special subjects
The Dying Patient
Financial Concerns and Disability
One US study has shown that one third of families deplete most of their savings when caring for a dying relative. Families should be advised to investigate the cost of care for a family member’s serious illness. Information about coverage and regulations can take substantial and diligent work to obtain. In addition to consulting the clinical care team, checking available services with theEldercare Locatoris a good place to start. Progressive disability often accompanies fatal illnesses. Patients may gradually become unable to tend to a house or an apartment, prepare food, handle financial matters, walk, or care for themselves. Most dying patients need help during their last weeks. The clinical care team should anticipate disabilities and make appropriate preparations (eg, choosing housing that is wheelchair-accessible and close to family caregivers). Services such as occupational or physical therapy and hospice care may help a patient remain at home, even when disabilities progress. The clinical care team should know the financial effects of choices and discuss these issues with patients or family members. Some attorneys specialize in elder care and can help patients and their family members deal with these issues. 