It’s not too late for hospice

Whether it’s minutes, hours or days, even a short hospice length of stay offers substantial benefits for both the patient and their family.

Every day, emergency departments face the challenge of caring for patients with advanced illness who cycle through repeated hospitalizations.

VITAS® Healthcare can help.

As a national leader, we have the resources and expertise to initiate or continue complex modalities for acute symptom management—with the added benefit of end-of-life psychosocial support for both the patient and their loved ones.

Case Study:
Patient with a Sudden Fall

The Challenge
After a sudden fall, JF, a 67-year-old woman, presented to the ED with left-sided weakness and blurred vision with right basal ganglia intraparenchymal and intraventricular hemorrhage with edema and midline shift. After 10 days in the ICU, her condition continued to deteriorate.
Goal
To improve patient’s quality of life without trach and PEG tub placement.
Solution

A VITAS RN met with JF’s daughter at the bedside the same day. A general inpatient hospice care (GIP) level of care initiated.*

The hospice team educated the family on ventilator withdrawal process, removal of feeding tube and cessation of antibiotics. A social worker and a chaplain provided spiritual care and support, including assistance with reviewing funeral plans, while a nurse provided symptom management at the bedside throughout active dying, managing expectations and providing support to daughter.

*Per Medicare guidelines, higher levels of care are provided when a VITAS physician determines a patient is eligible for a higher level of care (LOC) or GIP. Eligibility to remain on a higher LOC is assessed by a VITAS RN & VITAS physician daily. Higher LOCs are provided on a temporary basis until the symptom(s) are optimally managed.

Result

JF passed comfortably 37 hours after admission; her wishes to be put in gardening clothes after death were honored. JF’s daughter received 13+ months of bereavement support and a keepsake Memory Bear made with JF’s clothing.

 

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