Navigating the Hospice Referral Process: A Step-by-Step Guide for Patients and Families

Navigating the Hospice Referral Process: A Step-by-Step Guide for Patients and Families

If you believe that you, your family member or, a patient you are caring for would benefit from hospice care, the first step is to initiate a referral. This typically involves a conversation with the patient and their family, during which you can discuss the benefits of hospice care and address any concerns they may have.

Key Points

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Written By
Matthew Snyder

Hospice care is a specialized type of medical care that focuses on providing comfort and support to individuals and their families during the end-of-life phase. It is a holistic approach to care that addresses not just the physical symptoms of a terminal illness, but also the emotional and spiritual needs of the patient and their loved ones.

Who is Eligible for Hospice Care?

Patients who are eligible for hospice care are typically those who have been diagnosed with a terminal illness and have a life expectancy of six months or less. This includes individuals with cancer, heart failure, lung disease, and other chronic conditions. When determining whether a patient is eligible for hospice care, there are both general and disease-specific criteria that must be met.

General Criteria

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  • The patient has been diagnosed with a terminal illness and has a life expectancy of six months or less.
  • The patient has chosen to forgo curative treatment and instead focus on comfort and quality of life.
  • The patient’s condition has progressed to the point where they are unable to perform activities of daily living without assistance.
  • The patient’s symptoms are no longer manageable through routine treatment.

Disease-Specific Criteria

Disease specific criteria can be exhaustive. Medicare publishes a frequently updated list of criteria on specific conditions or diseases for medical professionals listed here. For more information on specifics regarding conditions check out our resources page on conditions here. It’s important to note that these criteria are not exhaustive and there may be other diagnoses and conditions that would also make a patient eligible for hospice care. The referral process should always take into account the patient’s specific needs and goals.

What Services are Provided in Hospice Care?

Hospice care is provided by a team of healthcare professionals including doctors, nurses, social workers, chaplains, and trained volunteers. Services provided include:

  • Pain and symptom management
  • Emotional and spiritual support for patients and their families
  • Assistance with practical needs such as bathing, dressing, and grooming
  • Medication management
  • Coordination of care with other healthcare providers

The Referral Process

If you believe that you, your family member or, a patient you are caring for would benefit from hospice care, the first step is to initiate a referral. This typically involves a conversation with the patient and their family, during which you can discuss the benefits of hospice care and address any concerns they may have.

Once the referral is made, a hospice care team will conduct an assessment to determine the patient’s eligibility for hospice services. If the patient is deemed eligible, the team will develop a care plan that is tailored to their specific needs and goals.

It’s important to note that patients and their families have the right to decline hospice care, and the referral process should always respect their autonomy and wishes.

About The Author

Matthew Snyder

Matthew Snyder

Meet Matthew, a healthcare professional with over 10 of experience in the medical field. With a passion for improving end-of-life care, Matthew brings a wealth of knowledge and expertise to Hospice Report. Matthew has worked in a number of strategic marketing roles at some of the largest healthcare networks globally and brings a unique perspective on the future of patient care.

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