Hospice House Levels of Care #mystery #hotel #deals

#hospice levels of care


Hospice House Levels of Care

The following levels of care can be provided at The Good Shepherd Hospice House:

Residential Care: Residential Care is simply the day to day hospice care that individuals receive at The Good Shepherd.

  • A hospice client may move to the hospice house simply because it is their desire to reside at The Good Shepherd. The decision may also be based on caregiver issues or any of a number of factors considered by the client and/or family.
  • Homecare Hospice does not make it a practice to move current hospice clients residing in their home or another facility to the hospice house unless it is at the client or family’s request.

Respite Care: Respite Care is short term inpatient care provided to hospice clients to relieve family members or other persons caring for the individual at home.

  • Medicare and most insurance pay to give the caregiver a break from the 24-hour task of caring for a loved one. Respite care allows the client’s caregiver up to five (5) consecutive days “off” from taking care of the client.
  • Respite care is a service that is designed to be used for a specific need and may be utilized only on an occasional basis.
  • Respite care is paid for as long as the intent is that the client will be returning home after five (5) days.
  • If after a few days, the caregiver decides that they can no longer care for the client at home, the client and family have two options to consider: To utilize Residential Care at The Good Shepherd Hospice House or to make other arrangements, i.e. to relocate to a nursing home or alternative care location.

General Inpatient Care (GIP): General Inpatient Care (GIP) is made available to all hospice client’s who are in need of pain control or symptom management that cannot be provided in any other setting.

  • GIP is considered short term care because the team’s job and overall goal is to get the client’s acute symptoms to a controlled level within 24-48 hours.
  • When the client’s symptoms have been managed for at least 24 hours, the doctor will order a discharge of the client to the Residential Care level if that client chooses to remain at The Good Shepherd. It is the client’s choice whether he/she wants to stay in the hospice house, go back home with care, or move to a nursing home.

For more information about these levels of care, or about The Good Shepherd Hospice House in general, please feel free to call us at any time at 785-537-0688.


Hospice – FOUR LEVELS OF CARE #vitas #hospice #careers

#hospice levels of care




Routine Home Care
This is the most common level of hospice care. Routine home care includes, but is not limited to, nursing and home health aide services. Patients may receive Routine Hospice Care in their home or what they call home in a long-term care or assisted living facility.

Continuous Home Care
Continuous Home Care is provided during periods of crisis in which a patient requires continuous nursing care to achieve palliation or management of acute medical symptoms. This intensive care is provided in the patient s home or facility where they live. In addition to being visited by the team members, the patient will receive up to 24 hours a day care by a licensed nurse and hospice aide, when on Continuous Home Care.

General Inpatient Care
General Inpatient Care is care for pain control and symptom management that cannot effectively be provided in other settings. It is usually of a short-term nature and can be provided in a hospital, hospice unit or long-term care facility. Compassionate Care Hospice has dedicated inpatient hospice units in some of our programs.

Respite Care
Respite Care is short-term inpatient care provided to the patient when necessary for the purpose of providing a break in caregiving to the patient s caregiver(s). It is only provided on an occasional basis, for a maximum of five days approximately every 90 days. Respite Care is provided in a hospital, hospice unit or long-term care facility.

If you think hospice may be right for you or your loved one, please take the opportunity to contact our closest program office so that we can set-up an appointment to explain our services. Our hospice team will even contact your physician for you.

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Parathyroid Hormone (PTH) Test #high #calcium #levels #in #cancer #patients


Parathyroid Hormone (PTH) Test

What Is a Parathyroid Hormone (PTH) Test?

The four-sectioned parathyroid glands are located in your neck, at the edge of the thyroid gland. They’re responsible for regulating calcium, vitamin D, and phosphorus levels in the blood and bones.

The parathyroid glands release a hormone called parathyroid hormone (PTH), also known as parathormone. PTH helps regulate calcium levels in the blood.

Calcium imbalances in the blood may be a sign of parathyroid gland or PTH issues. Calcium levels in the blood signal the parathyroid glands to release PTH. When calcium levels are low, the parathyroid glands increase PTH production. When calcium levels are high, the glands slow down the secretion of PTH.

Some symptoms and medical conditions may cause your doctor to measure how much PTH is in your blood. Because of the relationship between calcium and PTH in the blood, both are often tested at the same time.

Why Do I Need a Parathyroid Hormone Test?

Healthy calcium levels are essential for your body to function properly. Your doctor may need to measure PTH if:

  • you’re having symptoms of too much calcium in the blood (fatigue, nausea, thirst, abdominal pain)
  • you’re having symptoms of too little calcium in the blood (abdominal pain, muscle cramps, tingling fingers)
  • your blood calcium test comes back abnormal
  • they need to figure out the cause of too much or too little calcium in the blood

Too much calcium could be a sign of hyperparathyroidism. This is a condition caused by overactive parathyroid glands that produce too much PTH. Excess calcium in the blood can lead to kidney stones, irregular heartbeats, and brain abnormalities.

Too little calcium could be a sign of hypoparathyroidism. This is a condition caused by underactive parathyroid glands that aren’t producing enough PTH. Not enough calcium in the blood could lead to:

  • osteomalacia (weakened bones)
  • muscle spasms
  • heart rhythm disturbances
  • tetany (overstimulated nerves)

Your doctor may also order this test to:

  • check parathyroid functioning
  • distinguish between parathyroid-related and nonparathyroid-related disorders
  • monitor the effectiveness of treatment in parathyroid-related issues
  • determine the cause of low phosphorus levels in the blood
  • determine why severe osteoporosis isn’t responding to treatment
  • monitor chronic conditions, such as kidney disease

What Is the Procedure for a Parathyroid Hormone Test?

You’ll need to get your blood drawn for a PTH test. Your doctor will recommend a PTH test:

  • if you have signs of too much or too little calcium in your blood
  • before having hyperparathyroidism surgery
  • to assess the functioning of your parathyroid gland.

Before the Test

You may need to refrain from eating or drinking for a specific period of time before the blood test. Ask your doctor about specific pretest requirements. Before having this test, tell your doctor if you have hemophilia, a history of fainting, or any other condition.

The Test

The process of taking a blood sample for testing is called venipuncture. They usually draw blood from a vein from the inner elbow or back of the hand.

Your doctor or a lab technician will sterilize the area with an antiseptic. Then they’ll wrap a plastic band around your arm to apply pressure and to help your veins swell with blood. After the veins swell, they’ll insert a sterile needle directly into the vein. The blood will collect in an attached vial. When there’s enough blood for the sample, they’ll untie the plastic band and remove the needle from the vein. They’ll clean and bandage the site of the needle insertion if necessary.

Some people experience only slight pain from the needle prick, while others may feel moderate pain, especially if the vein is difficult to locate. It’s common for the spot to throb after the procedure. Some bleeding is also common, as the needle will break the skin. For most people, bleeding is slight and won’t cause any issues.

Infants and Young Children

The testing process may be different for infants and young children. The doctor or lab technician may make a small cut to allow blood to come to the surface. They’ll then use a test strip or slide to collect a small sample of blood. They’ll clean and bandage the area if necessary.

What Do the Test Results Mean?

Your doctor will evaluate your PTH and calcium test results together to assess whether your levels are within normal ranges. If PTH and calcium are in balance, your parathyroid glands are very likely functioning properly.

If PTH levels are low, you may have a condition causing low calcium levels. Or, you may have an issue with your parathyroid glands that’s causing hypoparathyroidism.

If PTH levels are high, you could have hyperparathyroidism. Hyperparathyroidism is commonly due to a benign parathyroid tumor. If PTH levels are normal and calcium levels are low or high, the issue may not be your parathyroid glands.

High PTH levels could indicate:

  • conditions that cause increased phosphorus levels, like chronic kidney disease
  • the body isn’t responding to PTH (pseudohypoparathyroidism)
  • swelling or tumors in the parathyroid glands
  • pregnancy or breastfeeding in a woman (uncommon)

High PTH levels could also indicate a lack of calcium. This could mean you’re not getting enough calcium in your diet. It can also mean that your body isn’t absorbing calcium, or you’re losing calcium through urination.

High PTH levels also point to vitamin D disorders. Maybe you’re not getting enough sunlight, or your body has trouble breaking down, absorbing, or using this vitamin. Vitamin D deficiency can lead to muscle and bone weakness.

Low PTH levels could indicate:

  • an autoimmune disorder
  • cancer originating from another part of the body has spread to the bones
  • you’ve ingested excess calcium over a long period of time (from milk or certain antacids)
  • hypoparathyroidism
  • low levels of magnesium in the blood
  • radiation exposure to the parathyroid glands
  • vitamin D intoxication
  • sarcoidosis (a disease causing inflammation to tissues)

If either PTH or calcium levels are too high or too low, your doctor may want to do additional testing to more clearly identify the problem.

Levels of Care – Houston Hospices #cheaprooms

#hospice levels of care


Levels of Care

Accredited Hospices of America in Houston provides the following levels of care in order to meet the needs of patients. These levels include:


Home care

Home care occurs within the comfort and security of the place you call home, which includes a skilled nursing facility or assisted living facility. Hospice nurses collaborate with your physician in order to best serve you. The hospice care team works with caregivers to help them become comfortable with the situation.

Respite Care

Respite care provides short-term relief for caregivers. This can occur at a skilled nursing facility for up to five days in a row.

Common questions:

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Levels of Hospice Care: Routine, General Inpatient (GIP), Respite and Continuous #benefits

#hospice respite care


Levels of Hospice Care

There are four levels of hospice care. The level of care provided is based upon you or your loved one’s individual needs in the setting that is most appropriate and comfortable.

Routine Care
This level of care is provided in the patient’s place of residence — in your private home, an assisted living community, a skilled nursing or long-term care facility, or another residential setting. Under routine care, you receive regular visits from members of your care team, based upon your specific needs. As your needs change, team members adjust their visits to accommodate these changes and ensure optimal care.

General Inpatient Care (GIP)
If you experience acute symptoms that cannot be safely managed in your home or other residential setting, you may require a higher level of care called General Inpatient (or GIP) care. GIP care is provided in a skilled nursing facility, a hospital, or a hospice inpatient unit such as our McCarthy Care Center in Sandwich. Once symptoms are under control, you may return to your home under the routine level of care.

Respite Care
Many patients have their own caregivers. If your caregiver needs a rest from their care giving responsibilities, respite care may be available. Under respite care, you may stay in a hospital, other inpatient center or nursing home for up to five days.

Continuous Care
Sometimes a medical crisis occurs that needs close attention. When this happens, skilled care may be brought into your home for up to 24 hours to possibly avert the need for a hospital visit. When the crisis is over, you can return to routine care.