Thursday, March 24, 2011

Mythbusters


I haven't posted in a few days so I thought I'd take this opportunity to do a little hospice education - Mythbusters style! I know before I started working in hospice, I had some really wrong ideas about what hospice was all about.  I'll bet some of you do, too!  I had heard people say before, "Well, it's really bad.  They've called in hospice.  It won't be long now."  In my mind, "calling in hospice" was something that happened only in the last week or two of someone's life.  I had the idea that hospice was kind a grim reaper of sorts.  Boy, was I wrong.  Here are some of the most common myths about hospice and what is really the truth!

Myth: Hospice is a place.Reality: Hospice care usually takes place in the comfort of an individual's home, but can be provided in any environment in which a person lives, including a nursing home, assisted living or residential care facility.

Myth: Patients can only receive hospice care for a limited amount of time.Reality: The Medicare benefit, and most private insurance, pays for hospice care as long as the patient continues to meets the criteria necessary. Patients may come on and off hospice care, and re-enroll in hospice care, as needed.

Myth: Hospice is just for the patient.Reality: Hospice focuses on comfort, dignity, and emotional support. The quality of life for the patient, and also family members and other caregivers, is the highest priority.

Myth: A physician decides whether a patient should receive hospice care and which agency should provide that care.
Reality:
The role of the physician is to recommend care, whether hospice or traditional curative care. It is the patient's right and decision to determine when hospice is appropriate and which program suits his or her needs.

Myth: Hospice is only for cancer patients.
Reality:
A large number of hospice patients have congestive heart failure, Alzheimer's disease or dementia, chronic lung disease, or other conditions.

Myth: Once a patient elects hospice, he or she can no longer receive care from the primary care physician.
Reality:
Hospice reinforces the patient-primary physician relationship by advocating either office or home visits, according to the physician preference. Hospices work closely with the primary physician and consider the continuation of the patient-physician relationship to be of the highest priority.

Myth: Once a patient elects hospice care, he or she cannot return to traditional medical treatment.
Reality:
Patients always have the right to reinstate traditional care at any time, for any reason. If a patient's condition improves or the disease goes into remission, he or she can be discharged from a hospice and return to aggressive, curative measures, if so desired. If a discharged patient wants to return to hospice care, Medicare, Medicaid, and most private insurance companies and HMOs will allow readmission.

Myth: Hospice Patients on dialysis cannot be on hospice.
Reality:
Dialysis patients can be on hospice: however there must be a terminal diagnosis other than ESRD. 

Myth: Hospice means giving up hope.
Reality:
When faced with a terminal illness, many patients and family members tend to dwell on the imminent loss of life rather than on making the most of the life that remains. Hospice helps patients reclaim the spirit of life. It helps them understand that even though death can lead to sadness, anger, and pain, it can also lead to opportunities for reminiscence, laughter, reunion, and hope.

That's all for today!  I hope we'll see you all soon at the Hunt for Hospice!

No comments:

Post a Comment