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My Mom is assisted living under hospice care with CHF, however she has improved since hospice care commenced almost 2 months ago, her assisted living said she is probably better enough for home health care rather than hospice, I am not sure of the pros and cons, Mom does not want more hospitals emergency room or skilled nursing rehab facility visits, she is comfortable, not sure what to do.

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What is chf? How long does the doctor think she will live now that she has improved? Have the hospice people said anything about not continuing with your mom because she has improved? Sounds like she needs to stay in her assisted living unless she is at the point where she needs nursing home care.

There are no guarantees against ER visits or skilled nursing home rehab visits. My mother went to a skilled nursing home rehab after a stroke and did walk again. However, at the assisted living place she fell and broke her hip. She was once again sent to a skilled nursing home rehab to help her walk again which she never did and during her 4 years in that nursing home went to the ER (emergency room) several times.
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Is CHF congestive heart failure?
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Yes congestive heart failure, usually less predictable than other things people are under hospice care, could be tomorrow ( her heart has stopped before and she got CPR in hospital and revived ) or could be a year or more, in hospice you don't go to ER for things related to your hospice care. Mom often says why didn't they just let me die ( she is now a DNR)
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My step-dad has chf and has lived for several years. He recently had a stroke which may mean that he can no longer live at home anymore. I wonder how long hospice will stay with your mom since chf is less predictable than other things.

My step-mother has pulmonary fibrosis and has lived past the number of years one normally has after such a diagnosis. The doctors are not always right even about the more predictable diseases.

Although my mother had a living will stating her desire to die a natural death, the nursing home told me that I had to chose for her to be DNR or not as her medical POA. I chose for her to be DNR and she died a natural death from one final stroke.
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What did the doctor tell you? A person is only eligible for hospice if the condition is fatal, incurable and life expectancy is less than 6 months. According to infolongtermcare.org, hospice care can be delivered in different settings and home is one of them. It also offers a variety of services. If they advised that you mom would be better for home health care, then you might as well speak to the doctors to know the exact situation and condition of your mom, did he tell you how long your mom is going to live? I am sorry to be asking this question but you need to know specific details on your mom's condition. A hospice can be either in an ALF, nursing home or home, depending on the preference of the care recipient. Often times, doctors urge family members to get hospice care sooner, before the condition of long term care recipient gets worse, home health care may be the most comfortable setting but you need to know everything before you decide.
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If she is comfortable in Assisted Living, she should stay there. The Hospice can be withdrawn, and she can remain in Assisted Living. Did I miss something? CHF-congestive heart failure- does not go away.
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A doctor at the hospital suggested hospice as Mom specifically does not want to keep going to hospital ER and wants to be DNR but I guess congestive heart failure is not as predictable as some things hospice is provided for. Mom isn't going to get better as her heart is failing both sides. I did speak to the hospice director and she said Mom can remain on hospice as long as the doctors say so, they seem to agree she will go up and down with her condition. No one has said how long she has, hard call. The asst living is where she will stay, the director at her asst living suggested Home Health but maybe he is just being positive. Hospice is paid for where home health I believe has more restrictions and more out of pocket expenses.
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