Doctor insights on:
End Of Life Care End Of Life Issues
If pt. is D/C'd back to a RCFE but now receives nursing services from a hospice, does this mean end of life care? Pt. had aspirational pneumonia.
If true hospice care: Yes, if it is true hospice care. However, some hospice services also provide "bridge care" for patients whose end is not quite in sight yet (it's like palliative care). Hospice services are a wonderful asset to have at the end of one's life. We all have an end. When our end is in sight, hospice is the way to go. It lets one die a good death, at home, pain-free, worry-free, in peace and quiet. ...Read more
My aunt was diagnosed with stage 4 liver cancer that spread to her spine about 6 months ago. Last month they stopped treatment and gave her hospice services. She also has copd, life expectancy?
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
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
My dad is in hospice. He reached the final death stage. He has now did 4 days with no water and the doctor told me giving him a IV of water is just going to prolong his death and pain. Is this true?
Food not needed.: Yes it is true. Giving intravenous fluid will prolong his sufferings, and prolong his death. If fluid is given by mouth it all will end up in his lungs, aspiration will cause him breathing difficulties. At the end of life patients are not hungry, and they have no desire to eat or drink. Doctors will help reduce his pain, shortness of breath, and anxiety. At this stage only 'comfort care' is need. ...Read moreSee 2 more doctor answers
Mom, 84, hospice patient, on morphine 10mg every hr as needed, the last urine was reddish color, stopped eating/drinking for 4 days, # days left?
End of life: Sorry to see you go through this. It is hard to tell when the kidneys shut down completely and other organs follow. I hope she is comfortable and not in pain, this is the important part. I also hope you have good support from friends and family in such hard times. My warmest sentiments. ...Read more
A short list: A study of what patients want included the following: -excellent pain and symptom control -not prolonging life inappropriately -achieving a sense of control -strengthening important relationship -reducing bürden on family (including non-biological family!) i would add--a place to be, either at home or in a facility that gives the patient a sense of security and peace. ...Read moreSee 1 more doctor answer
Palliative - Hospice: At a point when a fatal illness becomes un-treatable, palliative care may keep one comfortable and as strong as well as possible until death. Other, treatable conditions will be treated during this time and pain will be addressed. Sometimes this is in the home, but it may be inpatient. It is often part of hospice care. It may also include counseling for the patient and loved ones. Best wishes. ...Read more
Your community: You can go to http://www.Nhpco.Org/palliative-care-0 for information about hospice care. You can also do a web search for "hospice" in your local community. This will bring up the available hospice organizations in your area. Visit them and talk to the providers so you can understand what each one offers, and whether they feel right for you or your loved one. ...Read more
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