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Mom has really bad dementia and is in stage 4 renal failure. She will not be having dialysis because she also has a bleeding condition. We may be having to move her to a mattress on the floor because she wants to out of bed anywhere from 4-10 times at night. Is all of this a situation one in which we ask for hospice? I think that part of her confusion is due to the urea building up in her blood stream. She has been going down hill since late Nov. She is a huge fall risk and very unstable when walking so we use a wheel chair to move her around as much as possible.

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I would ask your Mom's primary doctor if he/she thinks it is time to call in Hospice. Then the Hospice doctor will give the green light to go if he/she thinks it is time for that added layer of care.
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We do have an appt this coming Thursday and that is why I was asking people here for opinions. Thank you for your responce!
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The biggest mistake most people make with hospice care is not taking advantage of it as soon as they could.
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Mom lives in an "age in place" assisted living home now. She will not have to be moved to another place. The owner told me that hospice would arrange for all of her care and get things approved through Medicare. Moms insurance told me that once the dr says time to call hospice then her insurance no longer so covers her and Medicare takes over. Somewhere along the line a social worker gets involved do I have been told.
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Hospice is the way to go. They will have a social worker, case manager and probably an RN evaluate your needs and set up a program. Keep in mind hospice is not a 24/7 care service. Her basic care needs will,still have to be dealt with.
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