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I have heard there is a difference between "for profit" and "non-profit" hospice services in the care you might receive. I totally believe in hospice and most people I have known have received great service and if needed I will definitely accept it. However, I have also heard a few unpleasant stories where the pain management was not handled as well as it may could have been (cost saving?) or the providers were not as experienced or well-trained in end of life care (again cost saving?). I do know you have the right to change services any time you feel you are not being served. Sadly, that would not be a viable option in the last days when it matters most to the patient as well as the family nearby. My father died in a hospital and I was amazed at how peaceful his death was.
As someone already suggested, I will definitely plan to closely read any contracts we are required to sign. We currently are using Palliative care and it has been a godsend in so many ways.
Taking antibiotics when a person is on hospice defeats the object of allowing them to die peacefully and with dignity.
I was angry that a locum GP called an ambulance for yet another chest infection, when my mum had already been referred to palliative care.
Mum had always worked with the elderly and many with dementia (which she was so afraid of having); she said that pneumonia was a dying person's friend.
However, it turned out to be a blessing, as the palliative care doctor at the hospital got Mum onto the comfort care drugs - morphine, midazolam and glychopyrronium bromide and stopped all oral meds including the antibiotics. He made sure that a hospital bed and commode were set up at home before the rapid discharge.
A district nurse comes out to Mum every day, checks everything and changes the meds in her syringe driver. Palliative care also organised carers to visit 4 times a day. I will soon miss their cheerful greetings and kindness towards Mum. She no longer hears them, as she is in a deep, restful sleep...
Our PCP told me that when my FW starts getting dehydrated from diarrhea and vomiting to give them a call and they can pump her up with an IV instead of having to go to the ER.
Another way to get blood tests done is to order any kind of panel yourself. Quest Diagnostics is probably the largest network. See if there's a lab near you.
https://www.questdiagnostics.com/locations/search
The diagnosis of sepsis is unlikely to change that your loved one is now dying. The final "reason" would be the shutdown of all organs.
If you remove your loved one from hospice and demand transport to hospital then testing and admission may or may not occur. But what, other than prolonging torment, would be accomplished? Can you tell me?
I am so sorry for all the pain and sorrow you are going through. Hospice is there to medicate your loved one. Please allow that to happen.
When my late husband was under hospice care, they actually sent urine sample to one of our local hospitals to confirm that he in fact had a UTI, and it was covered under hospice/Medicare.