35 Questions
What is the definitive criteria for determining when hospice care is appropriate?
Prognosis
Apart from a hospice physician, what other professional is part of the care team?
Physical therapist
Which of the following is NOT a type of medical supply mentioned in the text as part of hospice care?
Dental tools
In which situation would short-term inpatient care be considered in hospice?
When symptom control cannot be achieved at home
What type of counseling is provided for the patient and loved ones in hospice care for up to 13 months after a death?
Grief and loss counseling
What is the primary focus of palliative care?
Managing symptoms and improving quality of life
Where did the percentage of deaths that occurred in hospitals decrease from 2000 to 2018?
From inpatient care facilities
What is the primary purpose of hospice care?
Managing symptoms and improving quality of life
What does palliative care aim to deliver at the right time?
The right care suitable for the patient's needs
In the United States, where did the percentage of deaths occur in a long-term care facility increase from 2000 to 2018?
In hospices
What is an essential aspect of bereavement care?
Supporting individuals through the grieving process
What is a key focus of an interdisciplinary hospice care team?
Providing support for physical, psychosocial, and spiritual needs
Which of the following is NOT a part of hospice care as mentioned in the text?
Delivering medical interventions aimed at prolonging life
What aspect of hospice care distinguishes it from other types of medical care?
24/7 availability of hospice providers for patient concerns
What is a crucial aspect of the medications provided in hospice care?
Exclusively provided for pain management and symptom control
Which service is unique to hospice care compared to other forms of healthcare?
Bereavement care for the family beyond the patient's death
What differentiates hospice care from other types of healthcare in terms of patient care location?
Focused on providing care in private residences or community living arrangements
What is a significant historical fact about the use of ventilators outside of the operating room?
They were first used in the 1950s
Which decade saw the development of CardioPulmonary Resuscitation (CPR) as a treatment for sudden cardiac death?
1970s
What landmark event occurred in 1950 regarding where people died?
Over 50% of people died at home
What theme is highlighted in the quote 'It’s so hard to die here!'?
The emotional difficulty of dying in a certain location
What central theme does the statement 'Being mortal is about the struggle to cope with the constraints of our biology' emphasize?
The inevitability of death and its challenges
What is a crucial reason for acknowledging the finite nature of medical power, as mentioned in the text?
To promote patient-centered end-of-life care
What aspect of hospice care differentiates it from other forms of medical care?
The availability of bereavement care for the family/intimate network
In hospice care, what is NOT a primary focus of the interdisciplinary team?
Providing curative therapies
What is a key characteristic of the medications provided in hospice care?
They focus on symptom management and comfort
In the context of end-of-life care, what is a misconception about hospice care?
It includes medical interventions designed to prolong life
What is NOT a characteristic of where hospice care can be provided?
Medical facility for curative treatments
Which statement accurately describes the availability of hospice care for patients?
It includes 24/7 availability for patient or caregiver concerns
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?
A reflection of the changing preferences of individuals towards dying at home
In what way does palliative care ensure the delivery of the RIGHT care at the RIGHT time?
By emphasizing comfort and quality of life over aggressive treatments
Why should dying not be considered a failure according to the text?
Because it is a natural and inevitable part of life
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?
Greater emphasis on end-of-life care outside hospital settings
Why does hospice care focus on symptom management and quality of life when cure isn't an option?
To provide comfort and dignity in the last months of life
What is the role of palliative care in ensuring the expected outcome of living?
To help patients accept their mortality and focus on quality of life
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
Explore the interdisciplinary approach of hospice care, focusing on physical, psychosocial, and spiritual needs of individuals. Learn about the benefits of receiving hospice care in familiar environments and the support provided to family members and caregivers during the process.
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