Quote from earle58
i've cared for hundreds of pts over the years, and no matter what type or how frequent the po care was, their lips would be parched. vaseline would not help- dehydration cannot be disguised.
but the whole concept of palliative care vs. hospice is that it recognizes that people who have late stage copd (but could feasibly live another year) or end stage chf, can still receive treatments and comfort care together. it's a much broader spectrum of hospice care, therefore much more flexible and liberal. it took me awhile to grasp its' concept but now understand that palliative care is the umbrella in which hospice is just one compenent.
I totally respect your experience, and in no way am I suggesting that dehydration can or should be disguised. In my experience, it's possible, with emollients, to keep lips from being dried and cracked. That's what I think of when I see "parched". You may mean something different.
And I understand that hospice care does not include curative treatments, while palliative care can. But hospice patients often receive, for example, palliative
radiation treatments, not designed to cure the CA but to make the patient more comfortable. That radiation could also have the effect of extending life, but neither that nor a cure is the intent of that treatment, comfort is, so it's appropriate for someone in hospice care. I'd put a vent, in a case like the one I outlined above, in the same category as palliative radiation. It should be OK for hospice patients if the prognosis is six months or less and the patient has abandoned curative
I'll be giving this more thought as I make my way through a busy On Call weekend. I'd be happy to hear what anyone has to say on the subject, but I'm now officially in "listening" mode on the subject.