Advanced illness management

What is advanced illness management? Advanced illness management is the process by which a patient is assessed to determine whether or not they are ready for hospice care. It involves evaluating factors such as past illness experiences, current health condition, psychological well-being, family needs, current medications prescribed, and other factors. Once these factors are studied and any discrepancies between the patient’s needs and their situation are addressed, the decision will then be made on whether or not it is appropriate for them to access hospice care.


What is hospice care?

Hospice is a program designed specifically for people whose illness has reached the point where it no longer provides any benefit for patients and/or their family members. While it may seem like hospice care is something only people with terminal illnesses need, it can actually be beneficial for anyone who has a chronic and/or progressive disease that is causing them significant distress and pain.


Why do I need advanced illness management?

Every time a patient decides to access hospice care, they must first undergo advanced illness management. This is because there are many different steps that must be completed so hospice care can be provided to them. Hospice care will not be provided by the patient or family members until all of these steps have been completed. These steps may include:


• Interview with the patient, family members, and other friends (optional)

• All medication must be stopped (if applicable)

• Arrange for care during the day (this includes helping patients prepare for death if their diagnosis is terminal. 

• Arrange for care during the night (this includes helping patients prepare for death if their diagnosis is terminal. 

• Arrange for care for family members (this is important to help them with the emotional and physical demands of looking after their loved ones.



What are the steps that must be completed before hospice care can begin? There are several key steps that need to be taken in order to provide hospice care to your loved one. These include:


• For the patient, they must complete a comprehensive assessment by an advanced illness management physician. This includes meeting with the doctor face-to-face in order to discuss their diagnosis and any other health issues you might want to be addressed when they are accessed for treatment.


• For the patient, they then need to choose a qualified hospice provider that is registered with their state’s health care agency. This will allow the provider to determine the best plan of care for your loved one.


• For the patient, they must also be willing to enter into a treatment agreement with the qualified hospice provider. This will allow them to make informed choices about treating their illness and administer any necessary drugs or treatments while they are receiving hospice care.


• After this step has been completed, all of the necessary paperwork must be properly filled out for your loved one. This includes a medical history, an advanced care plan, and their living will or power of attorney if they have not already completed the necessary paperwork.


• After all of this paperwork is completed, a hospice team will be assigned to your loved one who will help them through the rest of their life. This means they will provide routine check-ins so they can monitor your loved one’s progress and assess their treatment. They will also provide care for you and your loved ones as needed.



What are the challenges of advanced illness management?

Physicians and nurses must assist the patient and family in making informed decisions about whether to continue or forgo treatment. The AIM protocol helps patients and families prepare for the decision-making process, assists them in documenting their wishes, and provides support throughout the process.


Although life-limiting illnesses such as cancer affect millions of people every year, adequate support is often not available to help individuals and families cope with terminal illness. An AIM team works with complete care from diagnosis through death. To improve end-of-life care for those who have a terminal illness requires that multiple disciplines actively participate in a coordinated effort complete with a plan of action.


How to talk with loved ones about their prognosis?

As people get older, they start to think about their mortality. They start to think also about the meaning of life, hoping that they will be able to live a long and healthy life or hoping that their family will be happy with them still alive. Of course, nobody wants to lose someone whom they love. It is very important for all of us to know how one should act when learning the prognosis of his or her relatives.


The first thing you should do when you get this bad news is to try not to take it too severely. So, try not to get stressed. Be there for him or her and comfort him or her. You have to show that you are there for them no matter what happens. If they are alone, call someone else who can be there for the person. People start worrying about how long they will live if they have a terminal illness. Some would rather stay at home rather than be in the hospital where nobody will notice if something happens to them while they are sleeping or busy with their own lives. Telling someone that he or she has a terminal illness is painful but necessary so that everyone can prepare themselves right away assuming that this is true.


What are some things one can do to mitigate the impact of an illness?

The following are some things one can do to mitigate the impact of an illness: -taking care for one's mental health (by eating healthy, getting enough sleep, and exercising), as an illness usually has a significant emotional impact; -seeking treatment; -keeping tabs on prescriptions; -using pain medication as allowed; -trying to maintain a normal life. It is possible to mitigate the impact of an illness by taking preventive actions such as not smoking, maintaining a healthy weight, and reducing stress. A person can also control their health behaviors such as sleeping habits and diet.


It is very important to ask your loved ones how they are feeling about the prognosis of their illness. It is also important to find out if they are feeling alone or if their family members are helping them get through the difficult time. You should try to be supportive of your loved ones. You can help them by telling them how much you care about them because their prognosis might be hard for you also. One of the ways that you can help is by giving them a hug. You could also tell your loved ones that you will always be there for them no matter what happens.



In summary, in the final stage of a terminal illness, it is important to address patients' basic needs and provide support for their caregivers. Comprehensive care requires a coordinated approach from a multi-disciplinary team including physicians, nurses, social workers, counselors, chaplains, dieticians, and others. Advanced Illness Management (AIM) is an evidence-based program designed to address these needs. The two most beneficial components of AIM are the management of pain and symptom management. AIM works to reduce other burdens associated with terminal illness and caregiving by providing service coordination and supports for caregivers, as well as family education and bereavement support following a diagnosis of a life-limiting illness.

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