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Frequently Asked Questions (FAQs) About Hospice: Everything You Need to Know

Servicios de hospicio

  1. ¿Qué es hospicio?
  2. ¿Quiénes integran el equipo de hospicio?
  3. Where do patients receive hospice services?
  4. ¿Cuáles son los "tipos de cuidados" del hospicio?
  5. Does choosing a hospice mean giving up on my loved one?
  6. When is it time for hospice?
  7. What is the difference between diagnosis and prognosis?
  8. ¿Hay algún signo de que un paciente puede estar listo para los servicios de hospicio?
  9. ¿Con qué frecuencia el enfermero o médico de hospicio visitan al paciente?
  10. Can my doctor still be my doctor if I go on hospice?
  11. Will our family still have a say about our mother’s care if she’s on hospice?
  12. ¿Qué sucede si el paciente tiene necesidades especiales?
  13. Who will talk to me about my loved one once we have hospice? Who will keep us informed?
  14. If I have home health, why do I need hospice care?
  15. My mother is already in a nursing home. Why would she need hospice services there?
  16. Why would I put my child in hospice? Isn't hospice for the very old?
  17. Will hospice care for my dad 24/7? Will I still need to take care of him?
  18. ¿Qué son los "cuidados de confort"?
  19. I don't want my wife to die in our home. Can we have inpatient care instead?
  20. Can you come to talk to my sister about hospice but not mention cancer, death or dying? She doesn't know.
  21. What happens after my loved one dies?
  22. ¿El hospicio se encarga del duelo y otras emociones?

Who Pays for Hospice

  1. ¿Quién se encarga de pagar el hospicio? Is it covered by my insurance? ¿Medicare? ¿Medicaid?
  2. If I don’t have insurance, can I still receive hospice services?
  3. If Medicare covers my hospice services, will I lose my other Medicare coverage?
  4. Can I have hospice and also keep my HMO?
  5. ¿Hay que pagar algún cargo por una consulta?

Tratamiento de afecciones médicas específicas en hospicio

  1. What are the signs that hospice is right for heart patients?
  2. What are the signs that hospice is right for Alzheimer’s and dementia patients?
  3. ¿Por qué un paciente con Alzheimer recibiría cuidados de hospicio?
  4. What are the signs that hospice is right for ALS patients?
  5. What are the signs that hospice is right for cancer patients?
  6. ¿Un paciente puede recibir quimioterapia y servicios de hospicio al mismo tiempo?
  7. What are the signs that hospice is right for COPD patients?
  8. What are the signs that hospice is right for Parkinson’s patients?

VITAS Healthcare

  1. ¿Quién es VITAS Healthcare?
  2. ¿Dónde se encuentra VITAS?
  3. ¿Qué tipo de servicios ofrece VITAS?
  4. ¿Cómo comienzan los servicios de VITAS?
  5. ¿Qué es Asociados de Cuidados Paliativos?
  6. Why should I choose VITAS?

Servicios de hospicio

¿Qué es hospicio?

Hospice is a way to care for people who are terminally ill by focusing on pain relief and symptom management, as well as emotional and spiritual end-of-life issues, instead of trying to cure the disease.

It's a choice: Five Things to Know About Hospice

Frequently asked questions about hospice care

¿Quiénes integran el equipo de hospicio?

Hospice patients receive services from an "interdisciplinary" team, meaning members come from different disciplines or fields. They may include a physician, registered nurse, hospice aide, social worker, chaplain, bereavement services manager, volunteer and other healthcare professionals.

A full range of services: The VITAS Care Team

Where do patients receive hospice services?

Los servicios de hospicio generalmente se prestan en el hogar del paciente, que puede ser una residencia privada, comunidad de vida asistida u hogar de ancianos. Patients can also receive hospice services while in the hospital, or in an inpatient hospice unit.

Hospice is not a place: Cuidado de hospicio a domicilio

¿Cuáles son los "tipos de cuidados" del hospicio?

Levels of care are specific types of hospice care to address different needs of patients and families. Medicare requires all hospice providers to offer four distinct levels of care. They are:

  • Routine hospice care in the home
  • Turnos de control de síntomas agudos en el hogar cuando sea médicamente necesario. VITAS calls this Intensive Comfort Care®, it can also be called “cuidado continuo.”
  • Round-the-clock inpatient care when symptoms cannot be managed at home
  • Respite inpatient care for the patient when the family caregiver is away 1−5 days

Does choosing hospice mean giving up on my loved one?

No. When treatment options for a disease have been exhausted or no longer work, hospice provides a way for people to live in comfort, peace and dignity without curative care. Hospice isn't about giving up, but about improving the quality of the patient's life by being free of pain, surrounded by family and in the comfort of home.

Focusing on the person, not the disease: Hospice is Not About Giving Up

When is it time for hospice?

Patients should consider hospice services when medical treatments can no longer cure their disease and/or symptom burden outweighs the benefits of treatment. Los servicios de hospicio pueden comenzar cuando un médico decide que la expectativa de vida del paciente es de seis meses o menos.

When waiting won't help: El cuidado de hospicio de calidad lleva tiempo

What is the difference between diagnosis and prognosis?

A diagnosis is when the cause of the illness is identified (e.g., the common cold, pneumonia, lung cancer, etc.). A prognosis is a prediction about how the illness will develop. In the case of people who are terminally ill, the prognosis is often the physician's estimate of how long the illness will take to run its course before the patient dies.

¿Hay algún signo de que un paciente puede estar listo para los servicios de hospicio?

Cuando la carga del tratamiento supera los beneficios y/o el paciente ha sido hospitalizado varias veces en los últimos meses, es posible que esté listo para el hospicio. Otros indicios incluyen:

  • Varias visitas al departamento de emergencias
  • Dolor crónico
  • Infecciones frecuentes
  • Deterioro repentino o progresivo en el funcionamiento físico y alimentación
  • Pérdida de peso/dificultad para tragar
  • Insuficiencia respiratoria/dependencia a oxígeno

¿Con qué frecuencia el enfermero o médico de hospicio visitan al paciente?

The hospice nurse creates a plan of care with the patient's and family's input, designed to meet the patient's needs. En este plan se determina la frecuencia de las visitas del médico, enfermero y otros integrantes del equipo de hospicio.

Can my doctor still be my doctor if I go on hospice?

Yes. Hospice physicians and team members work with your doctor to ensure your clinical and emotional needs are being met and that your care is being carried out appropriately. Your doctor chooses his or her level of participation in your care.

Will our family still have a say about our mother’s care if she’s on hospice?

Yes. Family input is important and is the driving force behind developing the most effective plan of care for your mother.

Descarga gratis: Guía para hablar en familia sobre el hospicio

¿Qué sucede si el paciente tiene necesidades especiales?

El plan de cuidados de hospicio se desarrolla según las necesidades del paciente. If special equipment (e.g., wheelchair, lift, trapeze bar, etc.) or therapies (e.g., respiratory therapy, physical therapy, etc.) are needed, the hospice provider offers these as part of its services. Perhaps the need is for a certain religious practice or person, a family or cultural tradition, a language other than English or another unique circumstance. Hospice providers address each patient's needs.

Frequently asked questions about hospice care

Who will talk to me about my loved one once we have hospice? Who will keep us informed?

You will always be kept up-to-date on your loved one's condition. The primary hospice nurse can answer any questions you have, tell you about your loved one's care and progress, and prepare you for what to expect.

Considering all perspectives: Qué esperar en los primeros días de hospicio

If I have home health, why do I need hospice care?

Hospice offers many servicios home health care does not, such as prescriptions, equipos médicos and visits from an interdisciplinary healthcare staff. Typically, the goal of home healthcare is to help the patient become more independent, and visits decrease in frequency as the patient's condition improves. El objetivo del hospicio es mantener al paciente confortable a medida que los síntomas empeoran. Los servicios de hospicio cambian para adaptarse a las necesidades del paciente.

What's the Difference? Home Health Care or Hospice Care

My mother is already in a nursing home. Why would she need hospice services there?

Los hogares de ancianos se enfocan en el cuidado diario de rutina y rehabilitación. Nursing home residents who receive hospice services get additional, customized support determined by their plan of care, which focuses on the physical, emotional and spiritual end-of-life needs of patients and their families.

Why would I put my child in hospice? Isn't hospice for the very old?

El hospicio es para cualquier persona con una enfermedad terminal. Desde bebés hasta adultos y ancianos, el hospicio ofrece calidad de vida cerca del final de la vida y apoyo para aquellos que cuidan al paciente.

Leer más: ¿Qué es el cuidado de hospicio pediátrico?

Will hospice care for my dad 24/7? Will I still need to take care of him?

Yes, you will always be his primary caregiver. Hospice can supplement that care to help share the responsibility of caregiving with regular visits and education from the hospice care team.

Here to help: El hospicio es una amplia variedad de atención

¿Qué son los "cuidados de confort"?

Comfort care focuses on comfort and relief from symptoms as opposed to curing or treating the disease. Comfort care addresses all the needs of the patient and family-physical, emotional and spiritual.

I don't want my wife to die in our home. Can she have inpatient care instead?

Your preference for inpatient care should be discussed with the hospice representative who evaluates your wife or with the hospice team if she is already a hospice patient. Cada paciente y cada situación es diferente.

Can you come to talk to my sister about hospice but not mention cancer, death or dying? She doesn't know.

Hospice professionals are specially trained to discuss sensitive matters with patients and their loved ones. Usually, a hospice representative will begin the conversation by asking the patient what the doctor has said and what the patient understands about his or her condition. The answer to these questions will determine the words the representative will use.

What happens after my loved one dies?

Ideally, a member of your hospice team will be at the bedside at the time of death, able to explain the stages of death, make necessary phone calls, prepare the body and support the family in the first few hours. He or she will arrange for the body to be removed or, if the family would like to wait, perhaps until a family member arrives, that can be arranged as well. If a member of the team is not present at the death, he or she will arrive as soon as you call the hospice provider.

What to expect: ¿Qué sucede cuando un paciente de hospicio muere en casa?

¿El hospicio se encarga del duelo y otras emociones?

Hospices employ bereavement specialists to address all aspects of dolor, including duelo anticipado y la grief process after death. Hospices provide servicios de apoyo ante el duelo for the family for up to 13 months after the death.

Grief is normal: Grief and Grieving - VITAS Provides Support After a Death

Who Pays for Hospice

¿Quién se encarga de pagar el hospicio? Is it covered by my insurance? ¿Medicare? ¿Medicaid?

La Parte A de Medicare cubre el 100% de los servicios de hospicio. En general, la mayoría de hospicios también trabaja con Medicaid, el Departamento de Asuntos de los Veteranos y aseguradoras privadas.

How payment works: Medicare y el costo del cuidado de hospicio

If I don’t have insurance, can I still receive hospice services?

Frequently asked questions about hospice care

Yes. If you don’t have insurance coverage, the hospice admissions staff will work with you to determine financial responsibility and self-payments and to find out if you are eligible for other benefits that could help pay for services.

Covered services: Hospice Patient Eligibility Requirements

If Medicare covers my hospice services, will I lose my other Medicare coverage?

No. If you need hospitalization for any reason unrelated to the terminal disease, traditional Medicare will be used. You can discontinue the Medicare hospice benefit at any time if you want treatment different from what hospice provides. You may also resume the Medicare hospice benefit at any time.

Can I have hospice and also keep my HMO?

Yes. Hospice will provide care related to the primary diagnosis, while the HMO can take care of unrelated healthcare issues.

Is there a fee for a hospice consultation?

Los hospicios no cobran ningún cargo por consultas de elegibilidad.

Get a hospice consultation: Solicite información en línea or call 866.273.0802

Tratamiento de afecciones médicas específicas en hospicio

Although each of the diseases listed below has unique symptoms, hospice is available to any patient with a prognosis of six months or less. While every patient's case is unique, some symptoms to look for are listed below:

What are the signs that hospice is right for heart patients?

  • El paciente padece una insuficiencia cardíaca congestiva o una enfermedad coronaria avanzada con episodios frecuentes de angina
  • El paciente tiene una anomalía cardíaca por una enfermedad y sufre síntomas notables de fatiga, insuficiencia respiratoria o deterioro funcional
  • El paciente ha recibido el tratamiento óptimo para su afección y no es candidato para otra intervención médica o quirúrgica
  • El paciente ha recibido el tratamiento óptimo para su afección y ha decidido no recibir un tratamiento especializado avanzado

Continue reading: Cuidado de hospicio para pacientes con cardiopatía

What are the signs that hospice is right for Alzheimer’s and dementia patients?

  • El paciente puede decir unas pocas palabras
  • El paciente no puede caminar más o levantarse de la cama
  • El paciente depende completamente de otros para comer, vestirse y asearse
  • El paciente muestra signos de ansiedad severa
  • El paciente ha sufrido varios años de deterioro

Continue reading: Cuidado de hospicio para pacientes con demencia y Alzheimer

¿Por qué un paciente con Alzheimer recibiría cuidados de hospicio?

At the end of their lives, Alzheimer's patients present several challenges to their caregivers. When these patients are in the last stages of life, hospice can relieve some of the burden-physically, emotionally and spiritually-for caregivers as well as help the patient's end-of-life experience be comfortable and dignified.

What are the signs that hospice is right for ALS patients?

  • Progression* from independent ambulation to wheelchair or bed-bound
  • Progression* from normal to barely intelligible or unintelligible speech
  • Progression* from normal to pureed diet
  • Progression* from independence in most or all activities of daily living (e.g., toileting, feeding, dressing, etc.) to needing major assistance with these tasks
  • Negarse a usar sondas para hidratarse y nutrirse y un respirador para respirar

* Progression is defined as the development of severe neurologic disability over a 12-month period.

Continue reading: Cuidado de hospicio para ELA (Enfermedad de Lou Gehrig)

What are the signs that hospice is right for cancer patients?

  • El paciente se está debilitando rápidamente y el cáncer está progresando
  • El tratamiento no es completamente eficaz
  • La carga que el tratamiento ejerce sobre el paciente y su familia es considerablemente mayor que los beneficios

Continue reading: Cuidado de hospicio para pacientes con cáncer

¿Un paciente puede recibir quimioterapia y servicios de hospicio al mismo tiempo?

If the chemotherapy were being used to attempt to cure the cancer, hospice would be inappropriate. However, a patient receiving hospice services may receive chemo for reasons of comfort and quality of life; for example, to shrink a tumor that is pressing on an organ.

What are the signs that hospice is right for COPD patients?

  • El paciente ha tenido que acudir al departamento de emergencias una o más veces cada tres meses por una infección o insuficiencia respiratoria
  • El paciente pasa la mayor parte de su día en casa
  • El paciente ha sido hospitalizado varias veces (es decir, una o más veces en tres meses) y quiere permanecer fuera del hospital
  • El paciente ya no quiere que lo intuben

Continue reading: Cuidado de hospicio para pacientes con enfermedad pulmonar

What are the signs that hospice is right for Parkinson’s patients?

  • Deterioro funcional continuo
  • Coma
  • Estado vegetativo persistente
  • Nivel de conciencia seriamente reducido
  • Gran dificultad para respirar y/o tragar
  • Any of the progressions under “ALS” above

Continue reading: Hospice Care for Neurological Diseases - Stroke, Coma, Parkinson's Disease and Multiple Sclerosis

VITAS Healthcare

¿Quién es VITAS Healthcare?

VITAS® (pronounced VEE-tahss) Healthcare is the nation’s leading provider of end-of-life care.

7 more facts: VITAS Healthcare Fast Facts

¿Dónde se encuentra VITAS?

VITAS cares for patients and families in 15 states and the District of Columbia. Las oficinas centrales de la compañía están en Miami, Florida.

Find us near you: VITAS Healthcare Locations

¿Qué tipo de servicios ofrece VITAS?

Frequently asked questions about hospice care

  • Un equipo interdisciplinario de expertos en hospicio (médico, enfermero, auxiliar de hospicio, trabajador social, capellán y voluntario)
  • Un plan de cuidados personalizado
  • Four levels of care, including routine care in the home, shifts of acute symptom management in the home when medically necessary (Intensive Comfort Care®), round-the-clock inpatient care when symptoms can’t be managed at home, respite inpatient care
  • Telecare®—24/7 support for patients and family and team members ready to be dispatched to the patient’s home after hours if needed
  • Medicamentos con receta, medicamentos de venta libre, equipos y suministros médicos
  • Terapias holísticas, como musicoterapia y visitas de mascotas a pacientes de hospicio
  • Especialista en apoyo ante el duelo por 13 meses después del fallecimiento de un ser querido

Coordinated care: Servicios de cuidado de hospicio de VITAS

¿Cómo comienzan los servicios de VITAS?

El primer paso para comenzar los servicios de VITAS es evaluar al paciente. Para solicitar una evaluación no se necesita la derivación de un médico. Un representante de VITAS habla directamente con el paciente y la familia. Si ellos eligen comenzar con los servicios de hospicio se obtiene la derivación de un médico. El paciente, la familia, el médico y el equipo de VITAS crean un plan de cuidados, que incluye todo lo relacionado con el diagnóstico terminal.

Next step: What to Expect the First Few Days of Hospice

What is Palliative Medical Associates?

The word palliative means comfort. Los cuidados paliativos son cuidados para que el paciente esté cómodo. La intención es tratar el dolor y otros síntomas que causan malestar. Asociados de cuidados paliativos es una división de VITAS Healthcare que ofrece consultas y experiencia en el control de síntomas agresivos y apoyo a los pacientes y familias, independientemente de que el paciente sea elegible para el hospicio o no.

The difference: Cuidado paliativo vs. cuidado de hospicio

Why should I choose VITAS?

At VITAS Healthcare, everyone in the company works from the same belief: patients and families come first. We offer 24-hour support. Our nurses are available at all times, even weekends and holidays. Our patients receive individualized care plans to ensure their needs-physical, emotional, spiritual-and those of their families are always being met.

Si desea más información sobre los cuidados de hospicio o le gustaría programar una evaluación de hospicio, comuníquese con nuestros expertos en el cuidado de pacientes.