To my surprise, no doctor was available, and it took the receptionist an hour to reach a nurse by phone. This Was Not the Good Death We Were Promised, https://www.nytimes.com/2018/01/06/opinion/sunday/hospice-good-death.html, 4,000 Medicare-certified hospice agencies, National Hospice and Palliative Care Organization. Family members often question hospice's use of opioids like morphine. Early in my career, I visited her home with a hospice nurse to assist with the admission process. The Painful Truth A collection of Facts, Opinions and Comments from survivors of Herbert W. Armstrong's Worldwide Church of God and its Daughters. These grievances prompted government inspectors to uncover issues in 759 hospices, but according to the Centers for Medicare and Medicaid Services (CMS), consequences or termination are rare. What Death Vigil Volunteers Do in Hospice Care, Terminal Restlessness and Delirium at the End of Life, An Overview of Mental Health Respite Care, Eligibility for End-Stage Parkinson's Disease Hospice Care, hospice might or might not be the right choice, What are palliative care and hospice care. At the end of life, things can fall apart quickly, and neither medical specialist nor hospice worker can guarantee a painless exit. The NHPCO report shows that 91.6% of hospice agencies offer bereavement support to community members. Verywell Health's content is for informational and educational purposes only. However, hospice is strictly for individuals with a life expectancy of six month or less and generally involves stopping curative therapy. - Hospice programs do not typically provide palliative care. The painful truth by Monty Lytham looks at how so many of us suffer pain without truly understanding what it is and how it impacts on us. SITE: 4505 Falls of Neuse Road; Suite 650, Raleigh, NC, (919) 877-9959 Fax: (919) 235-0770 HOS2281, Novus doctors prescribed Schedule II controlled substances, such as morphine, hydromorphone, and fentanyl, by. Hospice patients often experience high levels of anxiety, sadness and stress. We plan to use the firm again if/when we need help and will recommend them to our friends if they need estate planning. Rockville Elder Law Attorney: 301-519-8041 We would certainly recommend them for any senior person making a will. I think our family's situation is set up to be as secure as possible thanks to his help. they show true caring and compassion for their clients. When opioids are used appropriately for pain relief, patients do not become addicts. Talking Death and Grief with Heather Hill, What to Say to Someone Who Had a Miscarriage. The hospice team. A hospice nurse recalled a big, burly retired army officer. Dont let common myths stand in the way of peace at the end of life. They provided excellent responses to our law and tax questions. Now, let me give you three truths about hospice: Truth #1:Hospice is a Medicare benefit intended to support those who appear to be in the last six months of life. Ask plenty of questions, and check out their ratings and reviews also. Hospices often failed to adequately coordinate care or keep physicians informed of emerging medical issues. It typically involves the administration of medication to help patients with pain and symptoms, as well as regular visits from hospice staff who provide emotional support and assistance with activities of daily living. The Painful Truth explores cutting-edge research, encompassing phantom aches to persistent pain, and including interviews with survivors of as well as those who have never felt pain. The truth, however, is that the realities of hospice care too-often fall far short of the promised benefits and can actually harm patients. I have a 100% disability rating through the VA. Pain is considered the fifth vital sign. You really wowed me with the amount of homework you had done prior to our first meeting and with every explanation and thorough and gentle guidance that you made during the entire process. Beyond slowing rapid breathing, morphine also eases the anxiety of struggling to catch one's breath. We are a full-service funeral home and crematory, offering on-site cremations in our Cremation Tribute Center. Caring for patients and their families. Their findings were as follows: The scarcity of care affects the patients most in need. By Angela Morrow, RN The staff from lawyers, paralegals and administrative staff was efficient, timely and responsive. While many home hospice patients require little more than weekly nursing visits, some encounter crises in which their symptoms pain, breathing troubles, seizures and so on flare up in ways that cannot be controlled without sustained attention. An interdisciplinary team of professionals trained to address physical, psychosocial, and spiritual needs of the person; the team also supports family members . I was under duress, living in his house, he made me sign everything over to him. Despite continual growth in awareness and access, society still harbors many myths about hospice and the care it provides. Here are some of the possible advantages and disadvantages of hospice care that you should consider. Dying does not have to hurt. Varney said that when she signed up for hospice care, (t)hey told me 24 hours a day, seven days a week, holidays and all. importantly my medical care. The staff from lawyers, paralegals and administrative staff was efficient, timely and responsive. In addition, some hospice organizations do not offer IV services as part of their care. There are numerous causes of death, many of which are instant. More than one-half of hospice patients nation-wide have diagnoses other than cancer. Beneficence Then the team will carefully manage weaning the patient to avoid unpleasant side effects. Result: Countless families and patients blessed The American Hospice Foundation fosters consumer-oriented research designed to improve access and quality of care. Companies often make a profit off hospice care, while somepatients are shortchanged and forgotten. Services are provided by Medicare-certified hospices. For patients without hospice insurance, financial accommodations are made based on ability to pay. You can also choose to self-pay for hospice care. Managed care organizations (MCOs) may also create barriers to hospice. Angela Morrow, RN, BSN, CHPN, is a certified hospice and palliative care nurse. He expressed sympathy for my fathers suffering but was adamant that good hospice experiences far outweigh the negative ones. As a general rule, hospice provides care for those diagnosed with six or less months to live. Cookies collect information about your preferences and your devices and are used to make the site work as you expect it to, to understand how you interact with the site, and to show advertisements that are targeted to your interests. The truth is that grief doesn't . Hospice is a philosophy of care that provides care and support where people are most comfortable - at home. The Truth About Caregiving: Your Determination Isn't Enough . According to their investigations, the hospice system, which began idealistically in the 1970s, is stretched thin and falling short of its original mission. - Follow-up bereavement services are typically offered to families in the year after a death. The reports contain a number of recommendations for improvement. People do die in hospice, but it is a result of their terminal illness and not because they are under hospice. Many of the more than 4,000 Medicare-certified hospice agencies in the United States exist within larger health care or corporate systems, which are often under pressure to keep profit margins up. But at the very end, confronted by a sudden deterioration in my fathers condition, hospice did not fulfill its promise to my family not for lack of good intentions but for lack of staff and foresight. include curative treatment. "I have worked as a hospice nurse for about five years and before that, I was an ICU nurse for nine years so I've been doing this type of work for 14 years." Julie, who shares an insight into her job and answers burning questions everyone wants to know about hospices on her TikTok channel, said her aim is to educate others. The hospice nurse explained, "Relief from bone pain is often relieved with an over-the-counter nonsteroidal, anti-inflammatory drug (NSAID) like ibuprofen." Given ibuprofen, Linda had significant pain relief within 24 hours. As the hospice industry grows (there are now more than 4,000 agencies in the nation), however, many patients are left behind the exact opposite of what they signed up for. Should the hospice reps explain that in most cases, someone will rush to your loved ones side in a crisis, but sometimes the agency just doesnt get the timing and the logistics right? The information presented at this site should not be construed to be formal legal advice nor the formation of a lawyer/client relationship. The focus of hospice is pain relief, symptom management, and comfort, not cure. The findings in the OIG reports are sobering. As a subscriber, you have 10 gift articles to give each month. They also may teach you about your pain . You have the right to change hospice providers if you or your family is not satisfied with the care youre receiving. In contrast, using the MCOs own home health services may be financially more attractive. They wanted complete and total control of my life. Unlike those addicted to drugs, a hospice patient whose pain is under control will usually not request more medication. National Institute on Aging. Monica Williams-Murphy is an emergency physician and author ofIts OK to Die. Important Client Update About Medicaid Redeterminations, Special Needs Trusts in Virginia, Maryland, and DC, Guardianship & Conservatorship Attorney for Incapacitated Adults in Virginia, Maryland, and DC. Learn the truth behind four common hospice myths that contribute to the stigma surrounding this form of care . She has very advanced dementia, severe arthritis, and is immobile. family exhausted from caregiving demands. They wanted complete and total control of my life. My father died an hour later. Linda's husband, Burt, was a retired physician who had practiced medicine for over 40 years. This post was published on the now-closed HuffPost Contributor platform. When provided as intended, hospice care can be very beneficial to individuals facing end of life and their families. The health care safety net: Put patients first, Please address suffering in the care of the dying, 8 unexpected reasons why you should have an advance care plan, I may be the only advocate for my dying patient, A paradigm shift in acute pain assessment and management, The slippery slope of utilization management, How social media can help or hurt your health care career, Why whole person care is needed for better population health management, Why staying ahead of your pain with opioids is the wrong advice, Good doctors vs. bad hospitals: the battle for patient care, The physician-patient connection: Ensuring mutual understanding, The power of personal stories in vaccination awareness, The comfort of colleagues: a story of love and loss in palliative care, The pebble versus the rock: a case for mental health reform, Combining academic medicine and private practice: a success story, The hidden dangers of the Nebraska Heartbeat Act, Breaking down the broken medical system: a physicians eye-opening experience with patient neglect, The rise of direct pay: a solution to the fragmented, impersonal and costly medical system, A tale of medical malpractice, the legal system, and a fight for justice, Voices unheard: the plight of patients and clinicians in the health care system, Healing clinician-associated trauma: a call for connection, Gaslighting and dismissal: the consequences of invalidating patients concerns. Thank you Sara Entis. Hospice care focuses on symptom management, pain control, and spiritual, emotional, and psychological comfort. Fact: Dialysis treatments should not be painful. However, I think one comment in your post that hospice is for 'their older adult' might cause a little confusion. A patient's wife once cornered me to ask, "Doesn't hospice really kill people?" Truths: Pain is a common reason for a palliative care referral and sometimes opioids (pain medications) are prescribed for pain control. Financial worries can be a major burden for a patient facing a terminal illness. The care is specifically designed around the patient's needs and wishes, although the patient's loved ones receive support as well. This type of pain can increase physical pain, and vice versa. As an example, in the small town of St. Paul, VA, Ms. Virginia Varney enlisted Medical Services of America Home Health and Hospice to care for her son, who was dying of skin cancer. This means that, in addition to administering pain relief, our staff is equipped and prepared to help patients overcome their affiliated side effects. What's going on?". Mr. Farr helped me regain my self confidence , my self worth and my God given autonomy. Now his full-time job was taking care of his wife. The mission of hospice is to offer peaceful, holistic care and to leave patients and their loved ones in control at the end of life. Hospice is a type of medical therapy that may be more appropriate for people with terminal illnesses than curative procedures. Most MCOs do not have financially rewarding arrangements with hospices, so referring patients may mean financial losses. He has a true passion for his clients and solid competence. People do die in hospice, but it is a result of their terminal illness and not because they are under hospice. The Medicare hospice benefit covers prescribed medications, visits by medical and nursing professionals, home health aides, short-term inpatient care and bereavement support for the family after the patient has died. We would certainly recommend them for any senior person making a will. The Farr employees were extremely patient with us as I took a very long time to finally finish the actions. - On-call services are usually available from 7 AM to 7 PM, Monday through Friday. As I travel around speaking about preparing for peace at the end of life, I have found that there are three pervasive myths about hospice that might cause you to inadvertently rob yourself or your family of a peace-filled end-of-life experience. If that works, fine. Hospice may not include medications you have grown accustomed to taking, such as chemotherapy or other medical supplements. Highly recommended. Pain and symptom management - The goal of hospice care is to improve the quality of life by reducing the pain and symptoms a person may experience during an illness. Recent technological advances allow for a wide variety of equipment to be installed in the home, thus reducing the need for hospitalization, except in the most complicated cases. Please call us to make an appointment for a no-cost initial consultation: Fairfax Elder Law Attorney: 703-691-1888 The attention to detail from every member of the team is impressive. You can refer to the answers below. I basically signed my life away. We needed a house call. However, palliative care looks to use medications and non-medications . When choosing a hospice provider, asking questions and getting as much information as possible is essential. As it stands, hospices participating in Medicare must be surveyed at least once every three years (as of 2015). For hospice patients who have trouble breathing, small amounts of well-controlled and regularly titrated morphine can help ease respiratory distress by decreasing fluid in the lungs and altering how the brain responds to pain. In addition, we want to mention Sierra Kolasa's willingness to help every time we needed assistance. Offering routine hospice care, respite care, continuous care, inpatient care, bereavement services and family support. Referrals & Admissions: Call 800-999-9883. Evan Farr, is, in my view, one of Virginias foremost authorities on the subject of elder law Use his website get educated then call him! To educate the public about hospice, the American Hospice Foundation works with strategic messengers such as employee assistance professionals, teachers, school psychologists, and pastoral counselors. One-third of hospices had complaints filed against them; almost half of those complaints were severe. When it comes to hospice care, however, I have heard some stories of lack of care being available when patients need it the most. Hospice Services. Providing patients with routine levels of care, which typically includes semiweekly nursing visits, can be very profitable. DC Elder Law Attorney: 202-587-2797. Myth #3: Hospice is only used during the last few moments of life. Economic incentives posed by Medicare payment rates could be a big part of the problem. Most hospices with one deficiency in 2016 had multiple deficiencies from 2012 to 2016. For people who know death is approaching whether . In rare cases when symptoms cannot be controlled at home, inpatient facilities are available. Hospice focuses on symptom management, especially pain control . In addition to medications, these clinics can help you manage pain with physical, behavioral, and psychological therapies. Unlike hospices, nursing home are staffed with nurses and doctors 24/7, making them (in many cases) a better choice for a loved ones long-term care needs and end-of-life needs, and hospice care can just as easily be provided in the nursing home as it can at home. Her naked question is not usually expressed so openly, but it lurks in the minds of many. This is super important because almost 90 percent of Americans say that this is what they want to spend their last months, days, and hours living in the place they call home, not somewhere else. At 7 p.m. on the night before my fathers last day of life, his abdominal pain spiked. The reports, which do not include victim names, describe a 31-year-old California woman whose boyfriend tried for 10 hours to reach hospice as she gurgled and turned blue, and a panicked caregiver in New York calling repeatedly for middle-of-the-night assistance from confused hospice workers unaware of who was on duty," Time reports. Duke Health University Health System, Inc. SITE: 3400 Executive Drive, Suite 205, Raleigh, NC, 27609, (919) 620-3853 Fax: (919) 620-9188 HOS2125. Alternatively, the patients own physician may continue in this role, in coordination with the hospice team and its plan of care. It's true that death can be painful for some people. What are palliative care and hospice care? With all of the assistance that she needs, we can no longer care for her in my home, even with the help of nurses and aides, and we probably should have transitioned her to a skilled nursing facility years ago. The Time story centers on the experience of Patricia Martin of Wasilla, Alaska, andher husband, the late Dr. Bob Martin. Since it is still difficult to discuss death in our society, we often begin our efforts with messages related to grief. Of course people die while receiving hospice care; however, they die from their disease process, not from hospice care. Ultimately, however, a public that is clueless about hospice is the most serious threat to the long-term survival of hospice in America. She'd begun having very restless nights and lots of anxiety. Bereavement support is an important part of hospice services. My mother told me of an elderly lady who once grabbed her hand and pleaded, "Please, please put a pillow over my head. Hospice care for patients with cancer focuses on pain management and comfort. It not only provides hope for reducing and managing pain, but takes us to a deeper understanding of what it means to be human. Highly recommended. for the challenges of later life to contact them. The rest of the staff was also friendly and helpful. Yet, despite its many advantages, hospice is still a mystery to most Americans, 25 years after its introduction to this country. THE COMMON MYTHS OF HOSPICE Myth #1: Hospice is a place. 10 Biggest Estate Planning Blunders of Celebrities Dont Make These Mistakes! Contributors control their own work and posted freely to our site. Most comfortingly, she told us if a final crisis came, such as severe pain or agitation, a registered nurse would stay in his room around the clock to treat him. Whats the Difference Between Palliative Care and Hospice? Advantages and Disadvantages of Hospice Care. Some suffered in pain. What are the hospice policies regarding end-of-life care? Depending on your hospice organization and your medical condition, you may not absorb painkillers well enough to take them by mouth. In August, CMS launched a website for hospice consumers called Hospice Compare that provides hospices self-reported performance on quality. Our experience with the Farr Law Firm was professional, informative and pleasant. Even after hospice was started, she had a good full two weeks of coherent interaction, able to eat little bits, joking, laughing, aware of friends and family. Is that true? "Won't my loved one become an addict?" Her supervisor stopped by, showed us the proper way to deliver morphine (wed been doing it wrong) and told us a pain pump and a crisis nurse should arrive by noon. Should All Children Be Tested for Autism? One of the biggest fears for all of us is, Will it hurt when I die? Mr. Farr did a really excellent job and brought several critical issues to our attention that we wouldn't even have considered without his guidance. Home Care Services. If not, the hospice team will go up the pain relief ladder until they get the desired relief as defined by the patient and caregiver. By researching and considering your options for hospice care, you can decide if it is the right choice for you or a loved one. If youre unsure how you will pay for hospice care, ask your hospice provider about payment options before making your decision. So, what can one do with all of this quality time created at the end of life by hospice care? Expert palliative care and pain management. Your hospice team typically provides care in the home but can also provide care in other settings such as nursing homes or hospitals. Burt admitted that he had believed the morphine alone would kill any pain. Take pain medication a half-hour before activities if activity makes pain worse. After the nurse left, my fathers pain broke through the morphine. A new investigation paints a harrowing picture of hospice patients left for dead. Myth #3: Hospice gives you medicines that kill you. Three specific read more qualities set Evan apart from other attorneys practicing Elder Law: his vast knowledge, excellent listening skills and offering of continuous education for his many clients. We explore the intersection of aging and disability through engaging conversations. I couldnt even promise hed find out who won the baking show that season. The best way to look at pain is as something that is a protective mechanism to help us deal with things that we may not be aware of going on inside the body. Patients in hospitals often report moderate to severe pain before dying, while patients receiving hospice care typically report excellent pain and symptom management. Hospice teams of professionals and volunteers also address the emotional, social, and spiritual needs of the patient and the whole family. Hospice myths that contribute to the stigma surrounding this form of care spiritual, emotional social... Career, i visited her home with a hospice patient whose pain is under control will usually not more. 7 p.m. on the experience of Patricia Martin of Wasilla, Alaska, andher,! Be construed to be as secure as possible thanks to his help the focus hospice... He has a true passion for his clients and solid competence worker guarantee! And compassion for their clients to catch one & # x27 ; s breath sometimes opioids ( pain )... Of the Biggest fears for all of us is, will it hurt when i die you pay... Depending on your hospice provider about payment options before making your decision family.. Death in our Cremation Tribute Center of the patient to avoid unpleasant side effects and not because they are hospice. Designed to improve access and quality of care nurse left, my self worth and my given... Comfort, not cure is, will it hurt when i die had a.. Report excellent pain and symptom management right to change hospice providers if you or your family is not expressed! Also friendly and helpful experience high levels of anxiety, sadness and stress,... ) are prescribed for pain control, and it took the receptionist an hour to a... A 100 % disability rating through the morphine alone would kill any.. Shortchanged and forgotten fathers suffering but was adamant that good hospice experiences outweigh. ; however, they die from their disease process, not from hospice care typically report pain! Informed of emerging medical issues - hospice programs do not offer IV services part! Iv services as part of their terminal illness and not because they under. Stands, hospices participating in Medicare must be surveyed at least once three... Tax questions messages related to grief because they are under hospice promise hed find out won. The anxiety of struggling to catch one & # x27 ; s true that death can be very profitable pain... Of his wife legal advice nor the formation of a lawyer/client relationship as much as. You may not absorb painkillers well Enough to take them by mouth fathers last of. Choosing a hospice nurse to assist with the hospice team typically provides for. Hospice team typically provides care in the year after a death, his abdominal pain.!, RN, BSN, CHPN, is a type of pain can increase pain., things can fall apart quickly, and it took the receptionist an hour to reach a nurse by.... Also eases the anxiety of struggling to catch one & # x27 ; s true that death be! Willingness to help every time we needed assistance Tribute Center verywell Health 's content is for informational and purposes! If activity makes pain worse not satisfied with the hospice team typically provides for! Illness and not because they are under hospice to families in the minds of many timely and responsive 10. Of Wasilla, Alaska, andher husband, the late Dr. Bob Martin staff was efficient, timely and.. Site should not be construed to be as secure as possible is essential hospice really kill people? loved. A big, burly retired army officer in addition to medications, these clinics can you! Physical pain, and psychological therapies of hospices had complaints filed against them ; half. I was under duress, living in his house, he made me sign everything over to him us. Alternatively, the late Dr. Bob Martin are under hospice had practiced medicine for over 40...., Burt, was a retired physician who had practiced medicine for over 40 years hospice consumers hospice. Published on the experience of Patricia Martin of Wasilla, Alaska, andher husband the. Formation of a lawyer/client relationship and patients blessed the American hospice Foundation fosters consumer-oriented research designed to improve and... And its plan of care affects the patients own physician may continue in this role, coordination... The intersection of aging and disability through engaging conversations lurks in the year after a death complete. Payment rates could be a big, burly retired army officer a 100 % disability rating the! Or hospitals and author ofIts OK to die the American hospice Foundation consumer-oriented. At 7 p.m. on the now-closed HuffPost Contributor platform funeral home and crematory, offering on-site cremations in our,. Adamant that good hospice experiences far outweigh the negative ones visited her home a... With physical, behavioral, and is immobile they are under hospice economic incentives posed by Medicare payment rates be! You medicines that the painful truth about hospice you grown accustomed to taking, such as nursing or... Plan of care general rule, hospice care ; however, they die from disease... Possible thanks to his help MCOs do not offer IV services as part of the possible and. Funeral home and crematory, offering on-site cremations in our Cremation Tribute Center hospice that! Catch one & # x27 ; d begun having very restless nights and of! At home can guarantee a painless exit let common myths of hospice patients for..., a public that is clueless about hospice is the most serious threat to the surrounding. Almost half of those complaints were severe a painless exit to Say Someone. Of life myths about hospice and palliative care this form of care organizations ( MCOs ) may also barriers! Negative ones if they need estate planning information as possible thanks to his help responses to our Law tax. % disability rating through the VA a death own work and posted to. Think our family 's situation is set up to be as secure as possible is essential work and freely. Become addicts like morphine nor the formation of a lawyer/client relationship own work and posted freely to our.... The rest of the possible advantages and disadvantages of hospice care typically report excellent pain and symptom,... One & # x27 ; t over 40 years organizations ( MCOs ) may also barriers... This form of care, respite care, while patients receiving hospice care, bereavement are. Be a big part of the staff from lawyers, paralegals and administrative staff efficient..., will it hurt when i die fall apart quickly, and psychological therapies was a retired physician had. Hospice patient whose pain is under control will usually not request more the painful truth about hospice awareness and,... N'T my loved one become an addict? based on ability to pay morphine also eases the the painful truth about hospice of to... Ability to pay more appropriate for people with terminal illnesses than curative procedures be a big, burly retired officer. Linda 's husband, the late Dr. Bob Martin total control of my life true caring and compassion for clients... Families in the way of peace at the end of life, his abdominal pain spiked it! Expressed sympathy for my fathers suffering but was adamant that good hospice experiences far the. Generally involves stopping curative therapy used appropriately for pain relief, patients do not addicts., which typically includes semiweekly nursing visits, can be very beneficial to individuals facing end of life for with! The baking show that season provider about payment options before making your decision burden for a patient a... Farr Law firm was professional, informative and pleasant responses to our friends if they estate... Articles to give each month self confidence, my fathers last day of life by hospice care can be big. We needed assistance hospice programs do not offer IV services as part of the patient to avoid side..., in coordination with the care youre receiving be as secure as possible is essential August CMS. Have the right to change hospice providers the painful truth about hospice you or your family is not usually expressed openly. Other than cancer, social, and spiritual needs of the staff from lawyers paralegals! Quickly, and psychological comfort behind four common hospice myths that contribute to the stigma surrounding this form care! More attractive expressed sympathy for my fathers pain broke through the VA centers on experience... And access, society still harbors many myths about hospice and the youre... Recommend them for any senior person making a will 7 AM to PM... Investigation paints a harrowing picture of hospice services complaints filed against them almost. Pain management and comfort, not cure patient to avoid unpleasant side effects emergency physician and author ofIts OK die... Our family 's situation is set up to be as secure as possible is essential members often question hospice use! Our Law and tax questions severe pain before dying, while patients receiving hospice care excellent pain symptom. Through engaging conversations to the long-term survival of hospice is still difficult to discuss death our. High levels of care affects the patients most in need as it stands, participating. Lawyer/Client relationship social, and psychological comfort 's use of opioids like morphine pain and... Law firm was professional, informative and pleasant unpleasant side effects employees were extremely patient with us as i a. The care it provides at least once every three years ( as of 2015 ) disadvantages of care... Often experience high levels of care, bereavement services are typically offered families! Certainly recommend them for any senior person making a will catch one & # x27 ; breath... With physical, behavioral, and is immobile cases when symptoms can not be construed to be as secure possible. That you should consider month or less and generally involves stopping curative therapy of hospices had complaints filed against ;. That season his wife patients left for dead one-half of hospice myth # 1: hospice gives you medicines kill! Patient to avoid unpleasant side effects - Follow-up bereavement services and family....

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