...are better prepared to handle the death of loved ones. In our society, we tend to shy away from thinking about death. The terminally ill generally die in institutions (hospitals and nursing homes), away from their homes. Therefore, we are seldom exposed to people dying. Many people in our society seek to avoid thinking about death. They avoid going to funerals and avoid conversations about death. Many people live as if they believe they will live indefinitely. Fortunately, the hospice movement has been developing in recent years in an attempt to foster death with dignity. A hospice is a program that is designed to allow the terminally ill to die with dignity—to live their final weeks in a way they want. Hospices originated in the Middle Ages among European religious groups that welcomed travelers who were sick, tired, or hungry (Sullivan et al., 1980). Hospices serve patients in a variety of settings—in hospitals, in nursing homes, in assisted-living facilities, and in the dying person’s home. Hospices provide both medical and social services, Children should not be sheltered from death. Funerals help children learn that death is a natural process. Taboos against talking about death and dying need to be broken in our society. You may find that tactfully initiating discussions about death and dying with friends and relatives will be helpful to you, and to people close to...
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...Hospice care The term was from the medieval times when it referred to a place of shelter and rest for weary or ill travelers on a long journey. The name was first applied to specialized care for dying patients by physician Dame Cicely Saunders, who began her work with the terminally ill in 1948 and eventually went on to create the first modern hospice—St. Christopher’s Hospice—in a residential suburb of London. Sanders idea of specialized care for the dying to the United States during a 1963 visit with Yale University brought on the thought of helping the ones that couldn’t help them self and more and day were limited. To help them go in peace. It been an ongoing thing since the 1963 and still used to day Hospice is a type of care and a philosophy of care that focuses on the palliation of a terminally ill or seriously ill patient's symptoms. These symptoms can be physical, emotional, or psychosocial in nature. Hospice care focuses on bringing comfort, self-respect, and tranquility to people in the final years of life. Patients’ symptoms and pain are controlled, goals of care are discussed and emotional needs are supported. Hospice believes that the end of life is not a medical experience, it is a human experience that benefits from expert medical and holistic support that hospice offers. The concept of hospice has been evolving since the 11th century. Then, and for centuries thereafter, hospices were places of hospitality for the sick, wounded, or dying, as well as those...
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...Hospice Care The hospice care movement was born out of the concern for doing something for terminally ill and dying patients. Once medical care services for our terminally ill patients were no longer of benefit and our physicians could do no more, we had to turn to another source of care. One of the main objectives of the medical staff is to prolong life at all costs. When the medical staff no longer has the upper hand or mastery over disease and death, that’s when alternative care, such as hospice care can be provided. The hospice practice as it is today and as it was in the past focused on the control of pain for the terminally ill. Hospice care not only manages pain control but it also focuses on the physical, psychological, social and spiritual needs of the patient and their families. Hospice care focuses on reducing high hospital cost for the terminally ill too. Once the hospice care movement was accepted into our society, society was ready to talk about death and dying and caring for terminally ill patients. Our society was ready to support the hospice care movement in whatever way thy could. Committees were formed to discuss how to treat the terminally ill. This committee wanted to get involved. The community got involved as well as some of the other health care systems. Some of the health care systems wanted to develop hospice care at their facilities. Helping our terminally ill patients through the hospice care movement began to spread. Hope...
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...Hospice Care Hospice Care Hospice is a medical organization that helps care for patients who are near the end of life from a terminal illness. This is a group of professional health care workers that are there to take care of the patient and the patient’s family. They work as a team to make sure these patients have as less pain and problems dealing with the end of life as possible. They provide the family of the patient with the knowledge of how the dying process works. They will inform the patient and family stage by stage of what is happening. They will let the family members know the details of the sounds a person may make when the process begins so the family is well aware of what is going to happen. Although hospice helps the family deal with the loose of the patient, hospice caregiver’s main focus is to make the patient feel comfortable, by easing any discomfort possible during the process of dying. They also help the patient pass with as much dignity as possible. Hospice can start caring for a patient as early as six months, the physician of the patient has to recommend for services to be start. A patient may be on hospice for as little as a few days, no matter the length the services and care given is always important for the patient and family. Most of the patients on hospice are older, however hospice services will be provided to any patient in their final stages of life young, middle age or old. Many patients dealing with the final stages of their illness receive...
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...The roots of hospice care began in the 1960s as a benevolent movement to provide dying patients more time with their families in a dignified manner. The hospice industry is now a fourteen-billion-dollar industry, run primarily by for profit industries. Hospice facilities play a crucial role in delivering palliative services to patients and their families. In the United States, about half of all deaths happen in a hospice program. When a patient is certified by their primary care physician and a hospice medical physician that they are terminally ill and has six months or less to live, they are then qualified to receive hospice benefits. Hospice care encompasses nursing, home health aide, social worker, and counseling services; most hospice care is provided in the home setting. As part of the health care industry, hospices are also subject to negligence cases. Negligent tort cases can arise when there is an “unintentional failure to live up to accepted standards of behaviors”. The four key elements to any negligence case are duty of care, breach of duty, harm, and causation. A legal study of various hospice negligence cases will be conducted to...
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...Hospice Care LaToya L. Howard HCS/212 January 1, 2013 Denise Brown I first heard about hospice from a co-worker a few years ago when that co-worker was preparing to check her mother in hospice and she was in her forties. As she discussed with me her mother had a drug addiction problem her entire life. At that time I had never heard about hospice and I became interested in learning more about it. “Hospice is a special concept of care designed to provide comfort and support to patients and their families. Patients are referred to hospice when life expectancy is approximately six months or less. Hospice care can continue longer than six months if needed but requires physician certification” (Kinzbrunner, BM, 2002, p. 29-45). As I researched on the internet I found out during the 1960’s, Dr. Cicely Saunders began the modern hospice movement by establishing St. Christopher’s Hospice near London Street. According to Saunders (1975), the word “hospice” originated from the Latin word “hospitium” which means guesthouse. It was originally used to describe a place of shelter for sick travelers returning from religious pilgrimages. In addition to this information there have been more than 4,700 hospice programs in the United States. As I learned from my previous co-worker hospice care is there to make the patient’s life more comfortable as they prepare for their end of life and to provide support...
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...HOSPICE NETTAH NDUNGU Texas Tech University Health Science Center School of Nursing Hospice Hospice is a comprehensive, medically directed, team oriented program of care that emphasizes pain control and symptom management rather than curative treatment. It directs acceptance of death as a natural part of life and addresses the psychological and spiritual needs of the patient and family. This paper will outline the history of hospice, the effect it has on healthcare today, why it is important to nursing, how nursing is impacted by the availability of hospice services, and finally, what nursing has done to affect change related to hospice. History of Hospice Hospice was first applied to specialized care for dying patients by Dr. Dame Cicely Saunders, who started working with the terminally ill in 1948 (NHCPO, 2015). Dr. Saunders later created the first modern hospice – St. Christopher’s Hospice in a residential suburb in London. Her approach was later introduced to healthcare professionals and chaplains in the U.S in 1963 during a lecture at Yale University. In 1969 Elizabeth Kubler-Ross contributed to the idea of hospice centered care in her book: On Death and Dying which highlighted the five stages of dying and a plea for home care as opposed to treatment in an institutional setting. In 1978, the United States’ Department of Health, Education and Welfare Task Force acknowledged the hospice concept as a means of providing more humane care for America’s terminally...
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...Hospice and Attitudes toward Death Unitie Mance Soc 304: Social Gerontology Kristin Bachman February 27, 2012 A dying man needs to die, as a sleepy man needs to sleep, and there comes a time when it is wrong, as well as useless, to resist. Stewart Alsop Death, dying and bereavement finds a way of impacting everyday living. Images of real or fictional death are often while watching television or movies. Death can impact people on a personal and a cultural level. This essay will entail how cultural attitudes toward dying, death, and bereavement have changed. While examining hospice, the care obtained, and its role in this shift. Cultural attitudes toward dying, death, and bereavement have changed. There are enormous variations across societies and over time in attitudes toward death. Some societies engage in death avoidance while others celebrate the communion between the living and the dead. In the United States there has been an immense change in the process of dying from past centuries to the present. “This change is partly due to a shift in the average age of death and the association of dying with old age” (Aubrey, 2007). It is also caused by a change in the causes of death. At one time most people died from critical illnesses that struck quickly. Now people are more likely to die from a chronic illness that leads to a slow death. The setting for death has also changed. Most deaths in the past occurred in the home. Now death typically takes place in a medical setting...
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...and we should obey this as we would not be here if it was not for God. Exodus 20:13 says “you shall not commit murder” It is wrong to take away the sacred gift of human life, killing is always wrong. The Roman Catholic Church believes that there are other ways of dying in peace instead of voluntary euthanasia. They understand that dying can be a frightening and a hard time for a lot of people but there are better alternatives to euthanasia; this is where the hospice movement is introduced. If the patient chooses palliative care instead of euthanasia then the hospice can provide a peaceful death for them. They will give them all the facilities and emotional facilities that are needed to relieve the patient in their final months. In this way they able to die without pain and also with dignity. They will not have to go to a whole other country so that someone can kill them. If the patient goes to a hospice, in their last days they don’t have to do anything and they can be surrounded by the people they love. By going to a hospice it shows God that you respect him and go at the time he...
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...American Hospice Patient/Family with Board Certified Music Therapy as a Component of their Plan of Care Elizabeth Joy Gifford University of San Francisco, lgiffman1@aol.com Follow this and additional works at: http://repository.usfca.edu/dnp Part of the Nursing Commons Recommended Citation Gifford, Elizabeth Joy, "The Experience of African American Hospice Patient/Family with Board Certified Music Therapy as a Component of their Plan of Care" (2009). Doctor of Nursing Practice (DNP) Projects. Paper 14. This Project is brought to you for free and open access by the Theses and Dissertations at USF Scholarship Repository. It has been accepted for inclusion in Doctor of Nursing Practice (DNP) Projects by an authorized administrator of USF Scholarship Repository. For more information, please contact zjlu@usfca.edu. COMPREHENSIVE EXAM 2 Section I: Introduction Statement of the Problem Although 60% of African Americans in the United States have stated that they would want hospice care when they are dying (AARP, 2003), they only comprise 8% of all hospice enrollees (NHPCO, 2007), despite the fact that they represent 13% of the total population in this country (U.S. Census Bureau, 2008). In fact, hospice care in this nation has always been underutilized by African Americans (Connor, Elwert, Spence, & Christakis, 2008). In the San Francisco Bay Area, among Medicare-certified hospice agencies that submit data to the State of California, only 2% of all the hospice enrollees...
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...Running head: CANCER PAIN MANAGEMENT 1 Cancer Pain Management Lavon R. Williams University of South Alabama Running head: CANCER PAIN MANAGEMENT Cancer Pain Management Cancer is rapidly becoming a chronic illness, and an estimated that 10 million individuals in the United States are survivors of cancer (Sun, Borneman, Piper, Koczywas, & Ferrell, 2008). According to 2008, cancer statistics from the American Cancer Society, about 2 565,650 people die in the United States from cancer every year. Approximately 1.6 million new cases of cancer are expected to be diagnosed in the United States this year (American Cancer Society, 2012). This is why the health care needs of cancer patients are unique, and many are at risk for developing late or long-term side effects and pain from their primary treatments. These long-term effects may also hinder optimal physical, psychological, and cognitive functioning for patients (Sun et al., 2008). Pain is experienced by 30% to 50% of cancer patients receiving treatment and by 70% to 90% of patients with metastatic or advanced disease. In almost every cancer-related case pain is inadequately managed due to a lack of patient and professional knowledge of optimum management (Sun et al., 2008). This paper will discuss how nurses can help provide adequate pain management in advanced cancer patients. Patient and family needs Support for the patient and family may include education and information, coping skills, counseling and psychotherapy...
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...NRS-433V Introduction to Nursing Research May 20, 2012 Research Critique, Part 1 Advanced Care Planning (ACP) is a huge part of healthcare. Dying is a part of life, but that doesn’t make the subject any less scary. Just because healthcare professionals handle end of life issues on a regular basis, doesn’t mean that they are immune to the sensitivities of the topic. End-of-life decision making is the process that healthcare providers, patients, and patients’ families go through when considering what treatments will or will not be used to treat a life-threatening illness. (Thelen, 2005) Many nurses who deal with death and decision making burn out. Hospice staff, because of their work with the terminally ill, are considered a high-risk group for burnout. Often, the reason behind the decision to leave or take a sabbatical from hospice work is that the staff member reached the limits of his or her capacity to care and “couldn’t take it anymore.” (Keidel, 2002) A qualitative study done, on anticipating emotion, related to ACP, was chosen to be critiqued, due to this highly sensitive topic in the healthcare industry. The subject this study was critiqued on, were, the problem statement, purpose and research question, literature review, and conceptual/theoretical framework. The clinical problem, addressed, is that end of life discussions between healthcare professionals and clients have many areas of hindrance, due to the sensitiveness of the discussions. The authors established the...
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...Come Join the Hospice and Palliative Nurses’ Association Houston chapter! Why Join HPNA Houston Chapter? • Free monthly subscription to CHPNA TODAY, a nursing journal with up-to-date articles and the most cutting edge research in hospice and palliative nursing • Speakers teach us how to apply research findings in clinical practice! • Bi-annual workshops and CEU’s • Fellowship with like minded professionals and networking opportunities • Houston chapter sponsors a bi-monthly newsletter for all things local in Hospice and Palliative Care! • Free study materials for CHPN certification! • Free Tote bag, T-shit and professional pin! Requirements for Membership: • Must be RN or LVN practicing in Hospice and/or Palliative Care setting for 18 months+ (special circumstances considered) • $120 yearly member ship fee, waived for members 55 years and up! American Cancer Society says, “HPNA is leading the charge for evidence based practice in a bourgeoning specialty.” Ruth M RN says, “ I have been a hospice nurse for 10 years, and yet I learn something new about this field and how to deliver care nearly every week!” Come see for yourself! This Monday November 15th HPNA Houston chapter is hosting an Ice Cream Social with keynote guest speaker Dr. John Wessley. Topic: “Caregiver Fatigue: Caring for yourself and Others, an RN’s perspective” Monthly meetings held the third Friday of the month 7:00p-8:30p In the M.D. Anderson...
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...medications or medical equipment, is affected by many factors. Factors such as the situation of a financial aspect, patient education and the quality of the services or products being distributed. Care of the Dying “Hospice care is palliative care given to individuals who are terminally ill, with an expected survival of six months or less. The focus of hospice care is on meeting the physical, emotional, and spiritual needs of the dying individual, while fostering the highest quality of life possible.” (Rastegari RN, B.S.N., 2002, para.). In the way that our world is becoming, we are seeing many individuals coming down with diseases that are either not curable or that it has ran its’ course in the body and that there is nothing that can be done to prolong life. This is when this type of service is needed and many of individuals, especially the minorities and the American Indians. Many people do not understand what Hospice is all about. When they do find out about it, then they wish that it was known about sooner. The sole purpose of using this service is to help reduce both the physical pain and the emotional suffering of the patient during their final stages of the illness that they are dying from. According to "Evercare Hospice And Palliative Care" (2012) Hospice is not a physical place, it is a service that comes to wherever people live, whether that’s a hospital, an assisted living facility or a home. Consumer Outlook Many individuals do not know that such services are...
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...Hospice & Palliative CareCenter Branch Office Directions (from WS office) Mocksville Office 377 Hospital Street, Mocksville 336-753-0212 40 West Take the Hwy 601 exit, turn (L) at top of ramp Follow Hwy 601 past Lowes, Food Lion & Sonic Keep straight, go through stoplight at Sonic, then take an immediate (L) turn onto Hospital Street (beside Foster Drugs) (Look for Gym 365 as a landmark) Take an immediate (L) into office complex. Stay on top level, proceed to end suite Salisbury Office 512 Klumac Road, Suit 3, Salisbury 704-633-5447 40 East to 52 South to 85 South Take the Jake Alexander Blvd exit, turn (R) Stay in the right-hand lane Turn (R) onto Klumac Road Follow past Trinity Oaks & small bridge Turn (R) into Klumac Square Proceed to (L) corner Walnut Cove Office 235 North Main Street (PO Box 683, Walnut Cove 27052) 336-591-1124 52 North Take the Germanton (Route 8) exit, turn (L) Continue through Germanton Turn (L) at the Shell Station onto Route 8 towards Danbury Turn right on Brook Cove Go to the end of Brook Cove; the office is located on the right at the intersection of Brook Cove and North Main Street OR 40East, 52 North, Take Germanton Rd Exit and turn (L) continue to follow this road until you come to end, Turn (L) onto Hwy 311. At next stop light turn (L) onto Brook Cove Rd., then immediately (L) into parking area. Office is located directly across the street from SunTrust...
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