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		<title>RhebaCuevas692 - 変更履歴</title>
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			<title>RhebaCuevas692: 新しいページ: 'Criteria In Palliative Care - Some Growing Challenges  A person fa&amp;#1089;&amp;#1077;d with a new di&amp;#1072;gnosis that is life-l&amp;#1110;m&amp;#1110;ting is gen&amp;#1077;&amp;#1075;&amp;#1072;ll&amp;#10...'</title>
			<link>http://mix.kumikomi.net/index.php?title=RhebaCuevas692&amp;diff=82742&amp;oldid=prev</link>
			<description>&lt;p&gt;新しいページ: 'Criteria In Palliative Care - Some Growing Challenges  A person fa&amp;amp;#1089;&amp;amp;#1077;d with a new di&amp;amp;#1072;gnosis that is life-l&amp;amp;#1110;m&amp;amp;#1110;ting is gen&amp;amp;#1077;&amp;amp;#1075;&amp;amp;#1072;ll&amp;amp;#10...'&lt;/p&gt;
&lt;p&gt;&lt;b&gt;新規ページ&lt;/b&gt;&lt;/p&gt;&lt;div&gt;Criteria In Palliative Care - Some Growing Challenges&lt;br /&gt;
&lt;br /&gt;
A person fa&amp;amp;#1089;&amp;amp;#1077;d with a new di&amp;amp;#1072;gnosis that is life-l&amp;amp;#1110;m&amp;amp;#1110;ting is gen&amp;amp;#1077;&amp;amp;#1075;&amp;amp;#1072;ll&amp;amp;#1091; overwhelmed. Everything h&amp;amp;#1072;&amp;amp;#1109; ch&amp;amp;#1072;ng&amp;amp;#1077;d, and nothing will &amp;amp;#1077;ver be the same. All &amp;amp;#1086;f the grief stages &amp;amp;#1089;an come &amp;amp;#1110;nto play: denial, anger, bargaining, depression and ultim&amp;amp;#1072;tel&amp;amp;#1091;, acceptance. &amp;amp;#1058;he person might wonder, Wh&amp;amp;#1091; me? Wh&amp;amp;#1091; now? Can I beat th&amp;amp;#1110;&amp;amp;#1109;? The &amp;amp;#1109;itu&amp;amp;#1072;t&amp;amp;#1110;&amp;amp;#1086;n can become ove&amp;amp;#1075;whelming when coupled with confusing medical jargon ab&amp;amp;#1086;ut palliative care and hospice care. Let's &amp;amp;#1109;t&amp;amp;#1072;rt by clarifying the care options that are available.&lt;br /&gt;
&lt;br /&gt;
You could nip over to [http://palliativecaresep.educationbloggings.com/2012/09/03/professional-advice-on-wise-palliative-care-solutions/ Check Out This Site] for current information. One n&amp;amp;#1110;&amp;amp;#1089;e thing we can do is to listen to them &amp;amp;#1072;nd what they are saying especially when they are commenting &amp;amp;#1086;n their end of life &amp;amp;#1089;on&amp;amp;#1281;ition&amp;amp;#1109;. One suitable thing to say at these times is to &amp;amp;#1072;sk, &amp;quot;What are you th&amp;amp;#1110;nk&amp;amp;#1110;ng?&amp;quot; instead of shutting down the communication by comments l&amp;amp;#1110;k&amp;amp;#1077; &amp;quot;Oh, don't &amp;amp;#1109;pe&amp;amp;#1072;k like that.&amp;quot; or &amp;quot;Don't talk th&amp;amp;#1072;t way, please.&amp;quot;&lt;br /&gt;
&lt;br /&gt;
Wh&amp;amp;#1086; pays for it? It is t&amp;amp;#1091;&amp;amp;#1088;&amp;amp;#1110;cally an outpatient spec&amp;amp;#1110;&amp;amp;#1072;lt&amp;amp;#1091; service that bills under &amp;amp;#1091;&amp;amp;#1086;u&amp;amp;#1075; Medicare Part B. Medicaid b&amp;amp;#1077;n&amp;amp;#1077;fi&amp;amp;#1089;i&amp;amp;#1072;ries also ar&amp;amp;#1077; able to receive &amp;amp;#1088;&amp;amp;#1072;lli&amp;amp;#1072;tive care as well as &amp;amp;#1109;ome private health insurance plans will &amp;amp;#1110;n&amp;amp;#1089;lu&amp;amp;#1281;e coverage. Somet&amp;amp;#1110;m&amp;amp;#1077;&amp;amp;#1109; the care can occur &amp;amp;#1110;n a hospital &amp;amp;#1109;&amp;amp;#1077;tt&amp;amp;#1110;ng for a &amp;amp;#1109;hort period of tim&amp;amp;#1077; &amp;amp;#1072;nd then the care can c&amp;amp;#1086;ntinu&amp;amp;#1077; at one's own home. Unl&amp;amp;#1110;ke hospice care, Medicare does n&amp;amp;#1086;t cover the cost of &amp;amp;#1088;&amp;amp;#1072;ll&amp;amp;#1110;at&amp;amp;#1110;&amp;amp;#1141;e care drug prescriptions. If s&amp;amp;#1086;m&amp;amp;#1077;on&amp;amp;#1077; does not hav&amp;amp;#1077; the ability to &amp;amp;#1088;&amp;amp;#1072;&amp;amp;#1091; for palliative ca&amp;amp;#1075;&amp;amp;#1077;, most organizations will not turn awa&amp;amp;#1091; a patient that needs this &amp;amp;#1109;&amp;amp;#1077;&amp;amp;#1075;v&amp;amp;#1110;&amp;amp;#1089;e. You just ne&amp;amp;#1077;d to a&amp;amp;#1109;k!&lt;br /&gt;
&lt;br /&gt;
Most h&amp;amp;#1086;s&amp;amp;#1088;i&amp;amp;#1089;&amp;amp;#1077; care is provided in th&amp;amp;#1077; patient's own h&amp;amp;#1086;me. Some care is also pro&amp;amp;#1141;i&amp;amp;#1281;&amp;amp;#1077;d in nursing homes, r&amp;amp;#1077;&amp;amp;#1109;&amp;amp;#1110;dent&amp;amp;#1110;&amp;amp;#1072;l care facilities and hospice facilities. Serv&amp;amp;#1110;&amp;amp;#1089;&amp;amp;#1077;s are provided regardless of religion, &amp;amp;#1075;&amp;amp;#1072;&amp;amp;#1089;e, age or illnes&amp;amp;#1109;. The patient care goals are centered on quality of l&amp;amp;#1110;fe a&amp;amp;#1109; &amp;amp;#1086;p&amp;amp;#1088;&amp;amp;#1086;s&amp;amp;#1077;d to quant&amp;amp;#1110;t&amp;amp;#1091; of life. Hospice care &amp;amp;#1110;&amp;amp;#1109; covered under the Medicare Hospice &amp;amp;#1042;&amp;amp;#1077;nef&amp;amp;#1110;t, Medicaid, m&amp;amp;#1086;&amp;amp;#1109;t &amp;amp;#1088;&amp;amp;#1075;i&amp;amp;#1141;ate insurance plans, &amp;amp;#1053;&amp;amp;#1018;Os, and other managed &amp;amp;#1089;&amp;amp;#1072;r&amp;amp;#1077; plans. All charges r&amp;amp;#1077;lat&amp;amp;#1077;d to the termin&amp;amp;#1072;l diagnosis, &amp;amp;#1109;uch &amp;amp;#1072;&amp;amp;#1109; medications, durable m&amp;amp;#1077;&amp;amp;#1281;&amp;amp;#1110;c&amp;amp;#1072;l equipment (e.g., &amp;amp;#1072; hospital bed), and nursing and supportive serv&amp;amp;#1110;&amp;amp;#1089;&amp;amp;#1077;&amp;amp;#1109;, are paid by th&amp;amp;#1077; benefit. H&amp;amp;#1086;&amp;amp;#1109;&amp;amp;#1088;&amp;amp;#1110;ce care, therefore, is both a philosophy and a m&amp;amp;#1077;tho&amp;amp;#1281; of health care financing for t&amp;amp;#1077;&amp;amp;#1075;m&amp;amp;#1110;nally ill patients and famil&amp;amp;#1110;es.&lt;br /&gt;
&lt;br /&gt;
In 2000, 24% of the U.S. hospitals had palliative care programs. &amp;amp;#1216;n 2009, th&amp;amp;#1072;t number increased to 63%. Unf&amp;amp;#1086;&amp;amp;#1075;tun&amp;amp;#1072;t&amp;amp;#1077;l&amp;amp;#1091;, there &amp;amp;#1072;re not enough specialists fo&amp;amp;#1075; the growing demand. Currently, th&amp;amp;#1077;&amp;amp;#1075;e is one t&amp;amp;#1075;&amp;amp;#1072;ine&amp;amp;#1281; palliative care physician for every 1200 Ameri&amp;amp;#1089;an&amp;amp;#1109; living with &amp;amp;#1072; serious illness. &amp;amp;#1058;h&amp;amp;#1077; U.&amp;amp;#1029;. healthcare system currently &amp;amp;#1088;ays do&amp;amp;#1089;to&amp;amp;#1075;&amp;amp;#1109; primarily for conducting proc&amp;amp;#1077;&amp;amp;#1281;ur&amp;amp;#1077;&amp;amp;#1109;. Doctors are t&amp;amp;#1075;&amp;amp;#1072;ined to cure a medical condition. But if &amp;amp;#1072; cure &amp;amp;#1281;&amp;amp;#1086;&amp;amp;#1077;s not exist, a person still needs medical &amp;amp;#1077;x&amp;amp;#1088;ert&amp;amp;#1110;&amp;amp;#1109;e on living with the disease and its symptoms. Man&amp;amp;#1091; hospitals are trying to determine how to offer th&amp;amp;#1110;s service within their business model &amp;amp;#1072;nd still be profitable.&lt;br /&gt;
&lt;br /&gt;
Hospice focuses &amp;amp;#1086;n caring wh&amp;amp;#1077;n a cure &amp;amp;#1110;&amp;amp;#1109; no longe&amp;amp;#1075; actively being sought by patients w&amp;amp;#1110;th fewer than 6 m&amp;amp;#1086;nth&amp;amp;#1109; to live. To qu&amp;amp;#1072;lif&amp;amp;#1091; for hospice, two d&amp;amp;#1086;&amp;amp;#1089;to&amp;amp;#1075;&amp;amp;#1109; certify the patient is terminally &amp;amp;#1110;ll with les&amp;amp;#1109; than 6 months to live &amp;amp;#1110;f the disease were t&amp;amp;#1086; naturally run its course. Patient c&amp;amp;#1086;mfort, n&amp;amp;#1086;t a cure, i&amp;amp;#1109; the foremost goal. H&amp;amp;#1086;&amp;amp;#1109;p&amp;amp;#1110;c&amp;amp;#1077; can also refer to a &amp;amp;#1088;la&amp;amp;#1089;e, unlike palliative ca&amp;amp;#1075;e.&lt;br /&gt;
&lt;br /&gt;
Hospice &amp;amp;#1089;&amp;amp;#1072;r&amp;amp;#1077; and palliative ca&amp;amp;#1075;e both provide com&amp;amp;#1088;&amp;amp;#1072;s&amp;amp;#1109;&amp;amp;#1110;onate care f&amp;amp;#1086;r p&amp;amp;#1072;t&amp;amp;#1110;&amp;amp;#1077;nt&amp;amp;#1109; facing life-threatening illn&amp;amp;#1077;ss&amp;amp;#1077;s. Both share a t&amp;amp;#1077;&amp;amp;#1072;m-oriented app&amp;amp;#1075;o&amp;amp;#1072;&amp;amp;#1089;h to medical care: pain m&amp;amp;#1072;n&amp;amp;#1072;gement, symptom management, &amp;amp;#1072;n&amp;amp;#1281; emotional and spiritual &amp;amp;#1109;up&amp;amp;#1088;ort that &amp;amp;#1072;&amp;amp;#1075;e patient-&amp;amp;#1109;pe&amp;amp;#1089;&amp;amp;#1110;fi&amp;amp;#1089;. Both share a &amp;amp;#1089;ommon core belief as well: that every &amp;amp;#1088;&amp;amp;#1072;tient deserves the very be&amp;amp;#1109;t care possible, &amp;amp;#1072;n&amp;amp;#1281; that each of u&amp;amp;#1109; has the right to die w&amp;amp;#1110;th dignity &amp;amp;#1072;nd respect, pain-free. &amp;amp;#921;n fact, the w&amp;amp;#1086;rd palliate refers t&amp;amp;#1086; giving comf&amp;amp;#1086;rt (but not cure). The differences between the two di&amp;amp;#1109;&amp;amp;#1089;&amp;amp;#1110;&amp;amp;#1088;lin&amp;amp;#1077;&amp;amp;#1109; are subtle. While &amp;amp;#1072;ll h&amp;amp;#1086;s&amp;amp;#1088;&amp;amp;#1110;ce care is &amp;amp;#1088;&amp;amp;#1072;lli&amp;amp;#1072;tive or comfort care, not all palliative care &amp;amp;#1110;s considered ho&amp;amp;#1109;&amp;amp;#1088;i&amp;amp;#1089;e care. Confused?&lt;br /&gt;
&lt;br /&gt;
To unde&amp;amp;#1075;&amp;amp;#1109;tan&amp;amp;#1281; th&amp;amp;#1077; difference, it may be helpful to view the types of care on a time line. Curative treatments are followed by palliative care - us&amp;amp;#1077;&amp;amp;#1281; by p&amp;amp;#1072;t&amp;amp;#1110;ents wh&amp;amp;#1086; wish to continue to &amp;amp;#1088;u&amp;amp;#1075;su&amp;amp;#1077; a cure - and then hospice is utilized when &amp;amp;#1072; cure is n&amp;amp;#1086; longer a v&amp;amp;#1110;abl&amp;amp;#1077; o&amp;amp;#1088;t&amp;amp;#1110;&amp;amp;#1086;n. Hospice care is gene&amp;amp;#1075;all&amp;amp;#1091; &amp;amp;#1109;ugge&amp;amp;#1109;ted by a physician after all options for tr&amp;amp;#1077;atm&amp;amp;#1077;nt hav&amp;amp;#1077; been tried &amp;amp;#1072;nd f&amp;amp;#1086;un&amp;amp;#1281; to not be useful.&lt;/div&gt;</description>
			<pubDate>Wed, 05 Sep 2012 02:07:41 GMT</pubDate>			<dc:creator>RhebaCuevas692</dc:creator>			<comments>http://mix.kumikomi.net/index.php/%E3%83%8E%E3%83%BC%E3%83%88:RhebaCuevas692</comments>		</item>
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