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Palliative and Hospice Care

Tracey Collins, PT, PhD, MBA, GCS

October 25, 2021

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Question

What is the difference between Palliative and Hospice Care?  

Answer

While it's true that hospice is one type of palliative care, hospice care and
traditional palliative care bear minimal similarities. The key differences are
important to recognize:

  • Hospice care is appropriate during the last 6 months of life.
  • Palliative care should start at the time of diagnosis.
  • Hospice care usually cannot be provided at the same as curative or aggressive treatments such as chemotherapy, radiation, blood transfusions, which are given for the treatment of the terminal diagnosis. An exception may be that chemo/radiation may be given for palliation, relief of pain. Patients in hospice elect DNR status.
  • Palliative care occurs simultaneously with aggressive or curative treatments, often managing symptoms that these therapies cause.

Another clarification to differentiate palliative care vs hospice care:

Hospice: 

  • Focus is on pain and symptoms management
  • Terminal diagnosis with life expectancy < six months
  • Not seeking curative treatment
  • For Both hospice and palliative care, the focus is on the quality of life of the patient and addressing any adjustment to illness or end-of-life issues. 

Palliative Care:

  • The focus is on pain and symptoms management
  • The patient does not have to be terminal
  • May still be seeking aggressive treatment 
     


tracey collins

Tracey Collins, PT, PhD, MBA, GCS

Dr. Collins received her BS in physical therapy from the University of Scranton in  1989; MBA from the University of North Carolina at Wilmington in 1997 and her  PhD in Health Administration from Walden University in 2006. She has been a  certified specialist in Geriatric Physical Therapy from 1998 through 2028,  recertifying twice. She was a Specialization Academy of Content Experts (SACE)  Geriatrics January 1, 2013, through December 31, 2018, and on The Federation of  State Boards of Physical Therapy (FSBPT) Standards Setting Committee 2017. She has worked in home health and hospice for 25 years and has taught at the  University of Scranton for 19 years. 


Related Courses

Frailty in Home Health
Presented by Tracey Collins, PT, PhD, MBA, GCS
Live WebinarFri, Aug 5, 2022 at 10:00 am EDT
Fri, Aug 5, 2022 at 10:00 am EDT

Presenter

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Course: #4442Level: Intermediate2 Hours
This course will provide the attendee with the definition, evaluation methods, treatment strategies, and discharge planning for home health patients living with frailty.

Home Health Wound Care Review
Presented by Tracey Collins, PT, PhD, MBA, GCS
Recorded Webinar

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  'simple explanation of wound care, but would like to see more pictures for examples of wounds, dressings and debridements'   Read Reviews
Review of basic wound care including wound evaluation, pressure injuries, diabetic foot ulcers, venous stasis wounds and arterial wounds, debridement, various wound dressing categories and standards of care. This course is directly related to the practice of physical therapy and is therefore appropriate for the PT/PTA.

Patient-Centered Care: Bringing Quality Toward End of Life
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Recorded Webinar

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Participants will be taught the role of a PT in hospice and palliative care and how to develop an appropriate patient–centered POC. This course is directly related to the practice of physical therapy and is therefore appropriate for the PT/PTA.

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Mindfulness can be a really powerful cognitive-behavioral tool and has many relevant applications when treating patients with pain, especially chronic pain. Many courses for rehabilitation professionals teach guided meditation, which is an amazing tool. However, mindfulness has many other applications and opportunities for use in the treatment of patients with pain. This session discusses the history and science behind mindfulness, as well as provides a variety of practical mindfulness tools for the everyday practitioner. This course is directly related to the practice of physical therapy and is therefore appropriate for the PT/PTA.

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