On admission, the hospice interdisciplinary team will develop an individual plan of care for you. It is based on your admission information, physical assessment, your physician's specific medication and treatment orders, and your personal wishes.

The plan includes four basic areas:

• Physical care
• Personal care and comfor
• Spiritual needs
• Psychosocial needs and bereavement care

The plan is reviewed and updated on your changing needs. Medical information will be provided to assist you in participating in your plan of care.

Discharge and transfer
A discharge or transfer from hospice may occur in the following situations:

• The level of care you need changes
• You move out of our service area or
• You decide to seek aggressive, curative care or
• You no longer desire hospice care

You will be given advance notice of transfer to another agency or of discharge. If you are transferred to another agency, we will provide the necessary information for your continued care. In case of discharge, an assessment will be done and instructions provided for ongoing care.