gave us drugs to sedate her- they do the opposite. I saw 4-5 patients a day, and most of the day was spent in the car driving from patient to patient. I hope you find some comfort in your decision. Then morphine. People may choose to enroll in hospice care if the treatment is unlikely to be effective or if continuing Hospice care is for people who are in the final stages of an incurable illness. It was a great break because it was much slower-paced, and I learned a lot! I did it for a very short period (like 6 months) a few years ago. If this is end of life, which it does seem to be, given that she hasn’t awakened in 3 days, then the answer is “no, they don’t really starve to death, since the process doesn’t really take long enough for death by starvation; the body is shutting down faster than a starvation scenario. Hospice came the following day to evaluate my dad and decided he qualified. I’m a huge “sorry” person (thanks Midwest) but with hospice or dying patients families sometimes just need soft guidance to hold the patients hand, tell their favorite memory, sing or play music, read from the Bible or other favorite book. They told me in order to qualify for hospice, they have to have a life expectancy of 6 months or less. Mid levels can’t sign important documents that enable hospice services to be delivered to patients. We would like to take the time to remind you that due to API changes on Reddit, our Mod staff and support have been reduced and our rules have changed. Run us through a typical day as a hospice physician. When she does eat, no matter what it is, there's a lot of pain. I've spent hours in patients'houses providing this type of care. There was one point in my life I was going through a breakup, a death in the family, and some other recent trauma. The seasoned hospice nurse (I’ve been told by my hospice nurses) say they can get it done in about an hour or so. Hospice billing and pay: Hospice is a service managed by the Centers for Medicare & Medicaid services. Once they are properly cared for and their home caregivers get proper support and education, many hospice patients do start getting a bit better until they start to slowly decline. I plainly told the intake nurse he might not pass away in 6 months (the amount of time hospice is “prescribed” for) and she explained that if that’s the case, then he’ll just “graduate,” and be removed from hospice. Hospice staff members and I'm a hospice social worker in California with an MSW as well. Hospice, as most commonly used in my experience, refers to a paradigm of treatment, not to a particular place. They say once you get into hospice/palliative, if your heart is truly there, you’ll never go back. Occasionally an Our community is a safe space for all to communicate about hospice. Generally, hospice care is initiated when it is estimated that a person will live less than 6-months. I've been on reddit for about 8 years now (remade a while ago) and I've truly never felt this kind of empathy from internet strangers. I feel very lucky and grateful for my job, I wish there were more opportunities for more hospice houses. I honestly don’t know what I would’ve done without the hospice team she had. I'm currently the only social worker managing all of the patients. It serves individuals needing Welcome to /r/hospice Please take a moment to review our reasonable rules. Part of my pay was calculated based on how quickly I got patients enrolled into hospice and if they survived for more than 90 days. Top. The pay for true hospice position is much better, sadly it's only 3 8s/week so I would possibly have to pick up a per diem RN job but I wouldn't mind that. I did hospice social work for 11 years after volunteering there for 1 year. To stay on hospice for more than 6 months you do need to show some decline. It is like an abbreviated way of saying "this person is on a hospice treatment plan. You ask what the symptoms of end stage cirrhosis are. Controversial. Most people view hospice as super depressing, which I guess most people view almost any CNA job like that, but I always find it rewarding. There is an inpatient hospice near me. Hospice sales, just like any quota based job is extremely stressful, especially after you add the fact that these people are dying and you’re speaking directly with their loved ones. DM me if you ever need support. Hospice - embracing end of life and a comfortable/pain free/peaceful passing as the goal whenever dads time comes naturally, not trying to prolong time at whatever cost, likely sounds like no more cancer treatments, focus on his I’m a hospice social worker at a hospice inpatient unit and I absolutely love it!! My day consists of brief psychosocials to get to know new patients and families, transfer planning if pts are not close to imminent death (inpatient units are basically “hospice ICU” and pts cannot stay long term), making sure final arrangements and advance Hospice usually refers to a specific place, but end of life care may take place anywhere. We went from everything’s fine but in some pain, but he’s retired military so pain is just something to be overcome to him being semi lucid and basically having an expiration date stamped on his forehead. This reddit is a place for people with cancer and caregivers to come together and provide support for one other. I worked in hospice for a year following seven years in CPS. However, I have been hearing that hospice & respite services do not affect IHSS because they are separate from each other. Our community is a safe space for all to communicate about hospice. Feeding. I was a Hospice RN for 17 years and had so many spiritual experiences. Welcome to /r/hospice! Please feel free to post related news, articles, stories of hospice journeys, stories of loss and anything else associated with hospice or palliative care. New comments cannot be posted and votes cannot be cast. Hospice was the album where they truly found their pace, which they have used on their subsequent album and ep. Currently private to protest reddit's API changes: https: It's like they put their loved one on hospice and would still be in denial about the whole process. You might try to highlight the services aspect, and that 1-you can go off hospice whenever you feel like it, 2- hospice will continue as long as you need (including years, although eventually if his condition improves they might boot you out), he can still see his regular doctor, etc. 21. I do Hospice Massage and will eventually cerifty to Deathwife (death doula, end of life et cet) When I retire from regular massage, I jsut want to be a Deathwife solely Welcome to /r/hospice! Please feel free to post related news, articles, stories of hospice journeys, stories of loss and anything else associated with hospice or palliative care. document that. Few Ask the hospice team how to identify signs of discomfort if your loved one isn't conscious. Lastly, I’m sure your mother will appreciate support whether it’s just someone to listen and be there if emotions get tough. She died 1. It seems to be a popular opinion on Reddit that euthanasia should be more widely accepted. It's extremely rewarding in many ways, but I'm actually looking to transfer into a hospital because the work is just a little too dull for me. I wish you much luck and I’m so sorry you are at that awful place. She’s not with us anymore but I’m very thankful for the good times we had when she first had hospice care. If the patient is able to speak or have sound decision making, it is best to ask her where she prefers to be at end of Life. I'm currently a hospice social worker and I love it. If you think that even with the best conditions that hospice isn’t for you, look for something that is a better fit. say you called hospice. Did hospice for over six years as a RN, and did FNP for my Masters. I have been at my job for 5 years. You deserve so much better. I currently work in hospice. Hospice came to evaluate my mom today and decided they were taking over. It's a gorgeous hospice house, and it's the best job I've ever had. Yesterday, he was pretty lucid and kept expressing that he hates the morphine because it doesn’t help his pain, just knocks him unconscious. My hospice used EMR--so no paper charts and hand-written notes. I wish I would’ve had more training with adult primary care instead of the OB/Peds time. It would be REALLY helpful if I could use hospice services (doctor coming to us) and respite services (shower help & having my mother stay at a facility for short-term). Hospice will bathe her and some other things, but by and large it's a supplemental program that can't do all the day to day tasks like feeding and changing. 😩 My stepmom came home on hospice today. So here’s the technicality that I think med schools will come at you about You said hospice company OFFICE. I basically have to complete an initial assessment of the patient with 5 Basically, if you are considering putting a loved one into Hospice care, do it! Hospice is an incredible organization that does so much not only for the patient but also for their families. The stuff we need is paid for and the Hospice company gets the rest. Welcome to /r/hospice Please take a moment to review our reasonable rules. They originally gave him Fentanyl. When it stopped working, I encouraged her to link with Hospice quickly and I’m so glad I did. " Welcome to /r/hospice Please take a moment to review our reasonable rules. He said, “Two, three days at As an example of how drastically it varies, where I'm from, palliative care across settings is all integrated. If you like hospice, which you may not, look for a new company. I see him whenever I go there, and he looks so sweet The word hospice is scary but there is a lot more to hospice care than you might think, and it’s not all negative. As with any CNA job this job is physically demanding and I Welcome to /r/hospice Please take a moment to review our reasonable rules. It’s hard to see someone you love needing to get better. Hospice only makes money if you don’t die immediately, so our pay structure was based on that. On hospice is how I say it, and it seems to be common among the hospice care professionals I speak to. I will say that hospice can be a lot of primary care as well. If your hospice physician is okay with it, obtain orders for comfort kit medications at admission. You can certainly stop at any time if it is not for you. To receive hospice care, two doctors must certify that you have 6 months or less to live if your illness were to proceed on its natural course. Q&A [deleted] • I'm a nurse in an ICU, sometimes I get hospice patients. I truly love hospice work. My parents decided on home hospice for now and my dad is pleased. Share Sort by: Q&A. I can’t stand it when another nurse is admitting a patient with metastatic lung cancer and no comfort meds are in the home when the patient eventually declines a couple of weeks later. 5 years ago, with the assistance of our medical director and the patient's wife who was a good historian determined the patient probably had undiagnosed proctitis; we put him on a 500 mg CIPRO bid x 21 days (normal course is 5 to 7 days with 10 days not being unheard of), and he recovered so well he graduated from hospice and is still not on Welcome to /r/hospice Please take a moment to review our reasonable rules. Although these two forms of care are similar in some ways, they can differ as to when and where care is received, and which treatment options The hospice I volunteer at has both an inpatient unit for respite and symptom management and a residential unit for long-term care, which makes it a great experience in I was a hospice volunteer for 6 years before med school, and feel that hospice "work" was probably the single best experience to prepare me for residency so far. .