What to Expect from Hospice Admission to Discharge

What You Can Expect

When a patient is referred to Sojourn Hospice we understand the need to move quickly to bring services within hours of that referral.

Overall each team member spends time assessing the patient and family needs, develops a plan of care, and educates the family on what to expect from hospice.

Admission

Typically, within an hour after receiving the hospice referral from a physician and verification of insurance, a member of our team will contact the patient to schedule for a nurse to visit the patient at home. The licensed nurse will:
  • Obtain the patient’s written consent to elect for hospice services and their insurance card.
  • Explain hospice services and who will be coming to their home.
  • Perform a comprehensive assessment of their current medical condition.
  • Review your current medications.
  • Discuss pain management options.
  • Provide you materials which review our privacy and non-discrimination policies.
  • Get a list of durable medical equipment needed in the home.
  • Obtain a copy of any advance directives such as Power of Attorney or Do Not Resuscitate.
  • Assess the patient’s physical, emotional, and spiritual needs.

After Admission

Dependent on the patient and families expressed needs, over the course of the next several days, our healthcare professionals will be calling to set up appointments to perform additional assessments and listen to their needs. Those professionals include:

  • Social Worker
  • Bereavement Counselor
  • Hospice Aide
  • Chaplain or Spiritual Counselor
  • Volunteer Coordinator
  • Hospice Physician and Nurse Practitioner

While on Hospice Services

When each of our healthcare professionals meet with the patient and family for the first time they will establish a plan of care while on hospice services. A schedule of dates and times are established between the patient and the professional to provide ongoing services as often as needed. Every two weeks the hospice team meets (Interdisciplinary Group Meeting) with the Hospice Physician to review the plan of care and ensure the patient’s needs are being met.

Discharge

Sometimes patient and family elect to discontinue hospice services usually because they want to pursue curative care. If this happens they will sign a letter revoking hospice services and they will be discharged.

However, most discharges occur after a death. One of the benefits of home hospice is that there will be no emergency vehicle with lights or sirens, no groups of strangers entering the home whisking the patient’s body away. A nurse arrives shortly after the call and provides immediate support to the family. Our actions are based on the family’s wants and at their pace. When the family is ready we will assist with contacting funeral services that have been pre-arranged prior to the patient’s death. Our hospice team will lovingly perform personal care to prepare the patient for the journey to the funeral home of their choosing. Sojourn Hospice will continue bereavement counseling for 13 months, following the death of a loved one.

Sojourn Hospice will be with you hand and hand on this journey.