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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, an MBA from the University of North Carolina at Wilmington in 1997, and her Ph.D. in Health Administration from Walden University in 2006. Dr. Collins has 33 years of experience as a PT, 26 years of experience in home health, and has been a Board-Certified Specialist in Geriatric PT since 1998. She has 20 years of academic teaching experience and is the Research Chair for APTA Home Health.


Related Courses

Frailty in Home Health
Presented by Tracey Collins, PT, PhD, MBA, GCS
Recorded Webinar

Presenter

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Course: #4442Level: Intermediate2 Hours
  'learnt about instruments to measure frailty'   Read Reviews
This course provides 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

Presenter

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Course: #3755Level: Introductory2 Hours
  'very informative'   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
Presented by Tracey Collins, PT, PhD, MBA, GCS
Recorded Webinar

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Course: #4052Level: Introductory2 Hours
  'great presentation, very informative'   Read Reviews
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.

Mindfulness: Beyond Guided Meditation
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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.

Put Down the Drugs: Evidence-Based Interventions to Reduce Unwanted Behaviors with Dementia
Presented by Kathleen D. Weissberg, OTD, OTR/L, CMDCP, CDP, OTR/L
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  'Great information and good presenter!'   Read Reviews
PTs can apply evidence-based interventions to improve dementia care. This session reviews the etiology of common behaviors. Cognitive-emotion, multi-sensory, animal-assisted, and exercise interventions to reduce agitation are discussed as well as specific strategies for improving task-related engagement. This course is directly related to the practice of physical therapy and is therefore appropriate for the PT and PTA.

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