Texas Administrative Code
Title 26 - HEALTH AND HUMAN SERVICES
Part 1 - HEALTH AND HUMAN SERVICES COMMISSION
Chapter 558 - LICENSING STANDARDS FOR HOME AND COMMUNITY SUPPORT SERVICES AGENCIES
Subchapter H - STANDARDS SPECIFIC TO AGENCIES LICENSED TO PROVIDE HOSPICE SERVICES
Division 4 - HOSPICE CORE SERVICES
Section 558.834 - Hospice Counseling Services
Universal Citation: 26 TX Admin Code ยง 558.834
Current through Reg. 49, No. 38; September 20, 2024
(a) Counseling services must be available to a client and family to assist the client and family in minimizing the stress and problems that arise from the terminal illness, related conditions, and the dying process.
(b) Counseling services must include bereavement, dietary, and spiritual counseling.
(1) Bereavement counseling. Bereavement
counseling means emotional, psychosocial, and spiritual support and services
provided before and after the death of the client to assist with issues related
to grief, loss, and adjustment. A hospice must have an organized program for
the provision of bereavement services furnished under the supervision of a
qualified professional with experience or education in grief or loss
counseling. A hospice must:
(A) develop a
bereavement plan of care that notes the kind of bereavement services to be
offered to the client's family and other persons and the frequency of service
delivery;
(B) make bereavement
services available to a client's family and other persons in the bereavement
plan of care for up to one year following the death of the client;
(C) extend bereavement counseling to
residents of a skilled nursing facility, a nursing facility, or an intermediate
care facility for individuals with an intellectual disability or related
conditions when appropriate and as identified in the bereavement plan of care;
and
(D) ensure that bereavement
services reflect the needs of the bereaved.
(2) Dietary counseling. Dietary counseling
means education and interventions provided to a client and family regarding
appropriate nutritional intake as a hospice client's condition progresses.
Dietary counseling, when identified in the plan of care, must be performed by a
qualified person. A qualified person includes a dietitian, nutritionist, or RN
. A person that provides dietary counseling must be appropriately trained and
qualified to address and assure that the specific dietary needs of a client are
met.
(3) Spiritual counseling. A
hospice must provide spiritual counseling that meets the client's and the
client's family's spiritual needs in accordance with their acceptance of this
service and in a manner consistent with their beliefs and desires. A hospice
must:
(A) provide an assessment of the
client's and family's spiritual needs;
(B) make all reasonable efforts to the best
of the hospice's ability to facilitate visits by local clergy, a pastoral
counselor, or other persons who can support a client's spiritual needs;
and
(C) advise the client and
family of the availability of spiritual counseling services.
Disclaimer: These regulations may not be the most recent version. Texas may have more current or accurate information. We make no warranties or guarantees about the accuracy, completeness, or adequacy of the information contained on this site or the information linked to on the state site. Please check official sources.
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