The ARNP (nurse practitioner) felt that Mom might qualify for hospice but the evaluator felt like she was not quite yet ready. The nurse has recommended palliative care. Mom was evaluated for that yesterday. To me the meeting was odd; they social worker and nurse asked lots of questions about Mom but when I asked what they could do for Mom, I never got a straight answer. Have any of you dealt with palliative care people before? I am confused about what they will do and I did not get a straight answer from them either.
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For example, my LO still takes diabetes medication, because if her blood sugar gets too high, she could have neuropathy and amputations and they would cause her pain and further disability. She does not receive cancer screenings, except she did have a scan of a tumor on her belly, because we weren't sure if it was causing pain. It was benign and we are leaving it. She does not receive cancer screenings, since we would not be subjecting her to surgery or cancer treatments. I think you can receive Palliative Care and not opt for DNR, but I'm not sure about that.
I discussed Palliative care with both of her doctors and I honestly don't know if they really get it. She moved last year and I had to get a new geriatric doctor. I met with him before he was selected to discuss Palliative care and he seemed to get it. He treats a lot of seniors and many have advanced dementia, from what I have seen. I have still had to remind him that she doesn't need to receive every tests available to her and that we understand she is terminally ill. I know she now has ADVANCED dementia and she will not recover. Good luck if you are trying to find a Palliative Care provider.
Hospice can be at home, in a hospital, nursing home or dedicated hospice facility. It is a humane and dignified way to deal with the end of life.
My best guess would be that your mom would essentially be receiving care equivalent to hospice care but without qualifying for gov't funded hospice (i.e. an estimate of less than 6 months to live). So palliative care would essentially include symptom relief and non invasive healthcare with the aim of providing quality of life over healthcare aimed at prolonging life.