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An advance healthcare directive, also known as living will, personal directive, advance directive, medical directive or advance decision, is a legal document in which a person specifies what actions should be taken for their health if they are no longer able to make decisions for themselves because of illness or incapacity.
In hospice care, the main guardians are the family care giver(s) and a hospice nurse/team who make periodic visits. Hospice can be administered in a nursing home, hospice building, or sometimes a hospital; however, it is most commonly practiced in the home. [30] Hospice care targets the terminally ill who are expected to die within six months.
In the common vernacular outside the United States, hospice care and palliative care are synonymous and are not contingent on different avenues of funding. [18] Over 40% of all dying patients in the United States currently undergo hospice care. [19] Most of the hospice care occurs at a home environment during the last weeks/months of their lives.
For example, I work in a system where we don’t have our own hospice agency, so it’s very common for whoever your primary medical team is to refer you to another organization that provides hospice.
Hospice doctors, they said, visited at-home patients only on rare occasions. Patients have suffered as a result, they said. One nurse, Diane Langella, a former weekend triage manager for Vitas, said she quit last year because she couldn’t cope with the stress of handling the complaints anymore.
Hospice comes from the Latin word hospitum which means hospitality. Initially as a form of lodging for the sick, hospice refers to holistic end of life care. The word palliate comes from the Latin word "pallium", which means "cloak"—to palliate is to cloak, or cover up, the symptoms of an illness without curing it. [1]
Respite care may be necessary, for instance, if a family member who is providing home hospice care is briefly unable to perform his or her duties and an alternative care provider becomes necessary.) [50] As of 2008, Medicare was responsible for around 80% of hospice payments, reimbursing providers differently from county to county with a higher ...
In all, 58% of deaths occurred in an NHS hospital, 18% at home, 17% in residential care homes (most commonly people over the age of 85), and about 4% in hospices. [83] However, a majority of people would prefer to die at home or in a hospice, and according to one survey less than 5% would rather die in hospital. [83]
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