Quote from earle58
i initially put this thread under the oncology section because i interviewed in an oncology unit that had 6 palliative care beds. these patients are still receiving treatment....chemo, surgery, radiation. my background in hospice exposed me only to the hospice medicare benefit, which is so much more obviously limited. does anyone here know about services offered under the palliative care benefit? i've written (today) to the csi but if anyone has any info, it would be much appreciated. thanks in advance.
The difference is huge and yet they are similar. Palliative comes from a latin word Pallido (I think that is the word) any way the latin word means "to cover up" When we palliate we cover up the symptoms in such a way that they are diminished or completely covered and no longer visible.
Palliative care treats the symptoms without curing the illness in any substantial manner. BUT the patient may be seeking active curative treatment such as chemo or radiation treatment or dialysis.
We palliate many illnesses not only those that are "terminal" or "end stage".
Diabetes is palliated via the use of insulin. We "cover up" the effects of diabetes. We do not cure it nor do we change its ultimate outcome.
We Palliate Renal failure through the use of dialysis. We do not cure the renal failure but we cover up the symptoms.
heart disease is also many times palliated with the various medications we use to control or "cover up" symptoms. Hypertension is often palliated. It really is always there we just control or cover up the symptoms. Stop the medications and the hypertension or the heart symptoms "reappear" or "get uncovered"
Hospice is a subdivision of palliative care BUT it is more extensive than palliative care. Hospice is intended for persons with a life expectency of 6 months or less if the disease were to run its normal course. Hospice treats the whole person and the whole family. We do pain and symptom management i.e. palliative care but we also treat the relationships, the spiritual side of the person, Hospice neither extends nor shortens life. The intention of Hospice is to increase quality of life not quantity BUT in palliating the symptoms and in treating the whole person and the whole family we many times extend the life of the person. Patients who do not qualify for hospice can get palliative care and their insurance will cover the treatment costs according to the policy coverage.
Hospice is a philosophy of care NOT a funding source, Although there is a medicare or medicaid hospice benefit. And many private insurances also have a hospice benefit.
I am a nurse consultant for Pain and palliative care. I work with patients who have life limiting illnesses and assist their health care providers with the pain and symptom management of the disease. I also consult with the hospice program for complicated cases.
I hope that I have helped to explain the similarities and differences and answered your question.