Are you living with an illness: Hospice of Helping Hands, Inc.

Call: 800-992-6592
Nights and Weekends:
866-446-7742

Living with a serious illness often leads to multiple questions. If you found our site through your local doctor or someone who told you we can help, give us a call.

You may not know if you are ready for hospice. Your doctor may or may not have talked to you and your family about our services. Either way, we want you know how we can help you and your family.

These lists are not all inclusive and you may not choose to receive all hospice services. Your hopes, your priorities, your comfort and your quality of life define our care.

What we can do for you:

Control pain and symptoms you are experiencing
Help with advance care planning
Assist in coordinating services that are independent of our organization
(Example, Meals on Wheels)
Provide a spiritual advisor
Arrange for a volunteer companion
Provide counseling or a comfortable atmosphere to voice concerns, hope or reminisce
Assistance with personal activities of daily living
(Example, bathing)
Dietary assistance
Relieve the financial burden of all medications and supplies related to the hospice diagnosis
24/7 availability

What we can do for your family:

Arrange for respite care
Provide counseling or a comfortable atmosphere to voice concerns, hope or reminisce
Provide bereavement services, including counseling and support groups
And of course, all the benefits of hospice care for yourself are benefits to your family as well - they only want you to have the highest quality of life possible for you

Informal Hospice Eligibility Questionnaire

You may be eligible for hospice care if you check four or more statements. However, your primary physician and our Medical Director will make the final decision regarding eligibility. Please check the following statements as they apply to you or your loved one to see if hospice care may be appropriate.

I have started feeling more tired and weak.
I experience shortness of breath, even when resting.
I spend most of the day in bed or in a chair.
I have noticed an increased weight loss in the past six months.
I make frequent phone calls to my physician.
I take medications to lessen physical pain.
I have fallen several times in the past six months.
I have made frequent trips to the emergency room in the past six months.
I need help from others with important daily activities. (bathing, dressing, eating, cooking, walking, getting out of bed)
I have had to take an antibiotic for infection 3 or more times in the past six months.
My physician has told me my life expectancy is limited or terminal (call now)
Name:
Address:
City:	State:	Zip:
Email Address:
Phone Number:
Comments:

If you have checked four or more items on the questionnaire and submitted, we will be calling you promptly. However, if you have checked four or more items on the questionnaire and not submitted, please call our office at 800-992-6592 to speak to a nurse regarding hospice eligibility and how we can help you.

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