Podcast
Questions and Answers
What is the definitive criteria for determining when hospice care is appropriate?
What is the definitive criteria for determining when hospice care is appropriate?
- Insurance coverage
- The availability of medical equipment
- Prognosis (correct)
- Patient's age
Apart from a hospice physician, what other professional is part of the care team?
Apart from a hospice physician, what other professional is part of the care team?
- Physical therapist (correct)
- Radiologist
- Surgeon
- Dentist
Which of the following is NOT a type of medical supply mentioned in the text as part of hospice care?
Which of the following is NOT a type of medical supply mentioned in the text as part of hospice care?
- Bandages
- Dental tools (correct)
- Oxygen
- Catheters
In which situation would short-term inpatient care be considered in hospice?
In which situation would short-term inpatient care be considered in hospice?
What type of counseling is provided for the patient and loved ones in hospice care for up to 13 months after a death?
What type of counseling is provided for the patient and loved ones in hospice care for up to 13 months after a death?
What is the primary focus of palliative care?
What is the primary focus of palliative care?
Where did the percentage of deaths that occurred in hospitals decrease from 2000 to 2018?
Where did the percentage of deaths that occurred in hospitals decrease from 2000 to 2018?
What is the primary purpose of hospice care?
What is the primary purpose of hospice care?
What does palliative care aim to deliver at the right time?
What does palliative care aim to deliver at the right time?
In the United States, where did the percentage of deaths occur in a long-term care facility increase from 2000 to 2018?
In the United States, where did the percentage of deaths occur in a long-term care facility increase from 2000 to 2018?
What is an essential aspect of bereavement care?
What is an essential aspect of bereavement care?
What is a key focus of an interdisciplinary hospice care team?
What is a key focus of an interdisciplinary hospice care team?
Which of the following is NOT a part of hospice care as mentioned in the text?
Which of the following is NOT a part of hospice care as mentioned in the text?
What aspect of hospice care distinguishes it from other types of medical care?
What aspect of hospice care distinguishes it from other types of medical care?
What is a crucial aspect of the medications provided in hospice care?
What is a crucial aspect of the medications provided in hospice care?
Which service is unique to hospice care compared to other forms of healthcare?
Which service is unique to hospice care compared to other forms of healthcare?
What differentiates hospice care from other types of healthcare in terms of patient care location?
What differentiates hospice care from other types of healthcare in terms of patient care location?
What is a significant historical fact about the use of ventilators outside of the operating room?
What is a significant historical fact about the use of ventilators outside of the operating room?
Which decade saw the development of CardioPulmonary Resuscitation (CPR) as a treatment for sudden cardiac death?
Which decade saw the development of CardioPulmonary Resuscitation (CPR) as a treatment for sudden cardiac death?
What landmark event occurred in 1950 regarding where people died?
What landmark event occurred in 1950 regarding where people died?
What theme is highlighted in the quote 'It’s so hard to die here!'?
What theme is highlighted in the quote 'It’s so hard to die here!'?
What central theme does the statement 'Being mortal is about the struggle to cope with the constraints of our biology' emphasize?
What central theme does the statement 'Being mortal is about the struggle to cope with the constraints of our biology' emphasize?
What is a crucial reason for acknowledging the finite nature of medical power, as mentioned in the text?
What is a crucial reason for acknowledging the finite nature of medical power, as mentioned in the text?
What aspect of hospice care differentiates it from other forms of medical care?
What aspect of hospice care differentiates it from other forms of medical care?
In hospice care, what is NOT a primary focus of the interdisciplinary team?
In hospice care, what is NOT a primary focus of the interdisciplinary team?
What is a key characteristic of the medications provided in hospice care?
What is a key characteristic of the medications provided in hospice care?
In the context of end-of-life care, what is a misconception about hospice care?
In the context of end-of-life care, what is a misconception about hospice care?
What is NOT a characteristic of where hospice care can be provided?
What is NOT a characteristic of where hospice care can be provided?
Which statement accurately describes the availability of hospice care for patients?
Which statement accurately describes the availability of hospice care for patients?
What is the significance of the percentage of deaths that occurred in a hospital decreasing from 48.0% in 2000 to 35.1% in 2018?
What is the significance of the percentage of deaths that occurred in a hospital decreasing from 48.0% in 2000 to 35.1% in 2018?
In what way does palliative care ensure the delivery of the RIGHT care at the RIGHT time?
In what way does palliative care ensure the delivery of the RIGHT care at the RIGHT time?
Why should dying not be considered a failure according to the text?
Why should dying not be considered a failure according to the text?
What could be a reason for the increase in deaths occurring in the decedent's home from 22.7% to 31.4% from 2000 to 2018?
What could be a reason for the increase in deaths occurring in the decedent's home from 22.7% to 31.4% from 2000 to 2018?
Why does hospice care focus on symptom management and quality of life when cure isn't an option?
Why does hospice care focus on symptom management and quality of life when cure isn't an option?
What is the role of palliative care in ensuring the expected outcome of living?
What is the role of palliative care in ensuring the expected outcome of living?
Flashcards
Prognosis
Prognosis
A prediction of the likely course of a disease or ailment.
Physical Therapist
Physical Therapist
Healthcare professional that helps patients improve movement and manage pain.
Inpatient Hospice Care
Inpatient Hospice Care
Short-term care to manage severe symptoms that cannot be controlled at home.
Grief and Loss Counseling
Grief and Loss Counseling
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Palliative Care Focus
Palliative Care Focus
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Primary Purpose of Hospice
Primary Purpose of Hospice
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Palliative Care Goal
Palliative Care Goal
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Essential Bereavement Care
Essential Bereavement Care
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Interdisciplinary Hospice Care Team
Interdisciplinary Hospice Care Team
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24/7 Hospice Availability
24/7 Hospice Availability
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Hospice Medication Focus
Hospice Medication Focus
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Unique Hospice Service
Unique Hospice Service
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Hospice Care Location
Hospice Care Location
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Acknowledging Finite Medical Power
Acknowledging Finite Medical Power
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Key characteristic of hospice meds
Key characteristic of hospice meds
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Accurate description of hospice care
Accurate description of hospice care
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Decreased hospital deaths
Decreased hospital deaths
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Palliative Care Delivery
Palliative Care Delivery
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Why dying isn't failure
Why dying isn't failure
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Increased home deaths
Increased home deaths
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Hospice focus rationale
Hospice focus rationale
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Role of palliative care
Role of palliative care
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Study Notes
Hospice Care
- Hospice care is medical care for people with an anticipated life expectancy of 6 months or less, focusing on symptom management and quality of life.
- It is provided primarily in a patient's home, nursing home, or community living arrangement.
- An interdisciplinary team of professionals addresses physical, psychosocial, and spiritual needs of the person and supports family members and caregivers.
- Care includes periodic visits from hospice team members, 24/7 availability for concerns, and bereavement care during and up to 13 months after death.
Hospice Benefits
- Medical supplies like oxygen, catheters, bandages, and briefs
- Short-term inpatient care for symptom control
- Medication for symptom control
- Medical equipment like hospital beds, wheelchairs, and walkers
- PT/OT, SLP, and dietician services on a case-by-case basis
- Any other Medicare-covered services needed to manage pain and symptoms related to the terminal illness
Grief and Loss Counseling
- Counseling for patient and loved ones leading up to and for 13 months after death
Hospice Regulations and Notices
- A Medicare benefit, available to all Medicare enrollees
- Covered by most private health insurance and Medicaid in almost every state
When is Hospice Appropriate?
- When cure isn’t an option and the focus shifts to symptom management and quality of life
- Prognosis is the only definitive criteria, as stated by Atul Gawande in "Being Mortal"
End-of-Life Care
- In 1950, over 50% of people died in their homes, decreasing to 31.4% in 2018
- The percentage of deaths in hospitals decreased from 48.0% in 2000 to 35.1% in 2018
- The percentage of deaths in long-term care facilities increased from 22.9% to 26.8% during the same period
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