Palliative Care versus Hospice Care

How is Palliative Care Different from Hospice Care?

Danny Sklar Palliative Care Program

  • Patients are accepted on a case by case basis and do not require a prognosis of 6 months or less.
  • Acceptable diagnoses are cancer, heart disease and lung disease for which aggressive treatment may still be pursued.
  • Patients may be self or family-referred, but physician approval of the service is required.
  • Nurse Practitioner (NP) will provide consultation to the Attending Physician for optimal symptom management.
  • Nurse Practitioner services are billed directly to Medicare, Medicaid and most private insurance plans and there is no cost to the patient.
  • Psychosocial support is available thru JF&CS and may be totally or partially covered by patient’s health insurance plan.
  • Visits on an as needed basis.
  • Hours of service are Monday-Friday, 8:30am-5:00pm. The palliative care team is not an after-hours emergency resource.

Weinstein Hospice

  • Patients are no longer pursuing curative treatment, focusing on care and comfort.
  • Federal guidelines dictate a 6 month prognosis or less.
  • Hospice services are covered by Medicare, Medicaid and most private insurance plans
  • All diagnosis are accepted.
  • Attending physician is an integral part of the interdisciplinary team and must sign Standing Orders to admit the patient to Hospice.
  • Physical care is managed by Weinstein Hospice nurses and Medical Director in collaboration with the patient’s attending physician.
  •  Hospice nurses generally visit twice weekly, social workers visit twice monthly, and CNA support is available 2-3 times weekly – AND as needed.
  • Hospice support is available to families 24 hours a day, 7 days a week.

Anticipated Outcomes of Palliative Care

  1. Primary Impact is on the patient
    • Prevention and relief of pain and other symptoms
    • Clarification of prognosis and goals of care
    • Care is provided where the patient resides
  2. Secondary impact is on those around the patient
    • Family – less confused, more satisfied, better coping
    • Nurses, doctors – appreciate in-home in-person assessments of the patient