Palliative care

24Hours Home Care is dedicated to providing at-home nursing care for patients discharged after hospital care.
24 Hours Care offer Staffing (RN, LPN, CNA, HHA)  for medical as well as Home Health care for elderly or people suffering from chronic diseases by keeping patients out of the hospital/nursing home environment, and allow them to live in their own homes despite their clinical conditions and medical needs.
We specialize in helping patients with ALS, Alzheimer’s, Multiple Sclerosis, Diabetes, Parkinson’s, Mental health, Cancer, Heart Disease + Stroke and Aphasia.  
We have experienced and trained healthcare professionals who provide compassionate care and comfort to patients
suffering from these progressive diseases & make their life a little easier.
 We take the time to evaluate the needs of each patient and their family and develop a Care plan that offers the best care possible.


Admission Criteria
  • Patients at any stage of advanced/life-treatening/illness who desire palliation ot symptoms (social/physical/emotional/spiritual)
  • May be seeking curative therapies
  • No restrictions with prognosis
  • Patient DOES NOT have to be homebound
  • Patient must be homebound wilh skilled nursin of therapy needs
  • Pattern can also be receiving treatments for associated pain and symptom management challenges
  • Patient who aie not ready for hospice
  • Terminally ill (prognosis of 6 months or less if illness follow normal course)and desiring
    palliation of symptoms (social, physical,emotional, and/or spiritual) 
  • Patients who forego curative therapies
  • Patient DOES NOT have to be homebound
  • All distressing or problematic diagnoses and symptoms are identified in the Plan of Care with suggested interventions
  • Diagnoses must be included in the Plan of Care as ordered by the physician
  • Care Choices patients must have a certified or skilled need
  • One diagnosis is selected to be the terminal diagnosis and is the hospice programs financial responsibility
  • Other diagnoses included in the Plan of Care and treated but continue to be covered under the traditional Medicare benefit 
Physician Responsibility
  • Palliative consult or admission to the palliative program must be ordered by physician
  • Plan of Care reviewed at least every 30 days
  • Primary physician must be available for prescriptions (NP has availability to write script in home related to pain/symptom mgt)
  • Service must be ordered by physician
  • Service must be medically necessary
  • Orders must be reviewed every 60 days
  • Primary phisician must be available for needed orders 
  • Certification by 2 physicians that patient is terminally ill
  • Plan of Care reviewed at least every 15 days
  • Certification for subsequent benefit periods are made by the hospice physician
  • Primary physician must be available for orders 
  • Not required
  • Patient’s and caregiver/family needs are the focus of care 
  •  Not required
  • Patient sillied needs are focused of care
  • Identification of caregiver required by Hospice (or plan est. for caregiver when needed)
  • Focus of care is on the patient and caregiver/family/needs 
Visit Frequency
  • Determined by patient and Palliative Team
  • Physician determined
  • Determined by patient and Hospice Team
  • Goal is to keep patient OUT of the hospital
  • Discussion around changes in plan of care should be had with team members prior to hospitalization
  • Goal of keep patient OUT out of the hospital
  • Discussion around changes in plan of care should be had with team members prior to hospitalization
  • Must be coordinated by Hospice Team
  • Possible admission for respite cate or symptom management may be appropriate with team input 

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