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Understanding the Differences Between Palliative Care and Hospice Care

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Two dirt trails splitting ways through a field of sagebrush and golden grasses under a soft sunset light in the Utah desert, symbolizing different care journeys.
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University of Utah Health explains the differences between palliative care and hospice care for patients with serious illnesses. While both focus on quality of life, they are utilized at different stages of a health journey.

Key takeaways

  • Palliative care can be provided at any stage of a serious illness alongside curative treatments.
  • The goal of palliative care is to improve quality of life by addressing physical, emotional, and spiritual symptoms.
  • Hospice care is a subset of palliative care intended for those with a life expectancy of six months or less.
  • Hospice shifts the medical focus from curing an illness to maximizing patient comfort and dignity.

Palliative care provides an extra layer of support for patients with serious illnesses and their families, rather than being reserved only for the final stages of life. According to University of Utah Health, this type of care can begin at any stage of an illness and may be provided alongside treatments intended to control or cure a disease.

Defining palliative care goals

Palliative care is specialized medical care designed for individuals living with chronic or serious illnesses. The primary goal is to improve quality of life by addressing physical symptoms, pain, emotional distress such as anxiety and depression, and psychological, social, or spiritual concerns.

The multidisciplinary care team approach

At University of Utah Health, a team including physicians, nurse practitioners, social workers, and chaplains delivers this care. The process involves aligning medical care with a patient's specific goals, values, and treatment preferences. This may include advanced care planning and creating advance directives to document wishes for when a patient cannot communicate them.

Coordinating patient and family communication

The care team also works to coordinate communication between patients, families, and other healthcare providers to discuss conditions, treatment options, and expectations.

Defining the hospice care focus

Hospice care serves as a specific subset of palliative care for individuals nearing the end of life, typically when life expectancy is estimated at six months or less. Choosing hospice does not necessitate stopping all care; instead, the focus shifts from curing an illness to maximizing dignity, comfort, and quality of life.

Services provided during hospice care

Hospice services may include nursing care, symptom management, medical supplies for home use, and support from volunteers, social workers, and chaplains. These services can be provided in a medical setting, a hospice center, or at home.

Comparing timing and treatment intent

The key difference between the two services lies in their timing and intent. Palliative care is available at any stage of a serious illness and can be combined with curative treatments. In contrast, hospice care is specifically for those nearing the end of life and focuses on comfort rather than a cure.

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