At-home hospice care is comfort care provided in your home, assisted living, or nursing home when someone you love has been diagnosed with six months or less to live by your physician. This comprehensive care includes visits from trained professionals (physicians, nurses, social workers, certified home health aides, among others) plus medications and equipment related to the hospice diagnosis delivered to your home.
However, there are times when severe pain and symptoms may be present for your loved one. In these cases, the inpatient level of hospice care would be recommended by your hospice nurse. This level of care is provided in an inpatient hospice facility. The care at these facilities also includes the comprehensive care that you were receiving at home (trained hospice team, medications, etc.) but with 24/7 supervision to tend to the intense issues at hand.
Our South Jersey inpatient hospice facilities aren’t places to live; they are places especially designed for inpatient level of hospice care and short stays — which is guided by admission criteria set forth by Medicare.
Inpatient hospice care is the choice when severe pain or other symptoms require an advanced level of care that is more effectively provided during a short stay in an inpatient hospice facility.
If your loved one’s needs intensify, the hospice team may recommend transferring him or her to the inpatient level of hospice care. If your loved one is in the hospital because of intense pain or symptoms due to serious illness, and meets the inpatient-hospice criteria, the hospital staff may recommend transferring him or her also.
South Jersey residents experience inpatient hospice care at our dedicated facilities in Voorhees and Mount Holly.
Your hospice nurse works with you to decide if the inpatient level of hospice care is best for your loved one. If severe pain or other symptoms are becoming difficult to manage at home, the hospice nurse might recommend a transfer to one of Samaritan’s inpatient hospice centers. At our South Jersey inpatient hospice facilities, your loved one will receive 24/7 care to increase their comfort level.
Samaritan’s two inpatient centers feature peaceful, home-like environments. The inpatient staff provides round-the-clock symptom relief for the comfort of your loved one. Your hospice nurse will work with you and your family to determine which Center is best for you.
Gerry is 74 years old and lived alone. He was diagnosed with lung cancer two years ago that has spread to his liver and spine. On a recent visit, Gerry’s adult children, Robin and David, were alarmed to find him on the floor unable to stand after a fall four days before. The family discussed Gerry’s declining health, his safety, and his healthcare wishes. Robin would also move in with him to be his primary caregiver. They decided he would forego rehab and other aggressive treatment, so his primary care physician referred him to Samaritan’s hospice care at home. Robin and David were relieved that he’d be getting comfort care to address his physical, emotional, and spiritual needs as his illness progressed.
After several weeks, however, Gerry’s pain got worse, and the hospice team found it increasingly difficult to keep him comfortable. His hospice nurse proposed to Gerry and his family that he consider transferring from home to Samaritan’s inpatient hospice center in Mount Holly, NJ. The team’s goal was to bring his pain under control and transfer him back home where he wanted to be.
Over the course of a four-day stay, Gerry received care from Samaritan’s inpatient hospice team of doctors, nurses, social workers, chaplains, and home health aides. Robin and David felt comfortable visiting with their children. They welcomed the opportunity to discuss their care planning questions with the team’s doctors and nurses. They appreciated how the spiritual support counselor was available to support them as well as their dad went through this stage of his illness.
Gerry’s pain medication was increased at special intervals and monitored around the clock until he again felt comfortable. Gerry was happy to return home with assistance from his children, and begin routine hospice care once again.
Monica is 60 years old with severe COPD. She’s been staying at her daughter Jessica’s house so she’s not alone as her health worsens. One night her chest started to feel extremely tight — worse than what she’s been used to. She couldn’t catch her breath because the symptoms of COPD escalated. After a hospital visit and talks with her family, Monica was admitted directly to Samaritan’s inpatient hospice facility. It was determined that her extreme difficulty breathing, due to pneumonia and respiratory failure, could best be cared for in an inpatient hospice setting rather than at home.
Once at the inpatient Center, Monica was started on medications, given at specific intervals, to ease her breathing and anxiety. The hospice nurse spoke with Jessica about the steps the hospice team was taking to make sure her mom was comfortable. Jessica was nervous and unsure. She was worried about her mom’s labored breathing and wanted her to be as comfortable as possible. The hospice nurse eased her worry.
On day two, Monica’s shortness of breath was only partially resolved, so a medication change was made. Jessica’s 9-year old daughter, Jasmine, visited. She was crying and scared to see her grandmother, but the hospice social worker was there to help talk with her about what was happening.
By day three, Monica was sleeping more. She was having less and less interaction with her family. The social worker continued to provide support to Jessica and her many family members who had arrived for a visit. Monica’s end-of-life wishes were discussed in more depth. Her wish was for comfort at this time.
Over the next 24 hours, Monica’s medications were increased to relieve her shortness of breath and anxiety. The spiritual support counselor visited and recited a few of Monica’s favorite prayers with family and friends. The next morning, she passed away comfortably with six of her closest family members at her bedside.
To qualify for inpatient hospice care at our New Jersey facilities, your loved one requires a more intense level of care than can be provided at home. Your hospice nurse will work with you and your family to determine the requirement. However, in general, one or more of the following should be met:
Samaritan is proud to offer these services from locations in Mount Holly and Voorhees. These two inpatient hospice facilities serve the needs of hospice patients in South NJ in a comfortable and warm environment.
We encourage you to speak directly with our nurses about how we can help with your loved one’s needs. Call us 24/7 at (800) 229-8183.