Monthly Archives: April 2015

Hospice Facts and Figures

Stats

The latest report from the National Hospice and Palliative Care Organization (NHPNO) offers important and meaningful statistics regarding hospice care in the United States. The most recent year for which full stats were available is 2013.

The average time that a patient was on hospice in 2013 is 72.6 days.

Among hospice patients in 2013, 34.5% were on hospice 7 days or less before death occurred. 14.3% were on hospice for 8-14 days. Another 12.7% were on hospice for 15-29 days. This means 61.5% received care for less than a month. (We presume that many of that 61.5% might have qualified for hospice sooner and received a more complete assortment of hospice services.)

66.6% of hospice patients were at home in 2013 when they passed away. That number is composed of 41.7% who were in private residences. 24.9% were in nursing homes or other residential facilities.

Approximately 84% of hospice patients in 2013 were age 65 or older. 41.2% were 85 or older.

Of those admitted to hospice in 2013, 36.5% had a cancer diagnosis. The majority, 63.5%, had non-cancer diagnoses. Those included dementia (15.2%), heart disease (13.4) and lung disease (9.9%).

Family evaluations of hospice care after their family member’s death included this positive result: 73.5% of those surveyed rated their family member’s care “excellent.”

According to NHCPO estimates, the number of hospice volunteers serving patients topped 355,000 during 2013. They provided approximately 16 million hours of volunteer service.

The Medicare hospice benefit covered 87.7% of hospice patients in the U.S. during 2013. Medicaid, managed care and private insurance covered 10.0%.

These cold, hard stats are useful but they cannot describe the warmth and compassion that most hospice employees and volunteers have for their patients and families. The numbers are impressive, but it is important to remember that, ultimately, hospice care is about quality rather than quantity.

For information about hospice care in metro St. Louis, please call Hope Hospice at 314-984-9800.

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Hospice? Upbeat?

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Is it possible that hospice care can be administered with an upbeat attitude? With smiles and laughter? Can the period when a patient is on hospice anticipating end-of-life be a time that also has positive experiences? At Hope Hospice, we believe the answers to these questions are, generally speaking, yes.

Certainly we take our work seriously. We know that an approaching passing can engender great stress for patients and families. We respect the fact that intense feelings of sadness have occurred and will continue to occur.

Of course, circumstances vary from patient to patient and family to family, but we work to balance those unhappy moods with warm, pleasant greetings and visits that, while acknowledging the reality of the situation, bring comfort to our patients.

We know that each day is a new experience for all of us. Life’s small pleasures are to be savored: a song, a story, a joke or just a chat about the simplest of things. If the opportunity exists to brighten a patient’s day, even just a little bit, we do what we can. If we can make a patient smile, that’s a positive experience for all concerned.

For a hospice patient, often one particular day may be better than others. Taking advantage of those good days and enjoying small pleasures is something we encourage. Knowing what lies ahead should not prevent patients and caregivers from sharing those brighter moments as they occur.

For information about hospice care in metro St. Louis, call us at Hope Hospice at 314-984-9800. We are happy to answer any questions you may have about hospice.

(photo credit: http://www.flickr.com/photos/26224875@N02/3974382336, http://photopin.com, https://creativecommons.org/licenses/by/2.0/)

The D-Word (Don’t Be Afraid To Say It)

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Death. It is a reality we all will experience.

But when a person faces a serious medical condition, we may be reluctant to speak the words “death” and “dying.”

Dr. Edward Bruera of the MD Anderson Cancer Center in Houston says that one reason families don’t want to talk about death is the fear that doing so will destroy a patient’s hopes of surviving. (His thoughts were shared recently via the Houston Chronicle.)

Dr. Bruera suggests that we should think of end-of-life planning as “smart decision making.” When you buy a car, you purchase insurance. You wear a seat belt. You lock the car when you park it. You hope for the best. But if things don’t go well, you have prepared for the worst.

“When we normalize [talk about dying],” Bruera said, “and realize that we all need to make some preparations and plans, it lifts a weight from the shoulders of patients and families. Most of the time, patients find these conversations reassuring, and that’s gratifying to us.”

Have you spoken to your spouse, your children, your parents or other loved ones about end-of-life care? Do you want to die at home surrounded by loved ones? Would you prefer that medical teams do everything possible to keep you alive?

Have you selected an individual to speak for you and make end-of-life decisions for you if you are unable to make them? Have you made your end-of-life care wishes known through a living will?

This Thursday, April 16, is National Healthcare Decisions Day. It’s a day whose purpose is to encourage Americans to make their wishes known via advance directives (living wills and medical power of attorney designations).

Hope Hospice team members will be at two area Walgreen’s locations on Thursday, April 16, 11:30 a.m. to 1:00 p.m. to answer questions about advance directives and to share forms and other printed material with visitors. Those Walgreen’s locations are 13992 Manchester in west St. Louis county and at 519 South Truman Boulevard in Festus.

(photo credit: http://www.flickr.com/photos/50965924@N00/16262956505 via http://photopin.com, https://creativecommons.org/licenses/by/2.0/)

 

 

 

Make Your Choices Known On April 16

 

National Healthcare Decisions Day is Thursday, April 16, a day to think about advance planning for your life and the lives of your loved ones. But wait, you say, everybody’s healthy and nobody’s facing any sort of health crisis. Great! That makes now a perfect time to think about all those relevant questions.

If you haven’t personally experienced the pressure of making a difficult decision regarding a family member’s treatment, you may know someone who has. Family discussions can be marked by heated comments and can lead to personal upset and family discord.

You can spare your family this painful experience by deciding now, when your mind is clear, the types of actions you would prefer to be taken on your behalf. One form of advance directive is a living will in which a person specifies what actions should be taken if they are no longer able to make decisions for themselves.

Another form of advance directive allows you to assign a “durable power of attorney” designation to your spouse, partner, child or other family member or friend. This authorizes another person to make decisions on your behalf if you are incapacitated.

By issuing advance directives, you have the ability to guide healthcare providers and loved ones regarding what you want. Advance directives give you the ability to spell out the types of healthcare you want and do not want and to name an “agent” to speak for you if you cannot speak for yourself.

The living will is to be used only if a person has become unable to give consent or refusal. A living will can be very specific or very general. A living will that you establish now can be updated and revised at a later date, if you choose.

National Healthcare Decisions Day was begun by an attorney in Richmond, Virginia in 2008. In metro St. Louis, several healthcare organizations and elder law firms will participate this year. For information click HERE.

Hope Hospice will host informational events for National Healthcare Decisions Day on April 16 at two area Walgreen’s pharmacy locations: 13992 Manchester in West County and 519 S. Truman Boulevard in Festus. Hope Hospice team members will be at each location from 11:30 a.m. until 1:00 p.m., answering questions about advance directives and providing printed information and forms.

The Missouri Attorney General’s website has forms and guidance for making these important decisions. Go online to ago.mo.gov, click on “publications” and “life choices” to download these materials. In Illinois, go to dph.illinois.gov and click on “forms and publications” for materials.

As the video at the top of this post (which also appears on the National Healthcare Decisions Day website) asks, “Who will speak for you when you can’t speak for yourself?” The video also instructs, “Make sure your voice is heard.” Make those decisions now. You may not be able to make them later.

For answers to your questions about advance directives or hospice care, please call Hope Hospice at 314-984-9800.