Choosing between at home hospice vs hospice facility can be a difficult decision for families. At-home hospice allows patients to spend their final days in a familiar environment, surrounded by loved ones, while hospice facilities provide professional care and support in a structured setting. Both options aim to ensure comfort and dignity during this challenging time.
Level of care is one of many things to consider when choosing a hospice. Patient and caregiver needs may impact the level of care a hospice provides. [Source: Medicare.gov] Families often consider the individual’s preferences, health condition, and support network when making this choice. In-home care allows for more personal interactions, but it may require adjustments and extra help from family members. On the other hand, hospice facilities offer specialized medical care and can alleviate some of the daily responsibilities that family members might face.
Understanding the differences between these types of care is essential for making an informed decision. Families can weigh the pros and cons of each setting to determine what is best for their loved one’s unique needs.
Comparing At Home Hospice and Hospice Facility Care
At-home hospice care and hospice facility care offer different environments and services for end-of-life support [Reference more on the differences between Hospice vs End of end-of-life care vs Palliative Care in our blog here]. Each option has unique features that can significantly affect the patient experience and family involvement.
Differences in Care Environment
“Most people would rather die at home than in hospital but only 18% of patients do so.” [Source: National Library of Medicine] At home hospice allows patients to spend their final days in a familiar setting. This often includes their own bedroom or living space, which can provide comfort. Family and friends can be around easily, creating a supportive atmosphere.
In contrast, hospice facilities provide care in a specialized environment. These facilities are designed for medical needs, featuring trained staff available around the clock. This option may be better for patients requiring more rigorous medical attention or those who need constant monitoring.
Variations in Services and Treatments Provided
Home hospice care focuses on delivering personalized treatment plans tailored to individual needs. Care typically includes visits from doctors, nurses, and hospice aides. Treatments may also involve medication management and emotional support.
Hospice facilities often offer a wider range of services in one location. They provide access to advanced medical equipment and specialized therapies not always available at home. Family members may find it easier, as facility staff handle most arrangements.
Impact on Patient and Family
Choosing home hospice care can enhance the quality of life for some patients. The comfort of home can lead to reduced stress and anxiety. Families can engage more in caregiving, fostering deeper connections during this time.
In a facility, patients may benefit from expert care and resources. “Unlike with home care, hospice facility staff will do most of the work in making all the necessary arrangements for your loved one’s care. This option is often less stressful for family members who desire less responsibility and more leisure time spent with their loved one during their last days.” [Source: Dignity Health] Families might experience less strain, as staff manage daily needs.
However, this can reduce a family’s role in caregiving, impacting their experience during a difficult time. Here’s an article on what you can expect when your loved one gets sent off to hospice.
Choosing the Right Hospice Option
Selecting the right hospice option is essential for ensuring comfort and support during a difficult time. It involves understanding the patient’s needs, evaluating costs, and recognizing the role of healthcare providers.
Assessing Patient Needs and Preferences
When choosing between at home hospice vs hospice facility, the patient’s needs and preferences play a crucial role. One significant factor is the patient’s health status (Read more about this topic in our blog). If they are stable, they may prefer the comfort of home, where they can be surrounded by family. Here are some other factors to consider:
- Familiar environments can reduce stress and anxiety
- On the other hand, if the patient requires intensive medical care, a hospice facility might be more suitable. Such facilities offer specialized staff and resources that can handle complex situations
- Family dynamics also matter. Some families may find it challenging to provide the necessary care at home, making a facility a better option
Evaluating Cost Implications
Cost is another important consideration when deciding on hospice care. Many hospice facilities are Medicare-certified, which may make them a more affordable option. This can relieve some financial strains during stressful times. Here are some other factors to consider:
- At-home hospice care may involve different costs. Families might need to pay for home modifications or additional support services if the home is not fully equipped for care
- It’s important to compare the expenses related to both options
- Patients should consider what their insurance covers. Knowing the benefits and limitations can help families make informed choices. Creating a detailed budget that lists all potential expenses can also aid in this evaluation
Understanding the Role of Health Care Providers
Healthcare providers play a significant role in hospice care decisions. They help assess the patient’s condition and provide recommendations tailored to individual needs. Hospice teams typically include doctors, nurses, social workers, and counselors. Here are some of the other things to consider:
- These professionals can help families understand the level of care required and what each option offers
- Communication is key. Healthcare providers can explain the resources available within both home and facility settings. They can also assist families in navigating the complexities of care options
- Having an experienced team can ensure that all aspects of the patient’s care are considered, making the transition smoother for everyone involved
Ultimately, the decision between at home hospice vs hospice facility is a personal one that should be made in close consultation with the patient, family, and healthcare providers. Both options offer valuable support and care during the end-of-life journey. By carefully considering the patient’s needs, evaluating costs, and understanding the role of healthcare providers, families can make an informed choice that ensures comfort, dignity, and peace during this challenging time.
Pikes Peak Hospice is dedicated to providing compassionate and comprehensive hospice care tailored to individual needs. Our experienced team offers both in-home and facility-based services, ensuring that patients and their families receive the best possible care. Contact us today to learn more about how we can support you during this difficult time.