Palliative care programs and hospice care programs differ in the care location, timing, payment and eligibility for services.
Place Hospice: Hospice programs far outnumber palliative care programs. Generally, once enrolled through a referral from the primary care physician, a patient's hospice care program, which is overseen by a team of hospice professionals, is administered in the home. Hospice often relies upon the family caregiver, as well as a visiting hospice nurse. While hospice can provide round-the-clock care in a nursing home, a specially equipped hospice facility, or, on occasion, in a hospital, this is not the norm. Palliative Care: Palliative care teams are made up of doctors, nurses, and other professional medical caregivers, often at the facility where a patient will first receive treatment. These individuals will administer or oversee most of the ongoing comfort-care patients receive. While palliative care can be administered in the home, it is most common to receive palliative care in an institution such as a hospital, extended care facility or nursing home that is associated with a palliative care team. Timing Hospice: One must generally be considered to be terminal or within six months of death to be eligible for most hospice programs or to receive hospice benefits from your insurance. Palliative Care: There are no time restrictions. Patients at can receive palliative care any time, at any stage of illness whether it be terminal or not. Payment Hospice: Before considering hospice, it is important to check on policy limits for payment. While hospice can be considered an all-inclusive treatment in terms of payment (hospice programs cover almost all expenses) insurance coverage for hospice can vary. Some hospice programs offer subsidized care for the economically disadvantaged, or for patients not covered under their own insurance. Many hospice programs are covered under Medicare. Palliative Care: Since this service will generally be administered through your hospital or regular medical provider; it is likely that it is covered by your regular medical insurance. It is important to note, however, that each item will be billed separately, just as they are with regular hospital and doctor visits. If you receive outpatient palliative care, prescriptions will be billed separately and are only covered as provided by your regular insurance. In-patient care however, often does cover prescription charges. For more details, check with your insurance company, doctor, or hospital administration. Treatment Hospice: Most programs concentrate on comfort rather than aggressive disease abatement. By electing to forego extensive life-prolonging treatment, hospice patients can concentrate on getting the most out of the time they have left, without some of the negative side effects that life-prolonging treatments can have. Most hospice patients can achieve a level of comfort that allows them to concentrate on the emotional and practical issues of dying. Palliative Care: Since there are no time limits on when you can receive palliative care, it acts to fill the gap for patients who want and need comfort at any stage of any disease, whether terminal or chronic. In a palliative care program, there is no expectation that life-prolonging therapies will be avoided. It is important to note that there will be exceptions to the general treatment precepts outlined. There are some hospice programs that will provide life-prolonging treatments, and there are some palliative care programs that concentrate mostly on end-of-life care. Consult your physician or care-administrator for the best service for you. Source: http://gailssite.weebly.com/palliative--hospice-care.html
0 Comments
WHY IS A SMOKING SUCH A BIG FACTOR TO CARDIOVASCULAR DISEASE? he main contributor to cardiovascular disease is smoking. If someone was to smoke the chance of them getting a heart attack is nearly double comparing to someone who does not currently smoke shown in figure 1. If you do have a heart attack from smoking then the chance of the person suddenly dying is five times more likely. Cigarette and tobacco smoke, high blood cholesterol, high blood pressure, physical inactivity, obesity and diabetes are the six major independent risk factors for cardiovascular disease that you can modify or control. <<<Fig: he statistics of cardiovascular disease and smoking. Smoking is as widespread and significant enough as a risk, that the Surgeon General has called it "the leading preventable cause of disease and deaths in the world." Cigarette smoking increases the risk of cardiovascular disease by itself. When it acts with other factors, it greatly increases risk of obtaining a disease. Smoking increases blood pressure, decreases exercise tolerance and increases the tendency of blood clotting. Smoking also increases the risk of recurrent coronary heart disease after bypass surgery. Cigarette smoking is the most important risk factor for young men and women. It produces a greater relative risk in persons under age 50 than in those over 50, although it is often believed otherwise. Women who smoke and use oral contraceptives greatly increase their risk of coronary heart disease and stroke compared with non-smoking women who use oral contraceptives. Smoking decreases good quality cholesterol. Cigarette smoking combined with a family history of heart disease also seems to greatly increase the risk of getting some kind of cardiovascular disease. source: https://lifestyleandstress.weebly.com/smoking-and-cardiovascular-disease.html There are special services available from medical professionals during this time of your life. These services can also be helpful, under certain circumstances, while waiting for completion of a medical treatment such as a transplant or chemotherapy. One example of when these services might be employed is for cirrhosis patients that may have completed their workup for transplant, who still have some severe complications (like Hepatic Encephalopathy [HE] in patients with liver problems) and whose caregivers cannot always be present.
There are two types of care available for this time in your life. One is called "hospice" care and the other is called "palliative"care. There are some subtle differences between these two types of care but both focus on keeping extremely ill patients comfortable, while helping patients, family members, and caregivers be comfortable and cope with the entire process. From the start of a serious or terminal illness, practitioners try to reduce the burden on family caregivers by identifying and providing for patient and family needs, whether physical, emotional, practical or spiritual. You have probably heard of hospice care before and may have general knowledge of the services it provides. What is confusing about the difference between hospice and palliative care is that hospice provides "palliative care," and that palliative care is both a method of administering "comfort" care and increasingly, an administered system of palliative care offered most prevalently by hospitals. Source Link: http://gailssite.weebly.com/palliative--hospice-care.html |
Archives
March 2019
Categories
All
|