Palliative Care

  1. I have noticed that there is little discussion on Palliative care. Only a cursory mention related to hospice care. I would like to know about Palliaitve care in the US.
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  2. 14 Comments

  3. by   traumaRUs
    You might look up info re: hospice on the net.
  4. by   ozynurse
    Thanks for that but I specifically wanted to discuss Palliaitve care in the community setting. Do you have community palliative care as such?
  5. by   Jay-Jay
    I am a member of the palliative care team for our company, which does community nursing only. What would you like to know?

    I'm in Canada, BTW, so if you need info exclusively about the U.S., I won't be able to help.
  6. by   angelbear
    We have hospice here in US. Is that what you mean? Comfort care? I am interrested in this topic too. Have not worked in hospice myself but have worked with hospice in my facility.
  7. by   renerian
    I have been a hospice volunteer over 10 years and am also a nurse. I would love to talk about care in hospice too. What would you like to know?

    renerian
  8. by   aimeee
    Originally posted by ozynurse
    Thanks for that but I specifically wanted to discuss Palliaitve care in the community setting. Do you have community palliative care as such?
    I think that the difference in terminology here is what is giving us difficulty. In the US, hospice care IS palliative care provided not only in a facility but brought to the patient's residence, whether that be a private family home, an assisted living facility, a nursing home, etc. These services are reimbursed by our federal government (under Medicare for our elderly) and our state governments (under Medicaid for those with little money or assets) or by private insurance for those who are believed to have a life expectancy of six months or less.

    http://www.hospicefoundation.org/what_is/
  9. by   mchospicern
    Many home health care agencies offer Palliative Care programs to patients in the home. Those served typically are patients who are not eligible for the medicare hospice benefit because they are not terminally ill and/or they are receiving curative treatments. Under Medicare Regs, palliation of symptoms is not a "skilled need" (how sad!), so currently many who could benfit from skilled home based palliatve care are not served.
  10. by   renerian
    Good points made...................good clarification.........

    renerian
  11. by   florry
    Maybee I am wrong, but I am looking at NURSING as a kind of PALLIATIVE kind of doing, no matter what area you are working in?

    Any comment?
  12. by   cargal
    I just interviewed with a company that is Hospice and Palliative Care, and provides both. What would you like to know specifically? The palliative care portion would probably provide psychosocial support in addition to pain and symptom control; the patient may continue to seek aggressive treatment.
  13. by   Lucy RN
    My hospice is both Hospice and Palliative Care. I currently have 9 hospice pt's and one palliative care pt. I care for her the same way except she is still seeking aggressive tx for her dx. She still gets the benefit of the nursing visits, HHA/LPN for cares and our social work visits, etc.
  14. by   Middletoast
    mchospicern brought up a good point. In US palliative is more for S/S from tx or illness. Say a cancer pt has been given radiation to shrink the tumor but there is no hope of curing. It is done for comfort measures only. This is palliative. Sad that Medicare/Medicaid make a distiction when it comes to HMB. ( Hospice Medicare Benefit). When the hospice only gets a certain amount of $$ for each Pt. and the oncologist gives expenceive tx for reduction of said tumor, hospices cannot afford to pay for radiation but yet that is what the government expects. I all comes down to $$$$$. Sad!!!!

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