Q. What is hospice care?
A. Hospice care offers comfort and support to provide purpose and meaning during the final stages of life. Choosing hospice means securing the appropriate care to enable a patient and their loved ones to live life as fully and comfortably as possible during the time that remains. Hospice philosophy acknowledges dying as part of a natural process to be neither hastened or postponed.
Q. Who qualifies for hospice care?
A. Any individual may choose comfort care when life expectancy is limited and curative treatment options are limited or ineffective. An individual’s healthcare provider and the hospice Medical Director will determine when criteria for hospice services has been met. Hospice serves patients with serious advanced illness or health decline resulting from the normal aging process.
Q. When is hospice needed?
A. Hospice care is appropriate at any time during a life-limiting illness when the primary treatment goal is comfort rather than cure. Hospice can provide emotional, spiritual and physical support. Exploring options following a life-limiting diagnosis can ease the transition and improve quality of life.
Q. When is it time to call Pioneer Valley Hospice & Palliative Care?
A. The sooner information is sought, the more opportunity exists to benefit from our comprehensive range of services.
Q. Who pays for hospice care?
A. Medicare, Medicaid, MassHealth, and most private insurances have a hospice benefit. If eligible, hospice care can pay for medications and equipment that are related to a terminal diagnosis. Our hospice staff assists patients and families in determining hospice insurance benefits, and our service is available to any eligible person regardless of ability to pay.
Q. What services are covered?
A. Our services are available to any eligible person regardless of ability to pay. Our staff will assist patients and families in determining specific hospice insurance benefits. Services typically covered include:
- Physician services
- Nursing care
- Medical equipment and supplies
- Medications related to the terminal diagnosis
- Short term respite care
- Home health aide
- Social work and bereavement
- Physical, occupational and speech therapies and dietary counseling, when necessary
Q. What is palliative care?
A. Palliative care addresses pain and symptoms associated with a chronic medical condition. Palliative care is available to hospice patients and to those who may not yet be eligible for or ready to choose hospice care. Pioneer Valley Hospice & Palliative Care offers both adult palliative care and pediatric palliative care.
Q. What is pediatric palliative care?
A. Pediatric palliative care is for children under the age of 19 who have been diagnosed with a serious medical condition. Services strengthen families through emotional, physical, spiritual, and social support. Care may include complementary health services such as expressive arts and other physician-approved therapies.
Q. What is the difference between adult palliative care and pediatric palliative care at Pioneer Valley Hospice & Palliative Care?
A. Adult palliative care targets symptom management and care planning, while pediatric palliative care offers a broad range of services to assist children with life-limiting illness and their families.
Q. What are Advance Directives?
A. Advance directives are legal documents that allow a person to make their own decisions or wishes about their medical care known ahead of time in the event they should ever become unable to communicate. These written instructions, often called a Living Will, can include treatment preferences for when you enter the end stage of your life.
In Massachusetts, you have the right to choose a Health Care Proxy. This individual is someone you trust to make decisions for your medical care if you are unable to communicate or make these decisions yourself. It is important to plan ahead and communicate your preferences to your loved ones and your physician. Conversations before a crisis can help guide family members who may someday be making difficult decisions about the kind of health care you would want.
Q. Do I need a Do Not Resuscitate (DNR) order to be on hospice?
A. A Do Not Resuscitate (DNR) order is not required at the time of admission to hospice care. As end of life approaches, individuals may decide they no longer want any form of life prolonging procedures such as CPR and may choose to put certain directives in place. Pioneer Valley Hospice works with individuals, their family and physician to insure their wishes are honored.
Q. Where is hospice care provided?
A. Pioneer Valley Hospice can provide services wherever a person with life-limiting illness is living. Our care is available wherever you call home, whether in a private residence, assisted living program, rest home, long-term care facility, or hospital. In clinical settings, our hospice team works closely with staff and family to coordinate physical, emotional and spiritual care. Hospice nursing home services follow guidelines established by Medicare and Medicaid programs.
Q. Can a hospice patient continue to treat with their own doctor
A. Absolutely. Your physician will remain fully involved in all aspects of your care. Decisions about all of your medical needs, including pain and symptom management, are directed by your primary care physician in consultation with the hospice team.
Q. Will there be any special equipment or changes made in my home when hospice begins?
A. The Pioneer Valley Hospice & Palliative Care team will assess your needs, recommend any necessary equipment (for example, shower chair, walker, or specialized mattress), and arrange to have these items delivered to your residence. It is always your decision whether to accept or decline any medical equipment recommended by the hospice team.
Q. Is all hospice the same?
A. Pioneer Valley Hospice offers a full complement of hospice services along with palliative care consultations, pediatric palliative care, and extensive bereavement services. When choosing a hospice provider, consider the comprehensive nature of services offered, expertise and training of the staff, and availability of additional supportive care for the family such as volunteer and bereavement staff. Pioneer Valley Hospice & Palliative Care professionals and staff live in the communities served and many have been providing care within the community for more than 20 years.
Q. When someone chooses hospice, are they “giving up”?
A. Pioneer Valley Hospice affirms life and believes hope and meaning can be found when quality of life becomes the focus of care. By choosing hospice, individuals are choosing quality of life. Choosing hospice care enables a person to regain a sense of control in their life and offers relief from many distressing physical, emotional and spiritual concerns. The hospice team will support you and your caregivers in living each day to its fullest while minimizing pain and symptoms.