What is the Difference Between Palliative Care and Hospice?

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Palliative care and hospice care are both focused on providing comfort and relief to patients with serious illnesses, but they differ in certain aspects:

Palliative Care:

  • Provides relief from pain and symptoms, with or without curative intent.
  • Can be pursued at diagnosis, during curative treatment and follow-up, and at the end of life.
  • Focuses on maintaining the highest quality of life while managing treatment and other needs.
  • Is a resource for anyone living with a serious illness, such as heart failure, chronic obstructive pulmonary disease, cancer, dementia, and Parkinson's disease.
  • May include pain and symptom management, care coordination, assistance with developing a plan of care, help with insurance forms and options for care and housing, help with advance directives, and spiritual care.

Hospice Care:

  • Provides comfort care without curative intent, for patients who no longer have curative options or have chosen not to pursue treatment because the side effects outweigh the benefits.
  • Focuses on quality of life when a cure is no longer possible, or the burdens of treatment outweigh the benefits.
  • Is for patients diagnosed with a terminal illness and determined to have less than six months to live by at least two physicians.
  • Includes pain and symptom management, emotional support, medications and medical supplies, coaching for caregivers, and spiritual care.

In summary, palliative care aims to enhance a person's current care by focusing on quality of life and can be provided alongside curative treatment, while hospice care specifically focuses on the period closest to death and is for patients who no longer have curative options or have chosen not to pursue treatment.

Comparative Table: Palliative Care vs Hospice

Here is a table outlining the differences between palliative care and hospice care:

Feature Palliative Care Hospice Care
Definition Palliative care is a type of care provided in conjunction with curative or end-of-life treatments, focusing on improving the quality of life for patients with serious illnesses at any stage of the disease. Hospice care is a type of care provided for terminally ill patients with a life expectancy of 6 months or less, focusing on symptom management and support for the patient and their family.
Goal The main goal of palliative care is to improve the quality of life in patients with serious illnesses, regardless of the stage of the disease. The main goal of hospice care is to provide symptom management for patients with terminal illnesses and support for the patient and their family during the end-of-life period.
Availability Palliative care is available from the moment of diagnosis of a serious, life-altering illness. Hospice care is available only when a person has a terminal illness with a life expectancy of 6 months or less.
Service Delivery Locations Palliative care is more often available at facilities such as hospitals or clinics. Hospice care is more likely to be available in the patient's home.
Coverage Palliative care may or may not be covered by Medicare or other health insurance plans. Hospice care is covered by Medicare, provided a doctor has evaluated the patient as having 6 months left to live.
Eligibility Palliative care is for anyone with a serious illness, at any stage of the disease. Hospice care is for people with terminal illnesses or a life expectancy of less than 6 months.
Providers Palliative care providers may include doctors, nurses, social workers, counselors, and chaplains. Hospice care providers may include doctors, nurses, social workers, and other specialized professionals.
Unique Benefits Palliative care is available earlier in the course of an illness and can be provided alongside curative treatments. Hospice care includes specialized services tailored to meet end-of-life needs, such as bereavement support after the death of the patient.

Remember, it's essential to discuss your options with your healthcare team to determine the most appropriate care for your situation.