Free Republic
Browse · Search
News/Activism
Topics · Post Article

To: DadsGirl; cyn; 8mmMauser; floriduh voter
Bring me up to date on hospice. My impression was that you had to be within days or weeks of certain death to be in hospice care.

Here's an article that addresses that question. It's from The Hospice of the Florida Suncoast. They are the ones that starved and dehydrated Terri Schiavo Schindler to death. They are also hosting a seminar promoting euthanasia this Thursday night in Seminole, FL (a suburb of St. Pete.) Please see my previous post on this thread about that.

New Prognostic Tool Helps Predict 6-Month Mortality in Advanced Dementia Patients

Boston researchers have created and validated a practical risk score for predicting 6-month mortality in nursing home patients with advanced dementia, according to their report in the Journal of the American Medical Association.

“Our risk score offers an improvement over existing prognostic guidelines used in this population because it is based on empiric data, has greater predictive power, and uses standardized, readily available MDS [Minimum Data Set] assessments,” write the investigators, led by Susan L. Mitchell, MD, of the Hebrew Rehabilitation Center for Aged Research and Training Institute and the Harvard Medical School, Boston.

The team conducted a retrospective cohort study of patients with advanced dementia admitted to all Medicare- and Medicaid-certified nursing facilities in New York (derivation cohort, n = 6799) and Michigan (validation cohort, n = 4631) during 1994-1998 and 1998-2000, respectively.

A mortality risk score based on 12 MDS factors associated with 6-month mortality risk identified in the derivation cohort was evaluated in the validation cohort. Six categories of risk of mortality within 6 months were calculated. The authors provide within their report a score sheet for estimating 6-month prognosis and stratifying patients into levels of risk.

When the researchers compared their risk score performance with that of the existing guideline for enrolling patients with a primary diagnosis of dementia into hospice — the cutoff point of 7c (nonambulatory) on the Functional Assessment Staging scale — their risk score was found to demonstrate better discrimination to predict 6-month mortality in these patients.

“Advanced dementia is an incurable, progressive condition for which palliation is often the primary goal of care, regardless of life expectancy,” state the authors. “High quality palliative care should be available to the large proportion of persons with advanced dementia who will be cared for in nursing homes.”

Source: “Estimating Prognosis for Nursing Home Residents with Advanced Dementia,” Journal of the American Medical Association; June 9, 2004; 291(22):2734-2740. Mitchell S, Kiely D, Hamel M, et al; Hebrew Rehabilitation Center for Aged Research and Training Institute; Department of Medicine and Division of Medicine and Primary Care, Beth Israel Deaconess Medical Center; and Division on Aging, Harvard Medical School, Boston.

.

RISK FACTORS

Identified risk factors to be scored for 6-month mortality include:

Activities of daily living score = 28
Male sex
Cancer
Congestive heart failure
Oxygen therapy needed in previous 14 days
Shortness of breath
Less than 25% of food eaten at most meals
Unstable medical condition
Bowel incontinence
Bedfast
Age greater than 83 years
Not awake most of the day

Mitchell, Kiely, Hamel, et al Journal of the American Medical Association

 

Note from BB: These are the factors they use to determine if a patient suffering dementia will live less than 6 months, so they can be admitted to hospice where treatment for their condition is forbidden, and death becomes imminent.

363 posted on 11/15/2005 6:47:00 PM PST by BykrBayb (Impeach Judge Greer - In memory of Terri <strike>Schiavo</strike> Schindler - www.terrisfight.org)
[ Post Reply | Private Reply | To 358 | View Replies ]


To: Ohioan from Florida; Goodgirlinred; Miss Behave; cyn; presently no screen name; Abby4116; Alissa; ..
This event is coming up fast and is right in the heart of where the bad stuff went down. These are the death merchants luring people into their den.

Check out the links on the thread. Here is a chance to actually get involved, to say what needs to be said.

End-of-Life forum to be presented at SPC Seminole Campus

8mm


364 posted on 11/15/2005 7:12:23 PM PST by 8mmMauser (Jesu ufam tobie..Jesus I trust in Thee)
[ Post Reply | Private Reply | To 363 | View Replies ]

To: BykrBayb

So let's just starve them to death and get them out of their misery if they have these symptoms of dimentia? Oh, what has our country become???


365 posted on 11/15/2005 7:42:52 PM PST by Halls (Never forget Terri Schiavo!!!!!!!!!)
[ Post Reply | Private Reply | To 363 | View Replies ]

To: BykrBayb
Your 363. So the people who have what Ronald Reagan had are sent to hospice and their needs are neglected. They die of neglect, starvation and dehydration. The Hospices rake in the dough through advertising that they are not for profit, they fleece Medicaid for providing care that is not given.

I question their not for profit status. It is a ruse.

IF PEOPLE ARE NEGLECTED OR GET NO FOOD OR WATER, ANY PERSON, THEY WILL DIE.

Does the list you posted show that if a person has even just one of those symptoms, they are shipped to a hospice to be neglected until they are dead? So, who's getting rich from this? That's what I want to know.

395 posted on 11/17/2005 4:03:33 PM PST by floriduh voter (www.conservative-spirit.org)
[ Post Reply | Private Reply | To 363 | View Replies ]

Free Republic
Browse · Search
News/Activism
Topics · Post Article


FreeRepublic, LLC, PO BOX 9771, FRESNO, CA 93794
FreeRepublic.com is powered by software copyright 2000-2008 John Robinson