Can a Patient be readmitted back to hospice after a Hospice discharge?

Oliver Family: Our sister was on Hospice with Myasthenia Gravis for 8 months last year and was finally discharged because her condition was stable. Now her condition has worsened. Can she be readmitted to hospice?

Dorothy RN: Occasionally patients do get better under hospice care or their medical condition stabilizes forcing the hospice to dismiss from hospice care. But ones the patient’s condition worsens again, the need for Hospice care can be evaluated and if the patient meets the criteria, hospice care can be re established. The attending physicians understand the challenges posed by some of those chronic diseases and will not have a problem re ordering Hospice care.Week 41.jpg



Jones Family: My mom has been sick for many years with a respiratory condition. It’s very difficult for her to leave her home without assistance. Our physician has not suggested home health or hospice. Is it appropriate for us as a family to request these services?

Dorothy RN: Physicians don’t normally object to Home Health or Hospice services. Be open with the physician by giving intimate details about your moms needs for care and always be her advocate by requesting the resources you need as a family for support.  On the other hand, you can call a Hospice and Home health company and request for a free assessment and evaluation. The Home health & hospice nurses will communicate with your physician prior to visiting the home and after assessing the patients’ needs.

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Social Work with Hospice

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When a patient is admitted to hospice care, a team of professionals are involved in the care including  physicians, nurses, personal care aides, spiritual support and social workers. The social worker  role is very important in assisting the whole family deal and manage grief. They also facilitate communication within the family structure  making it possible to navigate through those difficult issues like funeral arrangements and end of life issues.

How Often do Hospice nurses visit

When a patient is under hospice care the nurses will visit the home to assess physical, emotional and spiritual needs of the patient, including manage any negative symptoms like pain and anxiety. The nurses will normally visits 2-3 times per week but if the patients condition deteriorates, they can increase the visits up to multiple times daily.

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Benson Family: My dad has been in the hospital for a week following a knee surgery. Today the social worker suggested Home Health services including a Nurse to help teach dad his new medications, a physical Therapist to exercise his leg and an Occupational Therapist to evaluate the home for safety.  Is it appropriate for us as a family to choose the Home Health Company we like??

Dorothy RN: It is your legal right to choose the Home Health or Hospice Company you want to care for you or your loved one. Exercise your right to choose and select a reputable company with a good history in the community. Interview at least 2 and ask questions to find the right fit for the care you need.



Hospice Care for End Stage Heart Disease.

ASK Dorothy RN Your Hospice & Home Health Nurse

Jackson Family Asks: Our mom has been sick with heart disease for many years. Over the last year we have had many Emergency room visits and Hospital visits. My mom is tired and says she doesn’t want to go back to the hospital. Our physician has not suggested hospice. What should we do?

Dorothy RN:  As a sick heart progresses through the disease process, it can be challenging. Your physician could order Home Health services where we send you a Nurse to help manage the medication, teach proper diet choices and assist in managing the disease process. If your physician orders we can even give IV medication right in the comfort of your home to help relieve fluid overload.  Ultimately, Hospice care will be needed and your physician can request a hospice consult to determine if the client meets criteria for hospice. A free consultation and assessment is the way to go.

Visit for more information or call Dorothy RN at 316-691-5050