Frequently Asked Questions (FAQ)
What is a guide for determining if someone is considered homebound?
Patient is Considered Homebound Status
- Unable to leave home without maximum assistance and/or effort
- Unable to ambulate
- Unsteady gait with assistive device
- Unable to negotiate stairs; requires the assistance of one to two people to ambulate
- Requires an assistive device to ambulate
- Poor ambulation – prone to falls
- Post-operation weakness
- Severe dyspnea on exertion
- Difficult and taxing effort to leave home
- Medical restrictions – open draining wound, leg elevated at all times
- Severe dizziness
- Compromised mental status
Absences that DO NOT Affect Patient’s Homebound Status
- Absence from home to receive healthcare treatment
- Absence for purpose of attending a religious service
- Occasional absences for non-medical reasons, i.e. family reunion, funeral, graduation, wedding
Absences that DISQUALIFY Patient’s Homebound Status
- Leaving home against medical advice
- Leaving home for business purposes, work or attendance at school
- Leaving home frequently for non-medical reasons even if it requires difficult or taxing effort
- Leaving home several times a week (routinely) to go out for a meal
What is the difference between palliative care and hospice care?
Both palliative and hospice care focus on a comprehensive approach to care, including help with pain and symptom management, nutritional needs, personal, emotional and spiritual well-being.
However, hospice care is appropriate when a patient’s life expectancy is about six months and the focus is to seek quality of life and provide emotional support for the patient’s family and caregivers.