VistaRiver Hospice

Preparing for Hospice: What Families Need to Know Before Care Begins

Preparing for Hospice

When a loved one enters hospice care in Portland it can feel overwhelming. However, understanding what to expect and how to prepare can ease the transition and help families focus on what matters most: quality time and compassionate care. Here’s a guide to what families should know before hospice care begins.

Understanding What Hospice Is—and Isn’t

Hospice care is not about giving up; it’s about improving the quality of life during its final stages. It focuses on comfort, dignity, and support for individuals facing a terminal illness, typically when curative treatment is no longer effective or desired. Hospice doesn’t mean stopping care—it means shifting the focus to symptom management, emotional well-being, and spiritual support.

Key services include:

  • Pain and symptom management

  • Emotional and spiritual counseling

  • Care coordination

  • Bereavement support

At VistaRiver Hospice, we tailor care plans to meet individual needs and ensure families are supported every step of the way.

Assessing Eligibility and When to Start

Hospice care is available to patients with a terminal diagnosis and a life expectancy of six months or less if the illness runs its usual course. It’s best to start hospice care early enough to take full advantage of the comprehensive services provided.

Signs it may be time to consider hospice:

  • Frequent hospitalizations

  • Progressive decline despite treatment

  • Increased pain or symptom burden

  • Desire for comfort-focused care

Families should consult with the patient’s physician and hospice professionals to determine the best timing.

Choosing the Right Hospice Provider in Portland & Salem

Selecting the right hospice care team makes a big difference. Look for providers with strong communication, compassionate staff, and a personalized care approach. VistaRiver Hospice prides itself on delivering holistic care with empathy, integrity, and experience.

Questions to ask when choosing a provider:

  • Are services available 24/7?

  • What support is offered to family members?

  • How is the care team structured?

  • Is spiritual or faith-based support available if desired?

What Families Can Expect at the Start

Once hospice is chosen, a care team is assembled. This usually includes a hospice physician or nurse practitioner, registered nurses, hospice aides, social workers, chaplains, and trained volunteers.

An initial assessment helps create a personalized care plan, which outlines medication, equipment needs, care visits, and support services. This plan is regularly updated as needs change.

Families will also receive:

  • Training on how to assist with daily care

  • Emergency contact information

  • Access to emotional and grief counseling

Emotional Preparation for Families

Preparing for hospice isn’t just logistical—it’s emotional. Loved ones may struggle with guilt, grief, or fear. Open communication and access to support resources can help.

At VistaRiver, our social workers and chaplains provide compassionate counseling and hospice spiritual care for both patients and families. We also offer bereavement support to help families through the loss and healing process.

Getting the Home Ready

Many hospice patients receive in-home hospice care services. Preparing the home environment ensures safety and comfort:

  • Make space for medical equipment such as beds, oxygen, or wheelchairs

  • Remove tripping hazards and add night lights for visibility

  • Designate a peaceful space for rest and visits

VistaRiver coordinates with families to arrange necessary equipment and provide caregiver training.

Final Thoughts

Preparing for hospice care is a deeply personal journey. With the right support, it can be a time of meaningful connection and peace. VistaRiver Hospice is here to guide families through this process with compassion, clarity, and care—helping you focus on what matters most.

Learn more about how VistaRiver Hospice can support you and your loved ones, Schedule consultation or Call 503-542-7090.