Frequently Asked Questions

Patients and families can benefit most from hospice care when they seek support earlier rather than in a crisis. The best way to determine if you or a loved one can be helped by Maxcare Hospice is to talk to your doctor. When your doctor discusses hospice care with you, he or she is simply presenting an option for comfort, which in many cases may actually lengthen life by increasing the quality of the time remaining. It’s important you talk openly with your doctor and loved ones and share the same goals for maintaining quality of life.

To be admitted to the hospice program, a patient must meet the criteria noted on the Eligibility Guidelines. However, the overriding guideline is a simple one: the patient must be certified by a doctor as having a limited life expectancy of six months or less, if the disease follows its natural course. The patient will also have chosen to pursue comfort care rather than aggressive treatment. Please call today to learn more. (714) 844-7777.

Same day admissions are common and can happen relatively quickly once your doctor writes an order for a hospice evaluation. When it’s time to consider hospice as an option, the first step is to make an initial request by calling (714) 844-7777. The next step is to request that hospice send a representative to meet with the patient and family/ caregiver. This request may be made by the individual’s physician, the staff at the hospital or you can initiate the call to hospice yourself. There is no cost for this visit and the is no obligation to make a choice immediately.

During the initial call, an admissions nurse will record vital information, discuss your hospice benefit with you and answer all of your questions.

During the initial visit, a team member will thoroughly explain your Explanation of Benefits [EOB]. If the patient’s need is urgent, with a doctor’s order, our admission nurse can provide the physical assessment at the same time as the EOB.

Once the consent forms are signed and if the patient is qualified to receive their hospice benefit, the admission can take place right away. The admitting nurse will assign the care team, order any necessary medications, medical equipment (hospital bed, overbed table, oxygen concentrator, wheel chair etc.,) as well as any necessary incontinent supplies. All at no out-of-pocket cost to the patient/ family.

Most admissions can take place within 24 hours of your initial call, provided your doctor has faxed an order (at your request) for “Hospice Evaluation” to (714) 844-7777. The hospice intake coordinator can assist you with obtaining an order from your doctor at your request. Once admitted, you will hear from the care team to make individual visits at a mutually convenient time.

Most hospice patients and eligible for Medicare, which covers all aspects of hospice care and services. There is no deductible, although there may be a very small co-payment for prescriptions and for respite care. Medi-Cal offers similar coverage, as do many private pay insurance plans.

The primary caregiver, often a family member, friend, or hired caregiver, receives training and support from the hospice team, helping the patient stay in the place they consider home. This is typically their private residence, an assisted living community, a nursing home, or a board and care home. Staying in a familiar setting allows the patient to feel more at ease and remain close to loved ones, where they are most comfortable and experience joy.

At Maxcare Hospice, every patient and family receive care from a compassionate, skilled, and dedicated team. Each member plays a vital role in supporting comfort, dignity, and quality of life.

• Registered Nurse (RN): Your Clinical Care Leader. Our hospice RN is the team leader and first point of clinical care. The nurse performs the initial assessment, develops your individualized care plan, and closely monitors symptoms and comfort levels. They communicate with the hospice physician about any changes, ensuring timely adjustments to your care.
• Licensed Vocational Nurse (LVN): Day-to-Day Nursing Support. Working under the direction of the RN, the LVN helps with hands-on nursing care such as medication administration, wound care, and symptom management keeping your loved one as comfortable as possible.
• Medical Social Worker (MSW): Emotional, Social, and Practical Support. Our social workers provide counseling and emotional support for patients and families navigating the challenges of serious illness. They also help with community resources, advance care planning, and financial concerns offering guidance when you need it most.
• Home Health Aide: Personal Care and Comfort. Our aides assist with essential daily activities like bathing, dressing, grooming, and changing linens ensuring your loved one feels clean, comfortable, and cared for at home.
• Chaplain – Spiritual and Emotional Comfort. Hospice chaplains offer non-denominational spiritual support tailored to your beliefs and values. They’re here to listen, pray (if desired), provide grief support, and help with funeral planning or memorial tributes. Their care extends to both patients and family members.
• Hospice Volunteers: Compassionate Companionship. Specially trained hospice volunteers offer companionship, help with errands, light household tasks, or simply sit and visit. They bring extra warmth and support into your home when you need a friend most. Maxcare Hospice currently as a licensed pet therapist, hair care provider, massage therapist and a lovely volunteer who provides live therapeutic music for your comfort and enjoyment.
• Medical Director: Expert Oversight for Your Care. Our board-certified hospice physician oversees your entire care plan, advises the team, and works closely with your doctors to ensure the best medical decisions for comfort-focused care.

Here are some indicators that your family will benefit from hospice:

• Your family is feeling isolated due to care-giving demands
• You or members of your family appear to need more emotional support to cope with the sadness of the situation.
• You are overwhelmed by the myriad physical financial, emotional and spiritual concerns arising because of the illness.
• You or your caregivers and physically and/or emotionally exhausted from caring for you or a loved one.

Dispelling Hospice Myths:

Myth: Hospice is a place.
Fact: Hospice care takes place wherever the patient calls home, including skilled nursing and assisted living facilities.

Myth: Hospice is only for patients who have given up hope and are close to death.
Fact: Hospice is about living as fully as possible. In fact, patients and families receive the greatest benefit when hospice is started early.

Myth: Since hospice care is only available for 6 months, delay enrollment as long as possible
Fact: Hospice patients can stay on hospice care for as long as medically necessary while the disease follows its natural course.

Myth: Hospice gives the patient so much medicine that the patient is out of touch, sleeps too much and becomes addicted to the pain medication.
Fact: The primary goal of hospice care is to make the patient as comfortable, pain free and alert as possible.

Myth: Hospice stops feeding patients and they become dehydrated and starve to death.
Fact: Hospice encourages patients to eat and drink as much as and only what they want. It is natural for some patients not to feel hunger or thirst when they reach the end-of-life decline.

Expectations Within Time Frame

• Withdrawal from the world and people
• Decreased food intake
• Increase in sleep
• Going inside of self
• Less communication

• Disorientation Physical
• Agitation
• Confusion
• Talking with the unseen
• Picking at clothes
• Physical
• Decreased blood pressure
• Color changes, pale, bluish
• Respiration irregularities
• Sleeping but responding
• Not eating, taking little fluids
• Pulse increase or decrease
• Increased perspiration
• Congestion
• Complaints of body tired and heavy
• Body temperature to be hot/cold

• Intensification of One to Two Weeks signs
• Surge of energy
• Decrease in blood pressure
• Eyes glossy, tearing, half open
• Irregular breathing, stop/start
• Restlessness or no activity
• Purplish knees, feet, hands, blotchy
• Pulse weak and hard to find
• Decreased urine output
• May wet or stool the bed

• “Fish out of water” breathing
• Cannot be awakened