Aging Loved Ones and Hospice Care

What can we do to make our terminally ill grandmother's final days as comfortable as possible? She's at the point when there's no sense in attempting to prolong her life by heroic measures, but we want to do everything we can to help her. We've been thinking about hospice care, but we don't know much about this option. Do you have any information on it?

Share:
Share on facebook
Share on twitter
Share on pinterest
Share on print
Share on email

The goal of the hospice movement is to maximize the quality of life for the dying patient and their family and to help them make the most of the remaining time they have together. Ultimately, hospice care is designed to support patients until they die a natural death. There is an emphasis on the comfort of the patient, including appropriate use of medication for control of pain and other symptoms. Hospice also seeks to serve the patient’s family, helping family members to cope with the illness and death of their loved one.

Most hospices offer home care supported by a team of doctors, nurses, physical and occupational therapists, health aides, dietitians, pastoral care professionals, social workers and volunteers. Some hospice programs have their own on-site facilities where dying people can spend the final days or months of life. Other times hospice workers will go into a patient’s home or to a nursing home to supplement the care received there. Hospice is a comforting choice and can be a good option for family members who do not live near their dying loved one. Hospices can also offer “tune-up” services. For example, a patient may be admitted to hospice in order to get her pain and other symptoms under control, to receive help finding a hospital bed for their home, or to secure nutritional guidance or home aid.

If you’re planning to seek hospice care for your grandmother, keep in mind that not all hospice programs or employees necessarily embrace a life-affirming philosophy. Also, the very nature of hospice (providing an environment in which to die) can lend itself to the restriction of medical treatments and procedures, which may make some families uncomfortable. Before making any decisions, try to find out if the ethical views of the hospice you are considering align with your own. If not, ask them if they would be willing to work with you by keeping their treatment consistent with your values and wishes.

In most regions, to receive hospice services the patient, family, and doctors must agree that the patient probably has six months or less to live. Some families, possibly out of an unwillingness to accept the reality of their loved one’s condition, put off this option until death is very near, telling themselves that it is “too soon” to begin hospice care. A better approach is to initiate some level of professional care before a crisis exists. You can begin moving in this direction by arranging introductory home meetings or hospice visits before your grandmother needs regular services so that a support network is in place.

Medicare coverage of hospice care is available under Medicare Part A hospital insurance. To receive Medicare payment, the agency must be approved by Medicare. For more detailed information contact
Medicare and request the booklet Medicare Hospice Benefits.

When checking out hospice programs, competency in making patients comfortable should be the top priority. A hospice’s values and beliefs regarding life, death and the afterlife are also important. To help determine if you are comfortable with their principles you might ask the staff to send you their “mission statement” or “statement of faith” for consideration and ask your grandmother’s physician his or her professional opinion of the hospice. You should also raise questions from the following checklist:

  • What area does the hospice serve?
  • Does the hospice specialize in dealing only with certain types of illness?
  • Will the hospice provide you with a written care plan?
  • Who will be on the hospice-care team?
  • What are the qualifications of the staff and volunteers?
  • What is expected of the family caregiver?
  • What resources are available to help you?
  • Does the hospice provide family support and bereavement counseling?
  • How will emergencies be handled?
  • What are the fees and how are they applied?
  • Will the hospice handle billing Medicare or private insurance carriers?
  • Does the hospice meet state licensing requirements?
  • Can the hospice provide references from professionals?

Finally, families should know that even if hospice care is not accessible in their area, or if for some reason they choose not to use a hospice organization, the principles that underlie hospice can be implemented by their dying loved one’s health care team. Most primary physicians would be honored to help develop goals of comfort care and support, and families should not hesitate to address this important topic with their health care professional.

If you’d like to discuss any of this information at greater length, feel free to call Focus on the Family’s Counseling department. They’ll be happy to assist you in any way they can.

 

Resources
If a title is currently unavailable through Focus on the Family, we encourage you to use another retailer.

Caring for Your Aging Loved Ones

Complete Guide to Caring for Aging Loved Ones

Referrals
National Association of Area Agencies on Aging

National Hospice and Palliative Care Organization

Articles
Caring for Ill or Aging Parents

Excerpted from The Complete Guide to Caring for Aging Loved Ones, a Focus on the Family book published by Tyndale House Publishers. Copyright © 2002, Focus on the Family.

This information has been approved by the Physicians Resource Council of Focus on the Family.

Talk to a Counselor

Focus on the Family offers a one-time complimentary consultation from a Christian perspective.
Share:
Share on facebook
Share on twitter
Share on pinterest
Share on print
Share on email

Thank you [field id="first_name"] for signing up to get the free downloads of the Marrying Well Guides. 

Click the image below to access your guide and learn about the counter-cultural, biblical concepts of intentionality, purity, community and Christian compatibility.

(For best results use IE 8 or higher, Firefox, Chrome or Safari)

To stay up-to-date with the latest from Boundless, sign up for our free weekly e-newsletter.


If you have any comments or questions about the information included in the Guide, please send them to [email protected]

Click here to return to Boundless

Focus on the Family

Thank you for submitting this form. You will hear from us soon. 

The Daily Citizen

The Daily Citizen from Focus on the Family exists to be your most trustworthy news source. Our team of analysts is devoted to giving you timely and relevant analysis of current events and cultural trends – all from a biblical worldview – so that you can be inspired and assured that the information you share with others comes from a reliable source.

Alive to Thrive is a biblical guide to preventing teen suicide. Anyone who interacts with teens can learn how to help prevent suicidal thinking through sound practical and clinical advice, and more importantly, biblical principles that will provide a young person with hope in Christ.

Bring Your Bible to School Day Logo Lockup with the Words Beneath

Every year on Bring Your Bible to School Day, students across the nation celebrate religious freedom and share God’s love with their friends. This event is designed to empower students to express their belief in the truth of God’s Word–and to do so in a respectful way that demonstrates the love of Christ.

Focus on the Family’s® Foster Care and Adoption program focuses on two main areas:

  • Wait No More events, which educate and empower families to help waiting kids in foster care

  • Post-placement resources for foster and adoptive families

Christian Counselors Network

Find Christian Counselors, Marriage & Family Therapists, Psychologists, Social Workers and Psychiatrists near you! Search by location, name or specialty to find professionals in Focus on the Family’s Christian Counselors Network who are eager to assist you.

Boundless is a Focus on the Family community for Christian young adults who want to pursue faith, relationships and adulthood with confidence and joy.

Through reviews, articles and discussions, Plugged In exists to shine a light on the world of popular entertainment while giving you and your family the essential tools you need to understand, navigate and impact the culture in which we live.

Have you been looking for a way to build your child’s faith in a fun and exciting way?
Adventures in Odyssey® audio dramas will do just that. Through original audio stories brought to life by actors who make you feel like part of the experience; these fictional, character-building dramas use storytelling to teach lasting truths.

Focus on the Family’s Hope Restored all-inclusive intensives offer marriage counseling for couples who are facing an extreme crisis in their marriage, and who may even feel they are headed for divorce.