If your loved one wishes to stay at home up till the very end, then you need to make that wish clearly known to your RN casemanager, the social worker, your physician and any other hospice staff who inquires about your wishes. If there are other family members available to help out, discuss this decision with each other, and make sure that all family members are working together toward your goal.
Hospices can provide services which help during part of the day.
At the Routine Home Care Level of Care, the hospice would be sending out Home Health Aides to help with bathing, dressing, basic bedside care and activities of daily living. They can sometimes send out home service aides to help with housework or cooking and other tasks. Volunteers from the community who serve at your hospice can also spend time with your loved one, freeing up time for you to go out if needed, or just to get a break from caregiving. The RN casemanager and other nurses will be visiting periodically during the week to evaluate your loved one's condition, monitor for any changes, and to make sure your loved one is getting the medications and services needed meet his or her needs. However, in some cases, you should be prepared for hospice staff who might attempt to convince you to bring your loved one to the hospice facility.