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Palliative Care vs Hospice Care

While the objective of both hospice & palliative care is pain và symptom relief, the prognosis and goals of care tend to be different. Hospice is comfort care without curative intent; the patient no longer has curative options or has chosen not to pursue treatment because the side effects outweigh the benefits. Palliative care is comfort care with or without curative intent.

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Hospice care is similar to palliative care, but there are important differences. Because more than 90 percent of hospice care is paid for through the Medicare hospice benefit, hospice patients must meet Medicare’s eligibility requirements; palliative care patients vì chưng not have to meet the same requirements.


Hospice vs. Palliative Care Definitions

Hospice Care Definition

The definition of hospice care is compassionate comfort care (as opposed khổng lồ curative care) for people facing a terminal illness with a prognosis of six months or less, based on their physician’s estimate if the disease runs its course as expected.

Palliative Care Definition

The definition of palliative care is compassionate comfort care that provides relief from the symptoms và physical và mental ức chế of a serious or life-limiting illness. Palliative care can be pursued at diagnosis, during curative treatment and follow-up, & at the over of life.

Hospice vs. Palliative Care Eligibility

Hospice eligibility requires that two physicians certify that the patient has less than six months to lớn live if the disease follows its usual course. Palliative care is begun at the discretion of the physician and patient at any time, at any stage of illness, terminal or not.

Hospice and Palliative Care Teams

Interdisciplinary teams deliver both hospice and palliative care. They address physical, emotional and spiritual pain, including such common worries as loss of independence, the well-being of the family và feeling like a burden.

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Paying for Hospice vs. Palliative Care

Hospice care costs are paid 100 percent by Medicare, Medicaid và private insurance; hospice is the only Medicare benefit that includes pharmaceuticals, medical equipment, 24/7 access khổng lồ care, nursing, social services, chaplain visits, grief support following a death and other services deemed appropriate by the hospice agency. By comparison, palliative care costs—from office visits khổng lồ prescription charges—can vary. Read more about who pays for palliative care here.

Where vì I Receive Hospice or Palliative Care?

Hospice care is delivered at trang chủ or in home-like hospice residences, nursing homes, assisted living facilities, veterans" facilities, hospitals and other facilities. Palliative care teams typically work in a hospital.

What Kind of Patients Choose Palliative Care?

The American Society of Clinical Oncology has identified the characteristics of a patient who should receive palliative care but not curative treatment; these characteristics are applicable to patients with other diseases, too.

The patient has limited ability lớn care for himself. The patient has received curative treatment và is no longer benefitting from it. The patient does not qualify for an appropriate clinical trial. There is no evidence that further treatment would be effective.

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Talk lớn your family và your doctor about your goals of care and whether palliative careand/or hospice caremight improve your quality of life.