What is hospice care?
Hospice care focuses on improving the quality of life for persons and their families faced with a life-limiting illness.
The primary goals of hospice care are to provide comfort, relieve physical, emotional, and spiritual suffering, and promote the dignity of terminally ill persons.
Hospice care neither prolongs nor hastens the dying process.
Hospice care is a philosophy or approach to care rather than a place.
Care may be provided in a person’s home, nursing home, hospital, or independent facility devoted to end-of-life care.
NHPCO (The National Hospice and Palliative Care Organization.) (Torpy, Burke, Golub (2015)
BASIC PRINCIPLES OF HOSPICE CARE
Affirms life
Regards dying as normal process
Neither hastens nor postpones death
Relives pain and other symptoms
Integrates medical, psychological, and spiritual aspectsof care
Offers a support system to patients and families
(Torpy, Burke, Golub (2015)
When is Hospice Care Appropriate?
A referral to hospice is appropriate when the patient and family have opted for palliative treatment for life-limiting or “terminal” illness.
Medicare guidelines further require that the physician has determined that life expectancy is six months or less if the disease follows its normal course.
(Hospice Association of America) The Hospice Association of America Nov. (2010 Hospice core services
The Essay on Child Care The Effect On Family Life
More and more families are putting their children into daycare every day. There are different reasons as to why they have to do this. The main reasons are that both parents have to work, or the child is in a single parent situation, and the parent has to work in order to have an income to buy basic needs. In order to pay the child care bill and the cost of enrolment fees, etc, parents will need to ...
Hospice core services must be routinely provided by the hospice, and cannot be delegated to the facility.
Hospice core services include:
Physician services
Nursing services
Social work services
Counseling services
Bereavement and spiritual
Dietary
The hospice team is an interdisciplinary team (IDT) and together, they coordinate the patient’s plan of care.
The National Hospice and Palliative Care Organization.(2015)
Where is hospice care provided?
Hospice care is a philosophy or approach to care rather than a place.
Care may be provided in a person’s home, nursing home, hospital, or independent facility devoted to end-of-life care.
Hospice was originally designed to be a non-institutional benefit. However, it is possible to receive Medicare covered hospice care while residing in a nursing home.
(Torpy J.M., Burke A., Golub R.M.. (2015)
Hospice care diagnoses
Hospice care is NOT JUST FOR PATIENTS DYING
OF CANCER
Other hospice diagnoses include:
End stage heart disease and End stage pulmonary disease
End stage renal disease
End stage liver disease
Dementia due to Alzheimer’s Disease and Related Disorders Stroke & Coma and more!
(The National Hospice and Palliative Care Organization.(2015)
Payment for hospice care
The patient’s primary physician and hospice team evaluate the patient’s eligibility for hospice care on a regular basis.
The first and second certification periods are 90 days; subsequent periods are 60 days.
If a patient no longer meets criteria for hospice care, they may be discharged and readmitted at a later
There is a Medicare hospice benefit for Medicare part A beneficiaries
All but one state (Oklahoma) have a Medicaid hospice benefit
Many commercial insurances also cover hospice care as well
Most hospices are committed to caring for all patients, regardless of an individual’s ability to pay.
(The National Hospice and Palliative Care Organization.(2015)
The steps to choosing long term care then making the right choice is challenging!
The Essay on Interoperability Paper: Child and Family Services
The Catholic Social Services of Washtenaw County provides many different services and resources. In this paper I will be talking about the Child and Family Services. The program that I will be focusing on is a program that supports and focuses on children and families. CSSW recognizes the impact that family life has on a child’s ability to grow and develop. We have established programs that ...
There are physical, social, and emotional factors an individual and/or his or her family must consider, not to mention cost, payment, and simply breaching the subject to initiate the process.
Set up a plan……..
Assess your needs
Research financing and care choices
Find what is right for you
Visit your available options
Meet with family to discuss
Meet with health care
Meet with the Care Choice representatives
Know the rights for family members & patients
(Medicare.gov – Steps to Choosing Long-Term Care 2015)
Attitudes towards death and dying
Each person has his or her
American society tends to deny own view of death and attitude towards it
Society as the main influencer has a huge impact on people’s perception of death
The attitudes of the society towards death have been changing over the time
Fear has always been one of the most common attitudes towards death
Attitudes towards death change over the lifetime of the person the reality of death.
Previous experiences with death
Circumstances of death
Some medical professionals view death as a failure
Cultural factors can significantly influence patients’ reactions to their illness and the dying process.
There are many different religions and belief systems across the world. Each holds an individual view of death and mourning.
(Levine C, Halper D, Peist A, Gould D A, (2010)
Smoothing the Transition
Clear communication and cooperation between both types of caregivers is a must.
Both family and professional full communication is the key to a smooth transition. Improved transitional care depends on family caregivers’ and the involvement. It is true that explicit attention to family caregivers is absent. In order for the ability to develop strong relationships with the family caregivers and provide necessary training, the support throughout the continuum of care should be defined as a core competency for all health care professionals and built into the educational tools provided.
The Term Paper on Long Term Care-Hospice
Hospice is a process to end-of-life care and a kind of support facility for terminally ill patients. It provides comforting care, patient-centered care and related services. Comforting care relieves discomfort without improving the patient’s condition or curing his illness. Hospice is extended in a healthcare facility or at home. Its objective is to provide compassionate, emotional, and spiritual ...
(Levine C, Halper D, Peist A, Gould D A, (2010)
The Hospice–facility Partnership Means Respite Care
Successful partnerships between families and a Hospice nursing facility can be long term or short for a respite time. There should always be consistent communication, coordination, and documentation.
These are keys for the success that will give the provision of high quality and coordinated end of life care!
(The National Hospice and Palliative Care Organization.(2015)
Transitioning
from one whole
family…….
to the loss of a
family
member…….
leaves an
empty spot.
Bereavement after patient death…..
Every hospice program offers bereavement services to family and loved ones for a minimum of 12 months following the death of a patient.
Bereavement Services are available to Family and More!
(Oliver, (2006)
References
Harrington C., Carrillo H, Woleslagle B B, O’Brian T, 2010 Nursing Facilities, Staffing, Residents and Facility Deficiencies, (2004 Through 2009), Table 4., Retrieved from http://theconsumervoice.org/uploads/files/issues/OSCAR-2010.pdf
Harrington C., 2008 State Data Book on Long Term Care retrieved from http://medpac.gov/documents/reports/mar14_entirereport.pdf
Hospice Facts & Statistics (Hospice Association of America) The Hospice
Association of America Nov. (2010) retrieved from http://www.nahc.org/assets/1/7/HospiceStats10.pdf Levine C, Halper D, Peist A, Gould D A, (2010) Bridging Troubled Waters: Family Caregivers, Transitions, And Long-Term Care, Health Affairs, 29, no.1
Medicare.gov – Steps to Choosing Long-Term Care (2015)Retrieved from http://www.medicare.gov/longtermcare/static/stepsoverview.asp
Oliver, D.P. (2006).
Inside the Interdisciplinary Team Experiences of Hospice Social Workers. Retrieved from http://www.tandfonline.com/doi/abs/10.1300/J457v02n03_03?url_ver=Z39.882003&rfr_id=ori:rid:crossref.org&rfr_dat=cr_pub %3dpubmed#.VVFnlsJ_nIU
Pereira J., Bruera E (1998), The Internet as a Resource for Palliative Care and Hospice. Journal of Pain and Symptom Management, Retrieved from
The Essay on Palliative Care and Hospice Care: The Principles and Goals They Set
The principles of palliative care and hospice care have similar goals that may often come together in an effort of providing the best care for a patient. Palliative care is holistic care of an individual with a chronic life debilitating condition whereas hospice care is for those with a terminal condition who have been diagnosed with 6 months or less to live. Palliative care usually will begin ...
http://www.ncbi.nlm.nih.gov/pubmed/9707658
Report to the Congress: Medicare Payment Policy, March 2014 Retrieved from http://medpac.gov/documents/reports/mar14_entirereport.pdf
The National Hospice and Palliative Care Organization.(2015) retrieved from www.nhpco.org Hospice Care . (2015).
Retrieved from http://www.nhpco.org/about/hospice-care
Torpy J.M., Burke A., Golub R.M.. (2015).
Hospice Care. Retrieved from http://www.webmd.com/balance/tc/hospice-care-topic-overview
Washington, K.T., Bickel-Swenson D., Stephens N.(2008).
, Barriers to Hospice Use among African Americans: A Systematic Review ,Health Social Work . Retrieved from http://hsw.oxfordjournals.org/content/33/4/267.short
