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Is hospice care and nursing facility care a duplication of services, (double-dipping)?

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Is hospice care and nursing facility care a duplication of services, (double-dipping)?

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Hospice began as caring for the dying patient at home. The family would provide the daily care for the patient, bathing, feeding, toileting, giving medicine, etc. Hospice would provide specialized services of pain management, non-pain symptom management, psychosocial, spiritual, and bereavement care for up to one year. Literature has established the value-added benefit of hospice to improve the quality of end-of-life care in this setting. In 1986, the nursing home/facility was recognized as a surrogate home for America’s elderly, and that hospice care was a patient right in this new home setting. Now the nursing facility provides the daily care for the patient, i.e., bathing, feeding, toileting, giving medicine, etc. Hospice would provide the same service as in any other home setting. The affects on the quality of end-of-life care in this setting have not been published.

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