Center of Hope

Hospice of McDowell County, Inc.

Serving Our Neighbors Since 1994

Frequently Asked Questions

Questions are sometimes obviously answered, while at other times they are not. Remember to always ask if you are unsure. Listed below are ten of the least frequently asked questions and their answers.
1
How long has hospice been around?

In the United States, hospice began providing care for terminally ill persons and their families in the mid 1970's. According to the National Hospice and Palliative Care Organization (NHPCO) facts and figures that were updated in February 2004, it is estimated that 3,200 hospice programs were in operation in 2002. Hospice of McDowell County has been providing services since 1994. Review the article on How the Hospice Concept Evolved?

2
How is a referral made to Hospice of McDowell County? The physician, patient, or with permission of the patient, a family member or a friend may call our office at (828)652-1318 to request services. The hospice RN will contact the attending physician regarding the patient's eligibility for hospice care.
3
Who is eligibility for Hospice Care?

Admission standards for Hospice care is

1. The patient has a life-limiting illness with a life expectancy of six months or less.

2. The patient does not want extraordinary measures taken to prolong their life.

3. The patient has a caregiver in the home or will work with hospice staff to develop a plan for alternate care giving needs.

4
Does Hospice work only with Cancer Patients? Hospice cares for patients meeting the admission criteria and is not specific to a particular diagnosis. The patient has an illness with a life expectancy of six months or less. Just as there is no one diagnosis, there are no age requirements.
5
What does hospice do? Hospice Interdisciplinary Team is comprised of nurses, family physician, hospice medical director, family resource coordinators, chaplain, certified nursing assistants level II and volunteers. Team members visit in the patient's home to provide care and support to the patient and family. Services include nursing visits, 24-hour availability of a nurse on call for emergency situations, family resource services, counseling for the patient/family during the illness and bereavement counseling for survivors. The team addresses medical, social and emotional needs of the patient and family. Services are individualized and based on the needs of the patient and family.
6
How are volunteers involved in Hospice? Volunteers are utilized throughout the Hospice organization. Hospice of McDowell County has a Board of Directors comprised of individual in the community who volunteer their time and efforts to ensure that Hospice of McDowell County serves the needs of its citizens. Other important avenues for volunteers at Hospice is direct patient/family care; bereavement support; office support and committee member to list a few. Volunteers at hospice face a challenging training program to ensure that they can address the needs of the patients/families and continue to appropriately care for themselves. The training also assists each volunteer to explore his/her own beliefs and feelings regarding death and dying. To become a volunteer contact the volunteer coordinator at (828) 652-1318 for more information.
7
How is Hospice funded? Hospice of McDowell County, Inc. is a not-for-profit organization. Hospice receives various types of funds from memorial gifts, individual and company donations, fund-raising events, churches, clubs, civic organizations, local foundations and grants. Since 1982, legislation supported the Hospice benefit for Medicare/Medicaid. Hospice receives reimbursement from Medicare/Medicaid and "most" private insurance companies.
8
Is there a charge for hospice services? Yes. In addition to the above funding options, hospice supports a sliding-scale fee based on the patient's income and medical expenses. No one is refused Hospice care based on their ability to pay. Hospice Family Resource Coordinator is available to assist families with financial assessments and investigate funding options for medical care and other immediate needs.
9
Isn't hospice work depressing?

Patients and family opting to use their hospice benefit express that they have felt relief knowing that someone is just a phone call away. Patients have expressed that they felt the burden lift as they share their needs and know that someone else is there to help them carry it and they are not leaving their family in such a binding situation. Families have stated that the hospice team becomes a part of their family bringing hope, acceptance and release. Families express that they see their loved ones faces "light up" as the door opens and they realize that another friend is there to see them. Click here to read an account from a hospice patient.

10
Can a patient admitted to hospice, change their mind and seek aggressive treatment? YES! YES! YES! While hospice offers palliative care (comfort vs. cure), Hospice encourages patients and families to research all options for care. Some hospice patients do have radiation therapy and/or chemotherapy for palliative purposes.
 
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Hospice of McDowell County, Inc.
575 Airport Road, Marion, NC 28752
Phone: (828) 652-1318
Fax: (828) 659-1631

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Site Last Updated: June 2008