Quote from lexilou
Thanks for your responses, Just found out that Vitas can provide continuous care . If this is true, facility must be assuming that all hospices can provide this. Does anyone know if this is the case? If so, we'll just need to do some further education regarding our hospice services.
I am not quite understanding your question. All hospices are supposed to provide continuous care if the situation merits, but many are not able to do this do to the difficulty of maintaining adequate staffing. Still, it is only for resolution of acute needs and not the solution for a long term decline need.
Is the patient falling while attempting to walk? Is the patient falling because they try to get out of bed but cannot stand without assist? If so, a low bed and a floor pad may be the answer.
I don't think that a nursing home is necessarily the answer because there are falls a plenty in nursing homes too. In a LTC the staff ratio is generally something like 15 patients to every aide at night so there is no way they can keep an eye on everybody every second.
A lot of ALF's will allow hospice patients to stay on in their "home" but they often require that additional help is provided by family to meet the level of need required by the patient.