Page Discuss History Wikis > A guide to hospice care services Hospice care services are typically structured according to the needs and wishes of each patient and his or her family. patients will be admitted to hospice who meets admission guideline. Depending on the patient’s and family’s circumstances and referring / PCP recommendation. An admission nurse visit the patient and starts the admission process. Then the case will be discuss in hospice interdisciplinary team (IDT) may provide a combination of the following services: Nursing Care. A registered nurse starts the admission process, monitor patients symptoms and medication, and help educate the patient and family about what’s happening. The nurse is also the link between patient, family, and the physician. Social Services. A social worker counsels and advises patient and family members, regarding the needs & resources they need. Physician Services. A Hospice physician approves the plan of care and works with the hospice team. In most of the hospice program, a hospice medical director is available to the attending physician, patient, and hospice care team as a consultant and resource. Spiritual Support and Counseling. Clergy and other spiritual counselors are available to visit patient and provide spiritual support at home. Spiritual care is a personal process, and may include helping patients explore what death means to them, resolving “unfinished business,” saying goodbye to loved ones, and performing a specific religious ceremony or ritual. Home Health Aides and Homemaker Services. Home health aides provide personal care such as bathing, and help with activities of daily living. Homemakers may be available for light housekeeping and meal preparation. Trained Volunteer Support. Caring volunteers have long been the backbone of hospice care. They’re available to listen, offer patients and family compassionate support. Physical, Occupational, and Speech Therapies. Some hospices provide this. Respite Care. Respite care gives your family a break from the intensity of care giving whenever they need. Patient will stay for 5 days inpatient in a hospice facility provides a “breather” for caregivers. Inpatient Care. If needed for primary diagnosis then hospice will pay. Otherwise they either have to be off service or the team will decide regarding who will be responsible for payment to hospital. Bereavement Support. Bereavement is the mourning we all experience following a loss. The hospice care team will work with patients for anticipatory grief. following the passing of patients they will help the surviving family members to help them through the grieving process. This includes trained volunteer or counselor visiting the family at specific periods during the first year, as well as phone calls, letters, and support groups. The hospice will refer survivors to medical or other professional care if required.