Provided in the patient's home -- this can be a private residence, apartment, assisted living facility, nursing home, or other homelike setting. Routine care is usually provided over the course of several weeks, months or even longer, depending or when the patient is first admitted to hospice and the duration of his or her illness. Hospice team members make regularly scheduled, intermittent house calls to assess the patient and provide additional care or other services to address the unique needs and desires of each patient. Hospice staff is also available on an on-call basis at all times.
This service may be necessary if a crisis develops. Care is still provided in the patient's home, with hospice staff staying for many hours at a time to manage symptoms that are out of control or to provide other more technical care than is considered routine care.
Provided when family members acting as the patient's primary caregiver need a break. Here, the hospice team makes arrangements to have the patient transferred to a Medicare-approved facility for up to five days at a time while the family gets some much needed rest. When the Hospice Home Care Inpatient Center is available, respite care can be provided there. If the respite stay is in a hospital or nursing home, the patient's hospice team still oversees the care provided.
This service may be required for patients with more complex care needs. In this scenario, the patient is transferred to a hospital, nursing home, or our Little Rock Inpatient Center for more intensive medical or nursing care. Reasons for general inpatient care include uncontrollable pain, unrelenting nausea and vomiting, severe shortness of breath, seizures, or other problems that cannot realistically be managed in the home. Although general inpatient care is also available for patients who are imminently dying and a very limited life expectancy of only hours or a few days, the goal for most patients is to return home when their symptoms are stabilized or the care needs become less technical. As a result, inpatient stays are fairly short-term. In some cases, patients may be able to remain at the Inpatient Center on a residential basis while receiving care at the routine home care level; however, this usually means paying out-of-pocket for services like room and board which are not covered by the Medicare Hospice Benefit or private insurance for the routine level of care.