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Gerontology Presentation

Leia Pressly

on 17 December 2014

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Transcript of Hospice

What Hospice is...
Who Needs Hospice...
Why Hospice is Important...
Positive Aspects...
What do you know about hospice?
What do be know NOW about hospice...
Not only older adults
Any person at the last stages of life including terminally ill
Most widely used program for individuals near death
Provides care the family expected and additional benefits
Relieves family stress
Payment options
Support system
A source for end-of-life conversations
Fewer medicines, injections, feeding tubes and IVs
Lowest rates of pain, dyspnea and anti-psychotics
87% less likely to die in a hospital
Mental preparation for end- of-life
Protective staff
Focus on comfort
Increased communication with medical professionals
Negative Aspects...
Provided to the chronically or terminally ill
Where does hospice take care of people if they can't stay at home?
Hospice services can be provided anywhere the patient calls home
It provides an avenue for end-of life conversations
What kind of spiritual support does hospice provide?
Who pays for Hospice?
It can be covered by Medicare, Medicaid, and private insurance plans
Will patients keep seeing the same doctor?
Hospice encourages the patient to continue seeing his preferred physician and will even advocate for home visits
Will patients continue to get the same medications and treatments?
Medications and treatments will continue; however the emphasis will be on the comfort of the patient
What kind of practical support and assistance does hospice provide?
It provides emotional, spiritual and physical care, all to enhance the comfort of the patient
What kind of emotional and social support does hospice provide?
It Provides a support system, providers experience with end-of-life processes and a stronger connection between the family and care givers.
How often will hosice send someone out to visit?
Hospice will provide visitation according to the recipient's wishes
Where does hospice take care of people if they can't stay at home?
What kinds of spiritual support does hospice provide?
Who pays for hospice?
Will the patient keep seeing the same doctors?
Will patients continue to get the same medications and treatments?
What kinds of practical support and assistance does hospice provide?
What kinds of emotional and social support does hospice provide?
How often will hospice send someone out to visit?
Palliative Care:
Relieves symptoms, pain, and stress
Improves quality of life
Attends to both emotional and physical needs
Heightens family conflict
Makes it seem like death is imminent
Puts much of the responsibility of care on the family
"There were people around, and there is life happening-
even though everyone here is close to death, they are still living. And there is a real power in the last stages of life that I didn't know about."
-Abel White

Caroline Pevey 2005
Miller , Lima and Mitchell 2012
Through the course of several interviews, patients share their personal experiences of great comfort, communication, support, and physical care received through hospice.
Boelk & Kramer 2011
A statistical study was done comparing care for patients who received hospice with skilled nursing care, who received hospice after skilled nursing care and those who did not receive hospice.
A survey was conducted over Hospices' thoughts on research being performed on the terminally ill.
Study done to better understand family conflict during end of life care. It was done in the hospice context and involved both qualitative and quantitative methods
Kirsh, Walker, Sinder, Weisenfluh, Brown, and Passik 2004
A study was done asking families and individuals who were considering the option of Hospice for a family member, or themselves, asking them what the most important information about Hospice was to them prior to being enrolled.
David Casarett 2005
Boelk, A., & Kramer, B. (2011). Advancing Theory of Family Conflict at the End of Life: A Hospice
Case Study.
Elsevier: Journal of Pain And Symptom Management
, 44(5), 655-670.

Pevey, C. (2005). Patient speaking: Hospice patients discuss their care.
American Journal of Hospice
& Pallative Medicine
, 22(2), 129-133.

Kirsh,Kenneth L.,,Jr, Walker, R.,Jr, Snider, S.,Jr, Weisenfluh, S.,Jr, Brown,Gretchen M.,,Jr, &
Passik,Steven D.,,Jr. (2004). Hospice staff members' views on conducting end-of-life research.
Palliative & Supportive Care
, 2(3), 273-82.

Miller, S. C., Lima, J. C., & Mitchell, S. L. (2012). Influence of Hospice on Nursing Home Residents with
Advanced Dementia Who Received Medicare-Skilled Nursing Facility Care Near the End of Life.
Journal Of The American Geriatrics Society
,60(11), 2035-2041.

Casarett, D. (2005). Making Difficult Decisions About Hospice Enrollment: What Do Patients and
Families Want to Know?
Journal of the American Geriatrics Society
, 53(2), 249-254.

[hospicebasics]. (2013, April 28).
What is hospice
[Video file]. Retrieved from http://

Full transcript