Wow! If this is the treatment you have seen then you should report them to the state. Hospice is the exact opposite of what you have stated. When you have a patient that is on hospice for COPD, then you HAVE to treat the symptoms associated with COPD with O2, nebulized meds, and any complications related to COPD such as URI with antibiotics. However, if they get a UTI while under services for COPD, the nurse still informs the Dr and gets antibiotics to treat the UTI, but hospice doesn’t cover that antibiotic. And yes Hospice services are withdrawn if the patient gets better, as it should be. However, they are usually transfered to home health for a time to make sure they are still getting better. I’ve worked in hospice for 3 years and have never seen anything like what you have seen. It should be reported.
So if you have a patient with terminal cancer, and you discover she’s getting chemo, you wouldn’t deny her services? Be honest.