Palliative care and hospice care are both forms of supportive care used for cancer patients. Supportive care focuses on providing comfort, relieving pain or other symptoms, and improving quality of life. Supportive care doesn’t cure disease.
The main difference between these two types of care is that palliative care can be given together with standard cancer treatments while hospice care is given after standard cancer treatments have stopped. If you have advanced ovarian cancer, you may want to think about, or at the very least understand, palliative and hospice care.
Palliative Care for Advanced Ovarian Cancer
Palliative care can be given along with standard treatments, such as chemotherapy. The main purpose of palliative care is to make you feel as good as you can for as long as possible.
Palliative care can address the physical and emotional side effects of ovarian cancer treatment including pain, sleep problems, fatigue, nausea or loss of appetite, anxiety, depression, and nerve or muscle problems. Palliative care may involve:
- medications to treat symptoms such as pain or nausea
- emotional or nutritional counseling
- physical therapy
- complementary medicine, or therapies such as acupuncture, aromatherapy, or massage
- standard cancer treatments with the goal of alleviating symptoms but not curing the cancer, such as chemotherapy to shrink a tumor that’s blocking the bowels
Palliative care may be provided by:
- social workers
- massage or acupuncture therapists
- chaplains or clergy members
- friends or family members
Studies suggest that people with cancer who get palliative care have a better quality of life and fewer symptoms, including less pain, nausea, and depression.
Hospice Care for Advanced Ovarian Cancer
You may decide at some point that you no longer wish to receive chemotherapy or other standard cancer treatments. Stopping cancer treatments can be a very difficult and personal decision.
Hospice care is usually offered only at the end of life, when you’re expected to live less than six months. Choosing hospice care doesn’t mean giving up. It means that the goals of treatment have changed. The aim of hospice is to care for the individual rather than cure the disease.
Hospice care is very personalized. Your hospice care team will focus on making you as comfortable as possible. They will work with you and your family to come up with a care plan that best suits your goals and needs for end-of-life care. A hospice team member is generally on-call 24/7 to provide support.
Hospice care may be given at home, a special hospice facility, a nursing home, or a hospital. A hospice team usually includes:
- home health aides
- social workers
- clergy members or counselors
- trained volunteers
Hospice services may include:
- doctor and nurse services
- medical supplies and equipment
- medications to manage pain and other cancer-related symptoms
- spiritual support and counseling
- short-term relief for caregivers
Medicare, Medicaid, and most private insurance plans will cover hospice care. Most U.S. insurance plans require a statement from your doctor that you have a life expectancy of six months or less. You may also be asked to sign a statement that you accept hospice care. Hospice care can continue for longer than six months, but your doctor may be asked to give an update on your condition.
Your doctor, nurse, or someone from your cancer center can provide more information on hospice care services available in your community. The National Hospice and Palliative Care Organization includes a database of national hospice programs on their website.
Getting supportive care, whether palliative or hospice care, can be beneficial to your own mental and physical well-being. Talk to your doctor, as well as family and friends, about your supportive care options.