November 2, 2020

What is Palliative Care at Home?

Learn about what is included in palliative care.

Palliative care is specialized care for people with serious illnesses. It establishes a comprehensive treatment plan based on the patient’s care needs and preferences.

The goal of palliative care is to improve the quality of life for the patient and their family. Palliative care aims to relieve symptoms from illnesses such as heart disease, lung disease, kidney disease, dementia and cancer, as well as to reduce the emotional, spiritual and social stress caused by illness.

Palliative care can be provided simultaneously while undergoing treatment. Those who receive palliative care continue to see their primary care physician and specialists. It can be provided at the onset of diagnosis, throughout treatment and through end-of-life care.

Palliative Care Treatment

Treatment is focused on meeting the specific individual needs of the patient and family with a holistic approach to care. Management may include changes in medications to improve comfort, behavioral health therapies to address anxiety/depression, nutritional interventions to address nutritional issues, social services to improve home support and chaplain services to address existential issues and grief.

What is included in palliative care?

  • Primary care physicians/Specialists
  • Advanced practice providers
  • Nurses
  • Social Workers
  • Pharmacists
  • Dietitians
  • Behavioral health specialists
  • Spiritual counselors or chaplains

Differences Between Palliative Care and End-of-Life Care

While end-of-life care and palliative care both provide comfort in alignment with the patient’s wishes, palliative care can begin at the onset of diagnosis and persist throughout treatment. End of life care is a type of palliative care often covered by hospice services for patients who have less than six-month life expectancy as determined by two physicians.

Patients eligible for hospice services receive coverage of medications, durable medical equipment, medical supplies, limited home health coverage and frequent nursing visits. Under hospice, care is focused on comfort, relieving active symptoms and improving quality of life.

 

What is palliative care at home? What is included in palliative care?
Chart by Jill Schwartz-Chevlin, MD

 

Read more about palliative care here.

 

Resources:

https://medlineplus.gov/ency/patientinstructions/000536.htm

https://getpalliativecare.org/whatis/

https://www.mayoclinic.org/tests-procedures/palliative-care/about/pac-20384637