What factors affect the cost of the end of life?
End of Life Care concerns medical care and treatment administered to a dying patient who does not have a reasonable chance of recovery. This type of care can be held in the unity of intensive hospital care (ICU), regular hospital bed, nursing home, hospice or patient house. After a traumatic injury or acute illness, patients are carried out for patients in hospitals or acute care or at ICU. Patients with chronic or advancing diseases can be taken care of in a hospital, hospice or their own homes. The main factors affecting the cost of the end of life are the location and degree of nursing and medical care provided to the dying patient. ICUs are designed to aggressively treat critically ill patients with the most advanced technology and methods. In some situations, however, it is clear to healthcare workers that a patient with critical care using technology maintaining life has no reason for recovery.
In the US, the result of such a case varies depending on whether the patient has an existing preliminary directive determines the scope of care if recovery is not possible. With a preliminary guideline that limits life-maintaining technology, the patient may be transferred-if time permits-a hospital or a regular hospital bed at cheaper life care costs. In the absence of such a directive, aggressive care for maintaining the patient's life must continue until the spouse, parent or other responsible family member decides to extent the required treatment.
The cost of taking care of the end of life in a nursing home or inpatient hospital is less than hospital care. In the USA, hospice services are covered with Medicare, Medicaid and mostly private health insurance carriers. For patients covered by a physician, there are usually low cost of cooperation incurred by their care; However, a wide range of treatment is coveredOnly six months before the patient's disappearance, as estimated by his doctor. Hospice services can also be provided to the residents of the nursing home for these methods, which no longer offer facilities for extended care.
Home Hospice Care provides the least costly cost of care for all these options. In the US there are nursing care, certified nursing assistant (CNA) care, medicines and durable medical equipment (DME) provided for Medicare patients without costs and some coverage by private carriers of health insurance. The hospice does not provide 24 -hour care per day, but provides continuous contact. Some families prefer uninterrupted help, and thus assume these cost of care about the end of life privately.