What is the role of hospice care in late stage Alzheimer's?

When someone has reached the stage in medical care where full recovery is not possible, hospice care can be instituted. Hospice care provides end of life care, which is devoted to making the person comfortable. Those who are experiencing pain can be kept pain-free with a regimen of powerful medication, without concern about becoming addicted.

Hospice care is perhaps most commonly used for patients with disseminated cancer. But it can also be used for someone in the late stages of Alzheimer’s disease, heart disease, chronic obstructive pulmonary disease or any other terminal condition. Care is provided either in the patient’s own home or in a home-like setting, but it can also be provided for someone in a nursing home.

Psychological comfort and communication with family members and friends is emphasized. Importantly, hospice care is provided at no additional cost as a regular Medicare or Medicaid benefit. Hospice services may include ongoing care by physicians, nurses, social workers or mental health specialists.

An important aspect of hospice care is that trained volunteers make up a significant part of the hospice personnel. Such volunteers can provide emotional support, companionship, run errands or provide transportation.

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