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Doctor insights on: When A Doctor Recommends Hospice What Is It That They See

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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. Harinder Gill
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


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When the doctor recommends hospice would it be helpful if the children encourage their dying?

When the doctor recommends hospice would it be helpful if the children encourage their dying?

Hospice: Maybe your questiion is about a sick parent that has a terminal disease-should the children of the terminal parent encouage them
to "let go".I have been a hospice dr. At some points in my medical career. Dying is a process, not only for the terminal patient; but also for the family and friends. Children who have been supportive of their ill parent will know when to express this feeling that it's o-k. ...Read more

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89 mother with dementia; treatment? She's in Hospice care due to age and the doctor does not recommend Aricept (donepezil).

89 mother with dementia; treatment? She's in Hospice care due to age and the doctor does not recommend Aricept (donepezil).

Hospice: Hospice care should make her comfortable. There is truly no Treatment that cures dementia...the medication like Aricept (donepezil) can be used to lengthen the duration of cognitive impairment. At 89 and on Hospice, the Aricept (donepezil) will most likely not have a mojor effect, hence the Dr. Not likely to use it. I know it is tough to see mom this way, but the Dr. And the Hospice care, as well as your love will help. ...Read more

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My dad in hospice has been on dialysis 4yrs. Doctors say dialysis is no longer helpful, what does that mean? He says he wants to continue dialysis.

My dad in hospice has been on dialysis 4yrs. Doctors say dialysis is no longer helpful, what does that mean? He says he wants to continue dialysis.

Tough decision: Hospice therapy centers upon comfort care. Dialysis is life sustaining. Usually the decision to stop dialysis and start hospice go together. One could argue that the dialysis provides relief from shortness of breath or edema, to say that dialysis is no longer helpful implies that these goals are unattainable. Stopping dialysis will not affect comfort in that case. ...Read more

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Hello doctors, what does hospice care really mean?

Hello doctors, what does hospice care really mean?

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

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What extra curricular activities or things must I do to become a doctor? Is volunteering at a hospice good?

What extra curricular activities or things must I do to become a doctor? Is volunteering at a hospice good?

Do what you enjoy: Having medically related volunteer activities may help you realize if this is fhe career for you, but they have little "real world" relevance to getting into medical school. A high academic achievement, showing the ability to be committed (to anything- a rock band even) is far more important.. ...Read more

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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?

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 more

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Can I keep my family doctor if I am under hospice care?

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

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How dpes family or doctor determine when to stop tube feeding in hospice?

How dpes family or doctor determine when to stop tube feeding in hospice?

Quality of life: For the vast majority of hospice patients, tube feeding actually makes them more uncomfortable--they retain fluid, have more secretions, have to deal with the tube. And tube feeding has never been shown to improve quality of life or lengthen survival--and this has been studied. Removing the tube can improve comfort and dignity, and won't hasten death. ...Read more

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My mom had an EF of 25% along with COPD. Her doctor suggested we take her ought the bi-pap and move her to Hospice...

My mom had an EF of 25% along with COPD. Her doctor suggested we take her ought the bi-pap and move her to Hospice...

EF25%: EF of 25% is adequate. It is heart failure, needs medication and monitoring. People live with 10% EF and even go to work What is the underlying condition? Heart, Lung? COPD? Still EF 25% is fine for heart failure. Consider getting a second opinion at the University of Arkansas Medical center cardiology department. 501-686-5311 ...Read more

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My doc put me on hospice I want a 2nd opinion. Don't have much money. Doing nothing for me and I feel good. I have cervical cancer I don't want to die?

Phase I trial: Certain people may have no standard or fda approved drugs available after they failed several treatments but if they are still in good shape with good organ function, they may qualify for an experimental (phase I clinical trial). Look for a place where this can be offered. ...Read more

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How soon after a palliative care decision is physician made for cancer treatments to stop does a person enter a hospice?

Hospice: It depends on a lot of criteria but mainly occurs when the patient is unable to stay at home because the caregiver is unable to keep the patient comfortable or the patient's condition is such that he or she requires end of life terminal care. ...Read more

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If it happens, how soon after the start of chemo and radiation can a doctor stop treatments for palliative leading to hospice care?

If it happens, how soon after the start of chemo and radiation can a doctor stop treatments for palliative leading to hospice care?

Hospice: This may occur at any time, depending upon the likelihood that the patient is going to benefit substantially from the chemo/rads. If the patient decides that they have had enough treatment then referral to hospice is quite appropriate. Too often patients have hopes that are not in accordance with the likelihood of response. They need to discuss this with the oncologist. ...Read more

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Hospice neglect and harassment, what to do?

Hospice neglect and harassment, what to do?

Revoke: Revocation is easy and cannot be contested. A new hospice company can be found to replace the one you have left. ...Read more

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What services might I receive when in hospice?

Hospice services: 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. ...Read more

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What is the definition or description of: hospice?

What is the definition or description of: hospice?

Hospice services: 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 last phase of life. ...Read more

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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

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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

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What healthcare professionals are involved in hospice?

What healthcare professionals are involved in hospice?

Hospice services: 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. ...Read more

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Do all hospitals have hospice services nowadays?

Not always but..: Not all hospitals have an inpatient hospice but some do. Much hospice care is provided in the home with visiting hospice services allowing the patient to be with family and friends in a more comfortable environment than a hospital. ...Read more

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Does hospice care offer full-time nursing care?

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

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How is hospice care tailored to a dying person's needs?

How is hospice care tailored to a dying person's needs?

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

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Will I stop getting all medical treatment when I'm under hospice care?

Will I stop getting all medical treatment when I'm under hospice care?

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

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Please explain if it is true that hospice patients don't get any treatment?

Please explain if it is true that hospice patients don't get any treatment?

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. It's not "no treatment", it's comfort care. ...Read more

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Could you please explain the difference between hospice and home health care?

Could you please explain the difference between hospice and home health care?

Hospice; home health: Hospice care can be provided in the home or in an facility depending on the needs of the individual. Home health care is broader than hospice, embracing a vast variety of health needs individuals may have, not just critical or end of life needs. Hope this helps. ...Read more

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Which things should I ask the hospital caseworker about hospice for my husband who's dying of lymphoma?

Ask if they can help: Sorry for your husband's illness. Hospice can be a source of great comfort both for you & your husband. They can provide respite care for you, so you can have some personal time while he is cared for he can have another volunteer come & visit. Hospice services typically provides all medication that is needed, but not for room and board. Typically the hospice nurse can answer all these questions. ...Read more

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Is there cancer pain so intense that it cannot be controlled by any medication at home? What do they do in a hospice for it?

Is there cancer pain so intense that it cannot be controlled by any medication at home? What do they do in a hospice for it?

Yes/No: Pain medicines come in the form of tablets (oral use) or injectables which can be given under the skin (Sub Q) or given IV. Of these chocies SubQ and oral can be easily done at home but IV therapy requires a professional, frequently a Physician, who may be limited in availability, yet it can be arranged. It is all a matter of how best to keep patient comfortable. IV Pain meds can control any pain. ...Read more

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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

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Hello, I work at a hospice house. If a patient is to get. 50 ml of morphine and only receives. 40 ml will that make a difference over hours?

Hello, I work at a hospice house. If a patient is to get. 50 ml of morphine and only receives. 40 ml will that make a difference over hours?

Patient comfortable?: Givng. 40 ml of morphine is 20 percent less medication than. 50 ml. I don't think this would matter much, as long as the patient is comfortable. But if the patient is getting inadequate pain relief, this may be your answer. ...Read more

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Is hospice reason y pt is not being given food supplement because she does not eat enough due to combativeness? Hospice may end if she could gain wt.

Hospice care: Does not include denying patients food...nor does suitability for hospice care involve weight loss/gain Rather the NEED for END OF LIFE care determines the suitability of the individual patient!

Hope this helps
Dr Z ...Read more

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NEED palliative care/ pain RELIEF DR near 80640. Current Pain DR afraid of DEA & won't increase oral meds. I'm suffering. Open to hospice discussion.

NEED palliative care/ pain RELIEF DR near 80640. Current Pain DR afraid of DEA & won't increase oral meds. I'm suffering. Open to hospice discussion.

May need to call: Local hospice service and work with doctor open to managing end of life care. The DEA keeps a registry of both patients and doctors, but your situation warrants comfort care and compassion. You do not need to live in pain. Call your PCP to get referral and begin discussions. ...Read more

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In hospices, what's end-of-life care?

In hospices, what's end-of-life care?

Variable: Hospice can be either in a facility or at home. It is designed to take of symptoms that bother the patient, ie pain, nausea, vomiting, etc. ...Read more

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What is a hospice?

Hospice care: 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

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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

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Are you allowed to go home from hospice?

Are you allowed to go home from hospice?

End of life care.: Hospice care can be given at home, in the hospital or in a skinned nursing facility. 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

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How sickly must one be to stay with 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

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Factors involved in deciding on a hospice? What factors should one consider before entering a hospice?

Hospice services: All hospices must supply the same set of services as per cms guidelines. Ask to meet the nurse that will be responsible for your care to make sure that you are comfortable with them. Ask exactly what resources you will receive. Ask about where you will receive your terminal care (home vs inpatient unit; if inpatient unit, where is that located). ...Read more

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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

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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

Dr. Janice Alexander
8 Doctors shared insights

End Of Life Care (Definition)

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