When is the right time to ask about hospice?
In the case of end-stage heart disease, it can be difficult for patients, families and even physicians to determine when it might be time for hospice. The progress of heart failure in its final stages is often unpredictable and symptoms can vary. There is often a dramatic decline followed by a period of stability followed by a return of decline and stability, over and over again. As a result, the majority of heart disease patients who could benefit from hospice never receive this essential emotional and physical support.
Signs it might be time for hospice
Patients are considered to be in the end stages of heart disease when they have a life expectancy of six months or less. Only a doctor can make that clinical determination. However, patients and family members may look for these common signs that the condition has progressed to a point where all involved would likely benefit from hospice services.
The person has advanced congestive heart failure or advanced coronary disease with frequent episodes of angina (chest pain resulting from insufficient supply of blood and oxygen to the heart). The individual has an abnormal heart due to disease and suffers significant symptoms of fatigue, shortness of breath or functional decline. Optimal treatment(s) for the patient’s condition has already been provided and he or she is not a candidate for further surgical or medical intervention. Finally, an individual would likely also qualify for hospice if he or she has tried the optimal treatment(s) and has now made the personal choice not to pursue any further specialized treatment.
Take full advantage of the many services available
It’s a common feeling expressed by people VITAS has assisted, “I wish I would have asked about hospice sooner.” Reports show early referral to hospice results in greater satisfaction for patients and their caregivers.1 In 2008, seriously ill patients were able to take advantage of hospice services for an average of 69 days. But VITAS can do so much more; we have the resources to supplement the care provided by doctors and loved ones throughout the last six months of a patient’s life.
Request a hospice evaluation
The primary physician may recommend hospice when the time is right. But as anyone who has faced a serious illness knows, patients and family members often must act as their own advocates to receive the care they need and deserve.
You, your loved one or your trusted physician may request an evaluation to see if hospice is an appropriate option for care. Call now to see how VITAS can help.
Call VITAS at 800.93.VITAS
1 J. Teno, MD; J. Shu, BS; D. Casarett, MD; C. Spence, RN; R. Rhodes, MD; S. Connor, PhD. National Hospice and Palliative Care Organization: Timing of Referral to Hospice and Quality of Care. Journal of Pain and Symptom Management. 2007.
Hospice care for people with heart disease.
What can VITAS do for a person with heart disease?
What can VITAS do for the family or loved ones of a person with heart disease?
What are the overall benefits of hospice care?
How can I approach the hospice discussion with my loved one(s)?