You don't have to navigate this alone
Clear answers, practical support, and compassionate care every step of the way.
What families often tell us
Families often call us when they notice a change but are unsure what it means. You do not need to know the right words or have everything figured out. Our team can help you understand what hospice is, what it covers, and what happens next.
24/7 Nurse Line
(605) 389-3141
Day or night, a nurse is available for hospice-related concerns.
Call nowA step-by-step look at starting hospice
- Step 1
First call
- Step 2
Informational conversation
- Step 3
Hospice evaluation
- Step 4
Election and consent if hospice is appropriate
- Step 5
First nursing visit
- Step 6
Personalized care plan
- Step 7
Ongoing visits and 24/7 support
The most important members of the team
The patient and family are the center of care. Your goals, preferences, routines, beliefs, and concerns guide the plan.
The caregiver role
Hospice provides intermittent care and 24/7 support, but does not replace the need for a caregiver plan. If care needs increase, our social worker can help your family explore resources and safe care options.
Call (605) 389-3141 for:
- New or worsening pain
- Trouble breathing
- Agitation, anxiety, confusion, or restlessness
- Falls or injury
- Medication questions or refills
- Fever, nausea, vomiting, or constipation
- Swallowing changes
- Equipment or oxygen concerns
- Signs that death may be near
- Any concern where the family is unsure what to do
A gentle look at what families often see
Common signs may include increasing sleep, withdrawal, reduced appetite, changes in breathing, confusion, restlessness, reduced urine output, and cooler hands or feet. Not every person has every sign. The hospice team will guide the family with what to expect and what to do.
A simple list to follow
- 1Do not call 911 for an expected hospice death unless there is a public safety emergency.
- 2Call Black Hills Hospice at (605) 389-3141.
- 3There is no need to rush.
- 4Hospice will guide the next steps.
- 5Hospice can coordinate pronouncement, physician notification, funeral home contact guidance, medication disposal guidance, and bereavement support.
We're here after, too
Bereavement services are available to family members and loved ones for at least 13 months after death. Support may include calls, written resources, visits, community referrals, and grief guidance.
We are here for your family — day or night.
Call our 24/7 nurse line, or request information and a team member will follow up.