Background
"Hospice" is not a place, but rather, a proven method of care designed to provide comfort and support to patients and their
families when a life-limiting illness no longer responds to cure-oriented treatments. Hospice recognizes dying as part of the
normal process of living, affirms life and neither hastens nor postpones death. The focus of hospice care is to improve the
quality of a patient's end of life experience by offering comfort and dignity. This goal is best accomplished by offering a
quality, stand alone facility staffed by an interdisciplinary team of specially trained professionals and volunteers. The
hospice team must be equipped to deal with the emotional, social and spiritual impacts of the disease on the patient and
the patient's family and friends. Providing hospice care in nursing homes and assisted living facilities has limitations
as staff is not specialized in end of life care. Patients and families also do not prefer the nursing home option. Hospice
and palliative care patients admitted to hospitals for acute care is also extremely costly.
Hospice & Palliative Care provided in a specialized facility is unique in design because it focuses on care for those wanting
comforts similar to home. The hospice residence we envision is light, airy, bright and cheerful, celebrating life with gardens
and walking paths that are handicapped accessible. The wonderful feature of a hospice residence is the ability to provide the
warmth and security of home while receiving the medical assistance required for end-of-life care.
Hospice and palliative Care both focus on helping a person be comfortable by addressing issues causing physical or emotional
pain, or suffering. Hospice focuses on relieving symptoms and supporting patients, and their families, when life expectancy is
measured in months rather than years. However, Palliative Care may be given at any time during a patient's illness, from
diagnosis on.
Palliative Care Medicine represents comprehensive, multidisciplinary care for patients with advanced illness whose treatment
goals emphasize quality of life but may not yet meet the six month prognosis requirement to qualify for the Hospice Benefit.
Palliative care lessens the burdens and suffering of advanced illness through: 1) aggressive medical management of pain and
other debilitating symptoms; and 2) counseling and support for the social, psychological and spiritual needs of patients and
their families.
Palliative Care Medicine Cost Savings
It is now recognized that palliative care is increasingly important as the health care system faces the need to find ways to
effectively and efficiently treat the growing number of older adults with complex, chronic illness. Increased patient and family
satisfaction, more hospice referrals, reduced length of hospital stay and decreased Intensive Care Unit use were cited as key
outcomes of providing palliative care services. Therefore, palliative care programs have decreased costs both to the healthcare
systems, insurance companies and business corporations.