24 Hour Availability Patient Care Services Levels of Care Hospice House Hospice Services in   a Nursing Home Bereavement Services

Levels of Care

The following services are included in routine Hospice services:

• Nursing Services
• Medical Social Worker
• Counseling Services (for both patient and family
  • Psychosocial
  • Spiritual
  • Bereavement
• Home Health Aide
• Medical Equipment and supplies related to the terminal diagnosis
• Medications related to the terminal diagnosis

Beyond the routine level of care, there are other levels of care available:

• Inpatient care for pain and symptom management; Provided when the patient needs acute or chronic pain and/or symptom management that cannot feasibly be provided in other settings. Skilled nursing care may be needed by a patient whose home support has broken down, if this breakdown makes it no longer feasible to furnish needed care in the home setting.
• Respite (short-term caregiver relief); Provided only when necessary to relieve the family members or other caregivers that are caring for the beneficiary at home. Respite is short term and reimbursed for no more than five days at a time.
• Continuous Care; Provided only during periods of crisis to maintain the beneficiary at home. Requires eight hours of nursing and/or aide services in a 24 hour period, beginning at midnight, and at least 50% of that time must be nursing. Continuous care is not available at Hospice House.