{"id":583729,"date":"2023-07-21T17:06:27","date_gmt":"2023-07-21T14:06:27","guid":{"rendered":"https:\/\/en.buradabiliyorum.com\/how-jimmy-carter-has-changed-the-conversation-around-hospice\/"},"modified":"2023-07-21T17:06:27","modified_gmt":"2023-07-21T14:06:27","slug":"how-jimmy-carter-has-changed-the-conversation-around-hospice","status":"publish","type":"post","link":"https:\/\/buradabiliyorum.com\/en\/how-jimmy-carter-has-changed-the-conversation-around-hospice\/","title":{"rendered":"#How Jimmy Carter has changed the conversation around hospice"},"content":{"rendered":"<p><img decoding=\"async\" src=\"https:\/\/thehill.com\/wp-content\/uploads\/sites\/2\/2023\/02\/AP21273690456134-e1676753359337.jpg?w=900\" \/><\/p>\n<div>\n<p>Former President Carter\u2019s public disclosure in February that he was entering hospice care \u2014 where he remains nearly six months later \u2014 is shifting the perception of end-of-life care for patients and their families.<\/p>\n<p>Many assumed the 98-year-old former president was on his deathbed, but his family says he has\u00a0<a rel=\"nofollow noopener\" target=\"_blank\" href=\"https:\/\/www.politico.com\/news\/2023\/05\/23\/jimmy-carter-hospice-ice-cream-00098480\">continued to enjoy ice cream<\/a>\u00a0and stay up to date on the work of the Carter Center.<\/p>\n<aside class=\"ad-unit ad-unit--mr1_ab\"><\/aside>\n<p>Ben Marcantonio, interim CEO of the National Hospice and Palliative Care Organization, told The Hill this week that the belief that hospice care is a short-term situation \u201ccan be a very common understanding.\u201d<\/p>\n<p>\u201cThe main marker identified in the benefit [of hospice care] is six months or less,\u201d Marcantonio said. \u201cYet it also says that\u2019s if the course of the illness or illnesses run their normal course. And so, it\u2019s not like a definitive marker.\u201d<\/p>\n<p>The average length of hospice care is roughly 90 days, which Marcantonio notes includes situations where it only lasts a few days or less. So, while some people may be surprised by how long Carter has been in hospice, his situation falls within the norms of what many patients experience.<\/p>\n<p>Those who work in the hospice realm say Carter has really opened up the conversation for a <a href=\"https:\/\/buradabiliyorum.com\/en\/category\/general\/\" data-internallinksmanager029f6b8e52c=\"3\" title=\"General\" target=\"_blank\" rel=\"noopener\">general<\/a> population reluctant to think about issues surrounding death and end-of-life care.<\/p>\n<p>\u201cI don\u2019t think we can understate the significance of someone as prominent and well-respected as Jimmy Carter \u2026 openly and publicly making that decision,\u201d said Davis Baird, director of government affairs for hospice at the National Association for Home Care &amp; Hospice.<\/p>\n<p>Carter\u2019s decision to publicly disclose his choice to go into hospice has served to highlight the multitude of benefits that patients enjoy, Baird said.<\/p>\n<aside class=\"ad-unit ad-unit--mr2_ab\"><\/aside>\n<p>\u201cJust the positive experience he\u2019s having is, I think, really important for the public to have that model,\u201d he said. \u201cThese things often h<a href=\"https:\/\/buradabiliyorum.com\/en\/category\/download-scripts-themes-apps\/\" data-internallinksmanager029f6b8e52c=\"9\" title=\"Download Scripts &amp; Themes &amp; Apps\" target=\"_blank\" rel=\"noopener\">app<\/a>en behind closed doors. Other celebrities that use hospice \u2014 you know, whether it\u2019s an old movie star, a sports star or someone \u2014 you often find out after they passed away that they were on hospice, and the journey isn\u2019t articulated.\u201d<\/p>\n<p>While the Carter Center is not providing any additional information about the former president\u2019s health and declined to comment for this story, the rare anecdotes from family members have brought attention to the purpose of hospice care, which is to ensure a higher quality of life after a patient has decided to no longer pursue medical treatment.<\/p>\n<p>At the time Carter entered hospice, it was shared that the decision had been made following a <a href=\"https:\/\/buradabiliyorum.com\/en\/category\/watch-movies-tv-seriess\/\" data-internallinksmanager029f6b8e52c=\"8\" title=\"Watch Movies &amp; TV Series\" target=\"_blank\" rel=\"noopener\">series<\/a> of short hospital stays for an undisclosed condition. According to hospice experts, this is a common course of action among patients who get tired of constantly going in and out of hospitals.<\/p>\n<aside class=\"ad-unit ad-unit--mr3_ab\"><\/aside>\n<p>Marcantonio said the thought process for many patients is: \u201cWe don\u2019t want to keep on this cycle of returning to hospitals or to seek some sort of other medical interventions to prolong life. Rather, we want to focus on quality of life and alleviating any discomfort, pain, any sorts of emotional challenges that might come with this process.\u201d<\/p>\n<p>Apart from the duration of hospice stay, Baird said another common misconception is that the process involves a precipitous decline in a person\u2019s health. In fact, many patients stabilize after leaving the \u201cringer\u201d of the health care system, he said.<\/p>\n<p>Baird noted that treatment for terminal illnesses can be extremely depressing for an individual who would rather be doing more enjoyable things with their time. Transitioning to a space where their goals and desires are prioritized over treatment can result in the patient and their family feeling better.<\/p>\n<aside class=\"ad-unit ad-unit--mr4_ab\"><\/aside>\n<p>As Carter, the longest-lived U.S. president in history, completes his fifth month in hospice care, he nears a significant milestone for many patients like him. After six months \u2014 180 days \u2014 in hospice, patients on Medicare will have to go through a recertification process to see if they still meet the criteria for coverage.<\/p>\n<p>Many people continue to live past the six-month mark, at which point a hospice medical director or hospice doctor will need to recertify them for Medicare to continue covering the cost of care.<\/p>\n<p>These evaluations can sometimes result in grim outcomes for patients.<\/p>\n<aside class=\"ad-unit ad-unit--mr5_ab\"><\/aside>\n<p>\u201cIf that patient is not, for example, showing fast enough decline in their medical profile, sometimes the contractors will come and take a look at that hospice and say, \u2018Oh, this person\u2019s not declining fast enough.\u2019 So, you know, they weren\u2019t eligible,\u201d Baird said.<\/p>\n<p>If this happens, patients may have to go through an audit that could lead to all their claims in the six months of hospice being denied.<\/p>\n<p>\u201cIt\u2019s not something they like to do very often, but it does happen,\u201d Baird said.<\/p>\n<aside class=\"ad-unit ad-unit--mr6_ab\"><\/aside>\n<p>For the most part, recertification for hospice is a standard administrative process that commonly occurs, due to the fact that predicting when someone will die is an \u201cextremely inexact <a href=\"https:\/\/buradabiliyorum.com\/en\/category\/sciencee\/\" data-internallinksmanager029f6b8e52c=\"5\" title=\"Science\" target=\"_blank\" rel=\"noopener\">science<\/a>.\u201d<\/p>\n<p>Marcantonio hopes that Carter\u2019s openness encourages others in similar situations to consider hospice care. He noted that just more than half of people who are eligible for hospice are receiving it.<\/p>\n<p>And the sooner that eligible people elect to enter hospice, not only do they experience a higher quality of life, but it\u2019s less costly overall, a recent study has found.<\/p>\n<aside class=\"ad-unit ad-unit--mr7_ab\"><\/aside>\n<p>The\u00a0research from NORC\u00a0at the University of Chicago, which was <a rel=\"nofollow noopener\" target=\"_blank\" href=\"https:\/\/www.nahc.org\/hospiceworks\/\">published in March<\/a>, found that Medicare spending for hospice patients was $3.5 billion less than if they had decided not to enter hospice.<\/p>\n<p>Regardless of how long patients were in hospice, the study also found that patients and their families experienced \u201cincreased satisfaction and quality of life, improved pain control, reduced physical and emotional distress, and reduced prolonged grief and other emotional distress.\u201d<\/p>\n<p>\u201cWe\u2019ve never heard anyone say, \u2018Gosh, I wish I had less time on hospice,\u2019\u201d Marcantonio said. \u201cThe more we can get past those myths \u2026 and those misperceptions that we mentioned, the more people will get the care that they need when they need it.\u201d<\/p>\n<\/div>\n<p>Copyright 2023 Nexstar <a href=\"https:\/\/buradabiliyorum.com\/en\/category\/social-mediaa\/\" data-internallinksmanager029f6b8e52c=\"1\" title=\"Social Media\" target=\"_blank\" rel=\"noopener\">Media<\/a> Inc. All rights reserved. This material may not be published, broadcast, rewritten, or redistributed.<\/p>\n<blockquote><p><strong><span style=\"color: #ff6600;\">If you liked the article, do not forget to share it with your friends. Follow us on\u00a0<span style=\"color: #ff0000;\"><a style=\"color: #ff0000;\" href=\"https:\/\/news.google.com\/publications\/CAAqBwgKMLG0nwswvr63Aw\" target=\"_blank\" rel=\"nofollow noopener noreferrer\">Google News<\/a><\/span>\u00a0too, click on the star and choose us from your favorites.<\/span><\/strong><\/p><\/blockquote>\n<blockquote>\n<p style=\"text-align: center;\">For forums sites go to <span style=\"color: #ff9900;\"><a style=\"color: #ff9900;\" href=\"https:\/\/forum.buradabiliyorum.com\/\" target=\"_blank\" rel=\"noopener\">Forum.BuradaBiliyorum.Com<\/a><\/span><\/strong><\/p>\n<\/blockquote>\n<blockquote>\n<p style=\"text-align: center;\"><strong>If you want to read more <a href=\"https:\/\/buradabiliyorum.com\/en\/category\/news\/\" data-internallinksmanager029f6b8e52c=\"2\" title=\"News\" target=\"_blank\" rel=\"noopener\">News<\/a> articles, you can visit our <span style=\"color: #ff9900;\"><a style=\"color: #ff9900;\" href=\"https:\/\/en.buradabiliyorum.com\/news\/\" target=\"_blank\" rel=\"noopener\">News category.<\/a><\/span><\/strong><\/p>\n<\/blockquote>\n<p><span style=\"color: black;\"><a style=\"color: #ff9900;\" href=\"https:\/\/thehill.com\/policy\/healthcare\/4108943-how-jimmy-carter-has-changed-the-conversation-around-hospice\/\" target=\"_blank\" rel=\"noopener\">Source<\/a><\/span><\/p>\n","protected":false},"excerpt":{"rendered":"<p>Former President Carter\u2019s public disclosure in February that he was entering hospice care \u2014 where he remains nearly six months later \u2014 is shifting the perception of end-of-life care for patients and their families. Many assumed the 98-year-old former president was on his deathbed, but his family says he has\u00a0continued to enjoy ice cream\u00a0and stay&#8230;<\/p>\n","protected":false},"author":1,"featured_media":583730,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"fifu_image_url":"https:\/\/thehill.com\/wp-content\/uploads\/sites\/2\/2023\/02\/AP21273690456134-e1676753359337.jpg?w=1280","fifu_image_alt":"","footnotes":""},"categories":[70897],"tags":[10574,133498,124783,104454,40445,71525,134345,4965],"class_list":["post-583729","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-news","tag-education","tag-in-the-know","tag-international","tag-jimmy-carter","tag-media","tag-national-security","tag-state-watch","tag-technology"],"_links":{"self":[{"href":"https:\/\/buradabiliyorum.com\/en\/wp-json\/wp\/v2\/posts\/583729","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/buradabiliyorum.com\/en\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/buradabiliyorum.com\/en\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/buradabiliyorum.com\/en\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/buradabiliyorum.com\/en\/wp-json\/wp\/v2\/comments?post=583729"}],"version-history":[{"count":0,"href":"https:\/\/buradabiliyorum.com\/en\/wp-json\/wp\/v2\/posts\/583729\/revisions"}],"wp:featuredmedia":[{"embeddable":true,"href":"https:\/\/buradabiliyorum.com\/en\/wp-json\/wp\/v2\/media\/583730"}],"wp:attachment":[{"href":"https:\/\/buradabiliyorum.com\/en\/wp-json\/wp\/v2\/media?parent=583729"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/buradabiliyorum.com\/en\/wp-json\/wp\/v2\/categories?post=583729"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/buradabiliyorum.com\/en\/wp-json\/wp\/v2\/tags?post=583729"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}