TV Spot: "About Palliative Care" by Dr. David Troxler

David H. Troxler, MD joined Four Seasons in the summer of 2010 as a consultant in palliative medicine. Dr. Troxler currently contributes to the Four Seasons palliative care team at Mission Hospital. A graduate of Davidson College and Duke University School of Medicine, where he was honored by selection into the AOA Medical Honor Society, Dr. Troxler is a well-known member of the Asheville medical community and was a partner with Asheville and Pulmonary and Critical Care Associates for 27 years and is a member of the WNC/BCMS.

Palliative Care Tip Sheet for WNC/BCMS

Click here to download the PDF file or read the contents below.

What is palliative care?
Palliative Care is a medical specialty focused on the needs of people who are living with serious, often life-threatening illness. It is a common misconception that palliative care is only for patients who are terminally ill. Unlike hospice, palliative care is available to patients at any stage of illness, and can be provided along with curative/life prolonging treatments.

Some common illnesses people request palliative care to assist are: chronic obstructive pulmonary disease (COPD), congestive heart failure (CHF), stroke, Parkinson’s disease, Alzheimer’s disease, dementia, kidney disease, and cancer.

How is palliative care different from hospice care?  
Hospice provides care to people with a life-limiting illness who have chosen not to seek further curative treatment for their disease. Palliative care is available to people at any stage of an illness and may be offered along with other curative/life-prolonging medical treatments. The goal of palliative care is to maximize support to help people achieve the best quality of life, and when possible, to prolong life.

What are the benefits of palliative care?
There are many benefits to both patients and physicians including:

  • Advance care planning to establish realistic, attainable goals of care.
  • Communication for intensive patient/family needs.
  • Pain and symptom management.
  • Care coordination between health care teams.
  • Counseling during emotionally difficult times.
  • Spiritual support.

Are palliative care services available after discharge from the hospital?
Yes, follow up services are available; the outpatient team is comprised of a physician, nurse practitioner, physician assistant and the availability of a social worker and chaplain if needed. Patients are seen in their home, nursing home or assisted living facility.

Who provides palliative care services at the hospital?
Palliative Care is provided by an interdisciplinary care team comprised of a physician, nurse practitioner or physician assistant, social worker, chaplain, and a discharge planner. The palliative care team works closely with the attending physician and other healthcare providers in the care of the patient. 

How is palliative care paid for?
Services are provided regardless of a patient’s ability to pay. Physician consultations are normally covered by Medicare, Medicaid and most private insurances. Other services provided by the Palliative Care Team are supplemented by grants and community support.

For more information go to:

Palliative Care from the American Academy of Hospice and Palliative Medicine 

This information is not intended to diagnose or to take the place of medical advice or care you receive from your physician or other health care professional. If you have persistent health problems, or if you have additional questions, please consult with your doctor. If you have questions or need more information about your medication, please speak to your pharmacist. WNC/BCMS does not endorse the medications or products mentioned. Any trade names listed are for easy identification only.

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