Hospice

In the next installment of our occasional series Windows into Health Care, health reporter Kara Lofton spoke with hospice nurse Lori Carter. Carter has been a hospice nurse for 20 years. She said for her and for many of the hospice nurses she knows, the work is a calling. She said some of what she does is straight-up nursing -- managing pain, dressing wounds, and addressing symptoms of end-stage disease. But the most subtle part of the job is helping families navigate one of the most intimate and emotional times of their lives.

West Virginia Morning
West Virginia Public Broadcasting

On this West Virginia Monring, people can be suspicious of end-of-life care, especially Hospice. There’s a perception that when Hospice comes in, it’s only for the last hours before someone dies. In the final story of the series about aging in Appalachia, Kara Lofton found that for some families, Hospice services can not only help the dying live, but ease the caregiving burden on their families for weeks or months.

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Most Americans say they want to die at home. But without the right paperwork, many end up living out their final days in institutions or hospitals. The West Virginia e-Directive Registry is trying to change that.

The e-Directive Registry includes advanced directives, living wills, medical orders and Do Not Resuscitate cards. These documents help medical providers understand West Virginians’ end-of-life wishes, including where participants want to die and what kind of treatment they want in their last days of life. 

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Most Americans say they want to die at home when the time comes. But a new study suggests that the more obese someone is, the less likely they are to achieve that goal.

The study was published this month in the Annals of Internal Medicine and looked at the records of more than 5,600 senior citizens taking part in a long-term health study. The researchers looked at how body mass index – a measure of obesity – impacted use of and access to end-of-life services like hospice. hospice provides support to people in their final months of life – usually in their own home.