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Hospice and Palliative Care

Tribal Nursing Home

Compassionate, culturally appropriate care for those nearing end-of-life is a common long-term care need. Tribal LTSS programs can successfully provide end-of-life care for those who wish to receive care at home. The resources on this page describe hospice and palliative care needs and offer planning guidance for providing end-of-life care, including examples of other hospice programs in Indian Country.

Hospice and Palliative Care Needs

Decisions about end-of-life care, such as location of death and levels of care, are important considerations for American Indians and Alaska Natives. However, tribal citizens often lack access to hospice services that would inform them about their options. Those who can access these services may feel prevented from doing so due to a lack of culturally sensitive hospice care options and health policies.

Collaborations between health care providers and tribes, and between tribal governments and their communities, can help build and maintain successful programs that ensure end-of-life support reaches those in need.

Overview of Hospice and Palliative Care

These resources describe hospice and palliative care and discuss the needs and strategies for providing it in tribal communities.

Caring for those nearining end of life: Providing compassion and dignity for our elders infographic

Hospice Care Program Profiles

This fact sheet describes programs that offer hospice services to Indian Country and includes successes, innovations, funding considerations, and lessons learned.

These fact sheets highlight individual programs.

Presentations from Hospice Programs

View these materials from past LTSS webinars to learn more about hospice care from the perspective of hospice programs serving Indian Country.

  • Gila River Indian Community's Adult Day Health: Enriching the Lives of our Elders (materials from 2013 webinar)
    Gives an overview of the Tohono O’odham Nation’s hospice and palliative care program that highlights the importance of cultural factors in end-of-life care decisions
  • The Tohono O’odham Nursing Care Authority—Archie Hendricks, Sr., Skilled Nursing Facility and the Tohono O’odham Hospice: A Model of Tribally Based Skilled Nursing and Hospice Care (materials from 2012 webinar)
    Discusses how the Tohono O’odham Nation developed skilled nursing facilities, including a hospice care program