Understanding Options for End of Life Care

It is essential for seniors and their caregivers to understand end-of-life care options, like hospice or palliative choices. Sometimes life ends unexpectedly. But for many seniors, the end of life comes with warning signs and happens slowly. Although difficult to discuss, it is crucial for seniors and their caregivers to understand their options.

Main Types of End-of-Life Care

1. Hospice is either home or facility-based. Hospice may or may not be covered by an insurance policy. Some aspects of the service may not be covered. Hospice begins within six months of the expected end of life.
2. Palliative care is either home or facility-based. Focuses on comfort instead of treatment. It is usually included with insurance. It is available anytime during a chronic or terminal disease. 

What makes End of Life care unique?

End-of-life care is unique because it is specifically for those who are nearing the end of a terminal disease or condition. The goal of end-of-life care is not rehabilitation or to cure an illness but to support individuals as they wish until they pass away.

What leads up to End of Life care?

A number of diseases and conditions can lead to end-of-life care. Patients with terminal cancer diagnoses may begin end-of-life care when they decide to stop seeking treatment for cancer, for example. Chronic illnesses, organ failure, and neurological diseases are other examples of conditions that may lead to end-of-life care.

When is it time for End of Life care to begin?

Medical professionals will often consult with patients and their caregivers when they believe end-of-life care is warranted. For hospice care, patients generally must be considered to be within six months of death.

Who provides End of Life care?

Teams of medical professionals and caregivers often work together to provide end-of-life care. Hospice care is often performed by a team in a facility or in the home. Palliative care is usually provided in a hospital or medical facility. Our healthcare team at Promyse Home Care is available to offer palliative care and hospice support to those at the end of their life.

Tips for Discussing End-of-Life Care

• Determine what term for end-of-life is acceptable 
• Talk about preferences before needs
•  Make a list of “do not’s” to abide by
• Take breaks to avoid growing overwhelmed
• Consult the insurance company ahead of time to learn about options
•  Include everyone who will be involved in end-of-life decisions if a senior becomes unable to speak for themselves

Weighing End-of-Life Care Options 

There are many factors to consider regarding end-of-life care. Seniors and their loved ones should make decisions based on questions like:

•  Is life-prolonging treatment desired during end-of-life care?
• Will care be sought on a specific timeline or in an ongoing capacity? (Hospice begins within six months of death)
• Will the care be provided at home or in a facility?
•  Does insurance need to cover all of the costs?
•  What types of care and service does my insurance provider cover?
• Is round-the-clock care needed?
• What kinds of providers are desired for end-of-life care (counsellors, nurses, caregivers)?
• Will access to specialized technology and equipment be a factor?

Our team at Promyse is always respectful of your loved one’s wishes and will honour their privacy and dignity. We feel that end-of-life care at home in a comfortable and familiar environment is important. Call us to talk about how we can help your family with hospice care.