This document provides information on hospice care, palliative care, and nursing care for elderly patients receiving these services. It defines hospice and palliative care, outlines the similarities and differences between the two, and describes the types of pharmacological management and nursing care involved. Hospice care focuses on improving quality of life for terminally ill patients, while palliative care provides relief from pain and symptoms for seriously ill patients of any diagnosis or disease stage. Common medications used include opioids, antiemetics, laxatives, and adjuvants. Nursing care for both aims to promote communication, collaboration, compassion, comfort, and cultural/spiritual care.

1. in Elderly
Hospice Care and
Palliative Care
Agnieska Janier
Christine Dianne
Fabiosa
Prixie Gales

2. Ta ble of
Conten ts
Definition
Similarities and
Differences
Pharmacology
Nursing Care: Hospice
and Palliative

3. Hospice Care
Hospice is medical care designed
for the end of someone’s life. The
purpose of hospice is to improve
the quality of life that’s left.
Hospice provides pain and other
symptom relief, as well as
emotional, psychosocial, and
spiritual help to support patient
and their family.
-Healthline
Palliatice Care
Palliative care is specialized medical
care that focuses on providing patients
relief from pain and other symptoms of
a serious illness, no matter the
diagnosis or stage of disease. Palliative
care teams aim to improve the quality
of life for both patients and their
families. This form of care is offered
alongside curative or other treatments
you may be receiving.
-Mayoclinic

4. Types of Hospice Care
Routine Home care - standard level of most
hospice care.
Continuous Home care - for medical
emergency
General Inpatient care - Symptoms that can't
be managed at your home
Respite care - short-term care providing breaks
to family caregivers.

5. Hospice Care vs Palliative Care

6. Pharmacological Management
Palliative medicines are one-component of a
whole-person approach to supporting people with
life-limiting and terminal illnesses. Medicines may
be needed to treat or prevent symptoms associated
with the palliative diagnosis. The health problems
include are pain, dyspnea, nausea and vomiting,
anxiety, delirium and agitation, and constipation.

7. Analgesic
Opioids
Antiemetics
Laxatives
Adjuvant medications
Steroids
Antidepressant
The classes of
medications commonly used
in palliative care are:

8. Nursing Care
for
Hospice
Communication
Collaboration
Compassionate caring
Comfort
Cultural/spiritual
care.
Hospice care focuses on
the 5 Cs:

9. Nurses should be cognizant of their voice, body
language, and actions to foster therapeutic
communication, build rapport, and demonstrate
empathy and caring.
Provide compassionate caring demonstrated through
empathy, sympathetic awareness of the patient's and
family's suffering with a sincere desire to assuage it,
respect, and a nonjudgmental acceptance of the
patient's and family's wishes.
Assessing patient and family wishes regarding
cultural, ethnic, and/or religious rituals early in the
patient's care.
1.
2.
3.

10. 4. Assessing for pain and other distressing symptoms,
providing evidence-based interventions to alleviate them.
5. Assessing anxiety levels of patients and other mental
and emotional states
6. Determining levels of perceptual or cognitive
impairment, as well as physical fitness
7. Evaluating the progress of a patient’s disease or
condition
8. Aiding the families of patients to solve any issues that
may result from end-of-life care

11. Assess patient and family's
physical, psychological,
social, and spiritual needs.
Assess effectiveness of
plan of care, including
prescribed medications
Provide comprehensive
medical and psychological
evaluation
Provide skilled and
comprehensive symptom
management
Provide consistent care across
settings; assist and support
palliative care physician and
primary care team
Formulate palliative care plan;
communicate plan to patient, family,
and medical team; monitor or modify
plan based on needs of child and
family
Guide patient and family through
difficult and sensitive situations
(eg, respond to questions and
concerns, reaffirm plan of care)
Educate and guide other
providers on fundamental
principles of palliative care
Nursing
Care for
Palliative

12. Thank
you