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February 25, 2025 27 mins

As caregivers for our loved ones with Alzheimer's and other types of dementia, we've learned that there are many misconceptions about hospice care. Today, we're joined by hospice nurses Nancy Heyerman and Brenda Kizzire to help clarify what hospice really is and when to consider it. Through their extensive experience, they've developed four essential tips to help you navigate this important transition in your caregiving journey.

Connect with us and share your tips:

Full Show Notes

https://thecaregiversjourney.com/when-to-call-in-hospice-four-essential-tips-alzheimers-and-other-dementias/

Additional Resources Mentioned

The Hospice Care Plan website here

Frailty scale here

The Hospice Care Plan booklet here

The Hospice Care Plan YouTube channel here

YouTube video - End of life for a person with dementia here


Takeaways

1. Access Your Care Receiver Using the Frailty Scale


One of the most important tools in determining when hospice might be appropriate is the frailty scale. This helps track changes that might indicate a need for hospice care.


What to Monitor:

- Weight loss patterns

- Ability to feed themselves

- Changes in mobility (e.g., walking distance decreasing)

- Transition from walking to wheelchair

- Changes in activities of daily living

- Increased anxiety or behavioral changes

- Decreased verbal communication

- Mental status changes


2. Start Documenting


This tip might seem obvious, but proper documentation can make a significant difference in getting hospice care approved.


How to Document:

- Keep a calendar with regular weight measurements

- Note changes in mobility and daily activities

- Use your phone to track behavioral changes

- Record any falls or incidents

- Track medication changes and effectiveness

- Document observations from other family members and caregivers


Important Note:

Many primary care providers may not be familiar with the latest hospice criteria. Your documentation helps build a case for hospice evaluation and provides concrete evidence of decline.


3. Research Hospice Organizations 


Don't wait until you're in crisis to start researching hospice organizations. Start your rese

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Sue Ryan and Nancy Treaster

Sue Ryan and Nancy Treaster

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