Tag: Care and Dignity in Hospice Care

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.

Hospices Cares

You could say that a hospice is a special place for the sick. This is the place where they receive proper medical attention. They get their much-needed emotional and spiritual care while they are in a hospice.

A hospice care aims to take care of the ill at the twilight of their lives. It is a place where old patients receive a more humane treatment of their illnesses.  Sick people who are under hospice care are either in a nursing home or in a sanatorium.

Hospices started their roots in Europe and since then, it has evolved into a distinct shelter for the sick. The concept of providing hospices somehow developed into a kind of institution. Other patients prefer hospices than hospitals. They choose to spend the rest of their lives inside a nursing home.

Most patients inside a hospice have less than six months to live. They go to hospices so they could somehow extend their time in there. Old patients suffering from cancer, tuberculosis, and other debilitating diseases are its regular inhabitants. There they receive constant care, rest, recreation and even free time to do things at their own pace. Hospice care enables sick patients to maximize their remaining days before they die.

It focuses on caring any more than it aims to cure other diseases. It has its attention of giving these patients something worthwhile while they are recuperating.  Hospices make their lives even better during their last days. These places treat patients regardless of race, religion or even diseases. Hospices are under Medicare, Medicaid, and has its own private insurance plans from other medical organizations.

They also have a variety of staffers under their care. Physicians, nurses, social workers, volunteers and even clergymen work for a certain nursing home. They take extra care on their patients, assisting them of their needs.  They provide food, medicine, and even a coach on how to take care of the sick.

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.

Palliative Care and Hospice Care Differences

Palliative care and hospice care are both providers of care for patients with illnesses that are fatal. Two types of care providers to supplement some of the more traditional care options. Their protocols call for patients to receive a combined approach where medications, day-to-day care, equipment, bereavement counseling, and symptoms treatment are administered through a single program. However, no matter how similar palliative care and hospice care are, there are still differences between the two: location, timing, and treatment.

Palliative care is delivered mostly in an institutionalized location, such as a hospital, extended care facility, or nursing home. The institution where palliative care is administered must be associated with the palliative care team because the team is composed of doctors, nurses, and other professional medical caregivers. They will be the ones who will administer or oversee most of the ongoing comfort-care patients received. Meanwhile, hospice care is administered in the home by a team of hospice professionals. Hospice often relies upon the family caregiver, as well as a visiting hospice nurse.

There are no time restrictions for palliative care. The patient can receive palliative care any time, at any stage of the illness, whether it be terminal or not. On the other hand, hospice care is only given to patients who have a certification from a physician that they are terminally ill. Hospice care takes patients whose life expectancy is only six months or less.

Palliative care also administers treatments to patients ranging from conservative to aggressive/curative. Life-prolonging therapies will not be avoided and the palliative care team will do anything and everything to save the patient’s life. Meanwhile, hospice care treatments concentrate on comfort. Curing the patient is no longer the goal. Instead, hospice care makes sure to provide comfort to patients for the remaining days of their lives.

Palliative care and hospice care are very similar when it comes to providing care for dying people.

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.

Differences between Palliative and Hospice Care  

Hospice care and Palliative have similarities: both provide care for patients with fatal illnesses. As a supplement to some of the more traditional care options, both palliative and hospice care protocols call for patients to receive a combined approach where medications, day-to-day care, equipment, bereavement counseling, and symptoms treatment are administered through a single program. The differences between the two programs lay in the location, timing, and treatment.

The location where palliative care is delivered is most common in an institution such as a hospital, extended care facility, or nursing home that is associated with a palliative care team. This is because a team of doctors, nurses, and other professional medical caregivers will administer or oversee most of the ongoing comfort-care patients receive. But, palliative care can also be delivered at home.

Meanwhile, hospice care is administered in the home by a team of hospice professionals. Hospice often relies upon the family caregiver, as well as a visiting hospice nurse.

Palliative care can be received by patients any time, at any stage of illness whether it be terminal or not. There are no time restrictions. However, hospice care requires that a physician certify that a patient’s condition is terminal. The patient’s expectancy should be six months or less.

Treatments are not limited with palliative care and there is no expectation that life-prolonging therapies will be avoided. Palliative care treatment can range from conservative to aggressive/curative. While this is the case for palliative care, hospice care treatments, on the other hand, concentrate on comfort. The goal is no longer cure, but to provide comfort to the patient for the remaining days of their lives.

There are differences between palliative care and hospice care. And yet, there is a relationship between the two at the same time. They are very similar when it comes to the most important issue for dying people: care.

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.

Hospice Care and Palliative Care

Palliative Care concentrates on alleviating signs and symptoms that are associated with serious diseases, like cardiac disease, cancer, kidney failure, respiratory disease, Alzheimer’s along with other dementia, Amyotrophic Lateral Sclerosis (ALS), AIDS along with other neurological conditions.

Palliative Care can be utilized at any kind of stage of illness – not only the sophisticated stages.

Hospice Care is actually palliative in general. The sickness, nevertheless, has advanced to some extent exactly where preventive treatment will no longer be preferred or advantageous. Hospice Care aids the affected individual and their household while keeping focus on relieving signs and symptoms and providing comfort and ease from pain, difficulty breathing, fatigue, queasiness, anxiety, sleep problems, bowel problems, etc.

Remedies are not restricted with Palliative Care and may vary from conventional to aggressive/curative.

Hospice Care remedies are restricted and concentrate on palliation of signs and symptoms. The aim is no longer about cure, but to enhance ease and comfort. Palliative Care can be viewed as anytime during the duration of a long-term ailment.

Using Hospice Care, Medicare insurance necessitates that a doctor approve or certify that a patient’s situation is fatal. The doctor must prove that a patient’s life span is 6 months or fewer. Each Palliative and also Hospice Care might be provided at any location.

Variations in Forms of Services:

Palliative Care services are usually supplied through frequent physician and also nursing visits.

Hospice Care companies tend to be more inclusive than Palliative Care services. Hospice Care consists of doctor services, medical services, social worker, religious care, bereavement care and also volunteers. In some instances, physical, speech, occupational, as well as dietary therapy expert services, and guidance services are considered essential during the Hospice Holistic Care Plan to handle terminal signs and symptoms and supply assistance for the individual and their family.

Hospice Care: A Satisfying Career

Regarding hospice care, people ask a certain question: How satisfying is this career personally and professionally? Only few research has been made to quantify stress amounting to hospice care. But according to a survey report from the AAHPM of 2010, 96% of respondents said they prefer hospice care than any other health care profession. Comments from these participants highlight the personal and professional rewards associated with working with patients during their life-ending journey.

Another admirable benefit of working as a hospice care provider is the creation of partnerships. When care providers are fulfilled, they motivate the patients to thrive. And when patients thrive, it furthers the care provider’s sense of satisfaction. Success is contagious and breeds more success. This creates a spiral of positivity.

Moreover, this field is still young and attracting more people to join in the course. This is because of the extraordinary personal and professional rewards brought to existing providers. Hospice care practitioners know the healing benefits a treatment can bring to patients who suffer from painful illnesses, prolong stress, or even nearing death.

Hospice care patients, come in all ages and different walks of life, come into the program are usually only have 6 months to live. So, providing love, concern, and support to patients and their families in this vulnerable time can bring much satisfaction. Although it is emotionally challenging, it can be very fulfilling.

Caring for dying patients have had negative implications due to limited research. However, many practitioner’ testimonials say that their work is very satisfying. Though they have to deal with the pain of seeing someone die, this experience gave opportunities to do reflection and form meaningful realizations based that had an impact in their life.

Although hospice care has its own challenges, this career brings joy to both patients and the hospice care provider.

Where do Hospice Care Took Place?

Hospice care typically takes place in the patient’s home or wherever possible. This permits the dying to stay in familiar, secure surroundings and close to people they know. As a hospice nurse, you will basically be making house calls to the homes of very sick people to provide physical, psychological, and spiritual assistance to both the patients as well as their families. And that means you must be at ease driving around throughout the day and going into people’s homes.

But if the patient’s family is struggling to look after the patient, you will find in-patient hospice facilities, usually situated on the top floor of a nursing ward or hospital. An in-patient hospice has beds like a hospital, but that is about where the resemblances end. There aren’t any machines, and there are no prohibitive visiting hours; family and friends are always welcome. The atmosphere is rather quiet and peaceful. Almost all of the rooms are exclusive rooms in contrast to a hospital, and in comparison to a hospital, an in-patient hospice has reasonably few beds.

Hospice care is like a transitional place where the patient and the family are joined together for the remaining days of the patient. Hospice care is almost similar to palliative care. They have the same goals which are to ease symptoms and improve quality of life of the patient as well as to prepare the family members. Hospice care is suitable when there is a life expectancy of less than six months. Whenever a curative treatment is no longer working or effective, or in some cases the patient no longer wants to continue them, hospice becomes the other option.