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  • Writer's pictureHospice of the Fisher Home

How to Choose Between At-Home and In-Residence Hospice Care

Facing the reality of hospice care for yourself or a loved one can be a challenging journey. One of the many decisions is whether to opt for at-home hospice care or consider an in-residence facility. Hospice of the Fisher offers both of these options, and each one is an excellent choice. 


Both options come with their own set of benefits and considerations. Making the “right” choice depends on your situation and preferences. If you’d like to learn more about either choice, check out this blog post or contact us today! 


two healthcare professionals in an office setting


Understanding At-Home Hospice Care


At-home hospice care offers individuals the opportunity to receive end-of-life care in the comfort of their own homes, surrounded by a familiar setting. Some key points to consider are:


  1. Familiarity: Remaining in familiar surroundings can provide comfort and a sense of security for both the patient and their family members. Being in a familiar environment can help reduce stress and anxiety during an already challenging time. However, a facility can still provide amazing comfort. 

  2. Personalized Care: At-home hospice care allows for highly personalized care plans tailored to the individual's specific needs and preferences in their home. Caregivers work closely with the patient and their family to ensure their comfort and well-being. While care in a facility like the Fisher Home is extremely personalized, this may not be the case everywhere. 

  3. Family Involvement: Family members are often more involved in the caregiving process in at-home hospice care, providing emotional support and actively participating in the patient's care. However, facilities like the Fisher Home make sure that family members are as involved as possible.


Considerations for At-Home Hospice Care


in residence hospice care illustrattion


  • Availability of Caregivers: It's important to assess whether there are sufficient at-home caregivers available to provide round-the-clock care at home.

  • Home Environment: Consider whether the home environment is conducive to providing proper care, including accessibility and safety concerns.

  • Emotional Support: Evaluate the emotional and psychological support available for both the patient and their caregivers, as at-home care can be emotionally demanding.


Exploring In-Residence Hospice Care


In-residence hospice care, often provided in specialized facilities or hospice centers, offers a supportive environment where patients can receive comprehensive care from trained professionals. One of the main benefits of in-residence hospice care is 24/7 Medical Support. In-residence hospice facilities typically have round-the-clock medical staff available to attend to patient's needs, providing peace of mind for both patients and their families.


Additionally, there is another level of community when at an in-residence facility. In-residence hospice care provides opportunities for social interaction and community support, as patients can connect with others going through similar experiences and volunteers. However, volunteers do head out into the community with the Fisher Home Community Program!


Considerations for In-Residence Hospice Care


  • Adjustment Period: Moving to an unfamiliar environment can be challenging for some patients, and it may take time to adjust to the new surroundings.

  • Cost and Insurance Coverage: It's essential to consider the financial implications of in-residence hospice care and whether it is covered by insurance or other sources of funding.

  • Distance from Family: If the facility is located far from family members, it may impact their ability to visit regularly and provide support.


Making the Decision


When deciding between at-home and in-residence hospice care, it's crucial to consider the unique needs and preferences of the patient and their family. Here are some steps to help guide your decision-making process:


  1. Assess Care Needs: Evaluate the level of care required based on the patient's medical condition and prognosis.

  2. Discuss Preferences: Have open and honest discussions with the patient and their family members about their preferences and priorities for end-of-life care.

  3. Consult with Healthcare Professionals: Seek guidance from healthcare professionals, including doctors, nurses, and hospice care providers, who can offer insights and recommendations based on their expertise.

  4. Tour Facilities: If considering in-residence hospice care, take the time to visit potential facilities and assess the quality of care and amenities offered.

  5. Consider Emotional and Practical Factors: Take into account emotional, practical, and logistical factors, such as the patient's comfort level, family support system, and financial considerations.


Ultimately, the decision between at-home and in-residence hospice care is deeply personal and should prioritize the comfort, well-being, and dignity of the dying person. By carefully considering the options and seeking support from healthcare professionals and loved ones, you can make the best choice for your unique circumstances.


If you live in the Pioneer Valley and need further guidance or support in navigating hospice care options, don't hesitate to reach out to Hospice of the Fisher Home. We're here to help you every step of the way on this journey. If you'd like to support our mission, donate today!




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