Doctor insights on:
Disadvantages Hospice Care
End of life care.: Hospice is meant for those who seemingly at the end of life, although that end can still be many months away. The emphasis of hospice care is not trying to save the life, but to give comfort to the individual as their death approaches. ...Read more
All hospices deliver a similar set of services. They include nursing, assistance with caregivers on a limited basis, chaplaincy, bereavement counseling, social worker and physician care (medical director in many cases). You are covered for many services and this includes medications related to your terminal diagnosis. The hospice team is there to help you transition in the ...Read more
Relieving suffering: Hospice care focuses on relieving or preventing suffering rather than trying to treat the underlying medical problems of patients with terminal illnesses. Hospice care may involve many types of health care professionals and will focus not just on physical but also emotional and social aspects of end-of-life care. ...Read more
Another thought: I'm wondering if you meant, is hospice care compassionate? The idea of hospice is to provide specialized medical care for someone who is near the end of life, and their family--and usually patients and families find that hospice care is very compassionate--at its best hospice addresses all the aspects of dying. ...Read more
Sooner: Although hospice care is defined by medicare for any patient with a prognosis of 6 months or less, we often times don't see people come to hospice until they have hours to days. Many physicians think that hospice is only when the patient is "dying, " however the hospice team can provide better care by getting to the know the patient and family over several months rather than hours. ...Read more
A team!: Hospice teams involve a doctor, nurses, social workers, physical therapists, pastoral care, volunteers, choreworkers, and others. A patient and family will typically interact with all of these clinicians over the course of care. Most hospice have a primary nurse who is the clinician they see the most. ...Read more
See below: Hospice can be done at home with caregiver present, inpatient hospice at the local hospital for acute management only or respite or nursing home while the loved one has a long term care placement or respite. The level of care is depend on the severity of symptoms, meaning that more care is needed with worsening of symptoms and actively dying. ...Read more
Hospice is a concept: Hospice is a concept. The goal is to allow individuals the ability in their choose of environments to make decisions on how to approach end of life decisions for themselves. Hospice is not a place, a service or a intervention. It is the process of supporting an patient to control end of life decisions. The goal of hospice is to keep the patient in the least restrictive environment. ...Read more
Many: There are many benefits from active pain control to social supports for the family as well as the patient. My experience with hospice workers has been that they are extremely compassionate and caring and very responsive to the patient and family members. They can help patients stay in their home environment which is often what they want. ...Read more
Hospice care is:
Usually planned by the hospice team. This includes doctors, nurses, social workers, and clergy. It is designed for people who have an approximately 6 month survival and who have either exhausted more aggressive care possibilites or are too frail. It is not limited to cancer.
It is different than palliative care. There time is not critical and treatment is ongoing. Their goal is symptom management. ...Read more
Depends...: The problem with saying that a patient must be 'terminal' is that it is hard to predict how long a patient will live, and patients are often reluctant to see themselves as 'terminal'. The result is that patients often start hospice too late--meaning that there is not time to get symptoms really managed, or help the patient and family adjust...It's crisis management at that point. ...Read more
Team approach: Hospice care involves nurses, doctors, nursing aides, social workers and others. ...Read more
Auto-hospice care: I have never done this, but there is no reason why an appropriate candidate could not make arrangements for themselves. What matters is your medical condition, along with a physician verification, not who makes the referral. More and more we are all encouraged to do our own plannig--funeral arrangements, living wills, advanced directives. This would be one of the logical next steps. ...Read more
Not sure what u want: A "bad experience with hospice care" is not a medical condition, it is a perception you were left with after an experience with hospice care in which your expectations were not met. That is very personal and could have dozens of reasons. It would be impossible for anyone else to guess why your experience was bad. Best to discuss this with the doctor who referred you and the head of the agency. ...Read more
Hospice, not a place: Hospice is a concept, not a place. Hospice services can be provided at home, in the hospital, at a skilled nursing facility, or a friends place. The purpose of hospice is to provide the least restrictive environment for a patient that allows the highest quality of life for that patient. Contact: http://www. Vitas. Com/about-us/fast-facts ...Read more
In our hospice: We as physicians have to certify that we feel pt does not have 6 months to live! That is the criteria1- however at times we recertify them at that time, when we feel our original prognosis is still present. ...Read more
What factors are used to determine hospice care? When can hospice care be removed (but not death). Person under hospice for almost a year now.
Patient's wishes: Hopefully the patient in question expressed their end of life preferences before they became unable to make their own choices. When a care plan of hospice is enacted, the focus is on comfort, which is a great thing. Sometimes a patient's death may be hastened by focusing more on comfort (say by giving morphine) but hospice is more of a BIG PICTURE type care plan. These discussions are complex. ...Read more
Yes Difference!: Many people still think that palliative care means hospice care. But today, hospice is only a small part of palliative care. The goal of palliative care is to prevent or treat the symptoms and side effects of a disease; and it should be part of the picture from the first day a serious illness is diagnosed. Go to www. Vitas. Com ...Read more
No...: Most of hospice care occurs where the patient lives. There are very few "hospice homes" or "inpatient hospice units." most of the time the hospice team makes visit in the patients own home. The goal of hospice is never to "confine" people and at times the team helps people get to certain places as their final wish, like to a wedding or las vegas etc. Quality of life is the key on hospice. ...Read more
It is comfort care: End of life care is often called hospice care. The goal here is to provide comfort care, minimize suffering and let nature take its course. No curative therapy is used any longer once hospice care has been requested. ...Read more
You decide when: Hospice focuses on treating symptoms and proving comfort care in patient who are terminally ill or have failed to respond to treatment or have declined aggressive interventions such as use of a ventilator, dialysis, or feeding tubes. Many conditions qualify including cancer, heart failure, emphysema, cirrhosis, aids, kidney failure, dementia, stroke. You or your family determine when it's time. ...Read more
By symptoms: Hospice care is tailored to control symptoms. There is an assessment by the care team to look at medical symptoms as well as emotional needs. The family situation is also evaluted. Most programs have a very integrated approach to care. ...Read more
Hospice: Hospice is an end of life service through medicare or private insurance. It will not pay for 24/7 care unless the person is in the active dying process of the last few days. If you need care in the home you should hire an in home care agency. This is private pay and not covered by medicare. Some long term care insurance may cover it. Check with your agent. ...Read more
NOOOOOOOOOOOO!: Hospice and palliative care is not 'no care'; it is care for comfort and symptoms over cure. We treat patients very effectively while in hospice and many people graduate when we learn that with the correct resources, they thrive. ...Read more
What is the difference between hospice care and palliative care? Pt has been under hospice over 6 months so what could be happening?
Below: One qualifies for hospice once doctors guess that survival is 6 months or less, but we aren't very good at guessing right, so sometimes patients are in hospice for longer than 6 months. To go to hospice, one must stop some aggressive treatments and opt for comfort measures. Palliative care can be given to hospice patients or together with aggressive treatments. Feel free to consult me to discuss. ...Read more
End of life care.: Hospice is meant for those who seemingly at the end of life, although that end can still be many months away. The emphasis of hospice care is not trying to save the life, but to give comfort to the individual as their death approaches. Hospice care can include pain management and emotional counseling. ...Read more
Referral or website:
Your primary care doctor, specialist, nurse or hospital social worker may be able to give you information about the hospice providers and services in your local area. If they can't answer your questions, some good online resource are:
http://www. Palliativedoctors. Org/
http://www. Nhpco. Org/templates/1/homepage. Cfm
http://www. Hospicedirectory. Org/. ...Read more
No: Hospital care is designed to treat acute medical problems that cannot be handled as an outpatient. Hospice care is care focused on comfort of terminally ill patients which does not attempt. To fix underlying medical issues ...Read more
Family too: Hospice is an end of life care service that comes along side patient and family to relieve anxiety, pain, suffering and grief. They are the compassionate bridge to a dignified life's end, no matter the cause. Much like any service you may choose very active involvement on their part or keep them at arms length until you feel the need for their help. ...Read more
Also...: Most people wish to stay in the home during their last months to years of life. It can be challenging for families to provide hands-on care 24/7 and most can't due to work, family etc. Hospice care can be provided in the home or in the retirement center (rc) so the location doesn't matter as much as the "fit." also, the cost may be more for a rc than to hire a live-in caregiver. ...Read more
If you have a potentially terminal illness, or are looking for a complete cancer progam you might.
If you need cardiac surgery, orthopedics or other advanced care it is not likely to influence the decision.
You want to pick a hospital based upon your needs, and the reputation of the staff and the hospital itself. ...Read more
Pt d/c'd to facility, hospice care, to be bed bound. Why? Appears to have made come back and is walking tho may be unsteady. Reasons for not walking?
More info needed: More information is needed, but if the patient isn't able to ambulate alone safely and won't have adequate help at home, it is advisable that the patient be sent to an extended care facility of some type where around the clock help and supervision is available. This care could consist of bed and chair status or ambulation with assistance only. With palliative care, no aggressive physical ther ...Read more
You can have some id: It is difficult to predict exactly but you can have some estimate most time. Before she passes she will gradually decline in her general health and activity level. As long as she can get out of the bed and move, she has a month or two to go. If she is bed fast, then her food intake and alertness level along with her other body functions will give you signals of how close she is to pass. ...Read more
It depends...: It depends on the hospital course. If the person was admitted for a condition and treated but worsened during the hospitalization to the point that death was imminent, comfort care or hospice care may occur in the hospital. However, most hospitals will try and transfer people home or to a skilled nursing facility with hospice care if the person has a little longer to live. ...Read more
Also: Subacute care in many skilled nursing facilities usually entails significant specialized care, like patients on long term ventilators. These patients are too stable for the hospital but because the tracheostomy & vent require constant monitoring and nursing care. If a pt can't be taken off the vent they are usualy transferred to a facility where this type of care is usual. ...Read more
Hi my dad is in hospice care becasue of infected tissue infection that will not heal, What signs do I look out for that will indicate his passing?
Hospice care: Unfortunately we all have to pass from this earth. Hospice, at least, is a wonderful way to ease out of our earthly sufferings to something more. It's sometimes quite hard to tell exactly 'when' though. Some patients want to slip away quietly when no one else is watching, whereas others will want to die holding hands with their loved ones. Good to work with hospice team on that. Prayers will help. ...Read more
Dementia pt had aspiration, back on o2, to be bed bound, very robust appetite now plummeted, has hospice care of some kind. What does this portend?
Ask the Dr: From your description, it does sound like the pt is not expected to live very long - but that may reverse in many. Still, this is an ill individual who will require some level of supportive care in all likelihood. No one can predict w/ certainty - so plan for the worst and hope for the best. ...Read more
Certainly: You can even continue to see specialists. Although your care should be co-ordinated, hospice care allows for all patient needs to be met. ...Read more