Is Hospice the Answer?

If you’re not sure whether hospice care is the right answer for you, this brief questionnaire may help.

Have you…

  • Been hospitalized or ER visits several times in past 6 months?

  • Started taking medication to lessen physical pain?

  • Started spending most of the day in a chair or bed/seeing a functional decline?

  • Fallen several times over the past 6 months?

  • Needed more help with one or more of the following? (bathing, dressing, eating, getting out of bed, walking)

  • Started feeling weaker or more tired?

  • Experienced weight loss? (clothes fitting loosely, dentures not fitting properly)

  • Had a change in diet due to difficulty chewing or swallowing?

  • Developed frequent infections?

  • Developed new wounds or worsening wounds?

  • Shown shortness of breath, even while at rest?