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Dealing With The Final Prognosis

When a loved one is coming to the end of life due to a terminal disease or old age the time is very distressing. How can the transition be as safe and comfortable as possible? Most families do not have the tools or expertise to fully care for the ailing family member. The doctor can then recommend hospice or palliative care. Understanding the difference can help both patients and families navigate this difficult time.

What is hospice care?

With over 1.5 million patients, a hospice takes care of an adult patient at the end of a terminal diagnosis. This could be due to diseases like cancer, dementia, or terminal conditions brought on by old age. The medical team has done everything possible to save the patient, but the prognosis is clear. The patient will likely have 6 months or less to live. The hospice is a place for the patient to receive compassionate care until the end of life. These caregivers manage symptoms, pain and make life as comfortable as possible. In most cases, hospice care also considers the mental and spiritual needs of the patient.

Why hospices are so important

For a family to choose hospice care, there is high respect, care, and love for the patient. The end of life is near but still valued. The patient has a safe space to manage pain while still interacting with family members. That safe space is often at home, where hospice personnel visit daily and manage the patient. However, in many cases, the patient goes to a facility if specific machinery or expertise is required. Hospice care is also crucial as families can choose together after the final prognosis if this is the best option. Having that control over the last part of life can make things easier for all involved.

Adding palliative care

A concern with hospice care is that families wait too long to provide support. Patients often appreciate additional care and support even before a final prognosis. Palliative care is a team of professionals who provide medical support at any time during the terminal illness journey. This includes pain management, counseling, spiritual support, and other practical needs. Palliative care usually happens alongside the treatment for the medical illness or any attempt to cure the disease. In other words, the best palliative care starts as soon as the patient is diagnosed.

Hospice vs. palliative care

Both seem similar in approach but are different in several ways. Hospice and palliative care are philosophies that mix in everything a person needs to manage a terminal illness. The goal is not to cure the disease but to manage the side effects, emotional strain, and general discomfort. Palliative care does this at any stage of the disease and includes social and spiritual support. The service can easily transition to hospice care if treatments no longer respond or the disease has run course.

Helping your loved ones the right way

The best way family members can help loved ones is to take action early. Hospice care has the reputation of being seen as the end of the road. As a result, families avoid this difficult decision or wait until the patient has a few weeks to live. The patient and loved ones should discuss palliative care around the initial diagnosis. Palliative care may improve the patient’s spirits while being clear on the possibility of death. When the final word comes from the doctor, transitioning to hospice care is easier.

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What Does COPD Do To The Body?

Chronic obstructive pulmonary disease (COPD) affects the lung’s airways, making breathing difficult. COPD leads to two other conditions: chronic bronchitis and emphysema. Chronic bronchitis restricts the airways and causes excess mucus buildup. Emphysema is a disease that destroys the lung’s air sacs. People with COPD often have to deal with complications from either one of these diseases.

The importance of exercise

Activity is vital for people with COPD because a lack of physical activity can affect a person’s health and overall quality of life. COPD symptoms can even become worse. To start, COPD patients should enroll in pulmonary rehabilitation. This is a program with a team of doctors, nurses, respiratory therapists, dietitians, physical therapists, and exercise specialists. These professionals help people with COPD learn special breathing techniques and exercises, and develop treatment plans to make life with COPD easier. Pulmonary rehabilitation begins with an assessment from a therapist to determine different things about the patient, like blood oxygen levels. Programs are conducted at hospitals, outpatient clinics, or the patient’s home.

Stretching for people with COPD

People with COPD will benefit from lots of stretching. Stretching helps with breath control and body flexibility. Patients should start stretching for at least 10-15 minutes every day. Experts also believe that stretching before and after exercise is good for the body. Stretching is something that can be done anywhere at any time of day. Try some stretching exercises to prepare for more intense activities.

Aerobic exercises

Aerobic exercises are great for people with COPD because these activities increase the amount of oxygen in the blood. Cardiovascular exercise also strengthens the heart muscle. Walking is an excellent form of aerobic exercise. Patients can do this for 15-20 minutes a day to get the blood flowing. Another great exercise is cycling. Patients can use a stationary bike or a regular bike. Swimming can also be beneficial. If an outdoor pool isn’t an option, patients can go to a local sports club and use those pool facilities. A good fitness regimen for those with COPD will incorporate aerobic exercises a few times a week.

Try some resistance training

Essentially, resistance training is weight lifting. However, people do not need to start with a heavy load. Lightweight dumbbells or exercise bands work just as well. Resistance training can be done multiple times throughout the week.

Taking the next step

Anyone interested in pulmonary rehabilitation, exercises, or more information about COPD should consult a doctor, physical therapist, or a respiratory therapist. These healthcare professionals are a wealth of knowledge and resources for leading a healthy life with COPD.