HOW TO DISCUSS HOSPICE WITH YOUR DOCTOR

Alex Midgett • November 1, 2023

Discussing hospice care with your doctor is an important and often emotionally charged conversation. Hospice care is typically considered when curative measures have been ineffective and are unlikely to bring about a cure. Hospice helps those coping with serious illness manage symptoms and focus on finding as much comfort as possible for whatever time remains. Here are a few tips to approach this discussion with your doctor:


1 - Schedule the right kind of appointment:

Schedule an appointment with your doctor that allows enough time for a real conversation. Ensure you have a private and quiet space to discuss sensitive matters.

 

2 - Bring Someone for Support:

You may feel overwhelmed during the conversation, so having a trusted friend or family member with you can provide emotional support and help you remember the details of the discussion.

 

3 - Be Open and Honest:

Start the conversation by expressing your feelings and concerns honestly. You can say something like, "I've been thinking about my condition and the options available. I'd like to discuss the possibility of hospice care."

 

4 - Come Prepared:

Come prepared knowing as much about hospice care as you can, such as how it works, what services are provided, where it can be administered (at home, in a facility), and what to expect. Read online or contact us to learn more. Do not assume your provider is knowledgeable about hospice care, doctors are trained to be curative.

 

5 - Listen to Your Doctor:

Your doctor will advise about hospice and how appropriate it is for your situation. Pay attention to their recommendations and explanations.

 

6 - Share Your Goals and Wishes:

Share your personal goals for care, whether it's to manage symptoms, be at home, or to have more quality time with loved ones. Your doctor can help align these goals with the hospice services available.

 

7 - Include Your Family:

If you have family members involved in your care, include them in the conversation. Discuss their concerns and preferences as well.

 

8 - Consider the hospice team roles:

Your hospice care team may include nurses, social workers, chaplains, and volunteers. Consider how their roles might help your situation and voice how they might help you.

 

9 - Be Ready to Review Any Required Documentation:

Your doctor may make a formal referral to a hospice program. Make sure you understand the process and be ready to review any paperwork he may suggest.

 

10 - Understand Who Pays For Hospice:

Understand who pays for hospice care. If you are on Medicare, it’s a Medicare benefit or your insurance may pay for it.

 

11 - Make an Informed Decision:

After discussing everything in detail, take your time to consider your options. Discuss the decision with your family, loved ones, and other healthcare professionals if necessary.

                       

Remember that the decision to choose hospice care is your personal choice. It should support your values and goals for care. Your doctor's role is to provide information and guidance to help you make an informed decision that best meets your needs and wishes. Learn more here or contact us to learn more.


June 30, 2025
A few months ago, beloved actor Gene Hackman and his wife, Betsy Arakawa, were found deceased in their New Mexico home. Investigators believe Arakawa passed away first—possibly up to a week before Hackman. Shortly before her death, she had reached out to a local clinic . Later, Hackman’s pacemaker data helped confirm the timeline of his own passing. The medical examiner determined that Arakawa died from hantavirus pulmonary syndrome , a rare and dangerous respiratory illness transmitted by rodents. Hackman died from advanced heart disease , with Alzheimer’s disease contributing to his decline. Experts suggest that his cognitive impairment likely prevented him from recognizing Arakawa’s death—or, if he did realize it, he may have experienced confusion, heartbreak, and helplessness before ultimately passing away himself. We may consider Gene Hackman’s last role to be his final lesson, a wake-up call for caregivers and families. It’s a profoundly tragic story—one that reflects a reality many families quietly face. As our loved ones age, especially when one becomes the caregiver, a sudden health crisis can leave the other stranded in a dangerous situation. What Can We Learn? This heartbreaking story offers more than grief—it offers perspective. It’s a reminder to be proactive, observant, and involved in the lives of aging loved ones. Here’s ways we can help. 1. Know the Conditions Affecting Your Loved Ones In Hackman’s case, the central health challenges were heart disease and Alzheimer’s. Recognizing the signs of heart trouble—chest pain, fatigue, breathlessness—and understanding how dementia can mask or confuse those symptoms is critical. 2. Caregivers Need Care Too When the caregiver goes down, the one who relies on them is suddenly exposed. Arakawa’s sudden illness likely left Hackman alone, disoriented, and unable to seek help. Caregivers often suffer in silence, pushing past their limits. Regular check-ins and support for them are just as essential. 3. A Simple Visit Can Save a Life A timely visit from a friend or relative might have changed the outcome. Subtle signs—rodent activity, spoiled food, confusion, hygiene issues—could have triggered help before it was too late. Don’t underestimate the power of simply showing up. What to Watch For: A Family Checklist If you have aging parents, relatives, or friends, here are some key areas to keep an eye on: Physical Health • Sudden weight loss or gain • Bruises, burns, or signs of falls • Unkempt appearance or body odor • Difficulty walking or standing Cognitive & Emotional Well-being • Memory loss or repeating questions • Depression, anxiety, or social withdrawal • Unsafe behavior such as leaving appliances on • Unusual mail or phone activity Home Conditions • Spoiled food, pest presence, or clutter • Safety hazards (dim lighting, loose rugs) • Appliances or plumbing not working Nutrition & Kitchen Safety • Expired food or low food supply • Dirty or neglected kitchen tools • Avoiding cooking altogether Medication Compliance • Confused about medications or missed doses • Expired or improperly labeled prescriptions Social Interaction • Isolation or reluctance to leave the house • Loss of interest in hobbies or community involvement Financial Awareness • Unpaid bills or unopened mail • Signs of financial exploitation or scams Tech & Communication • Can they use a phone in an emergency? • Are they responsive to calls or messages? What To Do If You Notice a Problem If you see red flags, don’t panic—but don’t ignore them either. Start with an honest, caring conversation. Explain that your concern comes from love, not judgment. Then, consider next steps: • Schedule a check-up with their doctor • Bring in help, even part-time support • Assess whether the home needs modifications • Explore new living arrangements if necessary Whether it’s weekly dinners, video chats, or simple texts—stay involved–consistent contact keeps you in tune with your loved ones’ needs and builds a safety net they may not even know they need. Final Thought If Gene Hackman’s last role is to serve as a final lesson, it’s a wake-up call for caregivers and families. Gene Hackman’s final days are a sobering reminder: Don’t wait until something goes wrong. Aging can be beautiful—but it also comes with risk, especially in solitude. Let this story motivate you to reconnect, check in, and truly see how your loved ones are doing. Additional Resources: Learn more about Congestive Heart Failure: https://www.ascendhealth.com/caring-for-a-loved-one-with-chf-this-summer https://www.ascendhealth.com/caring-for-a-loved-one-with-chf Learn more about dementia and Alzheimer’s disease: https://www.ascendhealth.com/alzheimers-caregiving-7-signs-its-time-for-extra-support https://www.ascendhealth.com/coping-with-alzheimers-anxiety-and-depression Need a health or safety assessment for a loved one? Contact Us or call today.
May 27, 2025
Honoring your dad on Father’s Day after he has passed can be a meaningful and healing experience. Here are ten ways to remember and celebrate him: 1 - Wear or Carry Something of His – A watch, a shirt, a piece of jewelry—something that belonged to him can provide comfort and keep his presence close. 2 - Dedicate a Song or Playlist – Create a playlist of songs that remind you of moments you’ve shared together. 3 - Recreate a moment in time – Recreate a favorite memory (fishing trip, movie night, road trip) 4 - Plan a Dad’s night out - plan an outing to one of his favorite places. It could be a restaurant, a game, or simply a scenic spot. 5 - Plan a Dad’s night in - Invite family and friends over to reminisce and serve a buffet of his favorite foods. 6 - Build Something Meaningful - if you’re good with your hands, build something he would have liked. If you’re not you can always buy something like a bird house and mount it outside in his honor or have a memory bear made from some of his favorite clothes. 7 - Frame Something – buy a store-bought frame or go to a frame shop. Frame a quote, his quote or one that he liked. Or frame a photo of one of his favorite things like a sports team photo, a movie scene image, or a favorite athlete or musician. 8 - Create a Video or Slideshow – Gather old photos and videos, and compile them into a slideshow with music that he loved. 9 - Honor His Legacy – Start an interactive tradition in his honor like a family gathering, storytelling night, or community service. 10 - Plant Forget-me-nots in a favorite place or deliver potted Forget-me-nots to others that miss him too. No matter how you choose to honor your dad, focus on the love you have for him and realize and embrace that he loved you. He wouldn’t want you to cry all day, he would want you to smile and remember the good moments. Read also how to survive your first Father’s day without Dad .