Former President Jimmy Carter has opted for hospice care at his home in Georgia. We take a look at what hospice care is and how it is provided.
Hauser: Hospice care is focused on comfort and quality of life and support for families usually within the last six months or near the end of life. It’s often not focused on more sort of illness modifying or disease modifying therapies. So, it’s really a pure focus on comfort, quality of life and support for families.
President Carter chose to do hospice at home. Does everyone have that ability or is it mostly in hospital care? What does it look like? Hauser: So most hospice is at home. Some hospice can be in a nursing facility or other kind of long-term care facility, and then a small number can be in a dedicated hospice center or hospice unit. But the vast majority of times it is at home with visiting caregivers. In other words, a nurse, a social worker, a chaplain, a physician, a nurses aid, etc. to help with care in the home.
You’re the director of the Hospice and Palliative Medicine fellowship at Northwestern. Does that mean that there’s additional training to be a hospice provider? Hauser: There is. So it’s a specialty that comes after your initial specialty. But what I mean by that is that you start off as an internal medicine doctor like me, and then you do a fellowship, which gives you additional training in hospice and palliative medicine. Interestingly enough, you can also start off as a psychiatrist or a surgeon or an emergency medicine doctor or a family medicine doctor, and also get further training in hospice and palliative medicine.
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