Hospice Care is specialized treatment that prioritizes physical, psychosocial and emotional comfort for individuals and their loved ones when curative therapies are no longer effective or wanted. Hospice is considered the model for quality care for people facing a life‐limiting illness.

• Offices throughout Southern California to care for patients in Riverside, San Bernardino, Los Angeles, Orange and San Diego Counties.
• Member of the National Hospice and Palliative Care Organization (NHPCO) "We Honor Veterans" program. Our Veterans deserve extra care and special attention to their unique needs.
• More nursing visits than other providers.
• More Home Health Aid visits than other providers.
• Give Back Campaign - We are committed to supporting local non-profit organizations by choosing an organization each month that will receive a monetary donation. For more information about this program please see that Give Back Campaign section of our website.

• To affirm life physically, mentally, emotionally, and spiritually.
• To empower our patients and families with the knowledge that their decisions and choices will be treated with the utmost respect.
• Delivering state-of-the-art medical care with thoughtful consideration of each person’s personal beliefs and values.
• The continued pursuit for excellence to provide the highest quality service.
• Honestly and integrity in each and every member of our team.

• There is a terminal disease or a life-limiting illness
• A person is no longer seeking aggressive treatment
• Decreased mobility or there is a reduction of Activities of Daily Living. Activities of Daily Living include bathing, dressing, toileting, transferring, continence, and feeding.
• Recent or frequent hospitalizations or trips to the emergency room
• Progressive or unexplained weight loss or a reduced desire/ ability to eat Increasing weakness, fatigue, and somnolence
• Change in mental status or decreased cognitive and functional abilities
• Frequent or recurrent infections
• Wounds that aren’t healing
• Frequent falls
• Increased Edema or swelling
• Continuous use of Oxygen
• Difficulty swallowing
• Uncontrolled or increased pain
• Difficulty in breathing
• Progressive renal insufficiency
• Uncontrolled nausea or vomiting
• Emotional, social or spiritual distress
• Progressive decline in health despite therapy
• General decline

Medications related to Hospice Diagnosis and medications to provide comfort medical equipment such as:
• Hospital Bed
• Wheelchair
• Walker
• Commode
• Bedside Table
• Oxygen
• Nebulizer
• Suction Machine
• CPAP / BiPAP
• Hoyer Lift
Supplies such as:
• Diapers
• Wipes
• Gloves
• Barrier Cream
• Under Pads

• PHYSICIAN:The patient’s primary care physician may be responsible for identifying when they may benefit from hospice care. Collective Hospice encourages physicians to remain involved as a member of the patient care team. Each physician prefers a different level of involvement.
• HOSPICE MEDICAL DIRECTOR: The Collective Hospice Medical Director provides oversight of patient care and support to the hospice care team. The hospice medical director attends a weekly team conference to discuss the plan of care of each patient, establishes goal sand participates in all medical decisions.
• REGISTERED NURSE (RN): The RN coordinates the plan of care with the Hospice Medical Director through initial and ongoing nursing assessments. The RN supervises all care provided by the licensed practical nurse (LVN) and home health aide (CHHA), and coordinates care with the other members of the hospice care team to ensure patient and family spiritual and psychosocial needs are met.
• LICENSED VOCATIONAL NURSE (LVN):The LVN makes regularly scheduled and emergent visits to patients under the supervision of the RN and the Hospice Medical Director.
• NURSE CARE COORDINATOR: Collective Hospice added this role to enhance the experience of our patients and families. The Nurse Care Coordinator is a Nurse that works in our office and is assigned to each patient. The role of this Nurse is to be an extra layer of support and an added resource when patients or families call our office and to assist the care of our field nurses.
• CHAPLIN:The Hospice Chaplain, also sometimes referred to as a Spiritual Care Counselor, provides nondenominational spiritual support to the patient and family as needed. The Chaplain visits once or twice per month or more often, if requested. The care provided by the Hospice Chaplain can address religious issues, however the focus of care is more spiritual, in nature, than religious.
• CERTIFIED HOME HEALTH AIDE (CHHA): The CHHA assists the patient and family with personal care needs such as bathing and grooming. The CHHA can assist with light housekeeping such as changing bed sheets, but the care is not for other housekeeping or meal prep.
• HOSPICE VOLUNTEERS: The Hospice Volunteer can provide companionship and social support to a patient. All Hospice Volunteers are required to attend training prior to being assigned to patients. Hospice Volunteers do not provide any hands-on care and may be available for a few hours per month.
• BEREAVEMENT COORDINATOR :The Bereavement Counselor can help a patient deal with the grief associated with declining health and guide the family through bereavement before and after the loss of a loved one. The Bereavement Counselor can provide bereavement services to the family up to a year, or longer, after a loved one passes.

• Private residence
• Board and Care
• Independent Living Facility
• Skilled Nursing Facility A person must be done with rehab The person must pay privately or have a Medi-Cal insurance that will pay for room and board while on Hospice.
• Hospital - some Hospitals allows Hospice Care under special circumstances

Hospice patients may require differing intensities of care during the course of their disease. The Medicare Hospice Benefit affords patients four levels of care to meet their clinical needs: Routine Home Care, General Inpatient Care, Continuous Home Care, Inpatient Respite Care. The insurance benefit for hospice typically covers all aspects of the patient’s care related to the terminal illness, including all services delivered by the Interdisciplinary team, medication, medical equipment and supplies.