Project Description

Continuous Care For Hospice Patients

On occasion, a medical crisis can occur which requires close medical supervision. Hospice of Grace has the ability to provide continuous, around-the-clock licensed nursing care for a hospice patient so they can avoid hospitalization. Once the medical crisis is over, the patient can return to routine hospice care.

A patient can receive continuous nursing care if they have symptoms that are uncontrolled and choose to stay in their home.

Continuous Hospice Care is similar to inpatient care, except for the fact that the patient remains in their home instead of being admitted to an inpatient care facility.

Continuous care for hospice patients is offered only during periods of “crisis” to maintain a patient in their home. This advanced level of care is necessary when symptoms are not well controlled and the patient requires sustained nursing care to achieve symptom control.

When Is Continuous Care Considered?

If a patient develops physical or emotional symptoms that cannot be properly managed with routine hospice care, continuous care may be an option.

Continuous care provides an advanced level of care in the patient’s home environment. A hospice nurse or home health aide will be present in the patient’s home environment for up to 24 hours per day to administer medications, provide treatments, care and support until the symptoms are controlled.

What Type of Symptoms Require Continuous Care?

Some examples of symptoms that may require continuous care include unrelieved severe pain, severe nausea and vomiting, severe shortness of breath, anxiety or panic attacks or a breakdown in the primary caregiver support system. Continuous care is considered a short-term level of care and is generally reevaluated every 24 hours.

Hospice of Grace has extensive experience in providing crisis care for our patients. Our Hospice Nurses and Home Health Aides stay with the patient for extended periods of time, day or night, to provide advanced levels of care. Not every hospice patient will need continuous care, but it is comforting to know that it is available and can provide important peace of mind to patients and their loved ones.


Hospice of Grace is a leading provider of hospice care in Southern California

Arpi Grace Kestenian

Chief Executive Officer

Arpine Grace Kestenian is the Chief Executive Officer of Hospice of Grace. She is a leader in the health care industry with over twenty years of quality management experience. She is known for her managed care dealings on behalf of a multitude of medical groups, physicians and hospitals. She is widely respected in the community as a reliable and knowledgeable source with regard to all aspects of healthcare. She provides community education through the media and is revered as an extraordinary resource for navigation through our complicated health care systems. She has served on multiple community and executive boards, including but not limited to: Glendale Youth Alliance, Chamber of Commerce, and branches of the American Medical Society. She volunteers for community foundations and is a leader at procuring funds for the Bone Marrow Donor Registry for those in need worldwide. She has been very successful at individual causes brought to her attention through the “Gift of Life Foundation” dedicated to support for children with life threatening illnesses.

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