08/18/2024
Teaching Guide: Identifying Patients for Early Hospice Admission
Key Points for Hospital Case Managers
Understanding Hospice Eligibility:
Life-Limiting Illness: Patients with a prognosis of 6 months or less if the disease runs its natural course.
Frequent Hospitalizations: Patients experiencing multiple hospitalizations or emergency room visits for the same condition.
Declining Functional Status: Significant decline in the patient's ability to perform daily activities (e.g., bathing, dressing, eating).
Weight Loss and Nutritional Decline: Unintentional weight loss, decreased appetite, and nutritional challenges despite medical intervention.
Recurrent Infections: Frequent infections (e.g., pneumonia, UTIs) that are difficult to treat or respond poorly to treatment.
Increased Dependence: Growing need for assistance with activities of daily living, indicating a decline in overall health.
Spotting the Signs of Readiness for Early Hospice
Admission:
Persistent Pain or Symptoms: Patients experiencing pain, shortness of breath, or other symptoms that are challenging to manage despite aggressive treatment.
Patient or Family's Choice: Expressed desire by the patient or their family to focus on comfort care rather than curative treatments.
Psychosocial or Spiritual Distress: Signs of emotional, psychological, or spiritual distress that are not easily alleviated.
Reduced Responsiveness to Treatment: Diminishing response to treatments aimed at curing the illness, with a focus shifting toward palliative care.
When to Refer to Hospice:
Early Referral Benefits: Early hospice involvement can enhance the quality of life, provide comprehensive support, and align care with the patient's goals.
Collaborating with the Hospice Team: Engage hospice care professionals early to ensure a seamless transition and comprehensive care plan.
Referral Process to Mi Casa Hospice - San Antonio:
Direct Referral: Send patient referrals directly to Mi Casa Hospice – San Antonio to initiate the assessment process.
24/7 Eligibility Assistance: For questions about hospice eligibility or to discuss a potential referral, call Mi Casa Hospice – San Antonio at 726-208-4041. A team member is available 24/7 to assist.
Documentation and Communication:
Clear Documentation: Ensure thorough documentation of the patient's condition, goals of care discussions, and the rationale for hospice referral.
Interdisciplinary Communication: Maintain open communication with the healthcare team, patient, and family to ensure everyone is informed and supportive of the hospice transition.
This guide aims to help hospital case managers recognize when a patient may benefit from early hospice admission, ensuring timely and compassionate care.
For additional support or to make a referral, Mi Casa Hospice - San Antonio is available around the clock.
