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IMPACT OF AGE AND FINANCIAL STATUS OF PATIENTS OR CAREGIVERS ON PERCEPTIONS OF HOSPICE CARE AND THE CHOICE OF HOSPICE V. HOSPITAL CARE AT TERMINAL DIAGNOSIS

3rd International Conference on Palliative Care & Hospice Nursing

Jahnavi Kishore

Conestoga High School, USA

Posters & Accepted Abstracts: J Palliat Care Med

DOI: 10.4172/2165-7386-C1-009

Abstract
Hospice is designed to provide quality end-of-life medical care for patients and support for their families. Most insurance, including Medicaid, provides hospice benefits. Why then do so few people enter hospice? I hypothesized that the perception of hospice care as a last resort drives the decision to choose hospital care at terminal diagnosis. However, the data shows that although a large number of respondents across age and income groups did not regard hospice care as a last resort, when asked to make a hypothetical decision between hospice and hospital care, they primarily chose hospital care except when life expectancy was less than 3 months. Subjects aged 30 and under showed higher preference for hospital care even when given life expectancy of less than 3 months. Respondents were more likely to choose hospital over hospice care when making the decision for a family member than for themselves. Given 6 months or more to live with a terminal disease, respondents generally chose hospital care, perhaps in anticipation of a curative option which may not be available for diseases such as end-stage Alzheimer�s. Thus my hypothesis that the perception of hospice as a last resort drives choice of hospital care at terminal diagnosis was not proven. Multiple factors affect decision making when life expectancy is 3 months or less. Age and income do impact the choice; however end-of-life care decisions are clearly more complex and require careful guidance and support.
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