The Envoy Hospice Team cares about you.

Families and individuals beginning their hospice journey often have many questions.

Frequently Asked

Bereavement Services

The Envoy Hospice Team cares about you, and offers these services to you during your time of grief:

  • Individual Support – through telephone, home, or office visits.
  • Group Support – through participation in group therapy with others who have also lost loved ones. Groups are organized as needed, or a referral is made.
  • Social Support- through an active support group. Several are available in the community and we will be glad to help you find the right one for you.
  • Self Help – through information gained through a bereavement bulletin sent directly to you with inspiring and helpful information included to support you during your bereavement.

Taking advantage of follow-up care can help you deal with your grief by:

  • Making available a trusted and compassionate person who will listen to your concerns.
  • Providing education about the grief process and what you can expect to be experiencing.
  • Learning new ways to cope with the stress of loss and grief.
  • Providing help to become involved in life again.
  • Simply knowing someone is available for you may help you feel relieved and more secure about your situation.

Frequently Asked Questions

What is Hospice?

Hospice is an approach to care that focuses on quality of life and comfort rather than cure. Hospice care focuses on all aspects of a patient’s life and well-being: physical, social, emotional, and spiritual.

When is the right time to ask about hospice?

Now is the best time to learn more about hospice and ask questions about what to expect from hospice services.  Although end-of-life care may be difficult to discuss, it is best for family members to share their wishes long before it becomes a concern.  By having these discussions in advance, patients are not forced into uncomfortable situations.  Instead, patients can make an educated decision that includes the advice and input of family members and loved ones. Envoy’s specialized staff can also aid in navigating through the emotional decisions that are made during this time.

How does hospice care begin?

Typically, hospice care starts as soon as a formal request or a ‘referral’ is made by the patient, family or physician. Our office will contact the patient’s physician for an order to proceed and recent medical records. Once received, Envoy will proceed with contacting the patient or primary care giver to arrange an appointment for an evaluation and discussion of care.

Who is part of the Hospice care team?

Hospice care is provided by teams of specially trained professionals and volunteers. Care teams include registered nurse case managers, licensed vocational nurses, certified nursing assistants, social workers, chaplains, grief/bereavement counselors and volunteers.

Is hospice available after hours?

Envoy Hospice staff is available 24 hours a day, 7 days a week. On-call teams are available around the clock to answer questions, offer advice, or to make necessary visits to the patients’ homes or care facilities.

How does the hospice work to keep the patient comfortable?

Many patients may have pain and other serious symptoms as their illness progresses.  Hospice staff receives special training to care for all types of physical and emotional symptoms that cause pain, discomfort, and distress.  Keeping the patient comfortable and pain-free is an important part of hospice care, Envoy Hospice has developed ways to measure how comfortable the patient is during the course of their stay on hospice.  Hospice staff works with the patient’s physician to make sure that medication, therapies, and procedures are designed to achieve the goals outlined in the patient’s care plan.  The care plan is reviewed frequently to make sure any changes and new goals are implemented.

Who pays for hospice care?

Hospice coverage is provided by Medicare, Medicaid and by most private health insurance policies. Medicare and/or Medicaid are the most frequent sources of payment. To be sure of coverage families should, of course, check with their health insurance provider. 

Can I be cared for by hospice if I reside in a nursing facility or other type of long-term care facility?

Hospice services can be provided to a patient wherever they live.  This means a patient living in a nursing facility or long-term care facility can receive specialized visits from hospice nurses, home health aides, chaplains, social workers, and volunteers, in addition to other care and services provided by the nursing facility.  Hospice care is also provided in personal homes, assisted livings and independent living settings.

Where is your “Hospice House”?

One common myth is that hospice is in fact a physical place. While certainly there are different levels of care, hospice for the most part takes place in the patient’s home setting, wherever that home may be.

What happens if my condition improves?

If the patient’s condition improves and the patient’s physician agrees that the disease seems to be in remission, the patient will be discharged from hospice care and may return to aggressive treatment or continue on with their daily life. If once discharged the patients condition declines, readmission to hospice care is always an available option.

What are the different levels of hospice care?

A patient can be admitted to hospice on any level of care and transferred between the multiple levels at any necessary time. The hospice physician and patient’s nurse case manager will approve and document the decision to treat someone on a higher level of care and coordinate the changes appropriately. A brief description of each level is as follows;

Routine Home Care

Basic care provided under the hospice benefit in the patient’s home setting. Services include routine RN, LVN, Social Work, Chaplain, and Certified Nurse Aide visits, medical management by the hospice physician, medications related to the admitting diagnosis, medical equipment and supplies.

Inpatient

Temporary Care provided in a skilled facility due to uncontrolled symptoms similar to those required for continuous care (below). With inpatient care, nurses are available around the clock to administer medications and treatments until symptoms are under control.

Continuous Care

Temporary one on one care in the patient’s home environment due to uncontrollable symptoms. Symptoms requiring continuous care could be some of the following; unrelieved pain, severe nausea and vomiting, severe shortness of breath, or anxiety. A nurse and/or home health aide will remain at the bedside for 8 to 24 hours to administer medications, treatments, and support until the symptoms are under control. Continuous care is a short term level of care and is reevaluated every 24 hours.

Inpatient Respite:

Temporary Care provided in a facility for patients who typically reside at home with a family member or personal caregiver. Respite is provided so the care giver can take a break for rest due to stress or other extenuating circumstances. This care is limited to 5 consecutive days at a time, and once completed the patient is discharged back to home.

What Is Hospice?

Hospice is an approach to care that focuses on quality of life and comfort rather than curative treatment. Hospice care focuses on all aspects of a patient’s life and well-being: physical, social, emotional, and spiritual. Please visit our service page for additional information about hospice and palliative care.

Is Hospice Right For You?

Complete our quick questionnaire, and find out if Hospice Care is right for you

Enovy Questionairre

Make A Referral

Have a patient in need of Hospice Care, please fill out our form and we will be glad to assist with care.

Learn More