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Tab

(11,093 posts)
Sat Mar 28, 2015, 09:34 AM Mar 2015

What constitutes hospice?

We've been going over this the last ferw months. I no longer want to seek treatment (my current level of treatment gives me no quality of life).

Supposedly I want to enter "hospice". I'm only looking for palliative care, not curative. So doctors (including a palliative care doc) told me I just have to "say so". Did not have a good definition of what hospice was ("it means many things to many people&quot . However, other providers had no idea I had "entered hospice". I don't recall a form that was any "Hospice Application Form". I live in NH. Anyone got good examples of what hospice is for them and/or in their state?

Thanks

- Tab

7 replies = new reply since forum marked as read
Highlight: NoneDon't highlight anything 5 newestHighlight 5 most recent replies
What constitutes hospice? (Original Post) Tab Mar 2015 OP
We used Hospice for my father, sister and mother. They were fantastic Siwsan Mar 2015 #1
Not to misunderstand Tab Mar 2015 #2
From CMS. Downwinder Mar 2015 #3
The official rule doesn't apply Tab Mar 2015 #4
Just checking on you, Tab. 2theleft Apr 2015 #5
Thanks for checking Tab Apr 2015 #6
Good to hear from you... 2theleft Apr 2015 #7

Siwsan

(26,267 posts)
1. We used Hospice for my father, sister and mother. They were fantastic
Sat Mar 28, 2015, 09:43 AM
Mar 2015

Dad was "in" hospice - at a facility. The care he received, and it was strictly palliative, was wonderful. It is my understanding that palliative care is all they are allowed to provide. We were by his side, non stop, for over a week, and the Hospice people fed, counseled and comforted us. They made sure we were fully apprised of the whole death process so that we would know what to watch for, and what it meant.

My mother and sister both used at home Hospice care. Again, it was strictly palliative care. A nurse came by several days a week to do an assessment, order any equipment or supplies we might need, and answer any questions, address any concerns we might have. And we were encouraged to call them, any time, day or night, if we had a question or concern. When Mom and Chris finally died, Hospice was the first call we made, and they took over, from there.

Afterwards they continued to check on us, just to see how we were coping and to see if there was any further assistance we needed.

I really can't speak highly enough of our Hospice experiences.

Tab

(11,093 posts)
2. Not to misunderstand
Sat Mar 28, 2015, 10:29 AM
Mar 2015

Pretty much everyone has been positive in their opinion on hospice services. It's just in my case there seemed to be some confusion as to what constituted "hospice". My oncologist thinks I'm on regular care, my palliative care doctor thinks I'm on hospice; obviously there's a communication problem but I'm not aware of any actual "I hereby denounce my cancer care and sign up for hospice" form.

Tab

(11,093 posts)
4. The official rule doesn't apply
Sat Mar 28, 2015, 03:21 PM
Mar 2015

since I'm not on Medicare

I don't know where private insurance draws the line.

Thanks

2theleft

(1,136 posts)
5. Just checking on you, Tab.
Wed Apr 29, 2015, 11:26 PM
Apr 2015

I hope you got the answers to your hospice questions. Have you officially entered hospice? I saw on another thread where you replied to slipslidingaway, and I was happy to see you in the forum.

My fingers are crossed that you are getting the answers you need, that you are feeling ok (all things considered) and that you are at peace with the decision you've made. I think about you often and check in to see if you have new posts. Please let us know how you are doing.

Tab

(11,093 posts)
6. Thanks for checking
Thu Apr 30, 2015, 07:01 PM
Apr 2015

I don't know that I'm "officially" in hospice, but I'm not seeking additional treatment. That said, "hospice" usually denotes 6 months or less expected and I don't have any reason to think I'll be dead in 6 months, and people can stay in hospice status much longer than that. I'm kind of in this netherworld.

Reminds me of a beer run to Canada I made with a friend when I was in college. Didn't bother to bring enough American money to get the beer back through the border (they won't take Canadian) forcing us to try to get back into Canada and explain to the customs officer we weren't trying to *enter* Canada, we were trying to leave it. For a while we were stuck where we couldn't get back into Canada, but couldn't get into the U.S. (ultimately we solved it by letting them confiscate a case or two of Bradör so we could afford the tax duty on the remainder).

Not sure why this reminds me of that, but hey...

2theleft

(1,136 posts)
7. Good to hear from you...
Thu Apr 30, 2015, 10:15 PM
Apr 2015

sounds like you are in an ok place considering...Not officially in hospice means you still have time with the people you love and who love you. And, not being sick from the treatments is not a bad place either. I'm hopeful you are not in pain and can do some things you can enjoy over the next months.

That's a funny story about the beer, and not that the situation you are in is funny, but I understand...you are neither here nor there, don't want to get to the next place, but can't go back to where you want to be. I cannot begin to fathom the multitude of emotions you probably go through on a daily basis. I know you're strong from reading your posts here, and your wife sounds like a wonderful person. Spend time with her, love her, and let her love you.

Drop me a note if you ever want to pm/chat/vent. I will keep sending good vibes your way.

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