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The majority of discharges from hospice are due to the death of the patient, although hospice treatment may not end then as care also provides for a period of bereavement counseling for the family afterward. [83] However, there are several other scenarios when a patient may be discharged from hospice. De-certification:
Under Medicare guidelines, hospice patients require a terminal diagnosis or markers of a life-threatening condition — such as severe weight loss or loss of mobility — indicating the person will likely die within six months or sooner. Maples did not have a terminal illness. Her diagnosis was “debility, unspecified,” according to her records.
Hospice patients are able to live at peace away from a hospital setting; they may live at home with a hospice provider or at an inpatient hospice facility. [21] A common misconception is that hospice care hastens death because patients "give up" fighting the disease.
The first formal hospice was founded in 1948 by the British physician Dame Cicely Saunders in order to care for patients with terminal illnesses. [2] She defined key physical, emotional, social, and spiritual dimensions of distress in her work. She also developed the first hospice care as well in the US in 1974 - Connecticut Hospice. [3]
The patient was given the following medication regimen: oral cefuroxime, then changed to ceftriaxone IV and gentamicin IV, and oral glycerol for constipation. [25] The Foley catheter was replaced, the purple urine disappeared, and the urinalysis was sterile; as a result, the patient was discharged in stable conditions.
End-of-life care (EOLC) is health care provided in the time leading up to a person's death.End-of-life care can be provided in the hours, days, or months before a person dies and encompasses care and support for a person's mental and emotional needs, physical comfort, spiritual needs, and practical tasks.
In medicine, specifically in end-of-life care, palliative sedation (also known as terminal sedation, continuous deep sedation, or sedation for intractable distress of a dying patient) is the palliative practice of relieving distress in a terminally ill person in the last hours or days of a dying person's life, usually by means of a continuous intravenous or subcutaneous infusion of a sedative ...
Patients can receive hospice care when they have less than six months to live or would like to shift the focus of care from curative to comfort care. The goal of hospice care is to meet the needs of both the patient and family, knowing that a home death is not always the best outcome. Medicare covers all costs of hospice treatment. [77]