Palliative Care v. Hospice Care
Courtney Carter
/ Categories: WELLNESS, 2024

Palliative Care v. Hospice Care

The Differences and Benefits

When facing a serious illness, understanding your care options can make a world of difference. While the terms palliative care and hospice are often used interchangeably, they’re distinctly different types of care, each focusing on a different step in an individual’s care and end-of-life journey.

Simply put, palliative care focuses on maintaining the highest quality of life while managing treatment and other needs while hospice care focuses on the period closest to death.

Here’s a deeper dive into how each supports individuals and families facing serious illness and end of life.

 

What is Palliative Care

Palliative care is specialized medical care for people living with a serious illness, such as cancer, dementia, COPD, and heart failure. Often called supportive care, palliative care focuses improving quality of life and helping with symptoms.

Because people receiving palliative care may receive medical care for their symptoms along with treatment intended to cure their illness, palliative care aims to help patients understand their choices for medical treatment.

In addition to addressing medical needs, palliative care focuses on the emotional, spiritual, and social needs of the patient and their family. This all-encompassing care is typically provided by a team of specially trained doctors, nurses and other specialists who work to connect patients and families with the resources they need and minimize the disruptions their illness or treatments may cause in daily life.  

Key aspects of palliative care include:

  • Pain and symptom management

  • Help with setting care priorities and preferences

  • Support for patients and loved ones throughout the illness journey

  • Assistance with advance care planning

Palliative care can be provided in a variety of settings, including hospitals, long-term care facilities, and at home.

The benefits of palliative care have been well-researched and documented. Beyond empowering individuals to control their care and quality of life, palliative care is associated with:

 

What is Hospice Care

Hospice care is specialized care for those in the last phase of a terminal illness when curative measures are no longer pursued; typically for those with a life expectancy of six months or less. 

While individuals in hospice do not receive curative treatments for their illness(es), they can get treatment that enhances quality of life. This may include medication for high blood pressure, anxiety, and pain and even special services like speech or physical therapy.

Key aspects of hospice care include:

  • Round-the-clock access to care

  • Pain and symptom relief

  • Emotional and spiritual support for patients and families

  • Bereavement services for loved ones

It’s important to note that if a patient’s condition improves or they decide they wish to resume curative care, they may leave and return to hospice care later.

Hospice care can be provided at home, in hospice centers, or other facilities.

The benefits of hospice care include:

  • Relief suffering

  • Help with medical and non-medical needs

  • Promotion of dignity

  • Support for family and caregivers

  • Closure for patients and families

 

By understanding palliative and hospice care, you and your loved ones can make informed decisions that are in line with your goals, values, and preferences.

For tips on talking to loved ones about serious illness and care—theirs or your own—click here. Whatever you decide to do, be sure to relay any wishes and decisions to the appropriate healthcare provider.

While these conversations may be difficult, it’s important to keep the end goal in mind: preserving personal comfort, dignity, and making the most of your time.

 

Allen Hutcheson, MD, is a family medicine physician and palliative care specialist at Southwestern Vermont Medical Center. 

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A Note from SVMC Dentistry

Unlike many other types of health care, most dental procedures require that a patient be present in the office with their mouth uncovered and wide open. In addition, many dental procedures, produce a lot of spray or aerosolized particles that could spread infection. For these reasons, reopening dental offices while COVID-19 circulates requires many strict precautions to ensure safety for patients and staff.

The Centers for Disease Control and Prevention (CDC) and the Vermont Department of Health have issued the requirements necessary to reopen our office for patient care. For the next few months, the changes lessen by half the number of patients we are able to see per day and dramatically change the care experience.

Here are some of the changes we've made:

  • We are screening and testing our staff, and all staff are wearing more protective equipment than ever, including treatment gowns and gloves, head coverings, facemasks (such as surgical masks, N95 masks, or respirators), and face-shields, as required during treatment procedures.
  • Patients can use the "virtual" waiting room to lessen the number of people in our waiting room and observe social distancing. We ask that only one person accompany a patient to a dental appointment and only if the patient needs assistance.
  • We screen patients at the Medical Office Building entrance to ensure they have no symptoms and that they are wearing a facemask. Patients must wear their facemask at all times, except during the actual treatment.
  • Some preventive care and treatments carry a higher risk for producing airborne oral droplets. These procedures may be modified to ensure that care is safe.
  • Most dramatically, depending on the dental treatment, a room must remain idle for 15 minutes - 1 hour to allow droplets to settle before disinfection. This limits the number of patients that we can treat each day.

While it is very disappointing to us—after all, we became dentists and hygienists because we like to provide dental care—all existing appointments will be suspended and a new schedule will be created, based on the time it takes for a room to be disinfected. We understand that this is frustrating for patients who must wait longer than usual for an appointment, but it is also necessary to make care safe for all.

Major changes to the ventilation systems—the installation of HEPA filtration and negative-pressure in our treatment rooms—will eliminate airborne droplets more quickly and enable us to see more patients per day. This change is expected to be complete later this summer.

In the meantime, we appreciate your patience as we meet your needs as best we can. We encourage you to continue vigilant home care and reach out to us with your questions. Most of all, we look forward to returning to a more normal time when we can deliver all of the dental care our community needs safely and efficiently.

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