Deciding when it is time for hospice is difficult and should be discussed with loved ones and a physician. It is generally time for hospice when the patient is ready to live more comfortably and forego treatments aimed at prolonging life.
To receive hospice services, a physician (often the individuals attending physician or specialist) must certify that the patient meets specific medical eligibility criteria; generally, the patient’s life expectancy is 6 months or less if the illness, disease or condition runs its typical course. However, if the individual lives longer than six months and their condition continues to decline, a physician or nurse practitioner may recertify them for additional time in hospice care. Similarly, if a hospice patient's condition improves, they may be discharged from hospice care. The patient is eligible for hospice again if his or her condition begins to decline.
Patients and their families can save considerably by choosing home health care over long-term hospitalization or a skilled nursing facility.
Services are provided in the setting that the patient calls home, which may be their private residence or that of a loved one.