Prognosis Guidelines

Ginger Robbin St Amand

Hos­pice is for patients who have been diag­nosed as being in the last six months of life, but some patients stay on for years if their dis­ease process is slow.

In a 2010 study pub­lished in the New Eng­land Jour­nal of Med­i­cine, metasta­t­ic non-small-cell lung can­cer patients receiv­ing ear­ly pal­lia­tive care lived 2.78 months longer than those who delayed pal­lia­tive treat­ment. The authors con­clud­ed that: Ear­ly pal­lia­tive care led to sig­nif­i­cant improve­ments in both qual­i­ty of life and mood… (the patients) had less aggres­sive care at the end-of-life but longer survival.”

  • It is impor­tant that a con­ver­sa­tion is had before the patient begins to decline or is admit­ted repeat­ed­ly to the hospital
  • Patients are more com­fort­able hav­ing these con­ver­sa­tions with their own physi­cian rather than hos­pi­tal staff
  • Don’t be afraid to call upon Hos­pice of Kona to assist with the con­ver­sa­tion: — Deter­mine eli­gi­bil­i­ty — Explain hos­pice ser­vices — Offer coun­sel­ing and sup­port to both patients and family