A large majority of individuals with Progressive Supranuclear Palsy are cared for at home for most of the course of the disease.
Daily caregiving responsibilities are typically taken on by a spouse or an adult child. In some cases, additional support is provided by home health aides.
The average cost of a home health aide in the United States is approximately $35 per hour. These aides may work independently or as part of an agency. To find local home health aides or home care agencies, you can contact your county's Office of Aging or search online via platforms such as Care.com.
Palliative Care and Hospice Care
Palliative Care and Hospice Care are two options for caregivers to explore as their loved one's disease advances. While often lumped together, there are differences between the two that are explained below.
Palliative care is specialized medical care for people living with a serious illness that is focused on providing relief from symptoms.
It is appropriate at any age.
It is appropriate at any stage of a serious illness.
It can be provided along with any current treatments.
Palliative care is based on the needs of the patient and not necessarily the prognosis.
Patients are transferred to hospice care when curative treatments are no longer an option.
The person with PSP is estimated to have six months or less left to live.
Treatment is discontinued and there is no curative intent.
Hospice is often provided in a home environment.
Hospice extends support to the caregivers and the patient's family.
Some hospice care includes nurse visits, home health aides, spiritual advisement, and social workers.
When the doctor told my family that my mom was eligible for hospice care, I felt a wave of emotions. I had always believed that hospice meant death was imminent, and I was heartbroken at the thought that my mom had so little time left. However, I quickly learned that hospice is so much more than I had imagined.
As of this writing, my mom has been on hospice for a little over a month. Her pain is well managed and she’s able to rest comfortably. Her vital signs remain stable, even though she has stopped most of her medications. She now uses oxygen, and thanks to the portable oxygen system hospice provided, we’re still able to get her out of bed and even take short walks outside.
I understand that hospice will not cure my mom and that she will eventually pass from PSP. But during this time, hospice has brought immense comfort to her and to all of us. They’ve provided everything she needs, from a hospital bed and medications to compassionate care. A nurse we deeply trust visits regularly, and we’re incredibly grateful for the home health aide who comes multiple times a week to bathe her. Our family is supported by a kind social worker and offered spiritual guidance from a local priest.