Doctor insights on:
Nutrition In Palliative Care
The time to: Shift from exclusive focus on cure, to acceptance that cure is not possible, time to focus on quality, comfort and care is difficult for many. Today, evidence is pointing toward integrating comfort measures for pain, nausea, fatigue and sleep early during "cure care". Amazingly, people treated this way live longer, and more comfortably. It's what i would want! ...Read moreSee 2 more doctor answers
Both ease symptoms!: Pallative care in a hospital is often delivered by a consulting team of clinicians, or in a specialized inpatient unit. Patients at any stage of illness can be helped by palliative care. Hospice is one form of palliative care that usually is delivered at home by a team of specialists, focused on the very last phase of life. ...Read moreSee 1 more doctor answer
Hospice: Well, you may just need a palliative approach to care; comfort over cure. Hospice is palliative care in the last months of life. Discuss with your physician about working on your comfort or find a physician who is hospice and palliatively board-certified. It is unfortunate that cms has sort of defined hospice meaning palliative care for the last six months of life, but this is only an estimate. ...Read moreSee 3 more doctor answers
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 moreSee 1 more doctor answer
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 moreSee 3 more doctor answers
Yes is some areas: Most large insurance companies are expanding their home palliative care services, check with them to see if available in the area you live. Most need to meet home health criteria (home-bound patient with a skilled medical need). Some centers are also starting palliative care clinics for those patients not home-bound. ...Read moreSee 1 more doctor answer
Can you weigh the benefits of in-patient and out-patient, hospital and home care for palliative care?
Palliative/ Hospice: Hospice serves pts in their own homes, nursing homes, long-term care or assisted living facilities or hospitals. Pts receive palliative care to ease pain, and discomforting symptoms; psycho-social, and spiritual support. Hospice care is focused on maintaining dignity, increasing quality of life, and providing comfort , including pain and symptom management. Hospice gives best care at end of life ! ...Read more
What are the cornerstones of care plan for elderly besides physical, mental, spiritual health programs?
Attention: Frequent visits from their loved ones!Get a more detailed answer ›
You have more power: In a patient-centered model of care, you are more likely to be involved in selecting medicines and interventions that support your personal vision for quality of life. The physician seems more like your medically knowledgeable partner, guiding you among options based on your personal goals for your health and sense of wellness. It's the kind of medicine that i choose for myself and try to practice. ...Read more
It varies: Most PC programs have doctors, nurse practitioners, nurses, social workers, and a chaplain/spiritual counselor. Psychologists are included in some programs. ...Read more
MDs, RNs, etc: Cardiac rehab, when done right, involves physicians to set goals and monitor vital signs during activity, physical therapists to oversee exercise, and various providers to counsel on diet, smoking cessation, etc. These latter can include social workers, nutritionists, psychologists/psychiatrists, etc. ...Read moreSee 1 more doctor answer
The Goal: The purpose of palliative care and pain management is to support a person with a life-threatening disease and allow them to make the most of whatever time they have left. The purpose of euthanasia is to assist them in ending their life so they don't need to experience (or fear) the pain and disability that can happen at the end of natural life. ...Read moreSee 2 more doctor answers
Are only Intensive Care Units equipped to give total parental nutrition (TPN) or can this be done in most wards?
Both: Many patients are started on TPN in the ICU, for critical conditions or after surgery, but there is no reason that TPN cannot be started on the wards. A team of providers, a nutritionist, an iv access team and usually a physician, round to determine: 1) is TPN indicated, can feeding be used instead; 2) if so, what access (port, PICC line); 3) what formulation; 4) how long? Teaching is critica ...Read moreSee 1 more doctor answer
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 moreSee 3 more doctor answers
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