"For sometime, I had to make tough choices on which health issues I could afford to address first, second, and third. I had to address my hearing by having a cochlear implant to be able to hear my students as I am a teacher. Next, I had to make sure I had glasses or contacts to see. Lastly, I had to put on hold needed dental care as I couldn't afford my hearing, eyes, and dental at the same time. With care credit, I am able to take care of all three. I thank God for Care Credit!!

We drive ourselves to exceed your expectations while treating every pet as if he or she was our own. For referrals, we work closely with your veterinarian and, as a team, diagnose the condition and plan a course of treatment with careful consideration for quality of life.


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Our veterinarians are writing and posting articles to our blog. Our vets are highly qualified and board-certified in a range of specialties. Each vet will focus on their area of expertise to provide readers with rich content that we hope will give you guidance with pet care, and insight into pet health.

Our mission is to set the standard for veterinary care and service by delivering outstanding specialty and emergency medicine. To remain on the forefront, we will attract and foster accomplished professionals at every level of care. Through our expertise and compassion we will work as a team with our clients to provide the best quality of life for their pet.

Our fundamental pursuit is to help healthcare move beyond legacy single-point solutions by building an Ambiently-Aware Artificial Intelligence Platform that is tirelessly committed to supporting care teams and patients every hour of every day.

care.ai smart patient rooms, emergency rooms and operating rooms use a combination of sensors, automated systems, and artificial intelligence to create a more responsive and personalized healthcare environment.

care.ai sensors are always learning and always improving, securely sharing that learning from one sensor to the next. Many networked AI brains act together as one to serve and protect clinicians and patients.

Ambient Intelligence and AI help automate and virtualize administrative tasks, allowing more time for the bedside clinical team to work at the top of their licenses and provide more timely moments of compassionate care.

Ambient Sensors and AI monitor clinical and operational workflows and coordinate care teams to ensure continual process adherence and improvement, eliminating ineffective and costly recurrent training programs.

If the person is no longer able to make health care decisions for themselves, a caregiver or family member may have to make those decisions. Caregivers have several factors to consider when choosing end-of-life care, including the older person's desire to pursue life-extending treatments, how long he or she has left to live, and the preferred setting for care.

Palliative care is specialized medical care for people living with a serious illness, such as cancer or heart failure. Patients in palliative care may receive medical care for their symptoms, or palliative care, along with treatment intended to cure their serious illness. Palliative care is meant to enhance a person's current care by focusing on quality of life for them and their family.

Palliative care is a resource for anyone living with a serious illness, such as heart failure, chronic obstructive pulmonary disease, cancer, dementia, Parkinson's disease, and many others. Palliative care can be helpful at any stage of illness and is best provided soon after a person is diagnosed.

In addition to improving quality of life and helping with symptoms, palliative care can help patients understand their choices for medical treatment. The organized services available through palliative care may be helpful to any older person having a lot of general discomfort and disability very late in life.

A palliative care team is made up of multiple different professionals that work with the patient, family, and the patient's other doctors to provide medical, social, emotional, and practical support. The team is comprised of palliative care specialist doctors and nurses, and includes others such as social workers, nutritionists, and chaplains. A person's team may vary based on their needs and level of care. To begin palliative care, a person's health care provider may refer him or her to a palliative care specialist. If he or she doesn't suggest it, the person can ask a health care provider for a referral.

Palliative care can be provided in hospitals, nursing homes, outpatient palliative care clinics and certain other specialized clinics, or at home. Medicare, Medicaid, and insurance policies may cover palliative care. Veterans may be eligible for palliative care through the Department of Veterans Affairs. Private health insurance might pay for some services. Health insurance providers can answer questions about what they will cover.

Adriana developed anemia while she was being treated for breast cancer. A palliative care specialist suggested she get a blood transfusion to manage the anemia and relieve some of the fatigue she was experiencing. Controlling her symptoms helped Adriana to continue her curative chemotherapy treatment. Treating her anemia is part of palliative care.

In palliative care, a person does not have to give up treatment that might cure a serious illness. Palliative care can be provided along with curative treatment and may begin at the time of diagnosis. Over time, if the doctor or the palliative care team believes ongoing treatment is no longer helping, there are two possibilities. Palliative care could transition to hospice care if the doctor believes the person is likely to die within six months (see What does the hospice six-month requirement mean?). Or, the palliative care team could continue to help with increasing emphasis on comfort care.

Increasingly, people are choosing hospice care at the end of life. Hospice care focuses on the care, comfort, and quality of life of a person with a serious illness who is approaching the end of life.

At some point, it may not be possible to cure a serious illness, or a patient may choose not to undergo certain treatments. Hospice is designed for this situation. The patient beginning hospice care understands that his or her illness is not responding to medical attempts to cure it or to slow the disease's progress.

Like palliative care, hospice provides comprehensive comfort care as well as support for the family, but, in hospice, attempts to cure the person's illness are stopped. Hospice is provided for a person with a terminal illness whose doctor believes he or she has six months or less to live if the illness runs its natural course.

It's important for a patient to discuss hospice care options with their doctor. Sometimes, people don't begin hospice care soon enough to take full advantage of the help it offers. Perhaps they wait too long to begin hospice and they are too close to death. Or, some people are not eligible for hospice care soon enough to receive its full benefit. Starting hospice early may be able to provide months of meaningful care and quality time with loved ones.

Choosing hospice does not have to be a permanent decision. For example, Dolores was 82 when she learned that her kidneys were failing. She thought that she had lived a long, good life and didn't want to go through dialysis, so Dolores began hospice care. A week later, she learned that her granddaughter was pregnant. After talking with her husband, Dolores changed her mind about using hospice care and left to begin dialysis, hoping to one day hold her first great-grandchild. Shortly after the baby was born, the doctors said Dolores' blood pressure was too low. At that point, she decided to re-enroll in hospice.

It is important to remember that stopping treatment aimed at curing an illness does not mean discontinuing all treatment. A good example is an older person with cancer. If the doctor determines that the cancer is not responding to chemotherapy and the patient chooses to enter into hospice care, then the chemotherapy will stop. Other medical care may continue as long as it is helpful. For example, if the person has high blood pressure, he or she will still get medicine for that.

Although hospice provides a lot of support, the day-to-day care of a person dying at home is provided by family and friends. The hospice team coaches family members on how to care for the dying person and even provides respite care when caregivers need a break. Respite care can be for as short as a few hours or for as long as several weeks.

When a person is diagnosed with a serious illness, they should prioritize early advance care planning conversations with their family and doctors. Studies have shown that patients who have participated in advance care planning are more likely to be satisfied with their care and have care that is aligned with their wishes.

Families of people who received care through a hospice program are more satisfied with end-of-life care than those who did not have hospice services. Also, hospice recipients are more likely to have their pain controlled and less likely to undergo tests or be given medicines they don't need, compared with people who don't use hospice care.

In the United States, people enrolled in Medicare can receive hospice care if their health care provider thinks they have less than six months to live should the disease take its usual course. Doctors have a hard time predicting how long an older, sick person will live. Health often declines slowly, and some people might need a lot of help with daily living for more than six months before they die.

The person should talk with their doctor if they think a hospice program might be helpful. If he or she agrees, but thinks it is too soon for Medicare to cover the services, then the person can investigate how to pay for the services that are needed. 17dc91bb1f

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