Hospice and Palliative Care: What is the Difference?

To help those dealing with end-of-life issues, the National Institute on Aging (NIA) explains some of the myths associated with palliative and hospice care including sorting out the difference between the two terms. They explain while they are similar, they do differ in a couple of significant ways.

Palliative care is defined as providing specialized care for those living with a serious illness. Myths linked to palliative care include the person no longer being able to receive care for their disease. The fact is care can be provided for the illness along with curative care. Another myth is the person will no longer be able to see their primary doctor but will only be treated by specialists. NIA says in many cases, the person’s primary provider will work hand-in-hand with specialists.

The intention of palliative care is to improve quality of life as well as provide care to improve help with symptoms. It also helps the patient understand their choices for medical treatment. A palliative care team may be made up of specialized nurses and doctors along with social workers, nutritionists and chaplains. If a time comes when the person’s care team decides treatment is no longer working, palliative care could transition to hospice care if the doctor believes the person is likely to die within six months.  Another option is the palliative team would continue to help with the emphasis on providing comfort care. 

The NIA explains hospice care provides comfort and quality of life for a person with a serious illness who is facing end of life. The myth surrounding hospice care is the person cannot receive any medications. The truth is a person will receive medications to help manage symptoms but not to treat the disease. Many people think hospice care can only be done in a hospital or nursing facility but experts say it can also be done at home. 

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