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There Are 4 Main Levels Of Hospice Care:

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GIP is another type of care, where the patient is recommended to be transported to  a SNF, where physicians and nurse-practitioners can manage medication changes and monitor symptoms.  This is recommended in the event the patient's symptoms have not been successfully managed in the home setting.  In this event, if the patient's wishes, the routine level of care is escalated to acute care.

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  • GIP is typically provided for brief periods of time (typically no more than 3-5 days)

  • Provided at an SNF (if symptoms cannot be managed at home)

  • The patient is provided with a 24-hour nursing care

  • Daily visits by a nurse practitioner to monitor symptoms & manage medications

  • The goal is to return home after the symptoms have been managed and controlled

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Continuous Care is another type of short-term escalation of level from routine of care in the event the patient experiences acute disease related symptoms such as:

  • Extreme pain

  • Shortness of breath 

  • Restlessness

  • Severe nausea 

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This level of care typically lasts from hours to days during which time the patient is provided with:

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  • Intermittent nursing visits over the course of escalation

  • Continuous bedside presence by the nursing team

  • Necessary medical supplies & medication, such as oxygen tanks, a hospital bed, etc...

Routine
Respite
GIP
Continuous
Continuous Care:
Home Nurse Examining Patient

Care is provided where the patient resides

  • Private Home 

  • Board & Care (B&C)

  • Skilled Nursing Facility (SNF)

  • Assisted Living Facility (ALF)

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Care includes visits & phone calls from the hospice team who provide

  • Support

  • Information

  • Guidance 

  • Education 

​More than often, patients may need only this level of care from the hospice team because:

  • The patient does not have ability limiting symptoms

  • Wants to retain as much independence and autonomy as possible

  • Is a very private person

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  • Provided on a short-term basis

  • Under Medicare, may be covered up to 5 days

  • Hospice social worker helps in determining coverage and assists in setting up this level of care

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Respite Care Purpose:

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  • Provide a period of rest for the patient's primary caregiver

  • When necessary, develop an alternative plan of care.

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