Hospice Family Planner: Printable Pages for the First Weeks at Home with a Parent on Hospice
12 pages for the hospice team's contacts, the visit schedule, who is covering which day, the questions for the nurse, and a hand-off page for whoever comes next.
When hospice starts at home, the important numbers end up on five different scraps of paper. This puts them in one place.
The first weeks of hospice at home bring a lot of people through the door: nurses, aides, a social worker, a chaplain, siblings, neighbors bringing food. Each one tells you something, and you're the one expected to remember it. This planner is a simple place to write it all down, so the next person on shift can pick up where you left off without a phone call.
It doesn't tell you what to do. Every instruction in it comes from your hospice team, written down in their words, by you.
Why it helps
- The hospice team's names and numbers on one page, copied from the agency's own papers
- A Who to Call page where you write down exactly what the team told your family, so nobody has to remember it at 2 AM
- A visit schedule and visit notes, so siblings who weren't there know what the nurse said
- A Who Is Covering page, so everyone can see whose day it is
- A hand-off page for the next person taking a shift
In your first 5 minutes
1. Copy the agency's number and your nurse's name from the hospice papers onto Hospice Team Contacts
2. On Who to Call, write what the team told you to do and who to call, in their words
3. Put the next nurse visit on the Visit Schedule
4. Fill in this week on Who Is Covering
5. Leave the planner where everyone who takes a shift will find it
What's inside (12 pages, US Letter and A4)
1. Start Here: how to use it, and that it's an organizing tool only
2. Hospice Team Contacts
3. Who to Call: the team's instructions, written in their words
4. Visit Schedule
5. Visit Notes
6. Who Is Covering
7. Questions for the Hospice Team
8. Wishes Mom Has Stated: what she has said she wants, in her words (not a legal form)
9. Visitors
10. Paperwork Location: where things are kept, never account numbers or passwords
11. Around the House
12. Hand-off for the Next Person
FAQ
- Does this give medical or medication advice? No. It has no medical, medication, or symptom guidance. Your hospice team gives the instructions; this is where you write them down.
- Is the wishes page a legal document? No. It's a place to note what your parent has said. For legal documents, talk to the hospice social worker or an attorney.
- Can I print more than one copy? Yes. Many families print extra Visit Notes and Who Is Covering pages.
- What format is it? An instant PDF download in US Letter and A4. Nothing is shipped.
Good to know
- Keep standing meds, doctors, and contacts in The Caregiver Binder (https://payhip.com/b/IjT2q).
- Siblings helping from another city? The Long-Distance Caregiver Binder (https://payhip.com/b/P1068) keeps everyone on the same page.
- Bringing in paid help for nights or respite? The Caregiver Hiring Kit (https://payhip.com/b/lAxT2) covers the interview and the first shift.
Disclaimer
An organizing tool only, not medical, legal, or financial advice. Not affiliated with any hospice provider. You fill in every page yourself from what your hospice team and family tell you. Don't write account numbers, IDs, or passwords in it.