What is end of life hospice called?

Hospice Care. Specialty care that focuses on symptom management for patients with serious or life-threatening illness, without regard for life expectancy. Specialty care that focuses on quality of life and symptom management for patients with terminal illness, with life expectancy less than 6 months.

hospicefoundation.org - Palliative Care Defined - Hospice Foundation Of America

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In broad terms, palliative care is any treatment or intervention intended to control pain or other distressing symptoms. In the context of hospice, palliative care focuses on quality of life rather than curing disease. All hospice care is palliative in that the focus is on controlling distressing symptoms, but not all palliative care includes hospice.

What is the Difference Between Palliative Care and Hospice Care?

Palliative Care Hospice Care

Specialty care that focuses on symptom management for patients with serious or life-threatening illness, without regard for life expectancy Specialty care that focuses on quality of life and symptom management for patients with terminal illness, with life expectancy less than 6 months.

May continue to receive curative treatment

No longer seeking curative treatment

Emphasis on symptom management

Emphasis on symptom management at end of life

Community-based care

Works collaboratively with current healthcare providers, including specialists

Works collaboratively with current healthcare providers (primarily primary care physician)

Services are not part of a packaged Medicare benefit

Hospice patients can receive the Medicare hospice benefit, including durable medical equipment, and in-patient hospice services/respite care Holistic end-of-life care from a multidisciplinary team (including physicians, nurses, social workers, case managers, spiritual counselors, volunteers, bereavement counselors

Provides bereavement services for family and caregivers

Palliative care in hospice

Pain during terminal illness can be physical, emotional, and/or spiritual in nature and origin. In hospice, palliative care aims to relieve suffering by managing physical symptoms such as nausea, shortness of breath, and constipation that may be caused by the illness or result from side-effects of medication. Hospice-based palliative care also addresses other issues such as anxiety, insomnia, or depression. Some hospices offer complementary therapies such as healing touch, meditation, aroma therapy, music therapy, and pet therapy. Non-denominational, non-judgmental hospice chaplains offer opportunity for spiritual exploration and discussion. Many hospice physicians, nurses, social workers, and home health aides have advanced training and specialized certifications in the provision of palliative care.

Palliative care without hospice

Palliative care outside of hospice may be used during any point in the illness. Patients may receive palliative care while they receive treatment aimed at curing or slowing the progression of their disease. Sometimes such treatments (e.g. chemotherapy, radiation, etc.) can be better tolerated with the help of palliative care, making it a good option for people who are not in the final stages of illness but who desire expert pain and symptom management. Although transitioning from palliative care to a hospice program when the time is right is not mandatory, many patients elect to do so to access the additional practical, spiritual, and psycho-social support offered in hospice care at end of life.

Accessing palliative care

When someone enrolls in hospice, they automatically receive palliative care. But if you think you might benefit from palliative care outside of a hospice program, ask your physician, nurse practitioner, or physician assistant for a referral to a palliative care provider. Many hospitals now offer palliative care services, and many hospices have palliative care groups that operate separately from their hospice services.

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Who is your enemy according to the Bible?

In the Bible, my enemy is someone who does not like me, someone who wants to do me harm, never someone I don't like or to whom I want to do harm. Jesus doesn't allow us to be that way. In fact, He said we are to love our enemies and pray for those who persecute us (Mt 5:44).

helpingupmission.org - Proverb for the Day 24:17-18 - Me and my Enemy! - Helping Up Mission

Do not gloat when your enemy falls; when he stumbles, do not let your heart rejoice, or the LORD will see and disapprove and turn his wrath away from him. In the Bible, my enemy is someone who does not like me, someone who wants to do me harm, never someone I don’t like or to whom I want to do harm. Jesus doesn’t allow us to be that way. In fact, He said we are to love our enemies and pray for those who persecute us (Mt 5:44). So my enemy who falls in this verse is not someone I don’t like, but someone who doesn’t like me – and I am not supposed to be happy when they fall. There are many reasons why I shouldn’t, but this verse only mentions one. If I rejoice in his calamity, the LORD will know and He reserves the right to stop this process in my enemy’s life. While this person is not right – or else they would not have an “enemy attitude” toward me – the LORD speaks to me about my attitude in this situation! If my attitude is not appropriate He says He will turn His wrath away from my enemy. It is not that my enemy is going to get away with anything, it’s just that He is going to deal with them later in some other fashion, because my attitude got in the way during this process.

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