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VA Is Leader in Hospice and Palliative Care
January 8, 2008
Consultations for Veterans Nationwide
WASHINGTON – The Department of Veterans Affairs (VA) is providing hospice
and palliative care to a growing number of veterans throughout the country
as the need continues to rise for care and comfort at the end of life.
VA provides palliative care consultation services at each of its medical
centers and inpatient hospice care in many of its nursing homes throughout
the country. VA contracts with community-based hospice programs to enhance
VA’s ability to provide this critical service when and where needed.
“Wherever veterans receive their health care, VA has a system in place to
address their hospice and palliative care needs,” said Secretary of
Veterans Affairs Dr. James B. Peake. “We are dedicated to providing
compassionate care and personal assistance to the thousands of veterans
and their families who face terminal illnesses.”
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Nearly 9,000 veterans were treated in designated
hospice beds at VA facilities in 2007, and thousands of other veterans
were referred to community hospices to receive care in their homes.
The number of veterans treated in VA’s inpatient hospice beds increased by
21 percent in 2007. In addition, the average daily number of veterans
receiving hospice care in their homes paid for by VA increased by 30
percent this past year.
Because of the large number of World War II and Korean era veterans and a
tripling of the number of veterans over the age of 85 from 2000 to 2010,
the increase in the need for hospice care is expected to continue. The
proportion of Vietnam-era veterans over the age of 65 will continue to
increase through 2014, when Vietnam veterans will account for nearly 60
percent of all veterans in that age group.
VA’s expansion of its hospice and palliative care capabilities came about
through a collaboration with community-care providers. In 2001, the
National Hospice-Veteran Partnership Initiative began to build
partnerships between VA facilities and community hospice providers, funded
in part by the VA and by nonprofit groups such as the National Hospice and
Palliative Care Organization and the Advanced Illness Care Coordination
Center.
To date, VA has partnered with community hospice programs in 35 states to
promote hospice services that are not provided directly by VA staff. These
partnerships help veterans transition from VA hospitals to their homes in
the community.
Palliative care adds a focus on quality of life and comfort to veterans
with life-limiting illness, and their families. Palliative care
consultation teams include physicians, nurses, social workers and
chaplains. Additional support may be provided by pharmacists,
rehabilitation therapists, recreation therapists, mental health
professionals and other specialists.
VA provides palliative care consultation teams at all of its hospitals
nationwide, although such services are provided at only about one-fourth
of all American hospitals. Nearly half of all veterans who died in VA
facilities received care from a palliative care team prior to their
deaths.
“VA is committed to helping veterans spend their final days with dignity
and comfort, in the setting that best fits their needs and wishes,” Peake
said.
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Scott
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