Hospice care is a specialized type of palliative care for individuals with a terminal illness who are no longer receiving potentially curative treatments or life-prolonging interventions. It is a system of care to ensure a better quality of life while someone continues to live until they die.

There are two main criteria to receive hospice care: a life expectancy of 6 months or fewer, if the illness runs its typical course; and that the patient is no longer receiving treatments primarily intended to cure the disease or prolong life.

With regards to life expectancy: it can be hard to predict the course of someone’s illness and how long they will live. Some people end up living longer, and some end up living for a shorter period. This 6-month criteria comes from Medicare, which governs payment for hospices. There is one exception – in New York, patients enrolled in Medicaid may qualify for hospice if they have 12 months or fewer (but please confirm eligibility with the relevant hospice program).

With regards to cessation of potentially curative or life-prolonging interventions, a patient may reach the point where they may have exhausted all options, or where they no longer want to pursue treatments primarily intended to cure or prolong life. You cannot receive hospice care if you are receiving or plan to receive these treatments. For children, hospices make an exception – children can still try potentially curative treatments while receiving hospice care.

January 3, 2022

What is hospice care?

Hospice care is a specialized type of palliative care for individuals with a terminal illness who are no longer receiving potentially curative treatments or life-prolonging interventions. […]
January 3, 2022

Are palliative care and hospice the same thing?

No. Palliative care is available to patients with serious illnesses at any time during the course of their disease. It is not limited to end of […]
December 8, 2021

How do professional caregivers (for example hospice staff) get training for attending to VSED folks?

There is certainly a lot of very useful, practical clinical information in our book about VSED and there is also information online (though one must be […]
October 13, 2021

How is the agony of hunger and thirst palliated during VSED?

I would not use the term ‘agony’ to describe the symptoms associated with VSED. Hunger pangs tend to diminish after couple of days. No question that […]
October 13, 2021

Do hospices generally accept VSED and effectively support patients who choose it?

If the patient is terminally ill & chooses VSED – MOST are fine with supporting that choice. However, some hospices with religious affiliations may be reluctant […]
October 13, 2021

Are hospices transparent regarding their positions re VSED?

It depends upon the hospice. Some are beginning to develop policies & guidelines re eligibility and staff responsibilities regarding how to respond….this is to be applauded. […]
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