Hospice and Palliative Care

WEEKLY COMMUNICATOR (300 x 100 px) (200 × 100 px) (1)

WHAT IS HOSPICE

  • Compassionate care and guidance during end-of-life period
  • Medical oversight
  • Treatment of symptoms
  • Help with physical needs
  • Medication management
  • Emotional support
  • Spiritual counseling
  • Education about what to expect
  • May occur in the home, facility, hospital or Hospice Houses located in different places in the region
  • Benefit of Medicare Part A covering 100% of cost of all services related to terminal illness
    • Hospice services
    • Medical care
    • Medications related to hospice diagnosis
    • Medical equipment and supplies
  • Also covered by Medicaid and most employer-provided healthcare plans
  • Requires an order from a provider

WHEN TO CONSIDER HOSPICE

  • Indication from a provider that life expectancy is less than 6 months
  • Focus shifting from cure to comfort care
  • Terminal illness associated with
    • Multiple hospital stays in the past six months
    • Decreased appetite
    • Significant weight loss
    • Sleeping more
    • Feeling cold
    • Worsening shortness of breath

HOSPICE TEAM MEMBERS

Physician/ Physician Assistant/Nurse Practitioner

  • Conduct initial visit
  • Work closely with hospice nurses and existing medical provider to coordinate patient care and symptom management

Care Team Manager 

  • Coordinate overall care

Nurse Case Manager

  • Manage patient care and symptoms
  • Educate regarding what to expect within a specific disease process

Nursing Assistant 

  • Hands-on care including feeding, bathing, and moving needs

Social Worker

  • Guidance for practical and emotional issues
  • Referrals to community resources

Volunteer 

  • Companionship
  • Respite for caregiver

Chaplain

  • Spiritual care if desired
  • Support family in bereavement

Grief Counselor

  • Grief and bereavement care

WHAT IS PALLIATIVE CARE

  • Provided for someone living with a serious illness
  • Quality of life emphasis
  • Management of difficult symptoms
  • Education regarding progression of illness
  • Guidance for decisions about complex treatment options
  • Care plan based on desired goals and preferences
  • Close communication and support
  • Advocate personal health choices with existing provider
  • Assist with Advance Care Planning if needed (Living Wills, Powers of Attorney, etc)
  • May occur in the home, hospital, facilities, and outpatient clinics
  • Covered by Medicare Part B and most commercial insurance plans
  • Requires an order from a provider

WHEN TO CONSIDER PALLIATIVE CARE

  • Quality of life is suffering due to advanced illness
  • Advanced cancer
  • Chronic heart, kidney or liver disease that is life-limiting
  • Advanced dementia
  • Parkinson’s disease
  • HIV/AIDS
    • Congestive heart failure
    • Chronic obstructive pulmonary disease (COPD)
    • Catastrophic illness or injury
  • Symptoms related to a serious illness
    • Pain
    • Nausea and vomiting
    • Delirium, anxiety, agitation
    • Breathing difficulty
    • Chronic cough
    • Insomnia
  • Worsening condition despite best care by provider
  • Frequent provider visits or hospitalizations over a few months
  • Lack of knowledge about the future and available choices

PALLIATIVE CARE TEAM MEMBERS

Physician/Physician Assistant

  • Medical team dedicated to supportive care for serious illness
  • Specialized knowledge
  • Compassionate care and guidance

Palliative Nurse Laison /Nurse Practitioner

  • Conduct initial visits to obtain baseline information
    • Personal understanding of illness and prognosis
    • Spiritual and cultural beliefs
    • Coping strategies
    • Physical assessment
  • Coordinate care and symptom management with existing provider

More on Long Term Planning

End of Life Strategies

Dr. Edwards discuss end-of-life strategies.

Read More

End-of-Life Communication

Strategies to make end-of-life communication easier.

Read More

Hospice and Palliative Care

Learn about the services hospice provides for end-of-life care.

Read More

Assisted Living, Memory Care, and Skilled Nursing Facilities

Explore the different care options to find what works best for you.

Read More

Long Term Care Move-In Checklist

Steps to take before, during and after move-in.

Read More

Navigating Long Term Care

Understand the new environment of a Long Term Care facility.

Read More

When Is It Time To Move?

Help determine if it is time for you or a loved one to move.

Read More

Home Care

Explore the different forms of home care available.

Read More

Independent Living

Independent living around the Charlotte area.

Read More

Hospice and Palliative Care

Compassionate care and guidance during end-of-life period

Read More