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Hospice Care

Hospice Care

September 25, 2023

Consider This Scenario

Meet the Henderson family: Maria, Eddy, and their loving kids, Chris, Eddy Jr, and Lisa. Maria, now 78, was diagnosed with Alzheimer’s disease six years ago. Since the beginning, Eddy and the kids have been unwavering in their commitment as her primary caregivers, providing Maria with loving care and support.

Eddy and the kids have wholeheartedly embraced their role as caregivers, finding deep fulfillment in caring for Maria. They cherish the opportunity to shower her with love, support, and assistance as she navigates her journey with Alzheimer’s disease. Through their tireless efforts, the family has nurtured an unbreakable bond of love and compassion, drawing them even closer together. Their commitment to Maria’s well-being and happiness remains resolute.

However, over the past year they have witnessed a significant deterioration in Maria’s condition. Her memory has worsened, making it increasingly challenging for her to recognize her family. Basic daily tasks like eating, bathing, and dressing have become difficult chores for her. Additionally, her overall health has noticeably declined, resulting in frequent hospital visits.

Maria’s family remains steadfast in their desire to provide her with the best possible care, especially during this critical stage of her life. However, the emotional and physical toll of round-the-clock caregiving is becoming overwhelming for them. They are beginning to recognize the importance of seeking additional support to ensure Maria’s well-being while also safeguarding their own.

Navigating the journey of a loved one’s Alzheimer’s or other dementia-related disease can be an overwhelming experience. LivWell Seniors understands the multifaceted challenges, particularly during the final stages of the disease, where providing comfort and preserving dignity become paramount. We encourage everyone interested in learning more about hospice to read this informative article from a valuable member of our Caring Network, which sheds light on how hospice care precisely addresses the needs of families like Maria’s, offering a range of services that can provide significant relief to individuals and their families when they need it most.

Hospice care focuses on comfort and dignity at the end of life; it involves care and support services that can be of great benefit to people in the final stages of Alzheimer’s and other dementias and their families.

What Is Hospice Care?

Hospice is a special way of caring for people who are terminally ill – and for providing support to their family. The primary purpose of hospice care is to manage pain and other symptoms during the last six months of life where treatments focus on comfort rather than curing the underlying disease.

Hospice care is provided by a team of specially trained providers, including doctors, nurses, home health aides, social workers, counselors, clergy and volunteers. Family is often very involved in the care.

Examples of the care hospice teams provide include:

  • Medical care to alleviate symptoms and pain (including medications and medical equipment).
  • Counseling about the emotional and spiritual impact of the end-of-life.
  • Respite care to allow caregivers relief.
  • Grief support for the family.

The majority of hospice care is provided at home or in a nursing facility. There are also some free-standing hospice facilities and hospice units within hospitals in certain parts of the country.

How Do You Start Hospice Care?

To begin hospice care, an individual must have a life expectancy of six months or less. A physician’s referral is needed. If you believe your family member is in need of hospice services, communicate this to the physician currently providing care.

Before hospice care begins, the hospice team meets with the referring physician as well as the family to create an individualized care plan. Once care begins, the family has 24-hour on-call access to hospice staff.

Hospice care can be stopped at any time.

How Long Can Hospice Services Be Received?

Hospice services are usually available for as long as they are needed. If someone receiving hospice care lives beyond six months, services are usually still covered by Medicare, Medicaid and many private insurers as long as a physician recertifies that the person is terminally ill and still meets hospice care requirements. It is best to check with the insurance provider about coverage.


Hospice is usually covered under Medicare, as well as many Medicaid and private insurance plans.

With Medicare, there are no deductibles and only limited coinsurance payments for hospice services.

Medicare covers hospice care if:

  • The person receiving care has Medicare Part A;
  • The person’s physician and a hospice medical director certifies terminal illness, that is, life expectancy is six months or less, if the illness runs its normal course; and,
  • The person (or person with durable power of attorney) elects to receive hospice care and waives the right for Medicare to pay for any other services to treat the terminal illness. Instead, Medicare pays the hospice and any related physician expenses. Medicare will continue to pay for any services not related to the terminal illness.

In some cases where a person does not have coverage, community donations make services possible.

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