Some older adults and people with serious illnesses, unfortunately, experience the end of life in certain healthcare settings that do not align with their desired wishes. If you have a serious illness or are a caregiver of someone planning end-of-life care, knowing the difference between palliative care and hospice care can help you make an informed decision when the time comes to transition to one of these healthcare settings.
Palliative care is a form of care that focuses on improving your quality of life and that of your family when you are living with a serious illness. It focuses on your whole-person health rather than only on your condition. If you are receiving palliative care, your treatment plan may focus on reducing symptoms of your illness and on improving secondary conditions such as depression, sleep deprivation, and side effects of medications.
Palliative care may be given in various healthcare settings, such as at the hospital, a residential care facility, or your home. Anyone can receive this type of care regardless of age or the severity of their condition.
If you receive palliative care, you may work with and be treated by various healthcare professionals, including doctors, nurses, social workers, pharmacists, physical therapists, counselors, and nutritionists. If you need spiritual care, your palliative care team may even include a chaplain. The healthcare professionals that make up your palliative care team will depend mainly on your recovery needs and level of care.
Studies show that palliative care offers many benefits, including:
Hospice care focuses on improving your comfort and quality of life when you are nearing the end of your life. This type of care is usually given in circumstances in which an illness continues to progress despite treatment or when the patient chooses not to receive certain treatments. Hospice care is similar to palliative care in that it provides comfort care and support for the family. However, treatments are not given to improve the illness.
Like palliative care, hospice care can be given in many different healthcare settings, though it is most frequently given at your home, where you can be most comfortable and spend quality time with your loved ones. In addition, it is typically given when your healthcare provider believes you have no more than six months to live. Some benefits of hospice care include 24/7 access to nurses and healthcare workers who can address and relieve symptoms and side effects and access to medical equipment and medications that can reduce your discomfort.
Many of the same types of healthcare professionals that make up a palliative care team will also be part of your hospice care team. This includes doctors, nurses, social workers, chaplains, and volunteers who dedicate their time to giving you the support you need and making you feel as comfortable as possible during your final months.
To be eligible for hospice care, you will discontinue aggressive treatment efforts to combat your terminal illness (such as experimental surgeries, aggressive chemotherapy, or other treatments that require prolonged hospitalization and recovery). However, you may continue to receive treatments for other conditions, such as antidepressants to treat depression or insulin medicines to control Diabetes.
Comfort care and end-of-life care are both terms that describe the type of care you receive when you are near the end of your life and are no longer receiving treatment for your illness. It is highly similar to palliative care in providing you with whole-person care that focuses on your physical, social, emotional, and spiritual health. Comfort care and end-of-life care may include palliative care or hospice care, or a combination of both.
Sometimes, palliative care is given as part of hospice care, and both types share many similarities. For instance, the goal of both palliative and hospice care is to improve your quality of life and help you find relief from painful and severe symptoms and side effects of treatment. Both types of care also focus on whole-person health. However, there remain many differences between palliative care and hospice care.
Some of these differences are:
You may want to consider palliative care if you or your loved one has a serious illness or chronic condition that requires long, intensive care or that causes severe physical symptoms and/or emotional distress. For example, cancer, heart disease, AIDS, and kidney failure are some of the many conditions that can benefit from palliative care.
Additionally, palliative care may benefit you if you:
A person may transition from palliative care to hospice care if their doctor thinks they have no longer than six months to live. Sometimes, it can be difficult for doctors to predict exactly how long it will take for a particular disease to run its course or how long a person has left to live if their health is in decline. In these circumstances, it’s important to consider how transitioning to hospice care could improve your quality of life during your final months.
According to the National Library of Medicine (NLM), doctors should strongly consider referring chronically ill patients to hospice care if they spend more than half their time in bed, are unable to function efficiently, and are experiencing both physical and psychological distress. The NLM adds that hospice referrals are usually necessary when the patient’s condition has progressively declined to the point that their highest priority is to take control of their healthcare and achieve the greatest possible comfort in their homes as they near the end of life.
Talk to your doctor if you think you may need hospice care but aren’t sure when you should transition out of palliative care. Your doctor can talk to you at length about your options and the benefits of transitioning to hospice care based on your condition and unique circumstances.
Taking advantage of hospice care as soon as it’s needed could result in access to quality care and lots of extra quality time to spend with your loved ones. Additionally, studies show that patients who plan their care in advance are more likely to be satisfied with their care, given how they can make decisions that align with their end-of-life wishes.
Consult with your healthcare provider if you or your loved one is interested in learning more about palliative care or hospice care. Your doctor can refer you to a palliative or hospice care specialist who can answer all your questions and help you determine which of these services may be more ideal.
Palliative care and hospice care are covered by many major health insurance providers, including Medicare. The exact benefits covered will vary based on your health plan. Benefits covered may include medical equipment and supplies, skilled nursing care, bereavement support, and medications to provide comfort, among many others.
Hospice At Your Side has resources for home health and hospice services throughout the United States. Specialty services we offer include diabetes care, orthopedics, and pain management. Call us today to learn more about our many home healthcare services.
Hospice care provides comfort and support to individuals with terminal illnesses, focusing on quality of life rather than curative treatments. For families in Dallas, Texas, choosing the right hospice care is essential in ensuring that their loved ones receive compassionate, dignified, and appropriate care in the final stages of life. This blog will guide you through the importance of hospice care, the services available in Dallas, and how to make an informed decision during a challenging time.What is Hospice Care?Hospice care is a specialized type of care designed for individuals who are no longer seeking curative treatments for their illness. Instead, hospice focuses on making the patient's final days as comfortable as possible, managing symptoms, and providing emotional, spiritual, and practical support for both the patient and their family members.The Role of Hospice Care ProvidersHospice care providers are trained professionals who specialize in providing end-of-life care. They work closely with the patient's family, doctors, and other healthcare professionals to develop a care plan that meets the patient's needs and wishes. In Dallas, hospice providers typically include:Physicians and nurse practitioners to manage medical care and symptomsNurses who visit regularly to monitor the patients condition and provide medical interventions as necessarySocial workers who provide emotional support and assist with planning for the futureChaplains or spiritual counselors who offer spiritual guidance and supportHome health aides who assist with daily personal care tasks such as bathing and groomingVolunteers who provide companionship, respite care for family members, and practical help with errandsBenefits of Choosing Hospice Care in DallasDallas offers a variety of hospice care options, allowing families to choose the best care for their loved ones. Key benefits of hospice care in Dallas include:Compassionate, patient-centered care focused on comfort and dignityAccess to highly trained professionals experienced in end-of-life careFlexible care settings, including in-home hospice, hospital-based hospice, or hospice facilitiesEmotional and spiritual support for both the patient and their family members24/7 availability of support, ensuring patients and families are never without help during a difficult timeHow to Choose the Right Hospice Provider in DallasChoosing the right hospice provider is an important decision, and several factors should be considered, such as the providers reputation, services offered, and the level of support they provide. Here are a few tips to help guide your decision-making process:Research the providers accreditation and licensing status.Read reviews and ask for recommendations from healthcare professionals or others who have used hospice services.Evaluate the range of services provided, including pain and symptom management, spiritual support, and respite care.Consider how much flexibility the provider offers in terms of care options, such as home hospice or facility-based hospice.Ensure the provider offers sufficient emotional and psychological support for both the patient and family members.Resources for Finding Hospice Care in DallasDallas has many resources available for families looking for hospice care. Seniors Blue Book provides a comprehensive directory of home health services, including hospice care providers in the Dallas area. This trusted resource helps you navigate the available options, making it easier to find the best care for your loved one.To explore senior home health care options in Dallas, visit: Senior Home Health in Dallas, TXFor a list of hospice care providers in Dallas, browse this directory: Hospice Care in Dallas, TXConclusion Making the decision to utilize hospice care can be difficult, but it ensures that your loved one receives the comfort and dignity they deserve during their final stages of life. Dallas offers a wide range of hospice care providers with different services to meet your needs. By researching your options and seeking professional guidance, you can make an informed decision that brings peace and comfort during a challenging time.
Facing the realities of a terminal illness is one of the most emotionally challenging experiences for any family. In these moments, finding compassionate, professional support is essential. Hospice care in Denver offers a vital service that focuses on comfort, dignity, and quality of life for individuals with life-limiting conditions.This guide is designed to help families in the Denver area better understand what hospice is, how it works, and how to access local, high-quality services. Whether you're just beginning to explore options or planning ahead, this resource will help you make informed, compassionate decisions. What Is Hospice?Hospice care is specialized care designed for individuals who are facing the final stages of a serious illness. The goal is not to cure, but to provide comfort, pain management, and emotional and spiritual support to both the patient and their family. Hospice can be provided in various settingsincluding the home, an assisted living facility, or a dedicated hospice center.Key services often include:Symptom and pain managementEmotional and psychological supportSpiritual counselingSupport for family caregiversCoordination of medical supplies and medications Who Is Eligible for Hospice?Hospice is available to patients who have been diagnosed with a terminal illness and have a life expectancy of six months or less, as certified by a physician. Most patients have conditions such as cancer, heart failure, advanced Alzheimers disease, or chronic respiratory illness.Eligibility is not limited by age, and services are typically covered by Medicare, Medicaid, or private insurance plans. Why Hospice MattersHospice is not just about end-of-life careits about living with dignity, being surrounded by support, and ensuring each moment counts. For families, hospice also provides much-needed relief and guidance during an incredibly difficult time.Benefits include:Enhanced comfort for the patient through expert symptom controlReduced hospital visits and medical interventionsEmotional closure and improved family copingAccess to grief support and bereavement services Hospice in Denver: Local ConsiderationsDenver is home to a broad network of hospice providers, each offering a range of services suited to different needs. The citys vibrant healthcare community ensures residents have access to experienced professionals and resources focused on compassionate, end-of-life care.To explore hospice services available in Denver, you can visit the following trusted directories: Denver Home Health Directory Denver Hospice Care Providers What to Look for in a Denver Hospice ProviderChoosing a hospice provider is a personal decision that should reflect your familys values and preferences. While all hospice programs must meet certain federal standards, individual providers may differ in their philosophy, staffing, and additional services.Here are key questions to ask:What types of professionals are on the care team (nurses, social workers, chaplains)?Is support available 24/7?Are bereavement services offered to family members?How is pain and symptom management handled?Can care be provided at home or in a preferred setting?Denvers diverse provider landscape means you can find a hospice service that aligns with your loved ones specific needs and wishes. Hospice vs. Palliative Care: Whats the Difference?While both hospice and palliative care focus on comfort, there are key differences. Palliative care can be provided at any stage of a serious illness and may be given alongside curative treatments. Hospice, on the other hand, begins when curative treatments have stopped and the focus shifts fully to comfort and quality of life.If you're uncertain which type of care is most appropriate, speaking with a healthcare provider or social worker can help guide your decision. Final Thoughts Hospice care in Denver is more than a serviceits a compassionate philosophy of care that respects the individuals journey, values dignity, and provides vital support during lifes final chapter. Choosing hospice is never easy, but it can be a powerful step toward peace and comfort for both the patient and their loved ones.
By Faith Protsman, MD, Regional Medical Director, VITAS HealthcareTwo recent studies highlight how sepsis impact often extends well beyond the acute event that led to a patients hospitalization. The studies emphasize two particular points that should inform physicians and clinicians as they consider referring these patients to specialized care: Medicare patient data gathered between 2012-2017 shows that sepsis patients face considerably poorer health outcomes following hospital discharge when compared to non-sepsis patients, including elevated risk for death and increased use of advanced healthcare services. Sepsis survivors exhibit strong indicators of persistent inflammation and immunosuppression for up to a year after hospital discharge, increasing their risk of readmission or death. Both studies indicate a significantly elevated risk of death among sepsis patients after they have been discharged and ostensibly cured. Of course, sepsis patientsparticularly those of the Medicare cohort, who are largely of advanced agerarely leave the hospital in better condition than they entered.The Yende study, in particular, shows that neuroendocrine and inflammatory responses to sepsis can continue long after the patient survives a septic episode. For patients with advanced or chronic diseasesas was the case with nearly 78% of participants in the studythese biomarkers are associated with decline.Post-sepsis Discharge: A Critical JunctureIn many cases, these individuals life expectancies upon discharge will be less than six months. This is a critical juncture: While comfort-focused hospice care could provide an ideal source of support for the eligible patient, their family, and their caregiver(s), most sepsis patients are simply sent home without even a discussion about palliative end-of-life care and its benefits.Frankly, such an oversight is a disservice to everyone involved. The sepsis patient is left with physical and/or cognitive dysfunction, often without significant options for symptom management. Their partner or family will either need to assume caregiving duties or turn to costly private services. And the physician and hospital staff will likely see the patient again following another acute event, a readmission that impacts performance scores, strains resources, and unnecessarily fills beds.By no means do I intend to lay the blame for these unfortunate circumstances on physicians. Timely hospice referrals require ongoing education about end-of-life care, and open, ongoing communication between hospice providers and referral sources.More Help: How to Talk About Hospice Care >Those of us in hospice are working hard to bridge the gap, but even as our healthcare system transitions to a value-based model, the mentality of fee-for-service still permeates our nations acute-care facilities, and many hospitalists see a discharge home as a success.Hospice: A New Way Of Judging SuccessIn hospice, we judge our successes on the patients quality of life and the fulfillment of their goals and wishes near lifes end. Usually, that means going home with 24/7 support from an interdisciplinary hospice team. Whether home is a traditional residence, an assisted living facility, or nursing home, the hospice team will assist caregivers (and/or facility staff) with direct clinical care and education, integrative services, bereavement support, and delivery of medication, equipment, and supplies.In other cases, improving quality of life means remaining in a general inpatient setting with hospice support, taking the burden off hospital staff until the patient is able to transition home or until the patient dies. Hospice offers complex modalities in any setting, so patients who would otherwise be confined to an ICU can usually return home to be among loved ones.With support from hospice, a sepsis patient and their family are more likely to report higher satisfaction of care and greater quality of life. The patients emotional and spiritual needs can be met alongside their physical needs, thanks to care from chaplains, social workers, music and massage therapists, and other integrative specialists. Finally, the patient is more likely to die at home, surrounded by loved ones, rather than in the hospital.Because sepsis is most common in patients with advanced or chronic diseases that indicate hospice eligibility, acute incidences of sepsis should always trigger a hospice eligibility assessment. We owe it to our patients, their loved ones, and our colleagues in healthcare, all of whom can benefit from the support that timely end-of-life care offers.
At Abode Home Health, we believe that every patient deserves to receive high-quality, personalized care in the comfort of their own home. We understand that no two patients are alike, which is why our home health services are tailored to meet the specific needs of each individual. Our dedicated team of skilled nurses, therapists, and healthcare professionals is committed to providing the highest level of care, helping patients recover, regain independence, and live life to the fullestall while remaining in a familiar and comfortable environment.Home health care is an ideal solution for patients who require medical care or assistance with daily activities but prefer to remain at home rather than in a hospital or care facility. At Abode Home Health, we bring professional healthcare services directly to your doorstep, allowing patients to recover in a setting where they feel safe and comfortable. Our goal is to enhance each patients quality of life by delivering compassionate and effective care designed to meet their unique medical and personal needs.Our home health services can help patients: Avoid unnecessary hospital visits and readmissions Recover faster in a comfortable, familiar setting Improve overall health outcomes through personalized care plans Maintain independence and dignity while receiving care at homeAt Abode Home Health, we offer a wide range of services to address the diverse needs of our patients. Whether you are recovering from surgery, managing a chronic illness, or need assistance with mobility, our skilled professionals are here to help. Our services include:Our team of licensed and registered nurses provides expert medical care, including:Medication management and administrationWound care and dressing changesPain managementChronic disease management (such as diabetes, heart disease, and COPD)Monitoring vital signs and overall health progressPatient and family education on managing health conditionsPhysical TherapyOur physical therapists help patients regain strength, mobility, and independence through targeted exercises and treatments. We provide:Post-surgical rehabilitationFall prevention strategiesStrength and balance trainingPain relief techniquesAdaptive equipment recommendationsOccupational TherapyOur occupational therapists work with patients to improve their ability to perform daily activities. This includes:Training on using assistive devicesTechniques to improve fine motor skillsHome safety evaluations and modificationsStrategies to enhance independence in self-careSpeech TherapyOur speech-language pathologists provide care for patients with speech, language, or swallowing difficulties. Services include:Speech and language exercisesCognitive communication therapySwallowing and feeding techniquesVoice strengthening exercisesMedical Social ServicesOur medical social workers provide essential emotional and social support, helping patients and their families navigate the complexities of healthcare. We offer:Counseling and emotional supportAssistance with accessing community resourcesGuidance on healthcare decisions and care planningHome Health Aide AssistanceOur certified home health aides provide support with daily living activities, such as:Bathing and groomingLight housekeepingMeal preparationMobility assistancePersonalized Care PlansAt Abode Home Health, we understand that every patients journey is unique. Thats why we create customized care plans based on each patients specific needs, health conditions, and personal goals. Our experienced team conducts thorough assessments to develop a plan that ensures the best possible health outcomes while preserving the patients independence and dignity.Choosing Abode Home Health means choosing a team that truly cares about your well-being. Our services are designed to:Reduce Hospital Readmissions By closely monitoring patients and providing timely care, we help prevent complications that could lead to hospitalization.Promote Faster Recovery Patients often recover more quickly at home, where they feel comfortable and supported.Ensure Peace of Mind Families can rest easy knowing that their loved one is receiving professional, compassionate care at home.Encourage Independence We empower patients to take an active role in their recovery and maintain as much independence as possible.Abode Home Health services are suitable for a wide range of patients, including those who:Are recovering from surgery or injuryAre managing chronic conditions like diabetes, heart disease, or COPDNeed help with mobility or balance issuesRequire wound care or medication managementExperience difficulty with speech or swallowingNeed support with daily personal careExperienced and Compassionate TeamOur team at Abode Home Health consists of experienced and highly trained professionals who are passionate about delivering exceptional care. From skilled nurses and therapists to compassionate aides and social workers, we work together to provide comprehensive support that meets each patients medical, emotional, and personal needs.Receiving care at home allows patients to maintain their routines, stay connected with family and friends, and feel a sense of normalcy during recovery. Studies have shown that patients who receive home health care often experience better health outcomes and higher levels of satisfaction compared to those in institutional settings. Abode Home Health is dedicated to making this possible by offering patient-centered care that focuses on comfort, dignity, and healing.Abode Home Health proudly serves patients in Pueblo, and the surrounding communities. We are committed to being a trusted partner in your health journey, providing the care and support you need to live life on your terms.