Back Then…. Today… I have nothing against Death… I just don’t want to be there when it happens. Woody Allen.

Slides:



Advertisements
Similar presentations
PALLIATIVE CARE 101 DO’S, DON’TS AND CONSULTS
Advertisements

CARING FOR PATIENTS AT THE END-OF-LIFE- Where Are We Now? James Hallenbeck, MD Medical Director, VA Hospice Care Center Stanford Hospice.
PALLIATIVE CARE AT STANFORD
Hospice Program Forms and Certifications 1 2 This training program will focus on the required forms for the MO HealthNet Hospice Program as well the.
Meeting the Complex Needs of the Dual Eligible Population Jack Meyer Health Management Associates Prepared for Alliance for Health Reform June 3, 2011.
1240 College View Drive, Riverton, WY Phone A non-profit organization 5 I MPORTANT H OSPICE F ACTS 1.Hospice is NOT only for the last.
Abid Iraqi, M.D Geriatric & Palliative Medicine Syracuse VA.
UNDERSTANDING HOSPICE. WHY IS IT IMPORTANT FOR US TO UNDERSTAND HOSPICE? Our care and services overlap Continuity of Care Passing the baton.
1 Palliative Care and Shared Decision-Making HOW TO BECOME AN INFORMED HEALTHCARE DECISION MAKER.
Palliative Care and End of Life Issues Denise Spencer, MD Palliative Care Center of the Bluegrass January 10, 2007.
Module #6 END-OF-LIFE CARE: Module 6 Venues & Systems of Care.
Professional Certification of Palliative Medicine Charles F. von Gunten, MD, PhD Past Chairman.
Hospital Notice SDCL Application for Poor Relief SDCL & 32.4 Residency Requirement SDCL & Post- Secondary Student.
Insert your organization’s logo here. Understanding Hospice, Palliative Care and End-of-life Issues This presentation is intended as a template. Modify.
Open Access Hospice: America’s End of Life Challenge Carolyn Cassin President & CEO Continuum Hospice Care Jacob Perlow Hospice.
Presented by Julie Stanton, BCH.  A two part legal document ◦ Healthcare Decisions- a person’s wishes for end of life medical treatment. ◦ Durable Power.
A Primer in Palliative Care for the Stroke Team Mohana Karlekar, MD, FACP Medical Director Palliative Vanderbilt University May 15 th 2013.
Understanding Hospice, Palliative Care and End-of-life Issues  This presentation is intended as a template  Modify and/or delete slides as appropriate.
The EPEC-O Curriculum is produced by the EPEC TM Project with major funding provided by NCI, with supplemental funding provided by the Lance Armstrong.
Understanding Hospice, Palliative Care and End-of-life Issues
Critical Care Medicine in Argentina. Argentina in Critical Care.
The Evolution of Palliative Medicine as a Medical Subspecialty James Hallenbeck, MD Director, Palliative Care Services Hub-site Director, VA Interprofessional.
Hospice A philosophy of care to assist those in the end stage of life Model of care originated in England First hospice in United States was in New Haven,
Alternatives to euthanasia: Palliative Care.  Pioneered by Dame Cicely Saunders Born in 1918 Dame Cicely trained as a nurse, a medical social worker.
Chapter 14 Death and Dying. Death and Society Death as Enemy; Death Welcomed A continuum of societal attitudes and beliefs Attitudes formed by –Religious.
Palliative Care Consultation Team An Introduction Basics of Pain Management
End-of-Life Care in the Department of Veterans Affairs Jon Fuller, MD James Hallenbeck, MD James Breckenridge, PhD VA Palo Alto HCS.
Palliative Care “101“. Definition Palliative Care Specialized medical care for people with serious illnesses. It is focused on providing patients with.
Long-Term Care: Managing Across the Continuum (Second Edition)
Hospice 101. Introduction Complex Patients Spurring Medicare Cost Growth Healthcare Costs at the End of Life In the last 6 months of life – Poly-Physicians.
Hospice Dis-Enrollment and Quality of Care at the End-of-Life Melissa D.A. Carlson, Ph.D., M.B.A. Brookdale Department of Geriatrics & Adult Development.
Long Term Healthcare Conference May 13, 2010 Hospice & Long Term Care Working Together to Improve End-of-Life Care Ann Hablitzel RN, BSN, MBA Hospice Care.
Understanding Hospice, Palliative Care and End-of-life Issues Richard E. Freeman MD.
End-of-Life Care in the Department of Veterans Affairs Jon Fuller, MD James Hallenbeck, MD James Breckenridge, PhD VA Palo Alto HCS.
Mary Ann Bleeke, LCSW-C, CEAP Social Worker Hospice Myths.
Healthcare and Hospice Unit 8 Seminar. Human Services in Hospitals Psychosocial assessments Post discharge follow up Providing information and referrals.
DEVELOPMENT AND STANDARDS OF PALLIATIVE CARE IN HUNGARY Hungarian Hospice Foundation Dr. Katalin Muszbek.
Chang Gung University Lai-Chu See, Ph.D. Professor Department of Public Health, College of Medicine, Chang Gung University, Taiwan
Hospice Basics: Palliative Care vs. Curative Care.
Take Time to Plan Oklahoma Association of Homes and Services for the Aging.
Subspecialty Recognition in Medicine The Process The Process Step 1 Approval by the American Board of Medical Specialties (ABMS) Requires sponsorship by.
Evolution & Maturation of the Practice of Hospice and Palliative Medicine Charles F. von Gunten, MD, PhD May 16, 2013 Vice President, Medical Affairs Hospice.
The VA Hospice Care Center VA Palo Alto HCS. History Founded 1979 in Menlo Park Founded 1979 in Menlo Park Opened to non- Veterans 1999 Opened to non-
Hospice By: Shantel Stenthouse and Amanda Kraus. Patient Description Hospice care is for seriously ill patients to spend their final months living, rather.
HOSPICES. HISTORY The word ‘hospice’ is derived from ‘the hospitium’, that part of the monastery where traditionally help was given to travellers, the.
SCHEDULE CHANGE See handout for details Oct 27 12:30 -13:00 Review Midterm and Test 2 – New schedule and requirements October 28 11:30 – Midterm Due November.
HEALTH CARE DECISIONS ACROSS THE TRAJECTORY OF ILLNESS Susan Barbour RN MS ACHPN.
Patient Description Older people over 60’s who are terminally ill and have no cure for their illness. They usually have less than 6 months to live. Hospice.
Communications during Life Limiting Illness & POLST in SC Walter Limehouse, MD, MA MUSC Ethics Comte.
Palliative Care Presented By: Mya Bentley, Shauntelle Farden, and Megan Kassel.
Back Then…. Today… I have nothing against Death… I just don’t want to be there when it happens. Woody Allen.
“A Quality Journey for those we love to the end” “Hospice Care Now”
Understanding Hospice and Palliative Care This presentation is intended as a template. Modify and/or delete slides as appropriate for your organization.
Healthcare and Hospice Unit 8 Dawn Burgess, Ed.D.
Origins of Hospice on PEI The Island Hospice Association was incorporated in July 1985 and changed its name to the Hospice Palliative Care Association.
Medical Aid in Dying – Developing a Framework Theresa Mudge Hospice Palliative Care Ontario October 27, 2015.
Hospice Care in the Aging Population Mary Rossio Principals of Health Behavior MPH 515 Danielle Hartigan February 20, 2015.
Introduction to Palliative Care Jigar Joshi MBBS Hospice and Palliative Medicine Fellow.
M. Kay M. Judge, EdD, RN Marjorie J. Wells, PhD, ARNP.
What you should know about hospice care By: Elizabeth Stimatz.
Assessing Progress in End-of-Life and Serious Illness Care May 23, 2016.
Who? What? When? Where? Why? Cecilia L. May, MD October 9, 2015.
Caring for Aging Parents “Children, obey your parents in the Lord: for this is right. Honor your father and mother; which is the first commandment with.
A COMMUNITY RESOURCE WHEN LIFE MATTERS MOST. WHAT IS HOSPICE  THIS IS WHAT PEOPLE THINK HOSPICE IS!!
Issues in Palliative Sedation Bruce A. Ferrell, MD Professor of Clinical Medicine UCLA David Geffen School of Medicine Director of Palliative Care.
Telemedicine: The Future of People Caring for People
Demonstrate ROI for your Home Based Palliative Care Program
Set up Death & Dying SLM Concept: Death & Dying Concept: Grief
National Hospice Month November 2009
Hospice Care: The Changes in care for the dying
Presentation transcript:

Back Then…

Today… I have nothing against Death… I just don’t want to be there when it happens. Woody Allen

Key Historical Events in Modern Times 1945 beginning wide-spread use of penicillin –Associated with dramatic increase in institutional deaths 1953 Knowsy the dog resuscitated – named because he knew ‘what was on the other side”

Key Historical Events in Modern Times 1956 APA Symposium on death –The Meaning of Death, H. Feifel, 1959 Early 1960’s – CPR, ICU propagated 1967 Ciceley Saunders starts St. Christophers 1969 Kubler Ross, On Death and Dying

Key Historical Events in Modern Times 1975 Three inpatient hospices started – New York, New Haven, Montreal –Balfour Mount in Montreal coins term, Palliative Care, as Hospice meant alms house for the poor in French-speaking Quebec –1979 Marin Hospice, VA Hospice at Menlo Park

Key Historical Events in Modern Times 1983 Medicare Hospice Benefit –Shifted focus to home hospice care –Emphasized nursing, social work care De-emphasized physicians –Started concept of terminality (and hospice eligibility) based on 6 months prognosis

Key Historical Events in Modern Times 1993 Oxford Textbook of Palliative Medicine 1995 SUPPORT study documents poor quality of care for dying in hospitals 1996 American Academy of Hospice physicians (started 1988) changes name to American Academy of Hospice and Palliative Medicine 1996 First board exam for physicians in palliative medicine 1997 Supreme court hears cases on physician assisted suicide

Key Historical Events in Modern Times 2000 –JCAHO pain/EOL mandates –ACGME mandates all fellows in Internal Medicine have EOL training –Decision made to push for formal palliative medicine subspecialty 2001 –VA Interprofessional Palliative Care Fellowship approved –California requires 12 hours pain/EOL training for all physicians in state

Definitions - Hospice A philosophy of care for dying patients, emphasizing quality of life A place (inpatient unit or individual home hospice agency) A social organization associated with policies enabling licensure and reimbursement –JCAHO, Medicare Hospice Benefit, Private Insurance, Dept of veterans Affairs

Palliative Care – evolving definitions… #1Same as hospice care #2Attention to quality of life for patients with serious life-limiting illnesses as well as terminal illnesses #3Care directed toward “misery” a