For Providers

Service for Providers and Staff

  • PCP Management of your patients through phone calls and faxes.

  • Interdisciplinary team summary updates every 14 days. 

  • In-services to medical staff.

  • Physician education regarding hospice referrals.

Service for Your Patients.

  • Assessment at home or hospital.

  • Pain and symptom control.

  • 24-hour on-call nursing.

  • Home Health Aids

  • Social Services & Volunteers.

  • Community Education

Barriers to Care

  • Not discussing goals of care with patients and families.

  • Emphasizing "winning" while not attending to prognosis.

  • Perceiving hospice as "giving up".

  • Being "locked into" the 6-month time frame.

  • Believing hospice care is only for cancer patients.

When to Refer
General Guidelines - All Diagnoses

The Patient should meet the following criteria:

  • Life limiting condition

  • Patient/ family informed that condition is life limiting

  • Patient/ family elected hospice care.

  • Documentation of clinical progression of disease.

  • Recent decline in functional status < 50%

    •  50% Requires considerable assistance and frequent medical care.

    • 40% Disabled; requires special care assistance - unable to care for self; disease may be progressing rapidly.

    • 30% Severely disabled; although death is not imminent.

    • 20% Very sick; active supportive treatment necessary.

    • 10% Moribund; fatal processes progressing rapidly.

  • Dependence in 3 of 6 activities of daily living.

    • Bathing - Feeding - Ambulation​

    • Dressing - Transfers

    • Incontinence / toileting

  • Recent impaired  nutritional status.

    • Unintentional, progressive weight loss of 10% over six months​

    • Serum albumin < 2.5 gm/dl

Available In-Services:

  • Hospice care and services.

  • Death and dying / Dying with dignity.

  • Caring for terminally ill patients/residents.

  • Commonly used hospice medications, administrations and protocol.

  • Methadone for pain control - myths and misconceptions.

  • Artificial hydration and nutrition considerations in end-of-life care.

  • Grief and loss.

  • Spiritual care at the end-of-life.

  • Advance health care directive planning.

  • Hospice philosophy and plan of care yearly review for facilities.

  • Non-cancer terminal illnesses.

  • Compassionate communication.

  • Terminal restlessness.

  • Signs and symptoms of approaching death.

  • Care at the end-of-life.

  • Care of the bedbound patient/resident.

  • Body mechanics for the caregivers.

  • End-of-Life issues (Dying in today's society).

  • Overcoming barriers to effective use of hospice care.

  • End-of-Life Issues: An overview of hospice services (Discharge Planners)

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Contact

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Physician Policies

Integrity Hospice works closely with community physicians to ensure the highest quality of end-of-life care for their patients.

Research has shown that the majority of Americans would prefer to be at home at the end-of-life. - Integrity Hospice makes this possible for most people.

Physician Policies:

Physician Licensure Verification

Physician Services- Attending Physician's Role

Physician Services- Medical Director 

Physician's Responsibility in Managing Hospice Patients

Monitoring Patient's Response / Reporting to Physician