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Originally Posted by Neurotoxin
Gl to him, but do people ever survive hospice?
Yes. Amongst hospice practitioners, it is often called "graduating" from hospice.
Following is a TLDR ramble about hospice, with no Amarillo Slim content at all.
In order to be eligible for hospice (in the US, where hospice is more of a philosophy than a place and is also a Medicare benefit), one must be likely to have a life expectancy of less than six months according to two docs. Sometimes after you admit someone to hospice, it becomes pretty clear that they have improved and no longer meet criteria. You don't automatically get kicked out just because you live longer, but you have to be recertified. In three month intervals, a doc has to recertify that AT THIS TIME, the patient has likely less than six month life expectancy. Most hospices of any size will have at least a couple of patients who have been enrolled for 2+ years.
Dementia or adult failure to thrive are diagnoses where you can see this with some frequency. They are my most common discharge.
It can also come about because of a change of heart regarding goals of care. Had a Lou Gehrig's Disease patient who was enrolled because he had decided that he absolutely didn't want to ever been on a breathing machine or have a feeding tube. (Feeding tubes are unfortunately often placed in situations where they won't help, but ALS is one of the instances where they can clearly prolong patient survival.) We could justify meeting admission criteria based on expected progression of disease. Did aggressive symptom management, and he started to feel much better. He reconsidered his thoughts about a ventilator or a feeding tube based on his improved quality of life. We got him a referral to have a feeding tube placed preemptively (while his lungs could still handle the operation done in a low-risk manner). Then we had to discharge him from hospice, because his life expectancy was greater than six months at that point.
Also, it is possible to be enrolled in hospice while on an organ transplant list. If your name comes up on the list, you discharge from hospice.