Hospice of Dubuque
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Referral
Anyone can make a hospice referral, including physicians, family, friends or the patient. Once Hospice of Dubuque is contacted, an informational visit is scheduled with the patient and family to explain the services.

 

Admission Criteria
The patient:

  • has a life expectancy of six months or less, as determined by the primary care physician
  • has a primary caregiver, or there is a plan for a primary caregiving system 
  • resides in Hospice of Dubuque's tri-state service area.

The patient and family:

  • choose comfort, not curative, treatment of the disease
  • desire hospice services.

Prior to admission, an informational visit is scheduled with the patient and any interested individuals so they can be well informed about the services provided by Hospice of Dubuque. If the patient and those involved with their care desire time to think about this decision, an admission to the program can be delayed. If an admission is desired, a mutually agreeable time is established for a nurse and social worker to make a joint visit to accomplish the admission.

 

Methods of Payment

  • The Medicare Hospice Benefit program
  • The Medicaid Hospice Benefit program
  • Most private insurance plans
  • If there is no insurance coverage, cost will be determined by a sliding fee schedule that complies with federal regulations.

As the community's nonprofit hospice, Hospice of Dubuque provides the same level of care regardless of age, gender, race, religion or ability to pay. Medicare does not allow hospices to provide “free” care; therefore, if an individual’s insurance policy does not include hospice care, a sliding fee schedule must be applied. Efforts are always made to control the out-of-pocket expenses for hospice families. Community contributions and gifts assure care for those who cannot pay and for the costs not covered by insurers.

Hospice of Dubuque believes hospice care should be available to all terminally ill persons, thus, services are provided to any eligible individual.

When is it time to call Hospice of Dubuque?

It is time to seek hospice services when a decision is made by the patient and family to pursue comfort care. It is appropriate at any time during a life-limiting illness to discuss all options, including hospice care. Hospice of Dubuque encourages admittance early in the course of the terminal illness. The hospice program is beneficial to both the patient and the family.

Some health changes that are easily recognized:

• Visible unintentional weight loss

• Eating only a few bites of food at each meal or eating well at breakfast and poorly at dinner and supper

• Short of breath when trying to talk or just sitting still

• Swelling of feet and legs that is not relieved with fluid pills

• Dressing, bathing and eating become more difficult

• Changing from using a walker to using a wheelchair

• Infections that reoccur, such as infections of the lungs and bladder

• Frequent trips to the hospital

• Calling the doctor’s office often between regularly scheduled visits

• Unable to go without oxygen for more than a few moments

• Pain not relieved when using pain medication as often as allowed

• Deciding to stop curative treatment for a condition, but wanting to stay comfortable

 

My brother, Dave, and I were so fortunate in being able to care for our mother in her home until her death. Beyond the skill of the nurses and aides, it was the spirit of their mission—the compassion—which touched us most. Though we only worked with Hospice for a limited number of days, all the staff was caring, compassionate and faithfilled. We feel blessed by their service.
Kathy K., daughter of Hospice of Dubuque patient