Palliative (Comfort) and Hospice Care
Palliative care and hospice care are often confused, yet they are very similar when it comes to the most important issue for those with serious illness: care.
Palliative care is treatment of the discomfort, symptoms, and stress of serious illness, with comfort and quality of life as primary goals. It provides relief from distressing symptoms including pain, shortness of breath, nausea, problems with sleep, anxiety, and side effects of medications. It is important to note that palliative care is for anyone with a serious illness. It is available for any age and any stage of an illness, and can happen alongside curative or life extending treatment. People usually receive palliative care at clinics or hospitals, but home visits are becoming more common.
Hospice is a form of medical care that focuses on comfort at end of life care. People who receive hospice care no longer receive curative treatment for their underlying disease. Most hospice care happens at home. For those who cannot remain at home, inpatient hospice facilities may be available. Hospice can also be provided in long-term care facilities, such as nursing homes. It is covered by Medicare, Medicaid, HMOs (such as Kaiser Permanente), the Veterans Administration, and most private health insurers.
To qualify for hospice, a person usually has six months or less to live and will be required to decline further curative treatments. Hospice caregivers control pain and other symptoms and provide counseling, family support, and many other services. Additionally, hospice helps people remain in control and die at home.
While hospice has no legal role in the Death with Dignity (DWD)/ Medical Aid in Dying (MAiD) process, some hospices provide MAiD care as part of their comprehensive hospice services. If having hospice support for the decision to pursue the option of MAiD is important, be sure to question potential hospice providers about their policies or refer to our hospice map. Most hospices will not deny care to a patient pursing the option of MAiD, although they may choose to opt out of supporting a patient on the day of ingesting medications.
End of Life Washington believes that hospice is an essential component of end-of-life care and encourages all individuals who have received a terminal diagnosis to enroll in hospice. Hospice is essential for terminally ill people who choose to stop treatment and/or voluntarily stop eating and drinking, especially if they wish to remain in their homes.
For more information, request or see our handout:
or go to the Washington State Hospice and Palliative Care Organization’s website, wshpco.org
The Importance of Hospice
End of Life Washington believes that hospice is an essential component of end-of-life care and encourages all individuals who have received a terminal diagnosis to enroll when they become eligible. Hospice can help people remain in control and die at home. The goal of hospice is to improve quality of life in the patient’s last months, focusing on comfort care, control of pain, and symptom management, as opposed to continuing curative treatments.
Updated 1-10-2020
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End of Life Washington provides advice and support to people considering all end-of-life decisions, including Death with Dignity. For more information about any of these end-of-life options and to request our free client support services, contact End of Life Washington – info@endoflifewa.org or 206.256.1636.
Hospice and Physician-Assisted Death
Although the overwhelming majority of terminally ill patients in Oregon who seek a physician’s aid in dying are enrolled in hospice programs, hospices do not take a major role in this practice. An examination of fifty-five Oregon hospices reveals that both legal and moral questions prevent hospices from collaborating fully with physician-assisted death. – Courtney Campbell
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ALS Hospice Criteria
Rainbow Hospice Care document for determining terminal status Amyotrophic Lateral Sclerosis. Patients will be considered to be in the terminal stage of the individuals’ prognosis (life expectancy of six months or less) if the terminal illness runs its normal course.