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After hospitalization for pneumonia, my 99-yr-old mother is to be discharged to Hospice. Does that mean she is expected to live less than six months? Or is one that age automatically eligible for Hospice?
HerFirst Hospice benefits are great for anyone nearing the end of life. It is not 24/7 care unless a person is actively dying and then Medicare will pay for a hospice facility if needed. Otherwise it is a check on a regular basis by a nurse and help with other issues as babs mentioned. A 99 year old could certainly die of most anything within 6 months but of course, not all do, if your mom is still living after six months, she will most likely continue on hospice care. While I doubt it’s written that anyone at 99 automatically qualifies, I can’t imagine they would be turned down. They are mostly for profit companies and not all the same. You might want to visit with more than one. Your mom will be able to still get all her regular care as well as hospice care. She just can’t go to the hospital and remain on hospice. Medicare will pay one or the other. It’s very easy to go off and back on hospice if hospital care is needed. My DH Aunt has been on hospice about 3 years and has been off at least twice during that time. She is 96. It is sobering when someone suggests hospice care is appropriate but it is not a death sentence, more an acknowledgment that she is in decline.
Hospice doesn’t necessarily mean imminent dying.. it does mean your loved probably will continue to decline and pass. My mothers hospice recertified every 2 months , I think most is 6 months . As long as they continue to decline, they stay on hospice.
Hospice is a God send . A RN will call weekly, A CNA , twice weekly , who will help with baths , Care etc.. a social worker monthly, clergy every 3 weeks.. my mother lit up when her minister visited . Hospice will provide a hospital bed , wheelchair, hoyer lift , depend , chux pads, lotions , etc as they are needed. My mom was given meds for pain as needed..
6 months is the start. There are recertification periods. So a person can remain on Hospice for longer than 6 months. There needs to be a continued, documented decline. (my Husband was on Hospice almost 3 years) I am sure she was referred to Hospice because of the pneumonia and even more so if it was an Aspiration Pneumonia.
Pneumonia is very serious in the elderly. The morphine given by Hospice helps with breathing so keeps the person comfortable.
Please, when you meet with the Hospice admitting nurse, make sure you understand what is involved. Have a second set of ears there so that person picks up what you may not. First, Hospice does not hasten death. They are there to keep the person comfortable. No heroic measures will be taken. A DNR will have to be in place. When the patient stops breathing, thats it. The family still does most of the work when Hospice is done in the home. Family is taught how to give the medication.
When Hospice rules changed a few years back my daughter was working LTC. She said residents that did not qualify before suddenly did. It was not so much they were actively dying but what they had wrong with them they would eventually die from. She said one Hospice nurse was fairly new at the whole process and a little gun ho. She wanted to call the family and tell them that the resident was dying because of her breathing. My daughter told the Nurse that was the way the resident breathed all the time. The Nurse chose not to listen to my daughter, called in the family, resident not found to be actively dying.
But do realize that Hospice is not there to make someone better. They are there to make someone comfortable and ease pain.
My 87 yr old mother with a terminal diagnosis of advanced dementia was. Her doctor recommended it although her passing wasn’t imminent. She’s 89 now and was actually on hospice 2 1/2 yrs. Medicare stopped renewing her certification though because her progression is slow. She’s had dementia for over 12 yrs now. Despite being in the final stages (bedridden, barely talking, can’t turn over, in a hospital bed etc), hospice had to stop. They did keep her in their system though with palliative care & the nurse can visit that way even though it’s just twice a month compared to 4. But yes you can get hospice for a terminal condition but apparently Medicare has a time limit.
Kelkel This may be a situation of what the market will bear in your specific area but if I were you I would call another hospice for an evaluation unless you are happy with the way things are now.
all i can say is that, you must have done an amazing job. your mother is 99. that doesn’t happen totally automatically. there’s a lot of work behind the scenes.
By proceeding, I agree that I understand the following disclosures:
I. How We Work in Washington.
Based on your preferences, we provide you with information about one or more of our contracted senior living providers ("Participating Communities") and provide your Senior Living Care Information to Participating Communities. The Participating Communities may contact you directly regarding their services.
APFM does not endorse or recommend any provider. It is your sole responsibility to select the appropriate care for yourself or your loved one. We work with both you and the Participating Communities in your search. We do not permit our Advisors to have an ownership interest in Participating Communities.
II. How We Are Paid.
We do not charge you any fee – we are paid by the Participating Communities. Some Participating Communities pay us a percentage of the first month's standard rate for the rent and care services you select. We invoice these fees after the senior moves in.
III. When We Tour.
APFM tours certain Participating Communities in Washington (typically more in metropolitan areas than in rural areas.) During the 12 month period prior to December 31, 2017, we toured 86.2% of Participating Communities with capacity for 20 or more residents.
IV. No Obligation or Commitment.
You have no obligation to use or to continue to use our services. Because you pay no fee to us, you will never need to ask for a refund.
V. Complaints.
Please contact our Family Feedback Line at (866) 584-7340 or ConsumerFeedback@aplaceformom.com to report any complaint. Consumers have many avenues to address a dispute with any referral service company, including the right to file a complaint with the Attorney General's office at: Consumer Protection Division, 800 5th Avenue, Ste. 2000, Seattle, 98104 or 800-551-4636.
VI. No Waiver of Your Rights.
APFM does not (and may not) require or even ask consumers seeking senior housing or care services in Washington State to sign waivers of liability for losses of personal property or injury or to sign waivers of any rights established under law.
I agree that:
A.
I authorize A Place For Mom ("APFM") to collect certain personal and contact detail information, as well as relevant health care information about me or from me about the senior family member or relative I am assisting ("Senior Living Care Information").
B.
APFM may provide information to me electronically. My electronic signature on agreements and documents has the same effect as if I signed them in ink.
C.
APFM may send all communications to me electronically via e-mail or by access to an APFM web site.
D.
If I want a paper copy, I can print a copy of the Disclosures or download the Disclosures for my records.
E.
This E-Sign Acknowledgement and Authorization applies to these Disclosures and all future Disclosures related to APFM's services, unless I revoke my authorization. You may revoke this authorization in writing at any time (except where we have already disclosed information before receiving your revocation.) This authorization will expire after one year.
F.
You consent to APFM's reaching out to you using a phone system than can auto-dial numbers (we miss rotary phones, too!), but this consent is not required to use our service.
Hospice benefits are great for anyone nearing the end of life. It is not 24/7 care unless a person is actively dying and then Medicare will pay for a hospice facility if needed. Otherwise it is a check on a regular basis by a nurse and help with other issues as babs mentioned.
A 99 year old could certainly die of most anything within 6 months but of course, not all do,
if your mom is still living after six months, she will most likely continue on hospice care. While I doubt it’s written that anyone at 99 automatically qualifies, I can’t imagine they would be turned down.
They are mostly for profit companies and not all the same. You might want to visit with more than one.
Your mom will be able to still get all her regular care as well as hospice care. She just can’t go to the hospital and remain on hospice. Medicare will pay one or the other. It’s very easy to go off and back on hospice if hospital care is needed. My DH Aunt has been on hospice about 3 years and has been off at least twice during that time. She is 96.
It is sobering when someone suggests hospice care is appropriate but it is not a death sentence, more an acknowledgment that she is in decline.
Hospice is a God send . A RN will call weekly, A CNA , twice weekly , who will help with baths , Care etc.. a social worker monthly, clergy every 3 weeks.. my mother lit up when her minister visited . Hospice will provide a hospital bed , wheelchair, hoyer lift , depend , chux pads, lotions , etc as they are needed. My mom was given meds for pain as needed..
I wish you peace with this journey…
There are recertification periods. So a person can remain on Hospice for longer than 6 months. There needs to be a continued, documented decline. (my Husband was on Hospice almost 3 years)
I am sure she was referred to Hospice because of the pneumonia and even more so if it was an Aspiration Pneumonia.
Please, when you meet with the Hospice admitting nurse, make sure you understand what is involved. Have a second set of ears there so that person picks up what you may not. First, Hospice does not hasten death. They are there to keep the person comfortable. No heroic measures will be taken. A DNR will have to be in place. When the patient stops breathing, thats it. The family still does most of the work when Hospice is done in the home. Family is taught how to give the medication.
When Hospice rules changed a few years back my daughter was working LTC. She said residents that did not qualify before suddenly did. It was not so much they were actively dying but what they had wrong with them they would eventually die from. She said one Hospice nurse was fairly new at the whole process and a little gun ho. She wanted to call the family and tell them that the resident was dying because of her breathing. My daughter told the Nurse that was the way the resident breathed all the time. The Nurse chose not to listen to my daughter, called in the family, resident not found to be actively dying.
But do realize that Hospice is not there to make someone better. They are there to make someone comfortable and ease pain.
This may be a situation of what the market will bear in your specific area but if I were you I would call another hospice for an evaluation unless you are happy with the way things are now.
❤️🙂 easter hug to you & your mother