Barry Baines
speaker
1,145 appearances
30 recordings
1 series
first heard Feb 2024
last heard 3 Apr
Barry Baines’s voice in public audio — every appearance, attributed to the second.
Trend
recordings per month · last 12 monthsRecordings per month over the last 12 months — 6 in all, peaking in Jan 2026 with 2.
Appearances
But I think also some of the other things, there are some, there are some basic things that people can do that I've been reading about, especially related to dementia is getting enough sleep and getting good quality sleep that there's been, quite a bit of research there.
And also, I just come down that it's this idea, I think if you have some friends, and you stay connected with them, you know, humans are, you know, sort of hardwired to be interacting with other people. And And it serves purposes, not only social, but checking in every day, making sure people are doing okay from day to day. And it's that everyday interaction that I think helps.
And one other question, just a real brief one, is that when you do have a loved one, let's say with dementia that goes into long-term care, it would seem to me that frequency of visits, though short, is probably qualitatively better than feeling like you have to be there for eight hours.
Yeah. It's great to be back.
Oh, that sounds good. So when people think about hospice care, To give it that context is that typically when we have illnesses and different diseases, there are different treatments for it. And as you pointed out from my notes, there's three types of care. Curative care, it's sort of self-explanatory, but that's care that you get to cure the disease.
And so to give an example, let's say you have a strep throat, okay? And you go to see a doctor or nurse practitioner, you know, whatever. And oh, yes, you have a strep throat and you're given an antibiotic and you're cured of your strep throat. That is curative. That is curative care. Remissive care is kind of a big word. And what does that actually mean?
Basically, it's care that's designed to slow down the progress of a disease. In other words, people have diseases that can't be cured. but they can be well managed. So one example is diabetes. Okay. Once you have diabetes with rare exceptions, I know there are things like pancreas transplants and stuff like that, more esoteric.
But in general, if you have diabetes, you receive remissive care, which basically helps to control the disease and slow down its progress. So in the diabetes case, it might be different medications that you take or insulin. People are familiar with hearing that insulin could be something like that. And so it's to slow things down.
And in fact, a lot of cancer care, okay, is focused on remissive care to really control the progress of the disease, hopefully so that people are able to, you know, have a quality of life and be around for a while as they move ahead. Then the third type of care is called palliative care. And people may be familiar with that as care that focuses on comfort and treating symptoms.
It's a kind of care that doesn't cure anybody of a disease. It doesn't slow down the progress, but the focus is on comfort so that people are comfortable as their disease progresses. Within that umbrella, if you think of palliative care as a little umbrella, under palliative care is hospice care. And that's, you know, that's exactly where it fits in.
And hospice care is a type of palliative care for those people who have a prognosis or a life expectancy of six months or less. And we'll get into this more. It's not an exact kind of thing where you have to, you know, circle a date on your calendar and, well, gee, if I, you know, if it's the wrong date, I can't get it, you If that's what's chosen. So we'll talk about that in detail.
We'll let that spill out and spin out a little bit as we go ahead. But those are the different types of care. And quite honestly, a lot of people are not clear on the types of care that they're getting, especially when it comes to cancer care. Part of that is that we want to be hopeful, we want to be optimistic, and we hear things differently.
I know there have been a number of studies where people who had very advanced illnesses, very advanced cancers, colon cancer and lung cancer, that they were receiving treatment that was clearly remissive. They weren't going to be cured of their disease.
And they thought that the treatments that they were getting 70 and 80% thought that the care they were getting was going to be curing them of their cancer. And it wasn't. So it's again, you know, you know, at the bottom line is always communication is very important. And so that people understand just to bring in a piece from the serious illness and talking with your doctor,
that communication becomes very important. The other piece as well is what are people's goals of the care that they receive? And that's, again, is another conversation. And we did cover a bit of that last time.
So that lays out the four different, well, really three different categories of care that people receive with the subset under palliative care being hospice care, which is what we're gonna focus on today.
Okay. Okay. And I'm going to do a little background painting as well, because even the term hospice has four different meanings. Wow. Okay. So I think we're going to focus on hospice care, which is a philosophy of care. That's the type of palliative care. We already covered that. But hospice also has the meaning it's a benefit that Medicare provides. It's a Medicare hospice benefit.
And in fact, not only is that a medical insurance benefit, it's also present in a lot of public health insurance programs and many, many private insurance programs, whether it be Blue Cross Blue Shield, whatever. Almost all of those types of programs, the majority try and mirror what's considered the gold standard of a hospice benefit from what Medicare does. does.
So even people who are not of Medicare age, if they have a terminal illness or a life limiting illness, most of the time they would be eligible to go into a hospice setting or not hospice setting. Well, let's stop and repeat that. Most of the time they'd be eligible to receive hospice care, even if they're not of Medicare age. The other definition, when we talk about hospice,
is like a hospice program. So most people who receive hospice care, it's usually through a hospice program that's related to home health. It's all of the care systems, certainly within Minnesota, have hospice programs within their services that they provide. And then the last thing is that hospice, sometimes people think of hospice as a place that you go to.
Showing 1041–1060 of 1,145 · page 53 of 58
← Previous
Next →