*SIGH!!!* Although I UNDERSTAND why hospices have "marketers", it still leaves a bad taste in my mouth that Hospice is "marketed". It is a disservice, not just to the nurses (and CNA's, and SW's, and Chaplains) to "recruit" people that are INAPPROPRIATE for Hospice, but it does the patient and the family a disservice as well!!!! Hospice is not just a SERVICE, there is a PHILOSOPHY involved, and it is ESSENTIAL that patients and families SHARE that philosophy in order to get the services they need and want!!! If a person has stage 4 metastatic cancer and has been told they are terminal, etc., if they STILL want to "do everything they can" and go to the ER and try experimental stuff, and be hooked up to everything, etc., THEY ARE NOT READY FOR HOSPICE!!!!!!! There are people on this planet who will DIE before they are ever ready for Hospice - they will die long, slow, painful deaths, and they (and their families) will CHOOSE this! These folks need home health, long term care, or another service THEY DO NOT "NEED" HOSPICE!!!! I get so SICK AND TIRED of hearing from Marketing and from the ED that we "just need to educate the patient/family" when we get these kind of admissions. B*##!T! Yes, I think that education needs to be done, but at some point, out of RESPECT for the patients and families (as well as respect for the folks who work in Hospice), there are folks who, no matter HOW MUCH education is provided, WILL NEVER BE READY FOR HOSPICE! NEVER!!!! And these folks need to be referred to another agency/service to help them. Sorry, I know that makes the "census go down", but it's the RIGHT THING TO DO. I love Hospice, and I think it is a WONDERFUL thing (if I didn't, I wouldn't do it), and it makes me sad sometimes to see the choices that some folks make for themselves and for their family members - but I just have to DEAL WITH IT because that is THEIR CHOICE!!! And, as wonderful as Hospice is, IT IS NOT RIGHT FOR EVERYONE WHO "QUALIFIES" FOR IT PHYSICALLY!
Somehow, there needs to be a way to educate and market to the public in such a way that the folks for whom Hospice can be of benefit, they get it - but without essentially forcing people to take/accept a service they don't really want.