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                               Tree Items and Content

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<ul id="tmenu0" style="display:none;">\
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	<!-- Main Item 0... --><li><span>1. When should a decision about entering a hospice program be made - and who should make it?</span>\
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		<li><p>At any time during a life-limiting illness, it\'s appropriate to discuss all of a patient\'s care\ options, including hospice.&nbsp; By law<br> the decision belongs to the patient.&nbsp; Understandably, most people are\ uncomfortable with the idea of stopping an all-out<br> effort to \"beat\" their disease.&nbsp; Hospice staff members are\ highly sensitive to these concerns and are always available to<br> discuss them with the patient, family and physician.\</p></li></ul>\
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	<!-- Main Item 1... --><li><span>2. Should I wait for our physician to raise the possibility of hospice, or should I raise it first?</span>\
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		<li><p>The patient and family should feel free to discuss hospice care at any time with their physician, other healthcare<br> professionals, clergy or friends.</p></li>\
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	<!-- Main Item 2... --><li><span>3. What if our physician doesn\'t know about hospice?</span>\
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		<li><p>Most physicians know about hospice. If your physician wants more information, it is available from the American<br> Academy of Hospice and Palliative Medicine, medical societies, state hospice organizations, local hospices, or the National<br> Hospice and Palliative Care Organization Helpline, 1-800-658-8898. In addition, physicians and all others can also obtain<br> information on hospice from the American Cancer Society, the American Association of Retired Persons, and the Social Security Administration.&nbsp; </a></li>\
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	<!-- Main Item 3... --><li><span>4. Can a hospice patient who shows signs of recovery be returned to regular medical treatment?</span>\
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		<li><p>Certainly, if improvement in the condition occurs and the disease seems to be in remission, the patient can be discharged<br> from hospice and return to aggressive therapy or go on about his or her daily life. If a discharged patient should later need<br> to return to hospice care, Medicare and most private insurance will allow additional coverage for this purpose.</p></li>\
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	<!-- Main Item 4... --><li><span>5. What does the hospice admission process involve?</span>\
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		<li><p>One of the first things hospice will do is contact the patient\'s physician\ to make sure he or she agrees that the hospice care is<br> appropriate for this patient at this time. (Hospices may have\ medical staff available to help patients who have no<br> physician.) The patient will also be asked to sign consent and\ insurance forms. These are similar to the forms patients sign<br> when they enter a hospital.\
 The so-called \"hospice election form\" says that the patient understands that the care is<br> palliative (that is, aimed at\ pain relief and symptom control) rather than curative. It also outlines the services<br> available.  The form Medicare\ patients sign also tells how electing the Medicare hospice benefit affects other Medicare coverage<br> for a \life-limiting illness.</p></li>\
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	<!-- Main Item 4... --><li><span>6.  Is there any special equipment or changes I have to make in my home before hospice care begins?</span>\
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		<li><p>Your hospice provider will assess your needs, recommend any necessary equipment, and help make arrangements to obtain<br> it. Often the need for equipment is minimal at first and increases as the disease progresses.<br> In general, hospice will assist in any way it can to make home care as convenient and safe as possible. </p></li>\
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	<!-- Main Item 4... --><li><span>7. How many family members or friends does it take to care for a patient at home? </span>\
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		<li><p>There\'s no set number. One of the first things a hospice team will do is prepare an individualized care plan that will, among<br> other things, address the amount of care-giving a patient needs. Hospice staff visit regularly and are always accessible to answer<br> questions and provide support.</p></li>\
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	<!-- Main Item 4... --><li><span>8. Must someone be with the patient at all times?  </span>\
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		<li><p>In the early weeks of care, it\'s usually not necessary for someone to be with the patient all the time. Later, however, since<br> one of the most common fears of patients is the fear of dying alone, hospice generally encourages someone be there<br> continuously. While family and friends must be relied on to give most of the care, hospices do provide volunteers to assist<br> with errands and to provide a break and time away for major caregivers. </p></li>\
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<!-- Main Item 4... --><li><span>9. How difficult is caring for a dying loved one at home? </span>\
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		<li><p>It\'s never easy and sometimes can be quite hard. At the end of a long, progressive illness, nights especially can be very<br> long, lonely and scary. So, hospices have staff available around the clock to consult with the family and to make night<br> visits as appropriate.  </p></li>\
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<!-- Main Item 4... --><li><span>10. What specific assistance does hospice provide home-based patients?</span>\
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		<li><p>Hospice patients are cared for by a team of doctors, nurses, social workers, counselors, home health aides, spiritual<br> caregivers, therapists, and volunteers - and each provides assistance based on his or her area of expertise. In addition,<br> hospices help provide medications, supplies, equipment, hospital services, and additional helpers in the home, as<br> appropriate. </p></li>\
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<!-- Main Item 4... --><li><span>11. Does hospice do anything to make death come sooner?</span>\
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		<li><p>Hospices do nothing either to speed up or to slow down the dying process. Just as doctors and midwives lend support and<br> expertise during the time of child birth, so hospice provides its presence and specialized knowledge during the dying<br> process. </p></li>\
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<!-- Main Item 4... --><li><span>12. Is the home the only place hospice care can be delivered? </span>\
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		<li><p>No.  Although most hospice services are delivered in a personal residence, some patients are cared for in nursing homes or<br> hospice centers.</p></li>\
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<!-- Main Item 4... --><li><span>13. How does hospice \"manage pain\"?</span>\
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		<li><p>Hospice nurses and doctors are up-to-date on the latest medications and devices for pain and symptom relief. In addition,<br> physical and occupational therapists assist patients to be as mobile and self sufficient as possible, and they are often joined<br> by specialists schooled in music therapy, art therapy, diet counseling, and other therapies. Hospice believes that emotional<br> and spiritual pain are just as real and in need of attention as physical pain, so it addresses these, as well.  Counselors,<br> including spiritual caregivers, are available to assist family members as well as patients. </p></li>\
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<!-- Main Item 4... --><li><span>14. What is hospice\'s success rate in battling pain?</span>\
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		<li><p>Very high.  Using some combination of medications, counseling and therapies, most patients can attain a level of comfort<br> that is acceptable to them.</p></li>\
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<!-- Main Item 4... --><li><span>15. Will medications prevent the patient from being able to talk or know what\'s happening?</span>\
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		<li><p> Usually not. It is the goal of hospice to help patients be as comfortable and alert as they desire.  By constantly consulting<br> with the patient, hospices have been very successful in reaching this goal. </p></li>\
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<!-- Main Item 4... --><li><span>16. Is hospice affiliated with any religious organization?</span>\
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		<li><p>Hospice care is not an off-shoot of any religion. While some religious organizations have started hospices (sometimes in<br> connection with their hospitals), these hospices serve a broad community and do not require patients to adhere to any<br> particular set of beliefs. </p></li>\
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<!-- Main Item 4... --><li><span>17. Is hospice care covered by insurance?</span>\
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		<li><p>Hospice coverage is widely available. It is provided by Medicare nationwide, by Medicaid in some 47 states, and by most<br> private health insurance policies. To be sure of coverage, families should, of course, check with their employer or health<br> insurance provider. </p></li>\
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<!-- Main Item 4... --><li><span>18. If the patient is not covered by Medicare or any other health insurance, will hospice still provide care?</span>\
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		<li><p>The first thing hospice will do is assist families in finding out whether the patient is eligible for any coverage they may not<br> be aware of. Barring this, most hospices will provide care for those who cannot pay, using money raised<br> from the community or from memorial or foundation gifts.</p></li>\
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<!-- Main Item 4... --><li><span>19. Does hospice provide any help to the family after the patient dies?</span>\
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		<li><p>Hospice provides continuing contact and support for family and friends for at least a year following the death of a loved<br> one. Most hospices also provide supportive services for anyone in the community who has experienced the death of a<br> family member, a friend, or a loved one. </p></li>\
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<!-- Main Item 4... --><li><span>20. If the patient is eligible for Medicare, will there be any additional expenses to be paid?</span>\
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		<li><p>Medicare covers all services and supplies related to the life-limiting illness for the hospice patient.  In some hospices, the<br> patient may be required to pay a 5% \"co-payment\" on the medication and a 5% or $5 co-payment for respite care. You should<br> find out about any co-payment when choosing a hospice.</p></li>\
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