Palliative Care

We provide culturally diversified and compassionate care for our patients and families. We provide unique and customized veteran care program through our contract with the Veteran Administration as a 4-star rated We Honor Veteran. While other hospices focus on the number of referrals, we focus on individualized care for each of our patients and families. Using a non-bureaucratic approach, we individualize the patient's care plans so that it is flexible to the patient and family needs. We may not be the largest, but we are the most dedicated.

At anytime when there’s a decline in health and a life limiting illness, patient and family should discuss all of patient’s care plan options. Patient and family should be involved and informed of their choices of care including if hospice care is appropriate. Hospice care is a form of treatment and should not be considered as giving up. We are always available to assist you in discussing your options and helping with your advance care planning.

Hospice Care is a compassionate and a higher level of home care that is designed to provide non-curative treatment and comfort for those who are facing a life-limiting illness. It offers a support system of medical, social, psychological, and spiritual services that promotes dignity and affirms quality of life. This comprehensive and specialized care allows the patient, family, and other loved ones to make choices about what is important to them.

In most cases, a family member serves as the primary caregiver and helps make decisions for a loved one. The caregiver works with the professional, experienced members of the hospice care team to develop a plan to provide treatment, support, personal care and a number of specialized services for both the patient and family. At AMHA, our hospice care team is available 24 hours a day, 7 days a week, to provide assistance in managing your individual needs. The Hospice Care Team includes: Patient and Family Attending Physician Hospice Care Physician Hospice Care Nurses Home Health Aides Social Workers Physical, Speech, and Occupational Therapists Volunteers Spiritual Counselors Bereavement Counselors

The hospice care benefit is intended primarily for any individual with a life limiting illness whose life expectancy is six months or less, should the illness run its usual course. However, the Medicare program recognizes that not all terminal illnesses have a predictable course; therefore, the benefit is available for extended periods of time beyond six months.

Anyone can make a referral for hospice care services. You should feel free to talk with your doctor, your minister, or a trusted friend when making this decision. You also may choose to contact us to learn more about our services and to arrange for a meeting in your home to discuss the program. We are also available to meet with you and provide care in local hospitals, or in extended-stay facilities, such as nursing homes and assisted living centers.

Most physicians are familiar with hospice care. However, if your physician would like to receive more information about our services, we would be glad to reach out and provide this educational outreach as part of our mission. Hospice care information also is available from the National Hospice Palliative Care Organization, the Centers for Medicare and Medicaid Services Hospice Center, Veteran Administration, and many other health organizations.

Yes. You may keep your personal physician while you are under hospice care. Hospice care reinforces the primary physician/patient relationship and considers this bond to be a high priority.

Once you have made a decision to select hospice care, an AMHA representative will contact you to discuss the program and to determine your eligibility. Your physician will then be contacted to discuss your decision. Finally, you will be asked to sign consents forms that are similar to the ones that you would sign before receiving any other special medical treatments or services.

Hospice care recognizes that different patients require different levels of care, and we respond by offering the category of care that meets the individual patient’s needs – in the location that is most appropriate and comfortable. These categories of hospice care include: Routine Home Care Routine care is the most common level of hospice care. Care is provided at the patient’s residence, which can include private residence, assisted living, or a nursing facility. Inpatient Care If pain or symptoms cannot be controlled at home, the patient might be taken to a hospice inpatient facility or nursing facility that has a registered nursing available 24 hours a day to provide direct patient care. Once symptoms are under control, hospice coordinates with care team so that the patient can return home. Respite Care Many patients have their own caregivers, often family members. Respite are is provided to provide temporary relief to the patient’s primary caregiver. Respite care can be provided in hospice facility or long term care facility that has a sufficient 24 hour nursing personnel present on all shifts to guarantee that patient’s needs are met. Respite care is provided for a maximum of 5 consecutive days. Continuous Care Continuous care is provided for between 8 and 24 hours a day to manage pain and other acute medical symptoms. Care must be predominately nursing care, supplemented with other hospice services and is intended to maintain the patient at home. When the crisis is over, the patient can return to routine care in the home.

Yes. If a patient’s condition improves, and the disease goes into remission, the patient can be discharged from hospice care and returned to regular medical treatment. Likewise, should the patient ever need to return to hospice care in the future, these services could be resumed at the patient’s request. In fact, many of our patients do get better under our care, and we firmly believe that no patient should ever have to choose between the hospice care benefit and hope for recovery.

No. It is not necessary for someone to be with the patient all the time. However, it is recommended that someone be with the patient as often as possible in the later stages of care.

The dying process can be very emotional and scary, especially when you’re caring for someone you love. Our job is to make it easier and make sure you have the information, education, training and support to get through these hard times. Nights can be especially difficult and they may sometimes seem very long. However, our Hospice Care team is available 24 hours a day, seven days a week, when you need us. You’ll never be alone.

Hospice care is widely available and covered by Medicare Part A. It is also covered by Medicaid in most states, as well as by many other private or managed care insurance providers, usually with no out-of-pocket costs, deductibles, or co-pays. Services covered by Medicare include: Medications for symptom management and pain relief Medical equipment and supplies Physician services Nursing care Home health aide Social worker services Physical, occupational and speech therapy Nutritional, spiritual and grief counseling Short-term general inpatient care and respite care

Yes. The first thing hospice care will do is assist you in finding out whether you are eligible for any coverage. If not, most hospices will provide care for anyone who cannot pay by using money raised from the community or from memorial funds.

Provided wherever a patient calls home, Veteran Alliance Hospice is available 24 hours a day, 365 days a year, at no cost to eligible patients with Medicare, Medicaid, VA, or most commercial insurance through most providers. These services include: All medicines, medical equipment and supplies related to the hospice care diagnosis Medication management to control pain and symptoms Physician services to manage medications Nursing and home health aide visits to provide direct care Support through social work, counseling and chaplain services Volunteer services to provide companionship Bereavement services for a minimum of 13 months after a loss

No. We will help you determine what you need and assist you in obtaining any special equipment or making any changes to your home.

Yes. AMHA Hospice provides continuing contact and support for caregivers and families for up to 13 months following the death of a loved one. Also, we sponsor bereavement groups, hold memorial services, and provide support for anyone in the community who has experienced the death of a family member, friend or loved one.

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