Understanding the Difference Between Palliative Care and Hospice

Posted on

Oct 29, 2020

Share This
Palliative care is patient andfamily-centered care optimizingquality of life by anticipating,preventing and treating suffering.
It is for people of any age, at anystage of a serious illness, whoare seeking relief from pain andsymptoms. Individuals may receivepalliative and curative treatments atthe same time. A Nurse Practitionerand Licensed Clinical Social Workerwill collaborate with the patientsdoctor to alleviate symptoms ofserious and chronic illnessesincluding:
- treating pain
- managing chronic illnesssymptoms
- education on diagnosis anddisease process management
- clarifying treatment goals andoptions
- assisting with navigating thehealthcare system
Palliative care can occur inhospitals, nursing homes, assistedliving facilities and at the patientsresidence reducing unnecessarytrips to the hospital. Services arepaid for through Medicare (PartB), Medicaid and many private insurances.
Hospice is patient and family centered care optimizing qualityof life for individuals who havea life-limiting illness and are nolonger seeking curative, but rathercomfort measures. Hospice is trulyfocused on maintaining qualityof life, dignity and comfort forthe remainder of a persons life.Services are provided wherever aperson calls home and are coveredunder Medicare, Medicaid, privateinsurance or Veterans benefits.
Hospice services include:
Skilled Nursing weekly/daily/continuous care dependent uponclinical need for the managementof pain, physical/emotionaldistress or symptom management
Certified Nursing Assistantservices twice a week to assistwith bathing and personal cares
Social Work services to advocatefor patient wishes, helpindividuals address emotionalaspects of illnesses and assistfamilies in identifying additionalresources
Chaplain services for spiritualsupport
Durable Medical Equipment- items like a hospital bed,wheelchair, walker, oxygen, andmore
Medications - any medicationdeemed necessary to managesymptoms/provide comfortmeasures
Incontinence Supplies - diapers,bed-covers, gloves, rash creamsand more
Bereavement services availableto family members for up to 13months after the loss of a lovedone
Hospice services are by choiceand can be elected or cancelledat any time. Hospice is the onlyMedicare benefit that neverexpires. Individuals can useit for as long as they qualifyand continue to show signs ofincremental decline.By keeping the focus on thewishes of the patient, Hospiceservices afford patients to liveout the remainder of their livesknowing their symptoms anddiscomfort will be managed, theywill receive quality care in theirhome, and their families will haveresources after their passing.

Editors Note: This article was submittedby Katie Monahan. Katie is the Director ofCommunity Relations at Transitions Hospiceand can be reached at 847-515-1505 or atkmonahan@transitionshospice.com.

Other Articles You May Like

The Crucial Role of Certified Nursing Assistants in Hospice and Palliative Care

Hospice and palliative care play a vital role in providing comfort, support, and dignity to patients and their families during challenging times. Within this compassionate field, Certified Nursing Assistants (CNAs) serve as invaluable members of the healthcare team. They provide essential support, enabling patients to receive the highest quality of care while enhancing their overall well-being. In this blog post, we will explore the importance of Certified Nursing Assistants in hospice and palliative care settings and shed light on their indispensable contributions.Compassionate and Personalized Care:One of the fundamental principles of hospice and palliative care is to prioritize the physical, emotional, and spiritual needs of patients. CNAs excel in delivering compassionate care, fostering a sense of trust and security for individuals navigating their final journey. By establishing meaningful connections with patients and their families, CNAs can better understand their unique needs, fears, and desires. This personalized approach ensures that patients receive the utmost attention and assistance during their most vulnerable moments.Assistance with Activities of Daily Living (ADLs):Certified Nursing Assistants are trained to provide essential support with Activities of Daily Living (ADLs), which encompass routine tasks such as bathing, dressing, grooming, and feeding. In hospice and palliative care, patients often face physical limitations, discomfort, or cognitive impairment. CNAs skillfully navigate these challenges, offering gentle and dignified assistance that promotes patient independence and self-worth. Their presence allows patients to maintain their sense of identity and dignity while facing the physical and emotional changes associated with their condition.Monitoring and Reporting:In hospice and palliative care, accurate and timely communication between healthcare professionals is crucial for providing comprehensive care. CNAs are on the front lines, closely observing patients conditions, monitoring vital signs, and promptly reporting any changes or concerns to the nursing staff. Their vigilant eyes and keen observation skills serve as an early warning system, ensuring that healthcare providers can respond quickly to any emerging issues. By bridging the gap between patients and the rest of the care team, CNAs contribute significantly to the overall well-being of patients.Emotional Support for Patients and Families: The end-of-life journey can be emotionally overwhelming for both patients and their loved ones. Certified Nursing Assistants offer much-needed emotional support, lending a listening ear, and providing a comforting presence. They are often trusted confidants who provide reassurance, empathy, and understanding during moments of fear, anxiety, or grief. By establishing genuine connections, CNAs help alleviate emotional distress, fostering an environment of trust, compassion, and acceptance.Facilitating Communication and Collaboration:CNAs are integral in fostering effective communication and collaboration among the interdisciplinary team in hospice and palliative care. They serve as a crucial link between patients, families, nurses, social workers, and other healthcare professionals. By relaying patient preferences, concerns, and updates, CNAs ensure that everyone involved is on the same page, resulting in cohesive and coordinated care. This collaborative approach maximizes the quality of life for patients and ensures that their wishes are respected.Certified Nursing Assistants play an invaluable role in hospice and palliative care, offering compassionate support, personalized care, and essential assistance to patients and their families. Their contributions in providing physical and emotional comfort, monitoring patients conditions, and facilitating effective communication are immeasurable. As we recognize the importance of CNAs, it is crucial to appreciate their dedication, empathy, and unwavering commitment to ensuring that every individuals end-of-life journey is as comfortable and dignified as possible. Questions please call, 303-698-2121. 

Comparing Palliative & Hospice Care - Understanding Palliative Care Compared to Hospice Care

Comparing Palliative & Hospice Care Understanding Palliative Care Compared to Hospice CareSome 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.What Is Palliative Care?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:Reduction in pain, nausea, and shortness of breathImproved communication among patients, their loved ones, and their healthcare providersIncreased emotional supportHigh-quality care that aligns with the patients wishesReduction in stressIncreased confidence surrounding decision-making related to careAbility to meet the emotional and spiritual needs of the patients and their loved ones What Is Hospice Care? 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.    What Is Comfort Care and End-of-Life Care? 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. What Are the Main Differences Between Palliative Care and Hospice Care? 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: Palliative care can be given to anyone with a serious illness, regardless of the stage of their disease. In comparison, hospice care is typically only given when a person has less than six months to live and is at the end of their life. Palliative care can be given simultaneously when the patient receives other treatments for their condition, such as chemotherapy or radiation therapy. Hospice care is usually given when treatment for the illness has stopped, and the goal of care is to manage the patients symptoms for the remainder of life. The healthcare professionals on a palliative care team work separately from the patients primary care team that is treating the illness. In comparison, the healthcare professionals on a hospice care team handle the majority of the care and collaborate with the patients primary care team as necessary.  Who Should Consider Palliative Care? 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: Want relief from severe physical pain you are experiencing due to your illness Are experiencing emotional pain or psychological conditions that you are unable to control Want to continue to receive treatment for your condition Want tips and guidance on how to effectively manage your condition Need guidance with choosing the best treatment Need help understanding your illness Want to receive treatment at home or outside of a traditional hospital setting Have loved ones who are involved with your treatment Need help transitioning from one treatment setting to another When Would Someone Transition From Palliative Care To Hospice Care? 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, its 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 patients 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 arent 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 its 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. How to Get Palliative Care or Hospice Care 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.

How To Know Its Time for Senior Living

How To Know Its Time for Senior LivingNov 21, 2022 | Life at Park PlaceWhether your loved ones are living independently or require more advanced support, a Life Plan Community offering Life Care will meet their every need. Life Plan Communities are a type of senior living option that combines an independent lifestyle, amenities and services with access to a full continuum of care on one campus.Read on to learn more about how to know its the right time for the move to a Life Plan Community like Park Place of Elmhurst.If Your Loved One Is Living IndependentlyYour loved one may live in their own home or apartment. They still want to continue living every day to the fullest, but theyre tired of cooking, cleaning, and taking care of the house, and theyre not as close to their friends as they once were.In this case, independent living might be the right choice for them.In independent living, seniors enjoy all the benefits of socialization, maintenance-free living, on-site culture, dining and amenities, and access to a full continuum of care should they ever need it. At Park Place of Elmhurst, community life offers residents opportunities to full enjoy our services and amenities, including:Interior and exterior maintenanceWasher and dryer in every residencePersonalization and moving coordinationWeekly housekeeping servicesAll utilities included, except phone24-hour securityScheduled transportationUnderground parkingWireless internet access throughout communityIf Your Loved One Needs Help with Activities of Daily LivingIf activities of daily living, also known as ADLs, present a problem for your loved one, assisted living could be the solution. Assisted living services provide daily support for things like medication management, personal care, bathing, dressing and toileting. Signs that your parent or loved one could benefit from assisted living also include:Trouble paying bills on timeDifficulty managing household tasksPoor eating habitsMobility problemsPark Place provides assisted living support for seniors at the Park Place Health and Wellness Center, with personalized care plans for each resident. Residents in assisted living can rely on services like licensed care seven days a week, nutritious meals, assistance with personal care and 24-hour emergency call systems. All of this and more are provided in the comfort of their own private apartment!If Your Loved One Lives with Memory LossMaybe your parent or loved one has been diagnosed with Alzheimers disease or has suffered an injury leaving their acuity compromised. In this case, memory support also called memory care is likely the right choice for them.Indications that your loved one might benefit from memory support include:A medical diagnosis of Alzheimers or other type of dementiaChanges in behavior or emotional stateA living environment unsuited to their unique requirementsDisorientation or confusionIncontinenceFamily caregiver is overwhelmed and exhaustedAlso part of the Park Place Health and Wellness Center, our memory support teams provide a safe and dignified setting promoting independence. With a wander management system, specialized Alzheimers and dementia training, and personalized care plans, you can rest assured your loved one is receiving just the care they need.The Right Choice for Life Care in Elmhurst, ILWhether your loved ones in independent living or requires assisted living, memory support, or something more specialized, Park Place of Elmhurst provides a safe and welcoming setting for their next chapter.