Hospice care

Definition Hospice is a special

used
kind of palliative crane

who is either
for batients
active
not being helped by the
treatment on for whom
burden of theirs tepeatment
out weights any benefits

Goats
a bn ovide comfort
d Relieve physical
emotional and spiritual
sufferings
G promote the dignity of
ill persons
terminally
 Hospice came neither prolongs
nor hastens the dying
process
When to stunt
there are no more
a when
to cure
treatment options
member's disease
your family
hospice becomes an option
d When pt their family
members decide that
meant to cure is
treatment
not worth its side effects
pain suffering

provided by whom 2
where it is

About goal of Hospice c ane

h
 takes place in the home

Alternative locations on

nes ounces be available

may
all of people
Serves ages

Mounters
a primary physician
her level of
his
determines
ease
involvement on a ease by
basis with the hostile
medical director

G Hospice physician
expertise in pain
bnovides
at
and symptom control
the end of life
 makes home visits on

as needed basis
oversee plan of c are
May members
consult with family
E Nurse
basis
regular nutrition
assess pain symptoms
status
Educate bt and
family
d Home Health Aide
patient with activities
assist
of daily living
social workers
counselling
medical equipments
annage
 g
assist family in finding
services address
to

financial and legal matters

chaplain
provides spiritual counselling
assist sustaining their

religious practice
Volunteer
respite came to family
members
to stay connected
Helps patient
with community groups and
activities
 levels of cane

Ca Routine Home cane

team members supplyavaniety
of services during routine
Home care

b continuous cane

minimum 8 hns day

intended for pts who are

experiencing serene symptoms

a en en al inpatient cane
Intensive level of cane

be provided in a nursing
may
home
Fons patients who require
interventions
daily
 Respite canes

for needs of patient'sfamily

Provided for amaximum
of Edays every benefit
period
Points Palliative Hospice
To
Goals to assess pain
and treat maintain
and a
good
the same
associated physical quality
psychologicalproblem oflife
Neanthe
Pt Notimelimitton
end of
life expectancy life
CLE EG
month
site Hospitalletinie mainly
based Home
 6

payment No special insurance

insurance benefit
benefit present

Pain Management stnatigies

of Hospice
Primary goal
crane

of pain is
Assessment
needed
NRS scoring
Seales Baker
Wong
Faces Pain
pating
FL Ace Seale
Physical pain blocked by
giving opioids
a Morphine
d Oxycodone
E Methadone
Hydromorphone
weak strong
opioid
Non opioid Opioid
TI TI non
non opioid opioid
adjuvant 1 tf
adjuvant adjuvant

For Reliving psychological

pain
Valium and
can include
Ativan treat
to agitation
and anxiety
 Also is helpful
counselling
Morphine does not
hasten the
death
Gnis conception

initiemoints

less chance of
developing
addiction