Our Services

Comprehensive Hospice & Palliative Care

Nursing, physician oversight, therapies, medical equipment, and family support — all delivered wherever your loved one calls home.

01

Nursing & Physician Care

A physician provides clinical oversight of every hospice plan of care, while a dedicated RN case manager manages pain and symptom control, educates family caregivers, and adjusts the plan as needs change. Case Managers are required by Medicare to visit each patient at least once every 14 days — Open Arms visits twice weekly or more, as needed.

  • RN visits twice weekly or more
  • Physician-directed plan of care
  • 24-hour on-call nursing
02

Hospice Aide & Personal Care

A hospice aide (CNA) provides hands-on personal care — bathing, dressing, mobility, and light housekeeping — as part of the interdisciplinary care plan, easing the physical burden on family caregivers.

  • CNA visits per the care plan
  • Personal care & light housekeeping
  • Meal preparation assistance
03

Social Work Services

Our medical social workers address the emotional and financial needs that come with a terminal diagnosis — insurance and Medicare/Medicaid navigation, community resources, and counseling support for the whole family.

  • Insurance & Medicare/Medicaid guidance
  • Family counseling support
  • Community resource coordination
04

Spiritual & Pastoral Care

A pastoral care counselor provides spiritual support tailored to each patient and family's own beliefs, helping address unfinished conversations and spiritual needs before and after a loss.

  • Chaplain visits on request
  • Support for all faiths
  • Family spiritual counseling
05

Volunteer Support

Volunteers help with a wide range of activities of daily living and provide companionship — a visit, a conversation, a familiar face — that eases the emotional weight of hospice care for patients and the family caregivers around them.

  • Companionship visits
  • Support with daily activities
  • Background-checked volunteers
06

Nutritional Counseling

As a patient's needs change, our team offers nutritional counseling focused on comfort and quality of life rather than restrictive diets — helping families understand appetite changes and what to expect.

  • Comfort-focused nutrition guidance
  • Family education on appetite changes
07

Physical, Occupational & Speech Therapy

Physical, occupational, and speech-language therapy help maintain comfort, mobility, and communication. We also offer music therapy, pet therapy, and massage therapy as comfort-focused, non-pharmacological additions to the care plan.

  • Physical, occupational & speech therapy
  • Music & pet therapy
  • Massage therapy
08

Medical Equipment, Medication & Wound Care

We coordinate and cover medical equipment and supplies related to the terminal diagnosis — oxygen, hospital beds, wheelchairs — along with pharmaceutical-grade pain medication management and certified wound care plans.

  • Oxygen & medical equipment provided
  • Medication management
  • Certified wound care
09

24-Hour Crisis Care

During a period of acute symptom crisis, our care team can provide continuous nursing care in the home around the clock, avoiding an unnecessary hospital admission whenever it is safe to do so.

  • 24 hours a day, 7 days a week
  • 365 days a year on-call
  • Avoids unnecessary ER visits
10

Respite Care

Respite care moves a patient temporarily into a contracted inpatient facility for up to five days, giving family caregivers time to rest, travel, or handle other responsibilities — a Medicare hospice benefit.

  • Up to 5 days per stay
  • Medicare hospice benefit
  • Caregiver relief
11

Short-Term Inpatient Acute Care

For symptoms that cannot be controlled in the home setting, we coordinate short-term acute inpatient hospice care until the patient is stable enough to return home.

  • Facility-based symptom control
  • Coordinated return-home plan
12

Bereavement & Grief Support

Our support does not end when a patient passes. Medicare requires hospices to offer bereavement services; Open Arms stays in contact with families for 13 months or more, providing grief counseling and support resources.

  • 13+ months of family follow-up
  • Grief counseling included
  • Medicare-required benefit

Our Philosophy of Care

Open Arms Hospice is committed to enabling the best possible quality of life, so patients can remain in the comfort of their own home or present place of residence. We carefully select every clinician on our team to deliver compassionate, dignity-driven care across Oakland, Washtenaw, Wayne, Livingston & Macomb Counties.

Our care addresses the body, mind, and spirit of the patient and the immediate family. Under the direction of the patient’s physician and our medical director, the team follows a personalized plan of physical, emotional, and spiritual care — continually reviewed and adapted to meet the patient’s changing needs.

Physician

Complements the attending physician’s care and supervises all clinical care, assuring continuity of hospice medical services and appropriate control of uncomfortable symptoms.

Nurse

Visits as often as needed to ease pain and relieve symptoms, and teaches family caregivers how to care for the patient at home.

Hospice Aide

Provides personal care — bathing, changing linens, and helping with housework.

Social Worker

Helps the patient and family cope with the stresses of illness, assists with financial and insurance issues, and connects the family to community resources.

Pastoral Care Counselor

Advises and assists on spiritual issues, for patients and families of any faith.

Volunteer

Helps with a wide range of activities of daily living and offers companionship.

Services FAQ

Ready to learn how these services apply to your family’s situation?