Hospice Care and the Medical Marijuana Bill

Though medicinal marijuana will soon be lawful in certain states, physicians say it will have little to no effect on their day-to-day functions. Whether dealing with sufferers in hospice care or those with HIV or AIDS, hospice care providers do not see marijuana becoming one of their go-to medication. Barbara Lafrante, a health professional and director of hospice and palliative care with Home Health & Hospice in Merrimack, said there are already drugs on the market that provide the same advantages that marijuana is said to have. Lafrante, who rests on the New Hampshire Hospice and Palliative Care Association, recommended “Marinol,” an artificial cannibanoid, which provides identical outcomes. She said most physicians will convert to that medication because it has been approved by the U.S. Food and Drug Administration.

“We have a lot of drugs currently, you know, that we use to provide control for our sufferers,” Lafrante said. “Our sufferers are well-palliated when we use Marinol, an FDA-approved type. And we hardly ever need that.” In an organization where Lafrante said she recognizes about 80 to 100 sufferers weekly with six months or less to live, Home Health & Hospice’s guarantee is to remove the discomfort within 48 hours. “Comfort is the concern,” she said. Wendy LeBlanc, vice chairman of the Southern New Hampshire HIV/AIDS Task Force based in Nashua, said this bill will have little effect on individuals she works with, as well. Using marijuana to fight the devastating outcomes of AIDS is less common than it once was, LeBlanc said. And thanks to new medication and therapies, many HIV and AIDS sufferers do not get as fed up as they once did and some of the drugs used to cure the illness do not come with the same side-effects, like nausea and fatigue, she included.

“It was much more commonly known and approved because individuals did not have a hunger and it certainly assisted,” she said. “Traditional drugs have enhanced for individuals living with HIV, especially for individuals clinically diagnosed more recently.” Dr. Karen Baranowski, president and CEO of Home Health & Hospice said for her, the choice to recommend sufferers marijuana is up to their physicians, but she did not see that becoming a large source for them in the long run. “If it’s appropriate for the individual, they will use the FDA Marinol more regularly, I would think about,” she said. People who do depend on the drug often hesitate to discuss it, LeBlanc outlined. The discussion is even restricted among physicians and medical employees. LeBlanc said she knows of just two individuals who recognize using marijuana to help fight their signs.

Common Questions About Hospice Care

Where can hospice care be provided?

Hospice can be offered wherever your family member or loved one resides, including:

  • In your loved one’s personal home – Hospices will bring all aspects of the hospital to your loved one’s private home, including equipment, medication and of course, the employees.
  • Assisted living and personal proper care homes – Hospice care can be offered in an assisted living facility or a private care home.  The hospice team works directly with the employees at the facility to coordinate proper care to your beloved relative or parents.
  • Nursing homes, long-term care (LTC) establishments and skilled nursing facilities (SNFs) – Some patients reside in settings that provide higher levels of proper care (than private care houses or assisted living facilities), such as helped living facilities, long term care facilities and skilled nursing units.  The agency works directly with the employees of these facilities to make sure that your elderly loved ones receives proper care.
  • Brick and mortar hospice – Hospice is also offered in buildings specially dedicated to providing hospital care.

Can you change hospice care providers?

When family members find themselves in a situation where they decide that their current hospital provider is not looking after a family member properly, family members are within their rights to change hospice providers.

How do you pay for hospice care?

Most hospice care facilities currently accept Medicare, there are several other ways that family members typically pay for hospice:

  • Private Insurance – Your elderly loved one may have a private insurance coverage that may cover all or part of the cost of hospice services.
  • Insurance from the Veterans Administration (VA) and other government insurance
  • Personal Payment – For those who do not have insurance coverage or are not eligible for Medicare, some prospective hospice patients may be in a financial position to pay for hospice services out of pocket.