Hospice care can be provided in a variety of settings: at home, nursing home, assisted or independent living facility, in a retirement or long-term care facility, or in a stand-alone hospice center, such as
Gilchrist Center.
Training and education in end-of-life care is provided for facility staff who are part of the caregiving team. Hospice and facility staff work together to develop a care plan that meets the changing needs of both patient and family.
LEVELS OF CARE
Routine level of care
Routine hospice care can be reasonably provided in the patient’s choice of residence by a designated caregiver and/or family members with the support of the hospice interdisciplinary team. Most hospice patients are managed under this level of care.
Inpatient care (also referred to as symptom management) at Gilchrist Center
Care may be provided in an inpatient setting because of the intensity and/or complexity of care required.
The patient may require:
- Skilled observation and monitoring which may lead to changes in the plan of care (physical and/or psychosocial
- A complex treatment schedule requiring skilled intervention and close monitoring
- Titration of medications for control of symptoms
- Frequent parenteral injections
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Intensive education
Continuous care
Continuous care may be provided when patient needs are similar to the level requiring inpatient care, but the patient/family choose to remain in the home setting. Skilled care is provided on an hourly basis for a minimum of eight hours in the home setting.
Respite care
Respite care is short-term care provided in a variety of settings when a caregiver needs a break from the demands of home care or needs to leave the home for an extended period of time. Under most payers, respite care can be provided for up to five days at a time.