SENIOR SCENE: Talking about hospice

OPINION

During the Middle Ages, the word "hospice" described a place where weary pilgrims could stop, rest and refresh themselves before continuing on their journey. In 1967, a British physician, Dr. Cicely Saunders, began using the term to mean a new kind of care for patients who were near the end of the journey of life.

"The best time to learn about hospice care is before we need it," says Valerie Cadenhead, owner of Right at Home of Central Arkansas. Cadenhead says these are questions people often ask:

Where is hospice care provided?

"Hospice is a type and philosophy of care, not a place," notes Cadenhead. "Most hospice services are provided where the patient lives, whether that is their own home, a loved one's home, an assisted living community or nursing home. Sometimes hospice services are provided in a designated hospice center or hospital."

When should hospice care begin?

The decision to stop curative treatment is a decision to be made between patient and doctor. Hospice is recommended when the person is expected to live fewer than six months.

Does selecting hospice care mean "giving up?"

This is one of the greatest myths about hospice care. As the Hospice Foundation of America puts it, hospice is the "something more" for people who have been told that nothing more can be done for them. And if a patient later wishes to change their approach from supportive care to a more aggressive or curative approach, they can revoke their choice to enter hospice care.

In-home care at the end of life

Hospice care is typically provided for a certain number of hours per week, with emergency assistance available 24/7. Nonmedical in-home care can be a good complement for hospice services.

For more information, contact Right at Home of Central Arkansas at www.rah-car.com, 501-321-4962 or by email at [email protected].

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