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Experts in End Of Life Care at home

Choose from the UK’s most experienced carers who are available in your area.
Carers who specialise in providing End Of Life Care at home.
Sector-leading average experience, 10 years.

What is palliative care?

  • Palliative care is a specialised form of care that focuses on providing relief from the symptoms and stress of a serious illness. The goal of palliative care is to improve the quality of life for both the patient and their family by addressing physical, emotional, and spiritual needs.
  • Unlike hospice care, which is generally provided in the last six months of life and is often associated with end-of-life care, palliative care can be initiated at any stage of a serious illness, including at the time of diagnosis.
  • Palliative care can include helping to manage pain and other symptoms, provide emotional support, assist with decision-making, and coordinate care across different healthcare settings. The focus is on enhancing the patient's comfort and overall well-being, regardless of whether the illness is curable, chronic, or life-limiting.
  • Palliative care can be provided in various settings, including hospitals, outpatient clinics, hospices and at home. It is not limited to any specific age group and can be beneficial for individuals facing serious illnesses such as cancer, heart failure, dementia, and more.
  • The ultimate aim of palliative care is to help individuals live as actively and comfortably as possible while managing the symptoms and challenges associated with their illness.

How does palliative care work?

Palliative care at home involves providing comprehensive care and support for individuals with serious illnesses in the comfort of their own homes. This approach is designed to improve the quality of life for patients and their families by addressing physical, emotional, and spiritual needs while allowing individuals to remain in a familiar environment.

This care is tailored to the specific needs and preferences of the patient and their family. It aims to enhance the overall well-being of individuals facing serious illnesses while supporting them in their desire to receive care in a familiar and supportive environment.

Why choose palliative care at home?

Choosing palliative care at home offers several advantages for individuals facing serious illnesses and their families. Here are some reasons why someone might opt for palliative care at home:

Comfort and Familiar Environment

Home is a familiar and comfortable environment where clients often feel more at ease. Being surrounded by their personal belongings and loved ones can contribute to a better quality of life.

Personalised Care

Palliative care at home allows for highly personalised and individualised care plans. The healthcare team can tailor their approach to meet the specific needs, preferences, and cultural considerations of the patient and their family.

Family Involvement

Home-based palliative care encourages active involvement of family members and caregivers in the care process. It provides an opportunity for family members to participate in the care of their loved ones and receive guidance and support from the healthcare team.

Reduced Hospital Visits

By receiving care at home, clients can often minimise the need for frequent hospital visits. This can be particularly beneficial for those who prefer to avoid hospital settings or find it challenging to travel.

Improved Quality of Life

Palliative care focuses on enhancing the overall quality of life for individuals facing serious illnesses. By addressing physical symptoms, providing emotional support, and managing pain, clients may experience an improved sense of well-being.

Greater Autonomy and Independence

Home-based care allows clients to maintain a level of autonomy and independence. They can participate in decision-making regarding their care and maintain control over their daily routines.

Emotional Support for Families

Serious illnesses impact not only the patient but also their family members. Palliative care at home provides emotional support and counseling for both the patient and their loved ones, helping them cope with the challenges and uncertainties.

Cost-Efficient

In some cases, receiving palliative care at home can be more cost-efficient than prolonged hospital stays. This is particularly relevant for patients who do not require acute medical interventions but still need specialized care.

Coordination of Care

Home-based palliative care involves a coordinated approach to care, ensuring seamless communication between healthcare providers and facilitating the integration of various services. This can lead to more effective and efficient care delivery.

Respect for End-of-Life Choices

Home-based palliative care respects the client’s end-of-life choices. It provides a supportive environment for individuals who prefer to spend their final days at home, surrounded by loved ones. It's important to note that the decision to choose palliative care at home is a personal one and depends on individual circumstances and preferences. The healthcare team, in collaboration with the client and their family, can help make informed decisions about the most suitable care setting based on the unique needs of the individual facing a serious illness.

What services are included in palliative home care?

Pain and Symptom Management

One of the primary focuses of palliative care at home is the effective management of pain and other distressing symptoms associated with serious illness. Medications, therapies, and other interventions are used to enhance an individual's comfort.

Emotional Support

It’s crucial that palliative care considers the emotional impact that serious illness can have on clients and their families. As a result, a carer may provide support and resources to help individuals cope with the emotional challenges they may face.

Assistance with Daily Living Activities

Palliative care at home often includes assistance with activities of daily living, such as bathing, dressing, and mobility, to ensure that patients can maintain a level of independence and dignity.

Communication and Decision-Making

A palliative carer will facilitate open and honest communication about a client's condition, prognosis, and treatment options. They help clients and their families make informed decisions about their care, including advance care planning.

Coordination of Care

Palliative carers work to coordinate care across different healthcare settings, ensuring that clients receive the appropriate support services. This may involve liaising with a client’s GP, specialists, and other healthcare providers.

Education and Training:

Family members and caregivers are often provided with education and training to empower them to care for the client effectively. This includes guidance on administering medications, managing symptoms, and addressing the client's unique needs.

Respect for Cultural and Spiritual Beliefs

Palliative care at home is often culturally sensitive and respects the spiritual beliefs and values of the patient and their family. Spiritual care may be provided if requested.

Benefits of palliative care at home?

Enhanced Quality of Life

Palliative care at home focuses on improving the overall quality of life for clients. By addressing physical symptoms, managing pain, and providing emotional support, individuals can experience a better sense of well-being.

Comfort in Familiar Surroundings

Being at home provides a familiar and comfortable environment, contributing to the emotional well-being of clients. This setting can be especially meaningful for individuals who may have spent a significant portion of their lives in their homes.

Personalised and Individualised Care

Home-based palliative care allows for highly personalised care plans that consider the specific needs, preferences, and values of the patient. The healthcare team tailors their approach to the unique circumstances of the individual and their family.

Greater Autonomy and Control

Patients at home can maintain a level of autonomy and control over their daily routines and decision-making regarding their care. This sense of independence can positively impact the emotional well-being of individuals facing serious illnesses.

Holistic Approach to Care:

Home-based palliative care takes a holistic approach, addressing not only the physical symptoms of the illness but also the emotional, social, and spiritual aspects of the patient's life. This comprehensive care contributes to a more well-rounded and supportive experience.

Palliative care at home vs Care home

Setting

Palliative Care at Home: In this option, care is delivered in a client’s own home. This could be a private residence or any place where the patient feels most comfortable.
Care Home: While care homes strive to create a homelike atmosphere, it may not offer the same level of personal familiarity and comfort as one's own home.

Familiarity and Comfort

Palliative Care at Home: Being at home provides a familiar and comfortable environment. Clients are surrounded by their own belongings, familiar routines, and the support of family members.
Care Home: In a care home, individuals receive care in a residential facility, which may include nursing homes, assisted living facilities, or other long-term care settings.

Family Involvement

Palliative Care at Home: Family members and caregivers can actively participate in the care process, providing both practical assistance and emotional support.
Care Home: Family members can visit, but the level of involvement may be more limited compared to care at home, depending on the facility's policies.

Independence and Autonomy

Palliative Care at Home: Clients can maintain a greater degree of independence and control over their daily routines and decision-making
Care Home: While care homes aim to promote independence, there may be more structured routines and less autonomy compared to living at home

Social Environment

Palliative Care at Home: The social environment is shaped by a client's existing relationships and community connections.
Care Home:The social environment is influenced by interactions with staff and other residents in the care facility.

Medical and Nursing Care

Palliative Care at Home: The healthcare team coordinates and delivers care in the client's home, with a focus on managing symptoms, providing emotional support, and coordinating medical services.
Care Home:Medical and nursing care is typically provided on-site by trained professionals within the care facility.

Cost Considerations

Palliative Care at Home: In some cases, home-based care may be more cost-efficient, especially if the client's needs can be met without the need for extensive facility-based resources.
Care Home:Costs associated with care homes may include room and board, medical services, and additional amenities, depending on the facility.

End-of-Life Choices

Palliative Care at Home: Home-based care often facilitates a more individualised approach to end-of-life choices, respecting the client’s preferences regarding where and how they want to spend their final days.
Care Home:The facility's policies and practices may influence the options available for end-of-life care, and it may vary from one care home to another. The choice between palliative care at home and in a care home depends on individual preferences, the level of support needed, and the nature of the patient's illness. The healthcare team, along with the patient and their family, can help make an informed decision based on the unique circumstances and preferences of the individual receiving care.

Cost of in-home dementia care

Our self-employed carers set their own rates on the Curam platform. The cost of home care is often determined by the level of care required and the number of people needing care. These rates can vary according to the carer’s experience and qualifications.

For those who don’t need 24/7 support, hourly care and overnight care at home may suit their needs.

General costs

The average live-in care rate charged on Curam is £1,040 per week, with rates starting at £770 per week. The average hourly care rate charged by carers on Curam is £18.30 per hour, with rates starting at £13 an hour. Rates vary depending on where you live in the UK.

Invoices are also subject to the Curam client fee of 10% and VAT. However, this client fee may be lower or waived for our business partners or those receiving local authority or NHS funding for their care. Please email client@curamcare.com to learn more about your costs with Curam.

Rate

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Clients on the Curam platform pay on average 22% less than the current suggested UK Home Care Association hourly rate of £25.95

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When to choose palliative home care?

The decision to have palliative care is a very personal one that's influenced by various factors, and it's typically made collaboratively with the client, their family, and the healthcare team.

If a client's condition can be safely managed at home, then experienced, round-the-clock carers are just a click away with Curam.

Frequently asked questions

What are the 5 stages of palliative care?

Palliative care rarely falls into distinct stages, as it is tailored to meet the evolving needs of individuals facing serious illnesses. However, some models describe palliative care in terms of stages to provide a framework for understanding the progression of care. One commonly referenced model is the "Four-Stage Palliative Care Model," which is an adaptation of the World Health Organization's (WHO) framework. This model includes the following stages:

In the initial stage, the focus is on identifying individuals with serious illnesses who may benefit from palliative care. This involves recognising symptoms, assessing needs, and initiating discussions about the client's goals of care.

In this stage, a comprehensive assessment is conducted to understand the client's physical, psychosocial, and spiritual needs. The healthcare team works closely with the client and their family to develop an individualised care plan.

The third stage involves the development and implementation of a care plan based on the assessment. This includes addressing symptom management, emotional and spiritual support, and coordination of care across various healthcare settings.

As the client's condition progresses, this stage focuses on the transition to end-of-life care and support for the patient and their family. Bereavement support is initiated to help family members cope with the impending loss and navigate the grieving process.

It is important to note that the specific stages may vary in different models, and some models may include additional stages or focus on different aspects of care. The emphasis in palliative care is on providing patient-centered and family-centered care that adapts to the changing needs of the individual throughout the course of illness.

Palliative care is a comprehensive approach to care that focuses on providing relief from the symptoms and stress of a serious illness. While there is not a strict classification of "forms" of palliative care, it can be delivered through various models, settings, and specialised services.

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