Apr 16, 2025
Patients in home health or hospice programs typically have weakened immune systems, either due to age, illness, or ongoing treatments.
Patients in home health or hospice programs typically have weakened immune systems, either due to age, illness, or ongoing treatments. According to the Centers for Disease Control and Prevention (CDC), older adults and those with chronic illnesses are at greater risk of complications from vaccine-preventable diseases like influenza, pneumococcal infections, and COVID-19.
“Vaccination is especially important for people who are more likely to get seriously ill from diseases like the flu or COVID-19 — including adults aged 65+, people with chronic conditions, and those receiving hospice care.”Source: CDC – Vaccines for Older Adults
Immunization in Home Health Care
Home health providers have a unique opportunity to offer vaccinations in a setting that is safe, accessible, and familiar to the patient. This approach improves vaccine uptake among those who may have transportation limitations or anxiety about visiting clinics.
Key vaccines for home health patients include:
Influenza (Flu) Vaccine
COVID-19 Vaccine and Boosters
Pneumococcal Vaccine
Shingles (Zoster) Vaccine
Tdap (Tetanus, Diphtheria, Pertussis)
According to Home Health Care News, home health agencies are increasingly integrating vaccine administration into routine skilled nursing visits, reducing hospitalizations and promoting better overall health outcomes.
“Vaccination services at home represent an important touchpoint to reduce the risk of infection in fragile populations and reduce the burden on hospital systems.”Source: Home Health Care News
Vaccination and Hospice Philosophy
In hospice care, the decision to vaccinate is guided by the individual’s goals of care. While the focus is on comfort rather than cure, some vaccines may still be beneficial — particularly to protect caregivers and household members from transmitting infections.
For example, flu and COVID-19 vaccinations for family caregivers, hospice staff, and volunteers help maintain a safe environment around the patient. This aligns with the hospice goal of maintaining dignity, reducing suffering, and avoiding preventable complications.
“Even if a patient opts not to receive vaccines themselves, ensuring that caregivers are vaccinated is a vital layer of protection in hospice care.”Source: National Hospice and Palliative Care Organization (NHPCO)
The Role of Home Health & Hospice Agencies
Home health and hospice agencies are well-positioned to:
Educate patients and families about the benefits and risks of immunizations
Offer on-site vaccination as part of nursing services
Ensure that staff and caregivers are immunized in line with CDC recommendations
Reduce the burden on hospitals by preventing avoidable infections
By incorporating immunizations into care plans, these agencies help reduce hospital admissions, prevent outbreaks, and support patient-centered goals of care.
Conclusion: Prevention Is Still Powerful — Even at the End of Life
Whether it's helping an older adult avoid a serious flu infection or protecting a hospice patient’s peace through caregiver vaccination, immunization continues to play a vital role in home-based care. Providers who advocate for vaccines aren't just following public health guidelines — they’re safeguarding dignity, comfort, and quality of life.
Key Resources for Further Reading:
NHPCO Immunization Guidelines for Hospice