Palliative Care, Hospice and Home Health Care Services Comparison

Palliative Care, Hospice and Home Health Comparison
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Focus of Care
  • Patients with serious illness
  • Disease management
  • Curative care
  • Patients with terminal illness
  • Comfort care
  • Intermittent restorative treatment and rehabilitation
Philosophy and Goals
  • Supportive care between patient and their physician
  • Symptom and pain management
  • Advance care planning
  • No homebound requirement
  • Pain control and symptom management
  • Improve quality of life
  • Meet patient’s final wishes
  • No homebound requirement
  • Progressive treatment
  • Rehabilitative
  • Patient must be homebound
Physician
  • Primary Physician or Specialist
  • Palliative Care Medical Director oversight
  • Primary Physician AND
  • Hospice Physicians
  • Primary Physician or Specialist
Nursing/Aides
  • Nurse Navigator
  • Limited Nurse Practitioner/Registered Nurse
  • No Aide services
  • Unlimited Hospice Nurse Practitioner, Registered Nurse, Licensed Vocational Nurse and Hospice Aide services
  • Limited Registered Nurse, Licensed Vocational Nurse and Hospice Aide services
Psychosocial
  • Limited volunteer support
  • Unlimited volunteer support
  • No volunteer support
Spiritual Care
  • Limited chaplain services
  • Unlimited chaplain services
  • No chaplain services
Bereavement
  • Bereavement services
  • Bereavement care provided prior to and up to 12 months after patient’s death
  • Bereavement services not provided
Medications
  • Covered by patient’s insurance or self pay
  • Provided and covered by Hospice
  • Covered by patient’s insurance or self pay
Durable Medical Equipment/Oxygen
  • Covered by patient’s insurance or self pay
  • Provided and covered by Hospice
  • Covered by patient’s insurance or self pay
Medical Supplies
  • Covered by patient’s insurance or self pay
  • Provided and covered by Hospice
  • Covered by patient’s insurance or self pay
Physical, Speech and Occupational Therapies
  • Covered by patient’s insurance or self pay
  • Provided and covered by Hospice
  • Covered by patient’s insurance or self pay
24/7 After Hours Support
  • 24/7 Telephonic support
  • 24/7 Telephonic support and visits by Hospice team
  • Not provided; normal business hours only
Respite Care
  • Respite care not available
  • Provided and covered by Hospice as often as needed by caregivers
  • Respite care not available