Institute of Medicine, Chung Shan Medical University
Department of Neurology, Hospice Palliative Medicine, Chung Shan Medical University Hospital
Hospice-palliative care contains both hospice care and palliative medicine. The former stands for the philosophy of caring while the latter belongs to one of the modern medical sciences. “Hospice-palliative care” mainly takes care of terminally ill patients by using professional knowledge and skills of modern palliative medicine to enable the terminally ill to pass away peacefully and with dignity. According to a public notice from the Department of Health in Taiwan, the national health insurance pays compensation and medical expenses to terminal patients with dementia under two conditions: If the patient or the patient’s family agrees to accept hospice-palliative care and completes the related documents issued in the Legislative Yuan Announcement, or if the clinical dementia rating (CDR) score for the patient reaches five (CDR=5). The Hospice Palliative Care Regulation laws have been passed for years now, yet the majority of Taiwanese people and medical personnel are still not familiar the caring of terminal patients with dementia. This article introduces the legal methodologies of performing hospice-palliative care to terminal patients with dementia and their applications in the clinical practice.
Keywords: hospice, palliative medicine, terminal, dementia