Around-the-Clock Support, Right Here at Home
Continuous Home Care
When the hours feel longest, your neighbors are right beside you
There are moments in hospice care when something shifts. A symptom that was managed yesterday becomes harder to settle today. Pain stops responding the way it used to. Breathing changes. The family standing at the bedside looks at one another and wonders, “Can we get through tonight on our own?”
You don’t have to.
Continuous Home Care is one of the four levels of hospice care under the Medicare Hospice Benefit, and it’s designed for exactly these moments, those short periods of medical crisis when a patient needs more hands, more hours, and more clinical attention than a routine visit can provide. Instead of moving your loved one to a hospital or inpatient unit, our local nurses come to you and stay. For hours at a stretch. Through the night, if that’s what it takes.
That’s the promise behind Choice Hospice in Michigan: when the hardest hours come, we’re not a phone call to a call center several states away. We’re your neighbors, just down the road.
What Continuous Home Care actually looks like?
Continuous Home Care is short-term, intensive nursing care delivered in the place your loved one calls home, whether that’s a family room in Dearborn, a bedroom in Livonia, or a sunlit corner of an apartment in Southfield. Medicare requires that more than half of those hours be provided by a licensed nurse, with a home health aide stepping in for personal care and comfort.
Here’s what you can expect when our local team is called in:
A licensed nurse at the bedside, monitoring vital signs and adjusting medications in real time
Active symptom management for pain, agitation, severe shortness of breath, or uncontrolled nausea
Direct coordination with your hospice physician so changes happen quickly, not on tomorrow’s schedule
Real, hands-on support for the family, not just clinical care, but a steady presence when you need one most
The goal is simple: get the crisis under control so your loved one can stay where they want to be, at home, surrounded by the people and the place they love.
LOCAL MATTERS
Why “Local” Matters More Than Ever During a Crisis
When a symptom flares at 2 a.m., the difference between a good night and a frightening one often comes down to who shows up at the door.
The nurses who serve Hospice Warren families live in Macomb County. The team caring for Hospice Troy and Hospice Bloomfield neighborhoods know the side streets, the shortcuts, and the quiet cul-de-sacs of Oakland County. Our Hospice Dearborn nurses understand the cultural traditions of the families they serve, including the specific spiritual and dietary considerations that matter to many of our Wayne County neighbors. Our Hospice Sterling Heights team shops at the same stores, drives the same roads, and answers the call from just around the corner.
That proximity isn’t a marketing line. It’s a clinical advantage. Local nurses arrive faster. They know which roads flood, which pharmacies stay open late, and which subdivisions have tricky building numbers, the kind of practical, lived knowledge you can’t copy from a national playbook.
When is Continuous Home Care the right level of care?
Continuous Home Care isn’t for every day of the hospice journey. Most days, our routine visits with a nurse, an aide, a social worker, and a chaplain are exactly what’s needed. But Continuous Home Care steps in when there’s a true medical crisis at home, including:
Uncontrolled pain that isn’t responding to current medications
Severe shortness of breath or respiratory distress
Persistent vomiting, severe agitation, or restlessness
Unmanaged seizures
A sudden change in condition where the family needs intensive support to keep their loved one safely at home
It’s a bridge. It’s the level of care that often allows a family in Hospice Livonia or Hospice Farmington Hills to honor a loved one’s wish to die at home rather than in a hospital. And because it’s covered under the Medicare Hospice Benefit, eligible families don’t pay extra out of pocket for these intensive hours.
