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They don’t have any children and wife is ill. We are the closest living relatives. We don’t know anything about their finances and he doesn’t “meet the criteria” for hospice. How do we begin to plan!!?
I'd like to know how a 95 year old with stage 4 cancer can not be eligible for hospice 😠, IMO there is no way that is correct, something got lost or misunderstood somewhere along the way - I think your first priority should be to get that corrected.
95 and stage 4 (as bad as it gets) pancreatic and he doesn't meet criteria for hospice? That makes utterly ZERO sense, and am wondering who told you that. That is unimaginable. It is very likely he will be able to go home with an ailing wife. If he makes it out of the hospital (he may not) then he will require placement. With the lack of children and a wife who cannot function social services may well go for guardianship; that may be a very good thing, indeed. I would not attempt to intervene in any of this except to visit if you are nearby. I caution you not to do the POA thing on a couple you do not really know much about at all or have contact with unless you are experienced and capable. I am currently doing this for my brother who has a simple life, simple estate, simple everything and IT IS NOT IN THE SLIGHTEST SIMPLE. Courts can appoint Fiduciaries in cases like this who function very very well. Social Services will be well aware by now that there is no family involved. If the wife lives close to you you may want to be a support to her in future; her husband has a very short time left to live.
My husband is pretty distraught with the news about his uncle I will ask him again. Is it possible that without financial information they could refuse hospice?
My 62 yo SIL died within 6 weeks of her stage 4 Pancreatic Cancer diagnosis.
Who told you (or told your husband) that uncle is not eligible for hospice? Maybe he's not eligible for REHAB, which would be a whole different kettle of fish.
Someone needs to talk to the discharge planning folks at the hospital. Note that hospice does not cover 24/7 care; if he goes home, someone needs to be with him all the time.
Best case scenario, IMO is that he gets discharged, private pay, to a NH if he's not eligible for Medicaid. And Hospice gets brought in to manage his care there.
Being Financial POA does not make one responsible for bills. One must be careful not to sign as oneself but only as POA for the person involved. Can uncle still physically sign documents? If so, he should sign them himself.
Hospice is a Medicare-paid benefit; not having all their financial information shouldn't be a bar to getting hospice. It WOULD be a deterrent to getting him admitted into a hospice facility or nursing home, because unless he has Medicaid, he would be admitted as a private pay patient.
WTH?? Stage 4 pancreatic cancer and he doesnt meet the criteria?!?! Thats not true....his oncologist can set up a referral to hospice...i used to work in oncology and i lived through this myself, as my husband was diagnosed with same.....he lived less than 3 months after his diagnosis and we had hospice.....they helped tremendously. Is anyone assigned as POA for health and financials? If so, that person should be talking to drs and get this straightened out pronto.....so sorry.....
Try other hospice providers. If this person doesn’t meet criteria, I don’t know who would. Realize pancreatic cancer will eventually cause his demise and most likely within 6 months.
Something is not right. If his uncle has Medicare, his uncle should qualify for hospice with a diagnosis of stage 4 cancer.
Now that your husband has POA, have him sign a DNR/DNI so that, if his uncle does arrest, they will not resuscitate him, which is a shockingly violent act and, on a 95 year old, likely to break bones, cause organ damage, and land him on a ventilator where he will die from pneumonia in a matter of weeks. And all those days or week of treatment in an ICU bring in big $$$money$$$ for the hospital.
Help your husband advocate for his uncle to be put on comfort measures with hospice so that he gets a good death.
Medicare or not If he is seeking treatment for the cancer he is not eligible for Hospice. He would be eligible for Palliative that would lead into Hospice if he chose to
Call a hospice provider directly. I had tried to talk to hospital staff about hospice for my mom, and everyone blew it off. When a hospice provider came on directly, my mom was well qualified. Often hospitals won't help with that as they only focus on healing and not palative care. Once hospice came on board it became much easier for us. Also, check with his wife about his continued care. Best of luck and bless you for helping.
By proceeding, I agree that I understand the following disclosures:
I. How We Work in Washington.
Based on your preferences, we provide you with information about one or more of our contracted senior living providers ("Participating Communities") and provide your Senior Living Care Information to Participating Communities. The Participating Communities may contact you directly regarding their services.
APFM does not endorse or recommend any provider. It is your sole responsibility to select the appropriate care for yourself or your loved one. We work with both you and the Participating Communities in your search. We do not permit our Advisors to have an ownership interest in Participating Communities.
II. How We Are Paid.
We do not charge you any fee – we are paid by the Participating Communities. Some Participating Communities pay us a percentage of the first month's standard rate for the rent and care services you select. We invoice these fees after the senior moves in.
III. When We Tour.
APFM tours certain Participating Communities in Washington (typically more in metropolitan areas than in rural areas.) During the 12 month period prior to December 31, 2017, we toured 86.2% of Participating Communities with capacity for 20 or more residents.
IV. No Obligation or Commitment.
You have no obligation to use or to continue to use our services. Because you pay no fee to us, you will never need to ask for a refund.
V. Complaints.
Please contact our Family Feedback Line at (866) 584-7340 or ConsumerFeedback@aplaceformom.com to report any complaint. Consumers have many avenues to address a dispute with any referral service company, including the right to file a complaint with the Attorney General's office at: Consumer Protection Division, 800 5th Avenue, Ste. 2000, Seattle, 98104 or 800-551-4636.
VI. No Waiver of Your Rights.
APFM does not (and may not) require or even ask consumers seeking senior housing or care services in Washington State to sign waivers of liability for losses of personal property or injury or to sign waivers of any rights established under law.
I agree that:
A.
I authorize A Place For Mom ("APFM") to collect certain personal and contact detail information, as well as relevant health care information about me or from me about the senior family member or relative I am assisting ("Senior Living Care Information").
B.
APFM may provide information to me electronically. My electronic signature on agreements and documents has the same effect as if I signed them in ink.
C.
APFM may send all communications to me electronically via e-mail or by access to an APFM web site.
D.
If I want a paper copy, I can print a copy of the Disclosures or download the Disclosures for my records.
E.
This E-Sign Acknowledgement and Authorization applies to these Disclosures and all future Disclosures related to APFM's services, unless I revoke my authorization. You may revoke this authorization in writing at any time (except where we have already disclosed information before receiving your revocation.) This authorization will expire after one year.
F.
You consent to APFM's reaching out to you using a phone system than can auto-dial numbers (we miss rotary phones, too!), but this consent is not required to use our service.
It is very likely he will be able to go home with an ailing wife. If he makes it out of the hospital (he may not) then he will require placement. With the lack of children and a wife who cannot function social services may well go for guardianship; that may be a very good thing, indeed. I would not attempt to intervene in any of this except to visit if you are nearby.
I caution you not to do the POA thing on a couple you do not really know much about at all or have contact with unless you are experienced and capable. I am currently doing this for my brother who has a simple life, simple estate, simple everything and IT IS NOT IN THE SLIGHTEST SIMPLE.
Courts can appoint Fiduciaries in cases like this who function very very well. Social Services will be well aware by now that there is no family involved. If the wife lives close to you you may want to be a support to her in future; her husband has a very short time left to live.
Who told you (or told your husband) that uncle is not eligible for hospice? Maybe he's not eligible for REHAB, which would be a whole different kettle of fish.
Someone needs to talk to the discharge planning folks at the hospital. Note that hospice does not cover 24/7 care; if he goes home, someone needs to be with him all the time.
Best case scenario, IMO is that he gets discharged, private pay, to a NH if he's not eligible for Medicaid. And Hospice gets brought in to manage his care there.
Hospice is a Medicare-paid benefit; not having all their financial information shouldn't be a bar to getting hospice. It WOULD be a deterrent to getting him admitted into a hospice facility or nursing home, because unless he has Medicaid, he would be admitted as a private pay patient.
I can't fathom that he doesn't qualify for hospice.
Get someone to explain what the problem is, did a sloppy doctor code something wrong? What needs to happen to get this man care?
I am very sorry that your family is going through this difficult time.
May God grant you strength and wisdom to deal with this situation. Hugs!
Now that your husband has POA, have him sign a DNR/DNI so that, if his uncle does arrest, they will not resuscitate him, which is a shockingly violent act and, on a 95 year old, likely to break bones, cause organ damage, and land him on a ventilator where he will die from pneumonia in a matter of weeks. And all those days or week of treatment in an ICU bring in big $$$money$$$ for the hospital.
Help your husband advocate for his uncle to be put on comfort measures with hospice so that he gets a good death.
Also, make it very clear in every conversation with everyone that there is no one to care for him in his current living situation.
He needs in patient hospice snd that’s how he’ll get it.
If anyone shows any sign of being willing to take him home, the hospital will stop right there and that will NOT be the best care for him.
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