
Advanced Hospice Care When Symptoms Can No Longer Be Managed at Home
General Inpatient Care provides short-term, intensive medical support in a controlled setting to stabilize severe symptoms and restore comfort.
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What Is General Inpatient Care?
General Inpatient Care (GIP) is a level of hospice care provided when a patient’s symptoms cannot be effectively managed in their current living environment.
This level of care is delivered in a licensed facility, such as:
Hospice inpatient unit
Hospital
Skilled nursing facility (when appropriate arrangements are in place)
The goal is to provide intensive symptom control in a supervised clinical setting until the patient can return to a lower level of care.


When Is GIP Needed?
GIP is initiated during periods of uncontrolled or complex symptoms, including:
Severe, unmanageable pain
Acute respiratory distress
Uncontrolled agitation or delirium
Persistent nausea or vomiting not responding to treatment
Complex wound or symptom management requiring continuous clinical oversight
This level is appropriate only when these symptoms cannot be safely managed at home or in the community setting.






What Services Are Included?
Clinical Services
Skilled nursing visits for symptom and medication management
Pain and comfort care planning
Medication oversight
Home Health Aide assistance
Medical Social Worker support
Spiritual counseling
Support Services
Additional Support
Volunteer services
Durable medical equipment (DME)
Medical supplies related to the terminal diagnosis
Where Is General Inpatient Care Provided?
GIP is delivered in approved healthcare settings:
Hospice inpatient facilities
Hospitals
Skilled nursing facilities with hospice contracts
Care is coordinated between the hospice team and the facility.
How Long Does GIP Last?
GIP is short-term and reassessed daily:
Provided only while symptoms remain uncontrolled
Discontinued once symptoms are stabilized
Patient is transitioned back to Routine Home Care or another appropriate level
Who Qualifies for General Inpatient Care?
Patients qualify when they:
Are experiencing acute, uncontrolled symptoms
Require intensive medical management that cannot be provided at home
Meet criteria for medical necessity under hospice guidelines
Care Team Involved
Care is coordinated by the hospice interdisciplinary team:
Physician / Medical Director
Registered Nurses (facility-based care)
Hospice Case Manager
Social Worker
Spiritual Counselor
All care decisions are guided through the Interdisciplinary Group (IDG) and Plan of Care.
Understanding Inpatient Care Services


















