DHS 131.25(6)(a)(a) Bereavement services. Bereavement services shall be provided to families of hospice patients. Each hospice shall have its own bereavement program. Bereavement services shall be:
DHS 131.25(6)(a)1.1. Coordinated by an individual who possesses the capacity by training and experience to provide for the bereavement needs of families, including the ability to organize a program of directed care services provided to family members. DHS 131.25 (6).
DHS 131.25(6)(a)2.2. Compatible with the core team’s direction within the plan of care for the patient.
DHS 131.25(6)(a)3.3. Available for one year following the patient’s death as part of an organized program and provide all of the following:
DHS 131.25(6)(a)3.a.a. Orientation and training to individuals providing bereavement services to ensure that there is continuity of care.
DHS 131.25(6)(a)3.b.b. Service intervention either directly or through trained bereavement counselors.
DHS 131.25(6)(a)3.c.c. Assignment, supervision and evaluation of individuals performing bereavement services.
DHS 131.25(6)(a)3.d.d. Referrals of family members to non-hospice community programs where appropriate.
DHS 131.25(6)(b)(b) Dietary counseling. Dietary counseling services shall be provided only as authorized by the hospice and in conjunction with the plan of care. The services shall be provided by a registered dietitian or an individual who has documented equivalency in education or training. Dietary services shall be supervised and evaluated by a registered dietitian or other individual qualified under this paragraph who may delegate acts to other employees. Dietary counseling services shall consist of all of the following:
DHS 131.25(6)(b)1.1. Assessment of nutritional needs and food patterns;
DHS 131.25(6)(b)2.2. Planning diets appropriate for meeting patient needs and preferences; and
DHS 131.25(6)(b)3.3. Providing nutrition education and counseling to meet patient needs, as well as necessary consultation to hospice employees.
DHS 131.25(6)(c)(c) Spiritual counseling. The hospice shall do all of the following:
DHS 131.25(6)(c)1.1. Provide an assessment of the patient’s and family’s spiritual needs.
DHS 131.25(6)(c)2.2. Provide spiritual counseling to meet these needs in accordance with the patient’s and family’s acceptance of this service, and in a manner consistent with patient and family beliefs and desires.
DHS 131.25(6)(c)3.3. Make all reasonable efforts to facilitate visits by local clergy, pastoral counselors, or other individuals who can support the patient’s spiritual needs to the best of its ability.
DHS 131.25(6)(c)4.4. Advise the patient and family of this service.
DHS 131.25 HistoryHistory: CR 10-034: cr. Register September 2010 No. 657, eff. 10-1-10; CR 19-092: am. (6) (a) 1., (b) Register July 2020 No. 775, eff. 8-1-20.
DHS 131.26DHS 131.26Non-core services.
DHS 131.26(1)(1)General requirements. A hospice is responsible for providing care and services to a patient and, as necessary, the patient’s family, based on the plan of care developed by the core team. Volunteers shall participate in the delivery of program services. The hospice may provide other services as follows:
DHS 131.26(1)(a)(a) Therapy services. Therapy services are provided in accordance with the plan of care for the patient and by individuals who meet qualification requirements for therapy service delivery such as evidence of current licensure or registration and academic training. Therapy services shall consist of all of the following:
DHS 131.26(1)(a)1.1. Physical, occupational, speech and language pathology or respiratory therapy.
DHS 131.26(1)(a)2.2. The provision of a patient assessment as directed by the plan of care.
DHS 131.26(1)(a)3.3. The development of a therapy plan of care.
DHS 131.26(1)(b)(b) Homemaker services. If homemaker services are provided, they shall be provided in accordance with the patient’s plan of care and shall consist of:
DHS 131.26(1)(b)1.1. Housekeeping activities.
DHS 131.26(1)(b)2.2. Performing errands and shopping.
DHS 131.26(1)(b)3.3. Providing transportation.
DHS 131.26(1)(b)4.4. Preparing meals.