Hospice Care and Oncology Patients

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.

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.

THE IMPORTANCE OF HOSPICE CARE

One of the greatest fears widely expressed by the Americans is dying in pain. This is where the importance of hospice care takes into place. Hospices provide care for terminally ill patients until their last breath. They partner with health care professionals to provide the needed care in different places. While there are facilities that concentrate on hospice care, majority of these professionals come to patient’s homes. Hospice care’s main goal is to provide dignity, respect, and care to alleviate any form of pain felt during the end-of-life journey.

A lot of people think that hospice centers let patients die alone not being surrounded by loved ones. They feel that death in such facilities is without privacy, self-worth, and that personal, religious, cultural, or spiritual request are neglected. This is the underlying reason what research say that 80% of Americans would not consider this type of care for last minute concerns.

How can the situation be improved? There should be proper awareness of hospice care in the society. By improving people’s understanding of this end of life care option, additional support would be gained. In addition, the public must realize the importance of this care and more training is needed to improve hospice care.

Local hospices could also take action in improving the situation by outreach programs within their local communities, offering free home and day services. Such activity would raise the community’s awareness and take off the misconceptions.

As the elderly population in the U.S. increases rapidly, the more we need hospice care. The decisions about death and dying should not be avoided, it should be faced and planned ahead. By preparing for legal and financial preparations, both patients and their loved ones would be alleviated with the pain associated in this unique life-to-end journey.

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.

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.

Why do doctors have such difficulties adopting hospice care and using it to benefit sufferers, particularly oncology patients? The Dartmouth Atlas Project recently revealed that the amount of melanoma sufferers who are passed on to a hospice program in the last 3 days of life increased by 31% from 2003 to 2007. The total share of melanoma sufferers even getting hospice care was only about 61%. David Goodman, co-principal investigator for Dartmouth Atlas said more sufferers are being admitted to hospice care in the last 3 days of life “when it’s too late to offer much comfort” and that “many sufferers are getting more competitive in-patient care and less effective hospice care.”

There are many wonderful oncologists who take pleasure in looking after for their sufferers until the very end. But there are growing concerns with the doctors who do not utilize hospice care properly and once they do refer the individual, they don’t want to be involved with the care anymore. For example, the Dartmouth Atlas study mentioned the unsuitable use of feeding pipes in dying sufferers. We are all aware, or should be, that feeding pipes do not make dying melanoma sufferers live a longer time, cure injuries, put on weight, or reduce aspiration. They more likely cause aspiration, diarrhea and feeling sick. But family members and doctors continue to force PEG pipes on sufferers without asking them their desires and without full disclosure of the threats and lack of advantages.

It is a natural procedure to quit taking in nutritional value that can no more offer the advantages they did in a recuperative state. Offer food without pressure and never make the individual feel accountable for not eating. It can be challenging for family members to watch as a loved one stops eating and in our community, they often expect the individual to pass away very quickly when they don’t eat or drink. Patients can be kept completely comfortable, but for families, it is a difficult vigil.