TABLE OF CONTENTS
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Welcome Mission, Vision and Values.................................2 Welcome Letter from Our CEO ......................... 3 Your Care Team Hospice Care Team Members ............................ 4 Caring For The Patient Basic Care ............................................................... 6 Safety .................................................................. 9 Medications ........................................................ 10 High Risk Medications ...................................... 13 Symptoms the Patient May Experience and How You Can Help .................................... 16 Travel Information ............................................. 22 As Care Needs Increase ................................... 23 Final Days ............................................................ 25 Caring For The Caregiver Self-care ............................................................... 27 Respite Care ........................................................ 28 Additional Information and Resources ......... 29 Advance Care Planning Patient Self-Determination Act ...................... 30 Advance Directives ........................................... 30 Paying For Care Questions and Answers ................................... 32 Medicaid.............................................................. 32 Private Insurance ............................................... 33 Guidelines for the Hospice Benefit ............... 34 What Do I Do Now? Necessary Tasks, Duties and Checklists .......35 Personal Information and Records Checklist ... 39 Drug Take Back Programs ................................ 41 Veterans’ Death Benefits ................................. 42 Funeral Planning Form . .................................... 43 Obituary Planning Form ................................... 44 Probate ............................................................... 43 Additional Resources ........................................ 44
Grief Services Grief Support in Hospice Care ........................ 45 The Mourner’s Bill of Rights ............................ 45 Compass: Grief Support for Children & Teens ...46 The Bill of Rights for Grieving Teens ............. 46 Ways To Remember Memorial Gifts . .................................................. 47 Bricks & Pavers .................................................. 47 Important Information & Policies Emergencies & Disasters ................................. 48 COVID-19 Practices & Guidelines .................. 49 Important Information About Your Rights .. 50 Grievance Procedures ............................... 50 Corporate Compliance Plan . ................... 51 Notice of Privacy Practices ...................... 52 Notice Regarding Nondiscrimination & Accessibility for Individuals ..................... 58 Patient Rights and Responsibilities ........ 60 Notice of Program Accessibility .............. 62 Medicare Part D Drug Coverage ............ 63 Please see Family Satisfaction Survey (CAHPS) information on inside front cover. Notes
YOUR CARE TEAM MEMBERS RN Care Manager: _________________________________________________ Hospice Aide/Certified Nurse Aide: __________________________________ Social Worker: _ ___________________________________________________ Four Seasons Medical Provider: _____________________________________ Primary Medical Provider: __________________________________________ Music Therapist: _ _________________________________________________ Chaplain: _________________________________________________________ Volunteer: ________________________________________________________ Others: _ _________________________________________________________ A nurse is available 24 hours a day, 7 days a week. Call 866.466.9734
FAMILY SATISFACTION SURVEY Your feedback is important to us. Four Seasons Hospice would like to encourage all the families we serve to complete the Family Satisfaction Survey (otherwise known as CAHPS, the Consumer Assessment of Healthcare Providers and Systems). This survey,
CONTACTING HOSPICE: CALL 866.466.9734 Please inform the receptionist you are calling about a hospice patient, and state whether there is an emergency. Be sure to call Hospice first before calling 911 or taking the patient to the hospital to avoid possible fees from the hospital.
which is sent after a death to the most involved person in a patient’s hospice care, is a tool provided by the Centers for Medicare & Medicaid Services. It measures the qual- ity of care you and your loved one received from Four Seasons Hospice. By sharing your thoughts and feelings about your experience at Four Seasons, you can help us improve the care we provide to our patients and families.
866.466.9734
FourSeasonsCare.org
Four Seasons
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