Name of the Procedure:

Common Name(s): Hospice Care Technical or Medical Term: Hospice Services (HCPCS Code G9710)

Summary

Hospice care is a type of medical care designed to give supportive care to people in the final phase of a terminal illness. It focuses on comfort and quality of life, rather than cure.

Purpose

Hospice care addresses terminal illnesses and conditions where curative treatment is no longer effective or desired. The goal is to provide relief from pain and other distressing symptoms, support emotional and spiritual needs, and enhance the remaining quality of life.

Indications

• A terminal illness with a life expectancy of six months or less if the disease follows its usual course.
• The patient's and family's acceptance of hospice philosophy and goals.
• Chronic conditions where the primary focus is on palliative rather than curative treatment.

Preparation

• Discuss the goals of care and treatment preferences with a healthcare provider.
• Complete any necessary documentation such as advanced directives and power of attorney.
• Coordinate with the hospice care team to arrange for necessary medical equipment and supplies.

Procedure Description

1. Initial Assessment:

   • A comprehensive evaluation by a multidisciplinary team, which includes physicians, nurses, social workers, and spiritual counselors.

2. Care Plan Development:

   • Creation of a personalized care plan tailored to the patient’s needs and wishes.

3. Symptom Management:

   • Administration of medications and therapies designed to manage pain and other symptoms.
   • Emotional and psychological support for the patient and family.

4. Ongoing Care:

   • Regular visits from the hospice team to monitor and adjust care as needed.
   • 24/7 availability for urgent needs or symptom crises.

Duration

Hospice care continues as long as the patient meets eligibility criteria, typically for the last six months of life.

Setting

Hospice care can be provided in various settings including:

• The patient's home
• Hospice facilities
• Hospitals
• Long-term care facilities

Personnel

• Physicians
• Nurses
• Social workers
• Spiritual counselors
• Home health aides
• Volunteers

Risks and Complications

• Emotional strain on the family.
• Potential for unmet care needs if services are not well-coordinated.
• Risks associated with medication use, such as side effects and interactions.

Benefits

• Improved quality of life and comfort.
• Pain and symptom relief.
• Emotional and spiritual support for patients and families.
• Support with end-of-life decision-making and planning.

Recovery

• Hospice care does not aim for recovery but focuses on comfort.
• Follow-up involves ongoing adjustment to care plans and support for the family during bereavement.

Alternatives

• Continuation of curative treatments (if applicable).
• Palliative care without the hospice designation.
• Home care with less intensive support.

Pros and Cons:

• Hospice care: Focuses on comfort and quality of life, emotional and spiritual support, no burden of aggressive treatments.
• Curative treatments: Potential for extending life, possibly enduring side effects, and increased medical interventions.

Patient Experience

• Patients often experience a focus on comfort and reduced suffering.
• Emotional and spiritual issues are addressed through counseling.
• Pain and symptom management, typically with careful monitoring to ensure comfort.
• Patients and families can expect comprehensive, compassionate care designed to honor the wishes and dignity of the patient during their final phase of life.