Palliative

CARE

Specialized medical care for people with a serious illness; provided in-home and at accessible locations.

 

Focused on providing relief from the symptoms and stress of a serious illness, it can be offered for months to years to patients desiring support while still seeking curative care to impact disease outcomes.

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"I didn't know what Congestive Heart Failure was, just that it was hard to breathe.  I saw a flyer about Hawai‘i Care Choices in my doctor's office and called.  The nurse visited me at home, taught me about my illness and how I could feel better.  Now I can play with my grandson again." 

What is the Difference Between Palliative and Hospice Care?
  • Comfort care with or without curative intent

  • Care is begun at the discretion of the physician and patient at any time, at any stage of illness, terminal or not.

  • Palliative care, from office visits to prescription charges, is paid for by insurance, by the patient or by charity.

Offered by Both
  • Pain and Symptom Relief

  • Interdisciplinary team addresses physical, emotional and spiritual pain, including such common worries as loss of independence, the well-being of the family and feeling like a burden.

  • Provided wherever patient calls home, and accessible locations.

  • Comfort care without curative intent

  • Patient is certified by two physicians to have 6-months or less to live if the disease follows its natural course

  • Paid 100 percent by Medicare, Medicaid and private insurance; it is the only Medicare benefit that includes pharmaceuticals, medical equipment, 24/7 access to care, nursing, social services, spiritual care visits, grief support following a death and other services deemed appropriate.

Content reproduced from www.getpalliativecare.org

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Are you experiencing the following?
  • Frequent Emergency Room or Urgent Care visits

  • Increased need to call or visit the doctor

  • Diminished activity, such as difficulty managing finances, driving,grocery shopping, preparing meals, managing medication, and doing light housework?

Would you like help with?
  • Comprehensive care coordination, emotional support and symptom management

  • Education on proper medication use and monitoring of patient's condition

  • Referrals to helpful services in the community

  • Support with Advanced Care Planning  – Making your wishes known.

"Before, I was going to the ER at least once a month.  It has been four months with Hawai‘i Care Choices' palliative program and I haven't visited the ER yet." 

Currently Accepting Patients with: 
  • Cancer
  • Advanced Heart Disease (Congestive Heart Failure, Severe Cardiomyopathy, those with an implantable defibrillator)
  • Advanced Pulmonary Disease (COPD, Emphysema, Pulmonary Hypertension)
  • Advanced Renal Disease (Kidney Failure)
Palliative Care works – in 2017 our patients experienced:
One Program – Four Options:

Choose the palliative care service that fits you best 

Kupu Care

  • Community - Based Palliative Care

  • Home-based and outpatient focused.

  • You may be responsible for a co-pay based on your insurance, similar to when you go for your doctor's visit.

Kupu
CARE

Transitions Care

  • Hilo Medical Center Program for HMC patients 

  • Home-based and outpatient focused.

  • 30-day support program upon discharge from Hilo Medical Center

Transitions
CARE

Supportive Care

  • Palliative benefit for HMSA patients

  • Home-based and outpatient focused.

  • 90-day support program with option to extend care if needed.

Supportive
CARE

Concurrent Care

  • Palliative benefit for UHA patients

  • Home-based and outpatient focused.

  • 90-day support program with option to extend care if needed.

Concurrent
CARE
Palliative Care Support Can:
  • Improve Quality of Life

  • Relieve pain and physical/emotional stress

  • Reduce Health Care Crisis

  • Avoid Hospitalizations