35 Questions
What is the primary goal of hospice care?
To provide a philosophy of care and support for dying persons and their loved ones
What percentage of patients die within 7 days of being in hospice?
⅓
What is the primary mindset shift that hospice care aims to challenge?
A death-denying culture
What is the purpose of the 'holding space' created by hospice care?
To support patients and their loved ones during the dying process
What is the role of the hospice team?
To provide a circle of care and expertise in the service of dying persons' comfort and support of their loved ones
What is the purpose of respite care in hospice?
To provide caregiver relief and support
What is the primary focus of the plan of care established by hospice?
To reflect the goals for today and support patients' comfort and well-being
What is the role of the IPU in hospice care?
To provide general inpatient/hospital level care
What percentage of the time is hospice provided under Medicare Part A or Medicaid?
Almost 98%
What is the primary purpose of the daily amount provided by Medicare/Medicaid to a hospice?
To pay for services, supplies, medications, etc.
Where can hospice care be provided?
Wherever the patient calls home
What is a key requirement for someone to be eligible for hospice care?
A life expectancy of six months or less
What is the primary focus of Palliative Care?
Relieving suffering associated with serious illness
What is a key difference between Palliative Care and Hospice Care?
Palliative Care can be provided at any time in the course of disease
What is the goal of the Centers for Medicare and Medicaid Services Innovation Center's GUIDE Model?
To improve quality of life for people with dementia and their caregivers
What is a key aspect of Bereavement Counseling?
Grief support for anyone in the community grieving the loss of a loved one
What is a key aspect of the Advanced Illness Care Continuum?
It is a comprehensive care package that includes Palliative Care and Hospice Care
What is the primary goal of the hospice care admission process?
To complete the communication with all parties and deem eligibility
What is the underlying assumption about dying in the hospice care philosophy?
Dying is a natural part of life
What is the primary focus of the hospice team's circle of care?
Offering expertise and compassion in the service of dying persons' comfort
What is the significance of the statement 'There is much to be done' in the context of hospice care?
It shifts the focus from medical treatment to comfort and support
What is the primary purpose of the plan of care established by hospice?
To reflect the goals and priorities of the patient and their loved ones
How does hospice care challenge the prevailing cultural attitude towards dying?
By acknowledging and accepting dying as a natural part of life
What is the significance of the 'holding space' created by hospice care?
It offers a safe and supportive environment for patients and their loved ones
What is the role of the hospice team in supporting patients and their loved ones?
To offer emotional and spiritual support
What is the underlying philosophy of hospice care?
That dying is a natural part of life that requires support and compassion
What is the primary reason why a patient's medical provider, family member, or the patient themselves might call a hospice?
To initiate a conversation about eligibility and services
What is a common indicator that it might be time to consider hospice care for a patient?
A decrease in capacity to perform daily activities
What is the primary benefit of palliative care for patients with serious illnesses?
It focuses on alleviating symptoms and improving quality of life
What is the primary difference between hospice care and palliative care in terms of eligibility?
Hospice care is only available for patients with a life expectancy of six months or less, while palliative care has no life expectancy requirement
What is the primary purpose of the daily amount provided by Medicare/Medicaid to a hospice?
To pay for services, supplies, medications, and other expenses related to patient care
What is a key aspect of the bereavement counseling services provided by hospice?
It provides individual counseling, support groups, and literature to help patients and their families cope with grief
What is the primary goal of the Centers for Medicare and Medicaid Services Innovation Center's GUIDE Model?
To improve the quality of life for patients with dementia and their caregivers
What is the primary reason why hospice care is not provided under a single organization?
Because there are many different models of hospice care
What is the primary benefit of the Advanced Illness Care Continuum?
It provides a comprehensive package of care coordination and management for patients with serious illnesses
Study Notes
Trends that have Impacted End-of-Life
- Cultural shift in perspectives on dying, influenced by Kubler-Ross
- Technological and medical advances have changed the way we die and live while dying
Origins of the Hospice and Palliative Care Movement
- Hospice was designed to create a "holding space" for dying persons and their loved ones
- Provides a philosophy of care and tools to help support loved ones through their final journey
- Continues to support loved ones after their death
Core Promises of Hospice
- Your story is unique
- Your voice matters
- Your story will be honored
- Stories unfold and evolve
- Understanding comes from knowing
Hospice Care
- Approximately ⅓ of patients die within 7 days of being in hospice
- Challenges a death-denying culture
- Changes the medical mindset from "there's nothing more we can do" to "there is much to be done"
- Dying is a natural process that should be life-affirming
The Hospice Team
- A circle of care offering expertise and compassion in the service of dying persons' comfort and support for their loved ones
- Plan of care is established and constantly updated to reflect the goals for today
Services Provided by Hospice
- Medical equipment and supplies
- Related medications
- 24-hour on-call
- Bereavement care
- Physical therapy, nutritionist, and other services for comfort and support
- Respite care (up to 5 nights) for caregiver relief
Who Pays for Hospice?
- Almost 98% of the time, hospice is provided under Medicare Part A or Medicaid
- Private insurances often provide a hospice benefit as well
Where is Hospice?
- Wherever the patient calls home: private residence, skilled-nursing facility, assisted-living, or hospice inpatient facility
Eligibility for Hospice
- Terminal illness with a life expectancy of six months or less
- No cure or patient chooses comfort care over curative care
- Two physicians certify that a patient is eligible for hospice care
Signs it Might be Time for Hospice Care
- Decreased energy
- Less capacity to do daily activities
- Weight loss
- Frequent infections
- More hospitalizations
- More pain
- Failure to thrive
How Hospice Gets Started
- Anyone can call Hospice to initiate care
- Hospice completes communication with all parties and deems eligibility
- Doctor writes an order for hospice care
- Admission visit is set up, and patient or family signs consents for care
Bereavement Counseling
- Grief support for hospice bereaved
- Grief support for anyone in the community grieving the loss of a loved one
- Individual counseling, loss-specific groups, literature, workshops, and memorial services
What is Palliative Care?
- Palliative Care = Comfort Care
- Focuses on quality of life for anyone dealing with serious illness, at any time, regardless of diagnosis, prognosis, or treatment
Focus of Palliative Care
- Establishing goals of care
- Assisting with completion of advance directives and other medical orders related to care
- Helping navigate complex medical decisions
- Relieving suffering associated with serious illness
- Timely transfer to hospice (when/if appropriate and desired)
Who is Appropriate for Palliative Care?
- Any diagnosis
- Any age
- Any patient with uncontrolled symptoms
- Any patient or family wishing to discuss advanced directives, goals of therapy, or comfort-directed therapy
Palliative Care vs Hospice Care
- Who is eligible
- Payment system
- Goals of care
- Treatment plan of patient
- Services provided
- Patient and family as unit of care
- Formalized Conditions of Participation
Trends that have Impacted End-of-Life
- Cultural shift in perspectives on dying, influenced by Kubler-Ross
- Technological and medical advances have changed the way we die and live while dying
Origins of the Hospice and Palliative Care Movement
- Hospice was designed to create a "holding space" for dying persons and their loved ones
- Provides a philosophy of care and tools to help support loved ones through their final journey
- Continues to support loved ones after their death
Core Promises of Hospice
- Your story is unique
- Your voice matters
- Your story will be honored
- Stories unfold and evolve
- Understanding comes from knowing
Hospice Care
- Approximately ⅓ of patients die within 7 days of being in hospice
- Challenges a death-denying culture
- Changes the medical mindset from "there's nothing more we can do" to "there is much to be done"
- Dying is a natural process that should be life-affirming
The Hospice Team
- A circle of care offering expertise and compassion in the service of dying persons' comfort and support for their loved ones
- Plan of care is established and constantly updated to reflect the goals for today
Services Provided by Hospice
- Medical equipment and supplies
- Related medications
- 24-hour on-call
- Bereavement care
- Physical therapy, nutritionist, and other services for comfort and support
- Respite care (up to 5 nights) for caregiver relief
Who Pays for Hospice?
- Almost 98% of the time, hospice is provided under Medicare Part A or Medicaid
- Private insurances often provide a hospice benefit as well
Where is Hospice?
- Wherever the patient calls home: private residence, skilled-nursing facility, assisted-living, or hospice inpatient facility
Eligibility for Hospice
- Terminal illness with a life expectancy of six months or less
- No cure or patient chooses comfort care over curative care
- Two physicians certify that a patient is eligible for hospice care
Signs it Might be Time for Hospice Care
- Decreased energy
- Less capacity to do daily activities
- Weight loss
- Frequent infections
- More hospitalizations
- More pain
- Failure to thrive
How Hospice Gets Started
- Anyone can call Hospice to initiate care
- Hospice completes communication with all parties and deems eligibility
- Doctor writes an order for hospice care
- Admission visit is set up, and patient or family signs consents for care
Bereavement Counseling
- Grief support for hospice bereaved
- Grief support for anyone in the community grieving the loss of a loved one
- Individual counseling, loss-specific groups, literature, workshops, and memorial services
What is Palliative Care?
- Palliative Care = Comfort Care
- Focuses on quality of life for anyone dealing with serious illness, at any time, regardless of diagnosis, prognosis, or treatment
Focus of Palliative Care
- Establishing goals of care
- Assisting with completion of advance directives and other medical orders related to care
- Helping navigate complex medical decisions
- Relieving suffering associated with serious illness
- Timely transfer to hospice (when/if appropriate and desired)
Who is Appropriate for Palliative Care?
- Any diagnosis
- Any age
- Any patient with uncontrolled symptoms
- Any patient or family wishing to discuss advanced directives, goals of therapy, or comfort-directed therapy
Palliative Care vs Hospice Care
- Who is eligible
- Payment system
- Goals of care
- Treatment plan of patient
- Services provided
- Patient and family as unit of care
- Formalized Conditions of Participation
Explore the cultural shift in perspectives on dying and the origins of the hospice and palliative care movement. Learn how technological and medical advances have impacted end-of-life care and the philosophy of care provided by hospice.
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