Hospice Care at Home
When the modern Hospice concept came from England to the U.S., the British model was primarily an institutional one. In England, Hospice is a “place”. But for most Americans, when it comes to WHERE they want to be when they are seriously ill or dying, they respond “...at home…” (Gallop Poll 2007). The American model of hospice, therefore, is designed primarily to support patients to be at home regardless of how ill.
At the same time, however, many also express concerns over “being a burden” to family and friends. Having someone at home does call for dedication and know-how from caregivers. Hospice staff can provide the expertise and assistance to those caregivers. They provide an essential link between the patient and their medical, psychological and spiritual supporters. Caregivers knowing what to expect can make all the difference.
It is important to remember that a patient’s home may also be a personal care home, assisted living facility, or a skilled nursing home. Know that hospice staff can offer the same expertise, assistance, and links that are important to both the patient and facility staff.


