Who should raise the possibility of Hospice care – a doctor, the family or the patient?
Many physicians hesitate to broach the subject of hospice because they don’t want to destroy your hope. Frequently, they will continue to pursue treatment because they assume that’s what you want. In other cases, such as congestive heart failure or COPD, it is difficult for them to predict the rate of a patient’s decline. When a doctor does mention hospice, even casually, you should discuss it immediately. In fact, he or she may actually be relieved if you bring up the subject. It is important that you understand the benefits of curative versus comfort care, and that you and your doctor share the same goals for maintaining quality of life. You and your family should feel free to discuss hospice care at any time with your physician, other healthcare professionals, hospice staff, clergy or friends.
