Palliative und Hospice: Der Unterschied und die richtige Wahl

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Eine chronische oder unheilbare Krankheit ist traumatisch und belastend. Als Familienmitglied stehen Sie vor einigen der schwierigsten Entscheidungen Ihres Lebens. Ihr Angehöriger leidet möglicherweise unter schwächenden Symptomen. Sie müssen sich möglicherweise auf neue körperliche Einschränkungen einstellen und mit den komplexen Emotionen fertig werden, die oft auftreten. Der Umgang mit Behandlung und Pflege kann sich überwältigend anfühlen. 

The distinction between palliative care and hospice care can be confusing. Both aim to enhance quality of life. However, each one serves a distinct purpose, and they’re offered at different stages of treatment.

Below, you’ll learn the difference between palliative care and hospice care. You’ll see how each type of care can serve your family’s needs, depending on where you are in your healthcare journey.

Leben Sie oder ein Ihnen nahestehender Mensch mit einer chronischen oder unheilbaren Krankheit
?

Die Sage ist für Sie da.

Sind Sie oder ein Angehöriger
mit einer chronischen oder unheilbaren Krankheit
leben?

Die Sage
von Unternehmen
ist hier, um zu helfen.

Palliative Care vs Hospice Care

Both palliative and hospice care are meant to ease suffering, but only one is given at the end of someone’s life. Hospice care is end-of-life care focused on comfort for those dying of a terminal illness. However, palliative care is for anyone with a life-limiting disease, at any stage of illness.

What Is Palliative Care?

Palliative care is a holistic approach to care aimed at managing symptoms and easing the suffering associated with chronic illness, regardless of prognosis. Patients continue medical treatments intended to cure or stop the progression of disease, while complementary care focuses on quality of life.

Who Is Eligible for Palliative Care?

Anyone at any age and any stage of a chronic disease is eligible for palliative care. It’s often recommended by physicians at the time of diagnosis, as it can help your family adjust to life with a new illness and navigate your treatment decisions. 

Diseases that can be treated with palliative care include:

Your Palliative Care Team

The members of a palliative care team will vary depending on each patient and family’s needs. Generally, a palliative care team consists of:

  • Ärzte und Krankenschwestern
  • Fachärzte
  • Sozialarbeiter
  • Hauskrankenpflegerinnen
  • Physiotherapeuten
  • Ergotherapeuten und Logopäden
  • Psychologen und Berater für psychische Gesundheit
  • Diätassistenten und Ernährungswissenschaftler
  • Geschulte Freiwillige
  • Religiöse Führer oder geistliche Berater
Old men being cared by a doctor in a hospice

What’s Included in Palliative Care?

Palliative care is designed to enhance the well-being of patients and their loved ones, taking a comprehensive approach that encompasses physical, emotional, and mental health.

Schmerz- und Symptommanagement 

One of the major components of palliative care is effective pain and symptom management, which are crucial for maximizing a patient’s comfort. Methods of treatment may include:

  • Medikamente
  • Physikalische Therapie
  • Ernährungsberatung
  • Logopädie und Beschäftigungstherapie
  • Massage
  • Alternative Therapien wie Reiki, Akupunktur und Meditation

Emotionale und spirituelle Unterstützung

Das Leben mit einer chronischen Krankheit kann eine schwere Last sein und wirkt sich oft auf die psychische Gesundheit des Patienten und seiner Freunde und Familienangehörigen aus. Depressionen und Angstzustände sind bei Menschen mit lebensbegrenzenden Krankheiten weit verbreitet.

Members of your palliative care team, including social workers, psychologists, and counselors are available to help you work through the inevitable mental health struggles.

Patients can also choose to include spiritual guidance as part of their palliative care plan. Faith leaders and spiritual advisors are available to address any concerns.

Medizinische Ausrüstung

Often, chronic illnesses limit mobility and the ability to complete routine and personal tasks. Palliative care provides medical equipment to help ensure you can continue moving through life as comfortably and safely as possible. Depending on your needs, medical equipment can include:

  • Rollstühle
  • Stöcke und Gehhilfen 
  • Duschstühle
  • Haltegriffe und Handläufe
  • Atemhilfsgeräte
  • Nachttischkommode 
  • Ernährungsschläuche und Katheter

Pflege und praktische Hilfe

A chronic illness can impact every aspect of your life. Your palliative care team can assist with the following:

  • Verwaltung von Medikamenten
  • Hilfe bei der persönlichen Pflege wie Baden und Anziehen
  • Wundversorgung
  • Wechseln und Reinigen von medizinischen Geräten
  • Emotionale Unterstützung für Patienten und Angehörige
  • Finanzielle Planung
  • Rechtsbeistand

Where Can You Receive Palliative Care?

You can receive palliative care at home, in nursing homes, hospitals, or other healthcare facilities. Wherever you choose to accept care, your palliative care team can be flexible and accessible to all.

Leben Sie oder ein Ihnen nahestehender Mensch mit einer chronischen oder unheilbaren Krankheit
?

Die Sage ist für Sie da.

Sind Sie oder ein Angehöriger
mit einer chronischen oder unheilbaren Krankheit
leben?

Die Sage
von Unternehmen
ist hier, um zu helfen.

Was ist Hospice ?

Hospice care is specialized healthcare dedicated to enhancing the comfort and quality of life for those with terminal illnesses approaching death. Patients typically transition to hospice care when their body no longer responds to treatment, or when they opt to discontinue treatment altogether. 

Your loved one may decide to discontinue life-saving treatment if the side effects become too burdensome and difficult to manage. Upon entering hospice care, doctors halt curative treatments, and the focus shifts to a care plan that prioritizes the management of pain and other distressing symptoms.

Your hospice care team is made up of doctors and nurses, social workers, home health aides, counselors, volunteers, and other health care specialists trained in end-of-life care.

Wer hat Anspruch auf Hospice ?

Patients are eligible for hospice care when their physician estimates that they have approximately six months or less to live if their illness follows its natural course. If your loved one lives longer than six months, they can still remain in hospice, as long as their doctor or hospice physician certifies that their disease is terminal.

The Benefits of Hospice Care

Dying from a terminal illness is a heartbreaking process for everyone involved. While the Sage Family of Companies can’t change the outcome, our hospice care teams can provide a number of services and resources that can help. The advantages of hospice care include:

Enhanced Quality of Life: Hospice care focuses on maximizing quality of life during the final days, weeks, and months of life, providing the comfort, dignity, and support your loved one deserves.

Pain and Symptom Management: Your hospice care team will ensure effective pain and symptom control, offering relief and improving overall comfort.

Emotional and Psychological Support: Hospice teams are staffed with psychologists and mental health counselors who provide emotional and psychological support to patients and their families as they cope with the emotional challenges of the end of a loved one’s life.

Personalized Care Plans: Hospice care plans are specially designed to fit each individual’s needs and preferences, ensuring a holistic and patient-centered approach.

Family Involvement: Hospice care recognizes the importance of family, involving them in caregiving responsibilities, and offering support to ensure their well-being. Bereavement counseling, access to support groups, and other mental health resources are available through your hospice care team.

Spiritual Considerations: Hospice care can incorporate spiritual guidance, ensuring that the patient’s spiritual and emotional needs are met.

Old palliative patient with his family in a hospice

Where Can You Receive Hospice Care?

You can receive hospice care at home or in a hospice facility, nursing home, or hospital. Deciding where to receive hospice care is an individual choice, and should be made by consulting with your family and doctor.

FAQ

Here are some frequently asked questions about palliative care versus hospice care.

Patients at any age or stage of disease can stay in palliative care for any length of time, whether their illness is terminal or not. There’s no limit to the amount of time a person can remain in palliative care.
How long a person lasts in hospice care varies from person to person. To be eligible for hospice care, a doctor must certify that in their best estimate, a patient has six months or less to live. Some people live less than these six months in hospice care, while some go on to live longer. Patients who live past six months can remain in hospice care. Their doctor simply needs to recertify that they’re terminally ill.
Patients, family members, and healthcare providers make the decision together when it’s time for hospice care.
Verschiedene Anzeichen und Symptome können darauf hinweisen, dass sich eine Person der letzten Phase ihres Lebens nähert. Dazu gehören eine Abnahme des Appetits und der Flüssigkeitsaufnahme, was zu einem erheblichen Gewichtsverlust führt, extreme Schwäche und Müdigkeit, kognitive Veränderungen wie Verwirrung und Orientierungslosigkeit, verstärkter sozialer Rückzug und Isolation sowie die Tatsache, dass die Person die meiste Zeit schläft. Zu den Anzeichen dafür, dass sich der Tod rasch nähert, gehören Atemnot, unregelmäßiger Puls, Absinken von Körpertemperatur und Blutdruck sowie fleckige Haut.

Palliative Care vs Hospice Care: The Sage Family of Companies Can Help

Navigating a chronic illness can be depressing and traumatic at any stage of the disease. The Sage Family of Companies is here to help your family through every step of the way, from diagnosis to the final days, weeks, and months of life.

Both palliative care and hospice care teams are specially trained, and will ensure your loved one experiences the comfort, dignity, and respect they deserve, while navigating the different stages of their health care journey. The Sage Family of Companies is here to answer any questions you may have.

Sage Hospice
Arizona

Sage Hospice
Tucson

Elevation Hospice
Colorado

Elevation Hospice
Utah

Agape Hospice Georgia

Sage Hospice
Arizona

Sage Hospice
Tucson

Elevation Hospice
Colorado

Elevation Hospice
Utah

Agape Hospice Georgia

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Ashley Welch's Profilbild
Ashley Welch ist Journalistin mit Schwerpunkt auf Gesundheits- und Wissenschaftsberichterstattung und verfügt über mehr als ein Jahrzehnt Erfahrung in der Berichterstattung über aktuelle Themen und im Schreiben von langen Geschichten. Sie war mehrere Jahre lang als Gesundheitsredakteurin für CBSNews.com tätig und berichtete, schrieb und redigierte täglich Artikel und Beiträge zu Gesundheitsfragen. Derzeit ist sie freiberuflich tätig und schreibt für eine Reihe lokaler, nationaler und internationaler Publikationen.