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LET ME EMPHASIZE IN BOLD LETTERS--DNR STILL MEANS YOU TREAT THE PATIENT. IT DOES NOT MEAN DO NOT TREAT. For some reason people think it means "do nothing let them die" even doctors and nurses.. It means no CPR. That's all it means. So don't let "DNR" scare you. But you have to make sure the doctors and nurses know what DNR means because a lot of them don't. Even under hospice you can STILL TREAT.
I suppose she could have returned home in palliative care, but her condition deteriorated so rapidly once she went on palliative care, the hospital suggested she come home on hospice. By that time, she was non-verbal and has slipped into a coma-like state. We could have had as much hospice nursing as we wanted, but we had family, so we could really do for her what the hospice nurses did. They came by three times a day to see how we were holding up. I can’t say enough about how the hospital personnel and the hospice personnel treated us during this time. From the time Mom went on palliative to the time she passed away, it was a matter of six days.
So... palliative care is the medical side of keeping your mother comfortable... mom has a catheter, as much oxygen as she wanted, pain killers, any good she would have taken in. She did not have IVs. She could have decided to stop palliative if she wanted anytime and had any medical intervention she chose. But she chose to quietly slip away. Hospice was the part that kept her clean, gave her (and us) the emotional support we needed, let us know if she was in pain, monitored her vitals. But none of that beeping, noisy, clamor of being infused with a bunch of medical interventions that were just going to keep her around but never let her live... if you know what I mean.
If Jerry isn't seeking treatment for what ails him then hospice would help you care for him and provide medical equipment for his comfort, like oxygen, hospital bed, bath aides, skin ointments and other things. He will be able to continue any medications that he is on and if he decides that he wants heroic measures then you fire hospice and go to the hospital. You still have choices.
Some people end up getting better because they are getting the rest and care they need. It doesn't necessarily mean a death sentence, but it is intended to help people that have been diagnosed with 6 months or less to live.
I think palliative care and hospice care are the same thing in some areas. Just taking the fear out of the verbiage used I suppose.
Hospice, "end of life", will provide a nurse practitioner, a team of people to come in every week, one to bathe the person once or twice a week, a nurse every week, and a religious person of their faith to come in if you want. Hospice is not only for the patient; they are there for the family, you, the caretaker, too. . They will listen and talk as long as you need.
This also means, that they will evaluate the patient every 30 days or so to see if the patient still needs these services.. They can graduate out of these services.. Mom did 2 times, the last time, she went "home".
Mom was on hospice: aunt is on palliative care.
DOCTOR SHOULD REQUEST HOSPICE. THEY WILL EVALUATE AFTER 30 DAYS.