It's a good question and I have seen that phenomenon - most often with the Hospice House, which was a scenario that didn't get mentioned in the article. There's something about the stability and love of being in that environment that can have a huge impact on people's "wellness". Tanya Prather Patient Care Volunteer Coordinator Home Health & Hospice Care ________________________________ From: hhhcvwt-bounce@xxxxxxxxxxxxx [mailto:hhhcvwt-bounce@xxxxxxxxxxxxx] On Behalf Of Dave Bushong Sent: Thursday, July 01, 2010 8:28 AM To: Web Team Subject: [hhhcvwt] web: Three Questions | Psychology Today Some food for thought, and an interesting perspective. --Dave "HOSPICE CARE Lynda asks, "Why do you think people often get better when they start hospice care?" I find this question interesting because its underlying assumption flies in the face of my own experience: rarely have I seen patients improve after entering hospice care. I presume from Lynda's question, however, that she has, and more than once. Because I think it will help highlight important aspects of the hospice experience, I'll try to speculate why Lynda (and perhaps others) may have had the experience she describes. First, studies have shown physicians are notoriously poor at predicting patients' lifespans, even patients with terminal illnesses. To qualify for hospice, patients must have a life expectancy less than six months. I've seen many, many terminal patients surpass this. But doctors often want terminal patients in hospice even if they think their life expectancy is greater than six months because such patients often need the support hospice care brings. The perception th..." http://www.psychologytoday.com/blog/happiness-in-world/201006/three-ques tions http://tinyurl.com/32nceou The information contained in this communication, including any attachments, is intended solely for the use of the individual or entity to whom it is addressed and others authorized to receive it. This communication may contain information that is privileged, confidential and exempt from disclosure under applicable law. If you are not the intended recipient you are hereby notified that any disclosure, copying, distribution or taking any action in reliance on the contents of this information is strictly prohibited and may be unlawful. If you have received this communication in error, please notify us immediately by responding to this email and then delete it from your system. No printed copies should be made or retained. Thank you.