Seeking Palliative Care

I recently met with someone to talk about palliative care. I’m here to share my experience in hopes it will help you, too. My last column about end-stage PF had thousands of views and LOTS of comments, which shows how important it is to talk about these tough issues.

What is palliative care?

Palliative care is treatment focused on relieving and preventing symptoms that are distressing. Receiving palliative care does not mean you cannot also receive “curative care,” such as participating in research studies, being evaluated for lung transplantation, and considering new medications. It is not the same as hospice care, which is treatment administered in the last months of life. Palliative medicine involves a myriad of healthcare professionals who consider physical, psychosocial, and spiritual factors in their treatment approach.

My experience seeking palliative care

I’ve had both extremes. Four months after I was diagnosed, my doctor tried to put me on palliative care after giving me a few months to a year to live. That was three years ago. I was on oxygen full-time, but was still working, and did not feel like it was time, so I declined.

In the last six months, I’ve asked two doctors about pursuing palliative care, and both times were told, “No, you’re not there, no need to talk about that now.” That was frustrating. Maybe they thought if I sought palliative care I was giving up. I’m sure for some people asking for palliative care means you are giving up, but that isn’t the case for me.

I care about myself and I want to take steps to make sure I’m as comfortable as possible and can take advantage of any resources available to make my life easier. I called a few doctors that were in my insurance plan who said they provided palliative care, but in reality, it was just hospice care.

Some recent research shows that pulmonary fibrosis patients are greatly underserved by palliative care, so I know I’m not the only one to experience this.

I took matters into my own hands

I realized I wasn’t going to get the referrals I needed, so I decided to seek out someone who could help me figure out what my options are. Two years ago, after my first book was released, I spoke at a hospital chaplains meeting about the importance of self-care. After the meeting, I met one of the chaplains who had her own business as a “patient advocate.” I didn’t feel like I needed her services, but kept her card.

Once I couldn’t find someone to help, I gave her a call, and my hubby and I met with her last week. She went through the passing of her husband and two parents, got to know the system, what services are out there, and what to do when. She’s also trained as a chaplain and has lots of experience helping people through tough times.

She asked a lot of questions and made some recommendations for steps to take now, while I’m still feeling okay and able to get out and about. Being on 8 liters of oxygen sitting and 10 liters walking isn’t exactly “feeling okay,” but I knew what she meant. It was helpful to talk with her. Some of the things she suggested we had already done, like getting our financial affairs in order and doing upkeep on our home now.

Here’s what she suggested I do now

1. Post a list of your medications and a POLST form (physicians orders for life-sustaining treatment) on your refrigerator so your caregiver and emergency workers can easily find it if needed. I got this form from my doctor, but you can also find more information here.
2. Write down in one place the contact information regarding your doctors, insurance, hospital, and oxygen provider. Also make a list of all your family members, friends, and their contact information. This will help our caregivers enormously, as they will not have to search for all this information later.
3. Okay, this is a hard one, but I’m just being real, my friends. When she learned we had not secured burial plots or talked with anyone about funeral arrangements, she suggested we begin this process for both my husband and I. Honestly, it’s something everyone should do when they get into their 50s or 60s — whether you have a life-threatening illness or not. I did some research and we are going to visit several places soon.

This was another hard one to write about, but I know we are in this together. So, anything I can do to help you and I think through these things and get the help we need is worth the effort.

Please let me know your thoughts and experiences in the comments below.

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Note: Pulmonary Fibrosis News is strictly a news and information website about the disease. It does not provide medical advice, diagnosis, or treatment. This content is not intended to be a substitute for professional medical advice, diagnosis, or treatment. Always seek the advice of your physician or other qualified health provider with any questions you may have regarding a medical condition. Never disregard professional medical advice or delay in seeking it because of something you have read on this website. The opinions expressed in this column are not those of Pulmonary Fibrosis News, or its parent company, BioNews Services, and are intended to spark discussion about issues pertaining to pulmonary fibrosis.