Palliative
Care Program
Introduction:
Palliative
care is an enhanced home health program directed at terminally
ill patients who are still seeking curative care. These
patients may live with a chronic illness for a period of
six months to several years. Palliative Care Program adopts
the hospice holistic and spiritual concept by taking into
consideration patients' cognitive, physiological, and mental
capacity throughout the multiple phases of a progressive
disease, but yet the patient's insurance coverage are still
under the home health benefits. Palliative Care Program
will then create and adapt a plan of treatment utilizing
personnel and expertise resources from both home health
and hospice.
Purpose:
Many terminally ill patients, but are not quite ready
to sign in hospice and relinquish many treatment modalities,
will be care for under palliative care program of the home
health.
| PEC
HOSPICE ADMISSION CRITERIA |
PEC
PALLIATIVE CARE PROGRAM ADMISSION CRITERIA |
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The potential candidate has to:
- Have an incurable or end stage
illness with an expected prognosis of six months or
less.
- Be not seeking for further
potentially curative therapy or prolonging life expectancy.
- Agree with emphasis of hospice
care in the home setting or with possible short-term
inpatient care limited to: (a) symptom control not
obtainable at home, (b) care through the terminal
event, (c) respite care.
- Have a caregiver available
to provide care.
- Provide hospice consents
- Live within PEC Hospice geographic
service area or work force availability.
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The potential candidate has to:
- Have an incurable or end stage
illness with an expected prognosis of 12 months or
less.
- Meet homebound status, requiring
a considerable and taxing effort to leave the home
when needed.
- Have a deteriorating medical
condition and is at risk for needing symptom management.
Patient may have had 1-2 emergency room or hospital
admissions in the last year.
- Have a main caregiver available
to provide care, or there is a caregiver available
to provide care when needed.
- Agree with emphasis of hospice,
palliative care program in the home setting. More
aggressive therapy may be continued or seeked.
- Do not meet hospice admission criteria: (a) Patient/Family have difficulty accepting end stage diagnosis and/or incurable prognosis. (b) Patient/Family is not ready to stop aggressive therapy.
(c) Physician is uncertain if patient meets the hospice
admission criteria.
- Provide home health consents.8.
Live within PEC Healthcare geographic service area
or work force availability.
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