According to Kirst-Ashman and Hull (2018), the sixth step of the generalist intervention model (GIM) is termination which involves the professional end to the client-worker relationship. In hospice care, there are a number of reasons that can lead to one’s termination of services. According to the National Hospice and Palliative Care Organizations (NHPCO, 1996), hospice patients can be terminated from services for extended prognosis, refusal of care, lack of participation in services, and when the patient passes away. Although Valley’s Best Hospice does provide one year of aftercare services to the family members of the deceased, termination and end-of-services is typically concluded after what is called a death call. After a patient passes away, the family members or caregiver contacts hospice who then come out to call time of death, contact the mortuary and discuss aftercare services. If a patient is being discharged due to extended prognosis, this means that they are no longer provided with a prognosis of six months or less to live. Often times the doctor and supervising home nurses report improved health conditions leading to an extended prognosis. In these cases, the patient is notified of an upcoming discharge date due to extended prognosis and an appointment with the social worker is scheduled two weeks before discharge to go over the discharge paperwork, schedule an appointment with the transferring physician, order any necessary medications and supplies, and explain process of appeal should they disagree with the decision to discharge.

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