Time to Dust Off the Surprise Question

We are seeing more patients who are referred too late to benefit fully from hospice care.

The surprise question is simple:

“Would you be surprised if this patient died within the next year?”

A “No” answer from a medical provider is more predictive than other prognostic tools for hospice eligibility.  It is a time to shift to medical care that takes into consideration values other than longevity.  It may be time for a hospice referral or informational visit to provide health care in the home.


For more information, call our providers at 360-814-5550 or email:

All Palliative Pearls and other resources can be found by clicking Providers at the top of this page.

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Palliative Pearls



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