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Signs That Hospice May Be Right

Apr 24, 2024

Signs That Hospice May Be Right


We often avoid conversations about hospice, but the one thing we keep hearing from families is, “we wish we had started hospice care sooner.” It’s easy to understand why we hear that. Hospice isn’t for the last few days, it’s for the last months - six months, and can even be recertified for additional periods of time. Families should not have to forgo the pain and symptom management, or reduced hospitalization rates that hospice care brings. Even life expectancy improves when people receive interdisciplinary hospice care. It should be no wonder that patient and family satisfaction rates with their healthcare are higher when families experience hospice care.

 

Determining if, or when, hospice care might be needed for you or a loved one is a personal decision. Some of these common signs may indicate that hospice care could be the right choice:

 

1 - You have been hospitalized or to the emergency room several times in the past six months

2 - You have been calling your physician more frequently

3 - You are taking medication for pain relief

4 - You are spending most of the day in a chair or bed

5 - You have fallen several times over the past six months

6 - You have difficulty swallowing

7 - You feel weaker or more tired than normal, or you are sleeping more

8 - You don’t have an appetite and you’ve been losing weight

9 - You need help bathing, dressing, eating, getting out of bed or walking

10 - You are short of breath, even while resting

11 - Your doctor told you that your life expectancy is six months or less

12 - You’ve decided that you don’t want any more treatments to cure your illness

13 - There are no further treatments available, and you want to focus care on comfort and relieving symptoms

 

Overcoming the fear of hospice

 

The end of life is something we rarely talk about, and many of us avoid the subject entirely. It’s only natural, we almost have a flinch factor about end-of-life issues. But as we, or a loved one, approach the end of life we deserve the best and most appropriate care that is available. Though we may have never traveled this journey before, there are those amongst us who have. The experience of Ascend’s hospice staff is invaluable. Here are a few points to consider to help us overcome our fears.

 

1 - We may equate hospice with giving up. It is not, it’s a way to provide comfort and alleviate fear. It may be the most beneficial thing anyone can do.

2 - We may hesitate, afraid to accept that treatments are not working. There comes a time when curative treatments provide no benefit and potentially increase suffering.

3 - We may believe that hospice is only for cancer. It is not, it helps with many serious illnesses.

4 - We may believe that hospice requires a DNR, it does not.

5 - We may believe that hospice hastens death, it does not. On average people receiving hospice care live longer than those that do not.

6 - We may believe that hospice is a place to go to die. It is not, most hospice care is delivered wherever we call home, whether a residential setting or a facility.

7 - We may believe that we will lose our own doctor. We will not, our physicians remain as involved as we would like them to be.

8 - We may believe that hospice is for the last few days of life. Hospice is for the last six months of life and can be recertified for additional periods afterwards.

9 - We may believe that once hospice is chosen that there’s no turning back. We are free to leave hospice care at any time to seek alternative care options.

 

Remember that the decision to choose hospice care is your personal choice. It should support your values and goals for care. Your doctor's role is to provide information and guidance to help you make an informed decision that best meets your needs and wishes. Learn more here or contact us to learn more.

 


05 Mar, 2024
When Is It Time To Consider Hospice Care Or To Transition From Palliative Care To Hospice Care?
28 Dec, 2023
What Aggravates COPD Symptoms? COPD is a lung disease that obstructs airflow and makes it hard to breathe. If you are coping with COPD, then you already know that. But did you know that it is progressive and gets worse over time? It’s hard to cope with not being able to breathe well. You can’t just decide not to panic, or not to have an anxiety attack. Unfortunately, that stress is also a trigger to making it worse. One of the best things you can do is to understand COPD and what may aggravate the symptoms. Here are some common triggers that frequently aggravate COPD symptoms: Infections: Viral and bacterial respiratory infections can trigger exacerbations of COPD. Common respiratory infections include the flu, COVID, RSV and pneumonia. Weather Changes: This time of year cold air can aggravate COPD. Cold, dry air can irritate the airways and make it harder to breathe. Smoking: The primary cause of COPD is smoking cigarettes. Continuing to smoke is the biggest thing you can do to aggravate COPD and make it progress quicker. Indoor Irritants: Indoor irritants like fumes from cleaning products, and mold can aggravate COPD. Avoid these and make sure you have good ventilation if you are coping with COPD. Taking Medications Incorrectly: Create a system to make sure your loved one gets the right dosages on the right schedule. Taking medications improperly is not following your treatment plan, and that can make symptoms worse. Poor Inhaler Technique : Inhalers are as important as any other medications. Can your loved one press the inhaler and coordinate inhaling it properly? Or is the medication just hitting the back of their throat? Many inhalants may be available for a nebulizer so they can just relax and breathe, ask your doctor. Comorbidities: Other conditions, like heart failure or asthma can complicate COPD. Consider the big picture and discuss your concerns with your doctor. Occupational Exposures: People working in certain industries, such as construction or manufacturing, may find COPD triggers at work. Workplace exposure to dust, chemicals, or fumes may aggravate COPD. Low Physical Activity: Inactivity and a sedentary lifestyle can weaken respiratory muscles and reduce lung function. Regular exercise is important for maintaining lung health in individuals with COPD. Gastroesophageal Reflux Disease (GERD): GERD is a more serious form of acid reflux. It’s a condition where stomach acid flows back into the esophagus to potentially aggravate COPD symptoms. It is possible for stomach acid to reach the lungs, leading to irritation and exacerbation of respiratory symptoms. Air Pollution: Exposure to air pollutants like dust, smog or exhaust fumes can aggravate COPD symptoms. That includes indoor fumes and smoke from cleaning products, cooking and heating. Managing COPD well will involve a combination of lifestyle changes, medication, and sometimes supplemental oxygen therapy . Those with COPD should work closely with their healthcare professionals to create a comprehensive management plan tailored to their specific needs and triggers. Ascend Hospice is experienced in managing COPD and will work with your physicians to create a care plan customized to your specific needs in your specific living environment. Our highly skilled team of caregivers includes both nurses and physicians trained to manage and treat COPD. Controlling symptoms, stress and anxiety will be effective in caring for a loved one coping with COPD . To learn how Ascend can improve quality of life, simply click here for peace of mind .
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