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It’s a 2 part system, their MD has to write orders for a Hospice consult to be done which in turn is given to a Hospice group who sends out a trained Hospice RN to do an evaluation. Hospice group will have a MD medical director but they are never on site in my experience.

The bigger Hospice groups (vitas, compasses, southern) can get equipment (beds, specialized mattress, Geri chairs) out & set up within hours. Smaller independent Hospice perhaps not. Remember Hospice is a Medicare paid benefit, so in theory it’s “self-directed”, so you can as dpoa select or even change the vendor providing Hospice.

Also if this is at-home Hospice and your elder is on back box warning, highly regulated drugs (like Fentanyl) ask if that is an issue.
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The persons doctor can order hospice care if they judge the patient has 6 months or less to live. Ask the doc and/ or call a local hospice organization for an evaluation.
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