What are the 5 wishes in hospice?

"Hospice 5 Wishes" refers to the Five Wishes document, a popular advance care planning tool that helps people specify their medical, personal, emotional, and spiritual wishes for end-of-life care, making it a crucial companion for hospice discussions by documenting preferences for comfort, treatment, dignity, and who makes decisions for them, removing guesswork for loved ones and care providers.

What are the Five Wishes for terminally ill patients?

• My Healthcare Advocate. Choose the person you trust most to make legal healthcare decisions and carry out your wishes when you can't do so yourself.
• My Treatment Wishes. ...
• How Comfortable I Want to Be. ...
• How I Want People to Treat Me. ...
• What I Want My Loved Ones to Know.

What are the five types of wishes?

"Five Wishes" is a popular, easy-to-use advance directive document that helps people plan for serious illness by outlining their personal, emotional, spiritual, and medical preferences, covering who makes decisions, desired treatments, comfort, how they want to be treated, and what they want loved ones to know, ensuring their dignity and wishes are respected when they can't speak for themselves.
 

How much does Five Wishes cost?

This easy-to-use legal advance directive is written in everyday language and available in 32 languages. This trusted document has more than 40 million copies in circulation. Order 10 or more for $2 each. 25 or more for only $1 each.

Can I get 5 wishes for free?

The Five Wishes

How it works: Go to the Five Wishes online site, and create a secure “account” at no cost, with a password that gives you 30 days to complete the form. A short, very useful tutorial provides tips and examples.

The Impact of Five Wishes in Palliative Care

What states is the 5 wishes legal in?

The Five Wishes document is legally recognized as an advance directive in most U.S. states and D.C., but requires an extra step (attaching the state's form) in Kansas, New Hampshire, Ohio, and Texas, which have specific statutory requirements. While it's a widely accepted tool for end-of-life planning across the country, its full legal standing depends on state-specific laws. 

What qualifies you to make a wish?

Who is eligible for a wish? A child who has reached the age of 2½ and is under the age of 18 at the time of referral who has a critical illness is potentially eligible for a wish.

What is the 80/20 rule in hospice?

The 80/20 rule is part of the Medicare hospice rule that ensures most hospice services are delivered where patients feel most comfortable — at home. Under this guideline, at least 80% of all hospice care must be provided in a patient's home setting, such as a private residence, assisted living, or nursing facility.

Does hospice pay for 24 hour care at home?

Hospice: Yes. Hospice can provide 24 hour-care with nurses or hospice aides for patients who need acute symptom management and want to remain at home. Home health: No.

What is the downside of hospice?

Disadvantages of hospice care include limited curative/experimental treatments, potential for increased family caregiver burden, inconsistent or inadequate staffing/visits, and challenges with pain management for complex cases, alongside emotional difficulties and a potential for late referrals due to misunderstanding or denial, leading to a difficult transition from curative care. Financial pressures on hospices can also limit certain costly diagnostic tests or hospitalizations, even when desired.
 

Is 5 wishes a power of attorney?

Five Wishes is an advance care planning resource that includes both the medical power of attorney and a living will, along with other items that become important for your healthcare providers and family to know about.

What are the 5 most common questions you ask a patient?

Some of the most common questions are:

• What brings you in today?
• What are your symptoms?
• When did your symptoms start?
• Have your symptoms gotten better or worse?
• Do you have a family history of this?
• Have you had any procedures or major illnesses in the past 12 months?

What are 5 examples of wishes?

We use the verb wish or the phrase if only to talk about things which we want but which are not possible:

• I wish I could see you next week. ...
• I don't like this place. ...
• I wish I was/were taller. ...
• I wish I had worked harder when I was at school. ...
• Imagine you won the lottery. ...
• Suppose you hadn't passed your exams.

What are the 4 things to say at the end of life?

The four things to say

I love you. I am sorry. Please forgive me. Thank you.

Are Five Wishes legally binding?

Yes. It meets the legal requirements for an advance directive in 42 U.S. states and the District of Columbia. In the other eight states your completed Five Wishes can be attached to your state's required form.

What medical conditions qualify for make a wish?

What are the Qualifying Conditions to be Eligible for a Wish?

• Neurology (e.g. SMA, Rett syndrome, uncontrolled epilepsy)
• Cardiology (e.g. complex congenital defects, heart failure, transplant)
• Hematology (e.g. sickle cell disease, aplastic anemia, SCID)

What hospice won't tell you?

Hospice often doesn't fully convey that while it shifts focus to comfort and quality of life, it requires family involvement for daily tasks, support continues after death, you have more control than you think (can revoke anytime), and the care team's time varies, so families must advocate for needs like symptom management and emotional support, even though it's generally covered by insurance. It also doesn't hasten death but helps patients live meaningfully with a life-limiting illness, often starting sooner than families realize.
 

What medications are not allowed on hospice?

There isn't a strict "not allowed" list, but hospice stops medications that are curative (fighting the disease), preventive, or not related to comfort, focusing instead on symptom management for the terminal illness; this often includes statins, blood thinners, many blood pressure/sugar meds, chemo, and some dementia drugs, while continuing those for pain, nausea, or anxiety, with the hospice team making individualized decisions. 

Does hospice help with bathing?

Yes, hospice care absolutely helps with bathing and other personal care (Activities of Daily Living) through trained hospice aides who visit regularly, providing dignity and comfort by assisting with hygiene, dressing, grooming, and using safety equipment, all covered by Medicare.
 

What not to say to hospice?

When talking to someone in hospice, avoid false hope ("You'll beat this!"), minimizing their feelings ("Everything happens for a reason"), making it about you ("This is so hard for me"), unsolicited advice, comparisons to others, or religious platitudes, as these invalidate their experience; instead, offer presence, listen actively, validate their feelings with phrases like "I'm here for you," and focus on their needs and shared memories.
 

What is the life expectancy of a person in hospice?

Hospice care is for those with a life expectancy of six months or less, but actual stays vary widely; many patients enroll late, living only days or weeks, while others (like Jimmy Carter) live much longer if they continue to meet the terminal illness criteria, with some even "graduating" if their condition improves. Average stays range, with some data showing a median of around 90 days for Medicare patients, but about half die within three weeks, and a smaller percentage live over six months. 

What is the difference between hospice and palliative care?

Palliative care provides symptom relief and support for serious illnesses at any stage, alongside curative treatments, working with your regular doctors; hospice is a specific type of palliative care for those with a prognosis of six months or less, where curative treatments stop, focusing solely on comfort and quality of life in the final phase of life, often covered by Medicare. The key difference is timing and intent: palliative can run alongside curative care for years, while hospice is for the end-of-life period when curative options are no longer pursued. 

What wishes are not allowed in Make-A-Wish?

You can't wish for things that are illegal, directly give cash, request major medical treatments/equipment, own vehicles (though restorations are possible), or get a pet/service animal, with Make-A-Wish focusing on unique experiences, not financial aid or standard medical needs, but rather fulfilling a child's biggest dreams like meeting a hero, a special trip, or a fun item. 

What are the three rules of wishes?

The standard rules for three wishes typically involve limitations like no wishing for more wishes, no killing or bringing people back from the dead, and no forcing love, though rules vary by story, often reflecting the genie's nature or a desire to prevent catastrophic outcomes, with some interpretations suggesting genies can be tricked or that rules aren't always absolute. 

What is the average cost of a Make-A-Wish?

Granting a Make-A-Wish costs around $10,000 on average, but the actual cost varies by wish complexity, location, and whether it's fulfilled with cash or in-kind donations (like donated flights or hotel stays). Families never pay for their child's wish; Make-A-Wish covers all expenses, including travel and spending money. Donors can sponsor a wish for around this average cost, or contribute to specific wish components through programs like Adopt-A-Wish.