Emotional SupportQuestion 151 of 200

The KEY difference between hospice care and palliative care is that:

a.Hospice is for any age but palliative is only for elders
b.Hospice is for residents with a terminal prognosis (generally 6 months or less if disease runs its course) who have elected comfort-focused care; palliative care can be provided at any stage of serious illness alongside curative treatment
c.Palliative care does not include pain management
d.Only hospice provides spiritual care

Explanation

Medicare hospice (42 CFR §418) requires physician certification of terminal prognosis of 6 months or less if the disease runs its normal course, and the patient elects to forgo curative treatment in favor of comfort. Palliative care addresses symptoms (pain, nausea, dyspnea) at any stage of serious illness and can be combined with curative therapy. Both include spiritual care. The CNA on a hospice case follows the plan of care from the hospice interdisciplinary team and focuses on comfort, dignity, and family support.

Law Reference: 42 CFR §418 (Medicare Hospice); 42 CFR §483.25(k)

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