hospice care objectives | Distance Learning Systems (DLSI)

Issues on Hospice Care

Hospices are medical facilities designed to treat patients who have terminal illnesses. This is where immediate relatives lodge their ailing love ones for further medical attention. A hospice care has a special role in the lives of its patients. Its main goal is to improve the quality of their lives before succumbing to such illnesses. It is a special type of medical care in that a 24/7 monitoring is administered by a nurse or a medical specialist to ensure proper handling of patients. Hospices are like Assisted Living Centers but with minor differences. But hospices do have some issues too, regardless of its use. And there are at least three of them.

Finding the Right Answer
The question whether hospices have the right answers and responses to every patient in need of help is still up for grabs. This is a relative question, so normally it also has a relative answer. A hospice care, more or less, does not concern itself with finding the right answer. They are instituted to give extra medical help to such patients, and subsequently not to engage in a discussion or debate.

What about Depression?
There are others who choose to receive medical help inside a hospice care than anywhere else, including their homes. Most hospice care patients say that they get depressed while dealing with their illnesses away from any companion. Depression is already prevalent in the US. And those who suffer from it get to have the option of dealing with it with hospice care.

What about Anguish?
Patients are also anguished especially when they are alone and left without any interaction from other people. These patients are in the last stages of their existence, so being anguished comes with the territory. But that is one concern that hospice care is trying to alleviate.

Care for Care (Hospice Care)

People who become sick come to the hospital and get a doctor’s appointment. When something wrong is actually confirmed, they can either choose to stay at the hospital or at home, depending on what agreement the parties involved may have. And when something worse happens, these patients are given care and attention more than regular patients. And finally, when the unthinkable comes, the time when even doctors cannot help but say to pray, who will these people have to turn to?

Hospice care is a palliative care that provides its services to those people who are nearing death. These are usually the ones who are chronically ill and do not have much longer to live. Reputable hospice care providers not only help physically, but also mentally, emotionally, and spiritually. They help both the patient and the family in facing what is happening now, and what is to come. This is what sets them apart from other care services and are widely known for it. Despite that however, hospice care is only optional.

Hospice care is not without its gossiping rumors. People tend to believe that receiving such care might welcome death sooner or it might mean giving up on life. Hospice care is definitely none of those things.

For one, hospice care tries to supervise the patient into embracing the life he or she has as of the moment. The patients in turn becomes aware of a lot of things which include the support and love coming from their family, friends and even care providers. Hospice care is also about respecting the patient’s wishes. They serve as their counterparts’ tubes and medical equipment in the hospitals. And much more, they are provided with an honest service. Hospice care providers are usually on the clock almost every hour of the day to heed the patient’s needs—like counseling and prayer.

Considering Hospice Care

We cannot escape the natural process of our body. We know that soon, we will become weak and fragile. Aging is the natural effect of the passage of time on human body. Many of us want to fight our age. Most of us want to spend more time with loved ones, some of us may want to look young, some want to continue to be active and animated, others want to work more. But if our body wants to rest we cannot decline or refuse.

Aside from natural aging, Sickness also is one of the factors why our body is deteriorating. Sickness is may be avoided, but it is also inevitable. We cannot predict when it will strike us, and the worst type of sicknesses are those that take longer to cure, or stays with us forever. These ailments are made easier knowing that we can get hospice care.

Hospice care is a program that we can consider if we need help to lighten up our burden in terms of health problems. This program focuses on the quality rather than length of life. It offers humane and compassionate care for people who are in the last stages of their lives. They treat the person rather than the disease so that the person’s last day may be spent with dignity, comfortably and quality. We think about hospice care if the person is no longer capable of being helped by a medicinal treatment. It aims to improve the quality of our life. It also provides support for the patient’s emotional and spiritual needs.

Therefore, we should sometimes consider hospice care. We should not think that being in the hospice program is a sign of giving up of one’s self. Let us also think the benefits that we can receive from the program. The hope that we can receive from them is the hope of quality life, making the best of each day during the last-stage of our lives. We should be thankful that there are people who offer themselves to help us feel valued and important.

Hospice Care and How It Can Help

We need all the comfort and support we can get if we are going through a life-limiting illness or if a loved one is in the last stages of a serious illness. Everyone deserves the right to die pain-free and with dignity, to live each day as fully as possible. And the family also deserves the necessary support when a member is terminally ill.

In this stage of a person’s life, a specialized care designed to provide support by a team of healthcare professionals who maximize comfort by reducing pain and addressing physical, psychological, social and spiritual needs is on option. This specialized care is called hospice care which focuses on caring and not curing.

In a hospice care, the interdisciplinary team provides the following services: manages the patient’s pain and symptoms, assists the patient with the emotional and psychosocial and spiritual aspects of dying, provides needed drugs, medical supplies, and equipment, coaches the family on how to care for the patient, delivers special services like speech and physical therapy when needed, makes short-term care available when pain or symptoms become too difficult to manage at home, or the caregiver needs respite time, and provides bereavement care and counseling to surviving families and friends.

Most hospice care is provided at home. Typically, a family member serves as the primary caregiver and, when appropriate, helps make decisions for the person who is terminally ill. Aside from the primary caregiver, the hospice care team is composed of the patient’s personal physician, hospice physician, nurses, home health aides, social workers, clergy or other counselors, trained volunteers, and speech, physical, and occupational therapist if needed.

Dying does not need to be painful and emotionally hurtful. The goal of hospice care is to support the highest quality of life possible for whatever time remains. It affirms life and views death as a natural process.

More about the Hospice Care

Your physician and the hospice team works along with you and your loved ones to create a plan of health care that fits your preferences and needs. Your plan of care consists of hospice services that Medicare includes. In the event you are eligible for a hospice care, you will have an exclusively trained team and support accessible to assist you and your loved ones to deal with your illness.

Furthermore, a hospice nurse and doctor are on-call Round the clock, 7 days a week, to provide you and your loved ones with assistance and care when it’s needed. A hospice physician is part of your healthcare team. Your family doctor or a nurse practitioner may also be part of this team as the attending medical professional to monitor your care.

Only your family doctor (not a nurse practitioner) that you’ve selected to serve as the attending medical professional-and the hospice medical director can approve that you’re critically ill and have 6 months or less to live. The hospice advantage permits you and your loved ones to remain together in the convenience of your home if you don’t need care in an inpatient facility. If the hospice team can determine that you’ll require inpatient care, the hospice team can make the necessary arrangements for your stay.

Most hospice individuals get hospice care in the convenience of their house and with their own families. Determined by your condition, you may even get hospice care in a Medicare-approved hospice center, hospital, elderly care, or other long-term care center.

Hospice care is definitely designed for those who have 6 months or fewer to live if the illness goes its normal route. If you live more than 6 months, you may still get hospice care, provided that the hospice medical director or other hospice doctor re-certifies that you’re critically ill. Hospice care emerges in benefit durations. A benefit period starts the day you start to acquire hospice care and it ends when your 90-day or 60-day period ends. For additional specific details on a hospice plan of care, contact your national or state hospice organization.

Hospice Care Benefits

Hospice care is a philosophy of care that embraces comfort and self-respect at the end of life. It is a complete form of care, meaning that it addresses the physical, emotional, spiritual and social needs of the affected person and their family. Hospice care is a Medicare benefit that has been shown to reduce healthcare involvement and frequent hospitalizations. It doesn’t prolong death and it doesn’t advance it. Hospice instead improves the total well being for the affected person as they near the end of life, while offering useful support and information for family members. Some family members feel strongly about when it’s the right time to schedule hospice care, while others are more hesitant. Let’s discuss many of the benefits to hospice care so that you can make an informed decision for your beloved.

Comprehensive Care – Hospice includes a group of professionals: physicians, social workers, nurses, home health aides, chaplains and volunteers. This helps the affected person and their family get the personalized care that they need, as well as answers and support. This dynamic group also makes sure that no needs are left uncared for.

Continuous Care – The clock never stops on hospice care. Care is offered 24 hours a day, 7 days a week. Families always have access to care for their beloved and patients never have to be left unattended. This means that caregivers can take the breaks they need while knowing that their beloved is cared for.

Reduced Expenses – Medicare, Medicaid and private insurance covers the cost of hospice care. Without it, family members may be responsible for paying for medications, healthcare supplies and healthcare equipment.

Fewer Hospitalizations and Treatments – Hospice care can avoid the need for unnecessary treatments and hospitalizations. When an individual is brought to the hospital, the goal is generally to ‘save’ the affected person. However, when end of life is near and doesn’t need to be prolonged with healthcare involvement, hospice care is very useful and will support the affected person and family’s wishes.

Hospice Care Experience

The stained-glass wall in the church of the Community Hospice House represents a menagerie of animals quietly experiencing the woodlands, water and air. It’s a field full of life. And life is the focus in this place where individuals come to die. Dee Pringle’s spouse, Gene, spent his last two weeks of life here four years ago. Her spouse had ALS (Lou Gehrig’s Disease) and was getting treatment at Dartmouth-Hitchcock Medical Center. Dee, a retired instructor who lives in Amherst, was looking after him in their house. “And I was excellent,” she said. “I was really excellent.”

But as Gene’s illness developed, his physicians suggested hospice care. For three months, hospice nursing staff offered support and proper care to Gene at home. Then they suggested a move to the 10-bed hospice house run by Home Health & Hospice Care, a charitable organization in Merrimack. And just like that, the pressure of medical care moved to the professionals, Pringle said. “My part was just to be with him.” She calls it “magical.””Those last few days that are valuable, the medical parts are being taken care of and you don’t even have to think about that because the qualified individuals have taken over.” It was also a great comfort to her spouse, she said. “He could rest. “Pringle can’t say enough about the services offered at the property, from food supervisors who serve residents’ wants and needs, to visits from musicians, therapy dogs and Reiki massage treatment practitioners.

She still gets together with members of a bereavement support team she met after her spouse’s death and visits some of the per month academic programs the organization offers. Her son, Frank, said having the professional employees at the hospice house take over the medical care of his dad in his last days was a convenience to the entire family. Home Health & Hospice Care has its origins in a women’s organization that took care of sick employees and their children in Nashua in the late Nineteenth century. The Good Cheer Society became one of the first viewing health professional organizations in the country.

New Hospice Care

Two of the most terrifying words one wishes never to listen to are “terminal illness”, especially in regards to yourself or a family member. This is usually followed by a variety of confusing choices that need to be taken like the right doctor, hospice care, insurance issues and confounding medical terms, none of them easy or simple. Pearland-based Altus Healthcare Management Services is stepping in to complete the needs of the critically ill in Sugar Land by starting a new medical center with an in-patient unit in roughly 8 months. The term “hospice” represents a support that provides medicines, equipment, medical center services and additional help, either in the comfort of your home or at an inpatient unit, when life span is about 6 months or less. Sufferers are referred by their doctors to a medical center and the support is usually covered by Medical health insurance.

Altus Health was established in 2004 with a novel idea of “empowering physicians”. In short, it allows doctors to get and become associates at their facilities and once functional, doctors focus on practicing medication and looking after patients while ZT Wealth, manage the day to day management, promotion and cash management. Altus has had a good run starting several hospice care services, imaging, surgery and sleep facilities in Texas, utilizing over 800 individuals and producing $150 million of earnings. Altus’ strength can be found in being patient focused and making a plan of care that is designed to the unique needs of the patient and their family. This is supervised by a care group of experienced doctors who work in combination with the individual’s primary doctor to ensure that the patient gets the best possible care.

Former Mayor Dave Wallace, now a Board Member of Altus Healthcare, described by Gaj as “one of the best individuals to have in your corner”, said he was grateful of the tasks the service would make and the healthcare it would offer for the citizens of Sugar Land. “Detractors may grumble that the wheels of the Government are not turning quick enough,” Wallace said, yet I believe that the “City of Sugar Land is the best oiled machine there is.”

Palliative and Hospice Care

Despite its growing popularity in medical centers, most People in America remain unaware of the comfort and benefits palliative care can offer some critically ill patients. “There is a clear need to notify customers about palliative care and offer customers with a definition of palliative care,” scientists requested by the Center to Advance Palliative Care advise. According to Public Opinion Research on Palliative Care, 70 % of the general population doesn’t know anything about palliative care, and 14 % were “somewhat knowledgeable.” The scientists also found that it is difficult to notify doctors about palliative care, because they often wrongly associate it with hospice care or end of life care.

Palliative care is becoming increasingly extensive. There are more than 1,600 medical centers that have palliative care programs in the U.S., according to Dr. Diane Meier, director of the Center to Advance Palliative Care at Mount Sinai School of Medicine. Some 85 % of large medical centers have a palliative care team. 67% of small medical centers have programs.

Hospice care is different from palliative care; its aim is to handle signs so that an individual’s last times are invested with pride and quality. The care is not designed to cure the illness but the person, according to the American Cancer Society. Hospice is most often used when healing therapy is no longer effective, and a terminal individual is predicted to live about six months or less. “Many individuals believe that hospice is only for individuals who have cancer. This may be due to the fact that many of the sufferers treated in the beginning of hospice were cancer sufferers,” Becky Hillier, advertising director for Rocky Mountain Hospice, had written for the Montana Standard. Less than 25 % of hospice sufferers admitted to the hospice are cancer sufferers.

Goal of Hospice Care

To be eligible for hospice care, which is compensated for by Medical health insurance and also by most personal insurance coverage, an individual must have a diagnosis of six months or less to live, from such terminal diseases as Alzheimer’s disease, melanoma and cancer or lung condition. A recommendation from a hospice care agency outcomes in an evaluation. And it’s free. An evaluation happens upon no responsibility and can help a family make programs even if their family member is not eligible for a hospital care, Dr. Patrick Clary said.

While most sufferers don’t “graduate” from hospice care, Clary, who has been engaged in hospice care for nearly 30 years, said research display sufferers with terminal conditions who are admitted in to hospice stay longer than those who die without hospice. For Clary, hospital is about living the last part of life well. And, as opposed to many physicians, this physician actually speaks about the end of life and loss of life. “Sure, physicians are reluctant of loss of life,” said Clary, who saw more than his reasonable proportion as a younger Military field medic in Vietnam in 1969. “We’re trained to see loss of life as a failing, so it’s hard to deal with when it comes, especially if we love our sufferers. We end up ‘protecting’ each other by not referring to loss of life, so it comes on us as a shock. Yet, it’s no shock most of the time.”

Avoiding the topic can rob sufferers and their loved ones of being able to get ready for loss of life, to reunite, to say goodbye and to live out the last days, weeks or months of their life in significant ways. And it can deny them good closure. Most family members welcome the loyalty and the chance. It helps them start making plans, deal with relationship issues and set objectives, Clary said. It may be songs, a last birthday party or the guarantee that someone will be there by their side when they die. But whatever the individual’s objectives, the hospice care staffs do their best to fulfill them.