EXPERT
Dr. Jigar Virenbhai Joshi, MD
Internist
Dr. Jigar Joshi is a board certified hospice and palliative medicine physician with primary specialty of internal medicine practicing in Chicago, IL. Dr. Joshi specializes in the medical treatment of adults who have terminal illness(s) from pain and other symptom management, to planning and implementing goals of care for individual health given medical condition, providing compassionate end of life care and caring for families after the loved one has made their final journey.
17 years
Experience
Dr. Jigar Virenbhai Joshi, MD
- Des Plains, IL
- Seth GS Medical College, Mumbai, India
- Accepting new patients
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Who decides when hospice is needed?
initial hospice eligibility is determined by 2 physicians (could be NP if primary attending).
What type of treatment do you give in hospice?
utilization of medical principles to improve, enhance or maintain the quality of life for the patient and caregivers.
Can hospice be at home?
Yes, in fact majority of hospice care is provided at home. also depends upon what patient/family call home for the patient. home can be home, nursing home, assisted living facility READ MORE
Yes, in fact majority of hospice care is provided at home. also depends upon what patient/family call home for the patient. home can be home, nursing home, assisted living facility etc.
hospice homes are not that common to find.
hospice in patient services are typically for acute needs and stabilization of the symptoms. then the patient is sent back to home.
hospice homes are not that common to find.
hospice in patient services are typically for acute needs and stabilization of the symptoms. then the patient is sent back to home.
Is hospice better than a hospital?
hospice is a service with intention to improve and maintain quality of life of the person as long as it can be maintained. with an understanding that eventually person is going READ MORE
hospice is a service with intention to improve and maintain quality of life of the person as long as it can be maintained. with an understanding that eventually person is going to decline and die as a part of natural process.
hospital care is typically designed with keeping the person alive approach.
if quality of life is more important than quantity of life in terminally ill patient then hospice is better choice.
hospital care is typically designed with keeping the person alive approach.
if quality of life is more important than quantity of life in terminally ill patient then hospice is better choice.
How do you treat chronic pain?
treating pain requires thorough evaluation among many different things some important ones are to identify the possible cause, origin, nature and intensity of the pain. eventually READ MORE
treating pain requires thorough evaluation among many different things some important ones are to identify the possible cause, origin, nature and intensity of the pain. eventually have to provide appropriate management trial. depending up on response further plan needs to be made.
Can hospice patients have visitors?
clarification. hospice is a place. hospice facilities are typically designed for the management of acute symptoms prior to sending the person back in their primary environment READ MORE
clarification. hospice is a place. hospice facilities are typically designed for the management of acute symptoms prior to sending the person back in their primary environment of living.
not to common to find hospice home (nursing home like set up for hospice care).
visitations criteria's depend up on the host institution.
not to common to find hospice home (nursing home like set up for hospice care).
visitations criteria's depend up on the host institution.
What is included in hospice care?
hospice is a service and not place. hospice provides care focused to improve quality of life. typically provide, Durable medical equipment needed for patient care, medication READ MORE
hospice is a service and not place.
hospice provides care focused to improve quality of life.
typically provide, Durable medical equipment needed for patient care, medication necessary to preserve, or improve quality of life and professional team regularly visiting the patient and family.
hospice provides care focused to improve quality of life.
typically provide, Durable medical equipment needed for patient care, medication necessary to preserve, or improve quality of life and professional team regularly visiting the patient and family.
Is hospice appropriate for dementia?
if dementia is in terminal stages and primary goal is for comfort focused care accepting the eventuality, then hospice is a reasonable care plan approach.
What type of treatment is done in hospice care?
hospice is service and not a place. hospice is designed to utilize principles of medicine to improve quality of life of the person with understanding of the limitation of the READ MORE
hospice is service and not a place.
hospice is designed to utilize principles of medicine to improve quality of life of the person with understanding of the limitation of the disease process and patient's condition.
hospice is designed to utilize principles of medicine to improve quality of life of the person with understanding of the limitation of the disease process and patient's condition.
How long are Alzheimer's patients in hospice?
as long as the disease and patient condition can medically justify terminal state with anticipated life expectancy of 6 months or less if the disease runs at normal course.
How often should you visit someone in palliative care?
from family and caregiving stand point that is the response from patient or primary representative of the patient.
How to help someone in hospice?
typically you may want to learn that response from the patient or patient's representative about their perspective about quality of life. before planning any intervention please READ MORE
typically you may want to learn that response from the patient or patient's representative about their perspective about quality of life.
before planning any intervention please consult with the hospice team.
before planning any intervention please consult with the hospice team.
Can you live a normal life after a colon resection?
please define normal. most patient can go back to their routine life with of course the changes that are related to primary disease process and extent of surgical intervention. READ MORE
please define normal. most patient can go back to their routine life with of course the changes that are related to primary disease process and extent of surgical intervention.
Is there any way to keep secondary infections at bay for people on the ventilator?
Foreign bodies in our body increases the risk for secondary infections. We can't completely avoid secondary infections, especially if the foreign body like tracheostomy tube is READ MORE
Foreign bodies in our body increases the risk for secondary infections. We can't completely avoid secondary infections, especially if the foreign body like tracheostomy tube is going to be kept permanently. There are many measures we could take to reduce the rate of infection. Some of the measures are maintaining upright posture while feeding, regular cleaning of breathing tubes, chest physical therapy, optimizing the feeding/fluids rate to avoid fluid overload, regular oral care, avoiding sick contacts, and many more. For further details, recommend you to reach out to your sister's lung doctor, respiratory therapist, or primary doctor.
My father is bed ridden and going to the bathroom a lot. What should we do?
Sorry for your father's health decline. Based on limited understanding, you may want to speak with your father's primary care physician or neurologist to learn about the resources READ MORE
Sorry for your father's health decline. Based on limited understanding, you may want to speak with your father's primary care physician or neurologist to learn about the resources available to provide care for your father.
My father has been given 6 months to live. Can a palliative care specialist or end of life care specialist counsel my mother?
If the prognosis is given to be less than 6 months, then I would highly recommend considering hospice services. Not only they will provide care to your father, they would also READ MORE
If the prognosis is given to be less than 6 months, then I would highly recommend considering hospice services. Not only they will provide care to your father, they would also support you and your mother through these rough times. Hospice involved interdisciplinary team includes trained counselors as well.
How are bed sores treated in the elderly?
Pressure ulcers, commonly known as bed sores, have an increased rate in people who are bed bound. Water beds or air mattresses do provide some benefit, however, they are not able READ MORE
Pressure ulcers, commonly known as bed sores, have an increased rate in people who are bed bound. Water beds or air mattresses do provide some benefit, however, they are not able to completely eliminate the risk. There are many measures you could take as a care provider to reduce the risk of pressure ulcers. Recommend reaching out to his primary care physician to obtain professional resources to get guidance, help, education, and training to care for your grandfather.
Will hospice worsen my grandmother's mental health?
Studies that have shown that hospice services are known to improve person's feeling of well being. Hospice services are known to reduce the risks of causing or worsening existing READ MORE
Studies that have shown that hospice services are known to improve person's feeling of well being. Hospice services are known to reduce the risks of causing or worsening existing mental condition. At the same time, every individual is different. recommend sharing your concerns with hospice provider and having open two way conversations to learn about available additional resources.
My grandma just entered hospice care. How can I help?
If your grandma chooses you to be her care provider, then you could be the caretaker. Also, a hospice team can educate you on how to provide care for your grandma.
Liver cancer
Cancers are known to cause pain. The pain depends upon location, size, and associated other medical conditions. The pain of cancer can get worse at any stage of the disease's progress. READ MORE
Cancers are known to cause pain. The pain depends upon location, size, and associated other medical conditions. The pain of cancer can get worse at any stage of the disease's progress. Recommend seeking a Palliative care consult.
