Hospice for the Primary Care Physician

Greenstein, Joette Elise; Policzer, Joel; Shaban, Eric S.

doi:10.1016/j.pop.2019.04.002

Cited by 9 publications

(5 citation statements)

References 3 publications

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“…Residents’ physicians are expected to oversee medical care, even after residents begin hospice (Weckmann, 2008). Though challenging, physicians can initiate conversations with residents and families in collaboration with AL/RC staff regarding advance care planning, including physicians orders for life-sustaining treatment (POLST), resident preferences, and advance directives (Beck et al, 2015; Dixon et al, 2002; Greenstein et al, 2019; Hickman et al, 2010).…”

Section: Al/rc Settings Their Residents and Staffmentioning

confidence: 99%

Revisiting the Role of Physicians in Assisted Living and Residential Care Settings

Dys

Smith

Tunalilar

et al. 2020

Gerontology and Geriatric Medicine

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As the United States population ages, a higher share of adults is likely to use long-term services and supports. This change increases physicians’ need for information about assisted living and residential care (AL/RC) settings, which provide supportive care and housing to older adults. Unlike skilled nursing facilities, states regulate AL/RC settings through varying licensure requirements enforced by state agencies, resulting in differences in the availability of medical and nursing services. Where some settings provide limited skilled nursing care, in others, residents rely on resident care coordinators, or their own physicians to oversee chronic conditions, medications, and treatments. The following narrative review describes key processes of care where physicians may interact with AL/RC operators, staff, and residents, including care planning, managing Alzheimer’s disease and related conditions, medication management, and end-of-life planning. Communication and collaboration between physicians and AL/RC operators are a crucial component of care management.

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Section: Al/rc Settings Their Residents and Staffmentioning

confidence: 99%

Revisiting the Role of Physicians in Assisted Living and Residential Care Settings

Dys

Smith

Tunalilar

et al. 2020

Gerontology and Geriatric Medicine

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“…The dosage, time, and frequency of the analgesic drugs provided were based on the physician's advice and helped to ensure that patients received daily rest. (7) Targeted nursing was delivered during the intervention by having rehabilitation nursing personnel monitor patients' digestive tract symptoms and providing targeted nursing accordingly. In case of coughing, feebleness, coarse rales, foreign-body obstruction in the esophagus, or hemorrhage, patients received interventions including sputum suction, postural drainage, and establishing hemostasis.…”

Section: Dovepressmentioning

confidence: 99%

“…4 Hospice care is a type of people-oriented palliative care, the core aspect of which is to provide patients with “body, mind, social, and spiritual” intervention; this is performed by providing pain control to patients with clinical symptoms and psychological distress, 5 thus ensuring a sense of calm and providing comfort and dignity to those in the final stage of life, a process that has achieved good results in clinical intervention for patients with advanced cancer. 6 , 7 However, existing studies have primarily focused on the impact of hospice care on the psychological status and quality of life of patients with advanced EC, 8 , 9 while the multi-faceted impact of hospice care on patients with advanced EC has not yet been reported. Accordingly, the current study explored the application effect of hospice care among patients with advanced EC to further enrich the application value of hospice care for patients with malignant tumors while at the same time providing more humane services to patients with EC.…”

Section: Introductionmentioning

confidence: 99%

The Application and Influence of Hospice Care Among Patients with Advanced Esophageal Cancer

Li¹,

Liu²

2021

IJGM

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Objective: To investigate the application effect of hospice care in patients with advanced esophageal cancer (EC), provide a practical basis for improving sleep quality, dignity, and subjective well-being, and relieving depression and anxiety in patients with advanced EC. Methods: A randomized cluster sampling method was used to select 60 patients with advanced EC who received routine intervention (control group) and 64 patients with advanced EC who received hospice care (study group). The intervention time was three months, and the self-rated anxiety scale (SAS) before and after the interventions was compared between the two groups. The Hamilton Depression Scale (HAMD), the Pittsburgh Sleep Quality Index (PSQI), the General Well-being Scale (GWB), the Patient Dignity Scale (PDI), and patients' physical pain state were recorded. Results: No significant differences were found in the HAMD, SAS, PSQI, GWB, or PDI scores between the two groups before the interventions (P > 0.05); after the interventions, the HAMD, SAS, PSQI, and PDI scores of the two groups were significantly decreased, and the HAMD, SAS, PSQI, and PDI scores of the study group were lower compared with the control group. The GWB scores of the two groups were significantly increased, and those of the study group were significantly higher compared with the control group; the difference was statistically significant (P < 0.05). After the interventions, pain grades of III and above decreased in both groups to grade II, and pain sensation in the study group was lower compared with the control group; the difference was statistically significant (P < 0.05). Conclusion:Hospice care can reduce the level of pain related to depression and anxiety in patients with advanced EC and improve their sleep quality, as well as their sense of dignity and subjective well-being.

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“…With physician judgment, Palliative Performance Index (PPS) is an excellent tool to determine hospice eligibility which comprises Ambulation, conscious level, food/fluid intake, self-care and activity level, and the extent of the disease. [ 10 11 ] One study shows that a PPS score of 10 is associated with 1–3 days survival, and 30 is associated with 5–36 days survival, though no accurate cut-off point is determined. [ 10 ] It is also found that patients with a PPS score of less than 70 have less than six months survival rate, and a score of 40 stipulates major disease and poor functional status.…”

Section: Indications For Hospice and Palliative Carementioning

confidence: 99%

“…[ 10 ] It is also found that patients with a PPS score of less than 70 have less than six months survival rate, and a score of 40 stipulates major disease and poor functional status. [ 10 11 ]…”

Section: Indications For Hospice and Palliative Carementioning

confidence: 99%

Hospice vs Palliative care: A comprehensive review for primary care physician

Sheikh

Sekaran²,

Kochhar³

et al. 2022

Journal of Family Medicine and Primary Care

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End-of-life medical services in the form of Hospice or Palliative care were initiated in the middle of 1900 in order to comfort the dying patients and support their families. There are a lot of similarities and differences between the two services. Many healthcare providers, including physicians, physician assistants, and nurses, are not fully trained or have comprehensive knowledge of these two types of end-of-life medical care. Through this paper, we aim to provide a thorough review of Hospice and Palliative care for internist and primary care physicians both in terms of indications or eligibility criteria; the similarities and differences between the two types of care; factors that disqualify an enrolled patient; and lastly, the role or use of Hospice and palliative care during COVID-19 pandemic.

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Hospice for the Primary Care Physician

Cited by 9 publications

References 3 publications

Revisiting the Role of Physicians in Assisted Living and Residential Care Settings

Revisiting the Role of Physicians in Assisted Living and Residential Care Settings

The Application and Influence of Hospice Care Among Patients with Advanced Esophageal Cancer

Hospice vs Palliative care: A comprehensive review for primary care physician

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