END OF LIFE CARE
End-of-life care represents a distinct phase of support that typically occurs during the final 2–4 weeks of life, when care needs increase significantly and consistent bedside presence becomes essential.
During this stage, services may transition from periodic companion support to extended or continuous bedside presence, including up to 24-hour coverage as needed.
This phase focuses on comfort, dignity, vigilance, and coordination with hospice and facility staff during the final stage of life.
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During the final stage of life, needs can change quickly and often require attentive
observation and consistent bedside presence. Continuous support helps ensure the
individual is not alone, allows for timely communication with hospice or facility staff, and
maintains comfort, dignity, and reassurance for both the individual and their family. Because
this stage often requires extended or around-the-clock presence, it represents a distinct
level of care compared to standard companion support.
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Continuous or extended bedside presence to ensure the individual is not alone
Monitoring comfort levels and observing for changes in condition
Alerting nursing staff or hospice personnel when changes occur
Providing reassurance, calming presence, and emotional support
Assisting with comfort positioning (pillows, blankets, environmental adjustments)
Maintaining a quiet and respectful environment during active transitioning
Being present during periods of restlessness, confusion, or distress
Supporting hydration or comfort measures when appropriate and approved by staff
Sitting bedside during final hours to ensure dignity and presence
Providing presence when family members cannot remain continuously onsite
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End-of-life support does not include nursing or medical treatment, which remain the
responsibility of licensed medical and hospice professionals.
Services focus on specialized expertise in end-of-life care management that exceeded the
scope of standard hospice and facility coordination, particularly in real-time decisionmaking,
family advocacy, and comfort-focused transitions.
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During the end-of-life phase, additional coordination may occur with hospice and facility staff.
This may include:
Communicating observations to hospice nurses or facility staff
Relaying updates between hospice, medical staff, and family members
Being present during hospice visits when appropriate
Helping ensure comfort recommendations from hospice are communicated and followed up on
Purpose: Support clear communication and continuity of care between all parties involved.
BILLING STRUCTURE FOR END-OF-LIFE PHASE
Due to the intensity, extended hours, and specialized nature of this phase, end-of-life support is billed differently from standard companion care.
End-of-life care is billed in addition to the regular care agreement.
Charges for this phase may be included as supplemental billing or a separate final invoice, depending on the duration and level of care required.
Billing reflects the increased time commitment, extended bedside coverage, and hospice coordination required during the final stage of life.
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