Podcast
Questions and Answers
What is the primary goal of hospice care?
What is the primary goal of hospice care?
What percentage of patients die within 7 days of being in hospice?
What percentage of patients die within 7 days of being in hospice?
What is the primary mindset shift that hospice care aims to challenge?
What is the primary mindset shift that hospice care aims to challenge?
What is the purpose of the 'holding space' created by hospice care?
What is the purpose of the 'holding space' created by hospice care?
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What is the role of the hospice team?
What is the role of the hospice team?
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What is the purpose of respite care in hospice?
What is the purpose of respite care in hospice?
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What is the primary focus of the plan of care established by hospice?
What is the primary focus of the plan of care established by hospice?
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What is the role of the IPU in hospice care?
What is the role of the IPU in hospice care?
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What percentage of the time is hospice provided under Medicare Part A or Medicaid?
What percentage of the time is hospice provided under Medicare Part A or Medicaid?
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What is the primary purpose of the daily amount provided by Medicare/Medicaid to a hospice?
What is the primary purpose of the daily amount provided by Medicare/Medicaid to a hospice?
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Where can hospice care be provided?
Where can hospice care be provided?
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What is a key requirement for someone to be eligible for hospice care?
What is a key requirement for someone to be eligible for hospice care?
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What is the primary focus of Palliative Care?
What is the primary focus of Palliative Care?
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What is a key difference between Palliative Care and Hospice Care?
What is a key difference between Palliative Care and Hospice Care?
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What is the goal of the Centers for Medicare and Medicaid Services Innovation Center's GUIDE Model?
What is the goal of the Centers for Medicare and Medicaid Services Innovation Center's GUIDE Model?
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What is a key aspect of Bereavement Counseling?
What is a key aspect of Bereavement Counseling?
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What is a key aspect of the Advanced Illness Care Continuum?
What is a key aspect of the Advanced Illness Care Continuum?
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What is the primary goal of the hospice care admission process?
What is the primary goal of the hospice care admission process?
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What is the underlying assumption about dying in the hospice care philosophy?
What is the underlying assumption about dying in the hospice care philosophy?
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What is the primary focus of the hospice team's circle of care?
What is the primary focus of the hospice team's circle of care?
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What is the significance of the statement 'There is much to be done' in the context of hospice care?
What is the significance of the statement 'There is much to be done' in the context of hospice care?
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What is the primary purpose of the plan of care established by hospice?
What is the primary purpose of the plan of care established by hospice?
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How does hospice care challenge the prevailing cultural attitude towards dying?
How does hospice care challenge the prevailing cultural attitude towards dying?
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What is the significance of the 'holding space' created by hospice care?
What is the significance of the 'holding space' created by hospice care?
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What is the role of the hospice team in supporting patients and their loved ones?
What is the role of the hospice team in supporting patients and their loved ones?
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What is the underlying philosophy of hospice care?
What is the underlying philosophy of hospice care?
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What is the primary reason why a patient's medical provider, family member, or the patient themselves might call a hospice?
What is the primary reason why a patient's medical provider, family member, or the patient themselves might call a hospice?
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What is a common indicator that it might be time to consider hospice care for a patient?
What is a common indicator that it might be time to consider hospice care for a patient?
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What is the primary benefit of palliative care for patients with serious illnesses?
What is the primary benefit of palliative care for patients with serious illnesses?
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What is the primary difference between hospice care and palliative care in terms of eligibility?
What is the primary difference between hospice care and palliative care in terms of eligibility?
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What is the primary purpose of the daily amount provided by Medicare/Medicaid to a hospice?
What is the primary purpose of the daily amount provided by Medicare/Medicaid to a hospice?
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What is a key aspect of the bereavement counseling services provided by hospice?
What is a key aspect of the bereavement counseling services provided by hospice?
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What is the primary goal of the Centers for Medicare and Medicaid Services Innovation Center's GUIDE Model?
What is the primary goal of the Centers for Medicare and Medicaid Services Innovation Center's GUIDE Model?
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What is the primary reason why hospice care is not provided under a single organization?
What is the primary reason why hospice care is not provided under a single organization?
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What is the primary benefit of the Advanced Illness Care Continuum?
What is the primary benefit of the Advanced Illness Care Continuum?
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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
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Description
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.
