Top 20 Doctor insights on: Disadvantages hospice care

Share
1

1
What's the role of hospice?

What's the role of hospice?

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

Dr. Sewa Legha
5 Doctors shared insights

Hospice (Definition)

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


2

2
What is hospice care?

What is hospice care?

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

3

3
Is hospice care passionate?

Is hospice care passionate?

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

4

4
When do we use hospice care?

When do we use hospice care?

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

5

5
Who provides hospice care? Cnas?

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

6

6
When does someone need hospice care?

When does someone need hospice care?

When death is: Approaching and they need help to remain comfortable. ...Read more

7

7
What are different types of hospice care?

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

8

8
At what point does a person do hospice care?

WHEN A CHRONIC: Health condition has rendered them unable to care for themselves and are terminal, expected to live 6 mos or less. ...Read more

9

9
Please tell me what does "hospice care" mean?

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

10

10
What are some of the benefits for hospice care?

What are some of the benefits for hospice care?

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

11

11
What's a hospice care plan made for and by whom?

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

12

12
Can a person be in hospice care without being terminal?

Can a person be in hospice care without being terminal?

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

13

13
I need your expertise, is hospice care only for nurses?

I need your expertise, is hospice care only for nurses?

Team approach: Hospice care involves nurses, doctors, nursing aides, social workers and others. ...Read more

14

14
Has anyone ever had to arrange for hospice care for yourself?

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

15

15
Can you give me more info on bad experiences with hospice care?

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

16

16
What is hospice care at home about (did not know it is available)?

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

17

17
Could hospice care mean that it's the final care for someone before they die?

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

18

18
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

19

19
How are palliative and hospice care different?

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

20

20
When under hospice care is the patient confined?

When under hospice care is the patient confined?

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

Dr. Michael Sparacino
297 Doctors shared insights

Hospice Care (Definition)

Hospice care services are designed to provide care and support for those who are near death but not seeking any ...Read more


Dr. Sheila Smith
8 Doctors shared insights

End Of Life Care (Definition)

Care that is palliative, ie symptom support, but no treatment of ...Read more