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Scenario of hospice patient
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To “live as fully and comfortably as possible” is a key phrase in the care and treatment of a patient under hospice care. Hospice care focuses on the comfort and quality of life for a person with a terminal illness. The focus is not on a cure. A hospice care provider wants to help the patient be as pain free and comfortable as they can be, so that they can live the rest of their life as fully as possible. Unfortunately, more often than not, patients with terminal illnesses are viewed to be too frail to participate in occupations (Russell, M., & Bauh-Lampe, A., 20016). It is also true that people facing the end of their life feel helpless or depressed, lose their ability to participate in a lot of the daily activities they once enjoyed, and experience a loss of dignity. (Badger, S., Macleod, R., & Honey, A. 2016). However, with hospice care, many patients are able to find some degree of comfort, safety and control over their lives during their final days.
Hospice care can be provided in a variety of settings – in a hospital, in a facility devoted to
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In 2015, females made up over half of the hospice Medicare beneficiaries at 58.7%. It was also shown that in this same year, almost 65% of hospice Medicare patients were over the age of 80. A staggering 86.8% of the Medicare patients were Caucasian, and cancer was the principal diagnosis at 27.7%.
For the purposes of this paper, I focused on a freestanding facility that has a portion of its services devoted to hospice care – Signature Hospice, Home Health, Home Care. Signature Hospice is headquartered in Wilsonville, OR, but has locations in not only Oregon, but Washington, Idaho, Utah, and Wyoming. (Signature Hospice, Home Health, Home Care, 2017). For this research paper, I interviewed Megan Resetar, Administrator, and Amber Sekreta, Volunteer Coordinator, from the home office in
Final Gifts, written by hospice care workers, Maggie Callanan and Patricia Kelly, includes various stories detailing each of their life changing experiences that they encountered with their patients. Hospice care allows the patient to feel comfortable in their final days or months before they move on to their next life. This book contains the information considered necessary to understand and deal with the awareness, needs, and interactions of those who are dying. Not only are there stories told throughout the book, there are also tips for one to help cope with knowing someone is dying and how to make their death a peaceful experience for everyone involved. It is important that everyone involved is at as much peace as the person dying in the
Palliative care is medical or comfort care that reduces the severity of a disease or slows its progress, but does not provide a cure (Dreeben, 2007). Different people have different needs when life is ending. Working with the incurable may sound depressing but death is a certainty and what we do each day for these patients as physical therapist assistants, matters. Providing care effectively and appropriately has a huge impact on the patient, therefore acquiring the ability to comfort and care for a patient at such a critical stage in life, is an amazin...
Hospice focuses on end of life care. When patients are facing terminal illness and have an expected life sentence of days to six months or less of life. Care can take place in different milieu including at home, hospice care center, hospital, and skilled nursing facility. Hospice provides patients and family the tool and resources of how to come to the acceptance of death. The goal of care is to help people who are dying have peace, comfort, and dignity. A team of health care providers and volunteers are responsible for providing care. A primary care doctor and a hospice doctor or medical director will patients care. The patient is allowed to decide who their primary doctor will be while receiving hospice care. It may be a primary care physician or a hospice physician. Nurses provide care at home by vising patient at home or in a hospital setting facility. Nurses are responsible for coordination of the hospice care team. Home health aides provide support for daily and routine care ( dressing, bathing, eating and etc). Spiritual counselors, Chaplains, priests, lay ministers or other spiritual counselors can provide spiritual care and guidance for the entire family. Social workers provide counseling and support. They can also provide referrals to other support systems. Pharmacists provide medication oversight and suggestions regarding the most effective
S., Kuchibhatla, M., Tulsky, J. A., & Johnson, K. S. (2013). Association of hospice patients ' income and care level with place of death. JAMA internal medicine, 173(6), 450-456.
Hospice Care refers to the focus on quality of care and life rather than treatment and curative options for someone and their disease. This type of care includes not only the patient, but also their family and physician. Dame Cicely Saunders states, “You matter because of who you are. You matter to the last moment of your life, and we will do all we can, not only to help you die peacefully, but also to live until you die.” With this quote, Saunders reflects what Hospice believes in and their commitment, or duty, for the patient. Patients who are terminally ill can be considered as patients with cancer, diabetes, and many more diseases. Very few cancer patients have a type of cancer that has a known cure, and unlike those patients many other cancer patients possess a type of cancer that is curable today. Terminally ill patients have to choose between continuing treatment or being provided with Hospice Care. Both hope and Hospice means that the patient can have both the benefit from treatments, which give them hope that the disease could be cured or at least reduce the symptoms, and Hospice Care, which provides the patients with relieve of pain and
When you think of home care for a loved one, you want comfort and convenience with quality of life. A misconception of palliative care is that it is equivalent to hospice care, which concentrates on end of life. However, palliative care is now being offered to patients whether it begins early at diagnosis or throughout ongoing treatment. It is no longer limited to medical settings as more health care agencies are now offering it in home care. Think of palliative care as “comfort” care during any stage of illness.
The history and name hospice got its name from hospitality. In 1967, Dr. Cecily Saunders evented the first hospice was which was used for people who were terminally ill. However, the Hasting center Report, shows that in 1973, hospice emerges in the United State, and was used as a concept of care and not a place of care. Hospice upholds life and neither speeds nor postpones death. They offer palliative care to people with end of stage of life regardless of their age, gender, nationality, race, sexual orientation, etc. Hospice believes that proper care to the community will help patients and their families to be mentally and spiritually prepared for the death of their love ones. They provide 24/7 care in either home or facility base setting. The care of hospice is for patients who have chronic illness and have six month or less to live (NHPCO, 2012). Opiates mediation is used to treat pain. Hospice offer palliative care service to their patients to improve the quality of life. The primary goal is to control patient’s pain, symptoms management, and improve the quality of life (NHPCO, 2012). Hospice also provides bereavement services for families who have lost their love one. This is to help the family to cope with death. The bereavement services last for about a year or thirteen months after patients die. Families are offered individual counseling or support group (NHPCO, 2012).
Nurses play many vital roles when it comes to working with patients. Among the many different healthcare professionals, nurses experience the most interpersonal contact with patients; therefore, it is sensible for a nurse to be an advocate for their patients. For the patients and families of patients receiving end-of-life care, the process may be very stressful and may often be considered a burden. As a nurse, it is important to advocate for the patient by communicating effectively, educating the patient and families, delivering information with honesty, and making sure patients understand and are fully aware of their options regarding their healthcare. Increasing awareness about the benefits of advance care planning helps guide healthcare professionals as they deliver the best care for the patient nearing the end of their life.
The care of patients at the end of their live should be as humane and respectful to help them cope with the accompanying prognosis of the end of their lives. The reality of this situation is that all too often, the care a patient receives at the end of their life is quite different and generally not performed well. The healthcare system of the United States does not perform well within the scope of providing the patient with by all means a distress and pain free palliative or hospice care plan. To often patients do not have a specific plan implemented on how they wish to have their end of life care carried out for them. End of life decisions are frequently left to the decision of family member's or physicians who may not know what the patient needs are beforehand or is not acting in the patient's best wishes. This places the unenviable task of choosing care for the patient instead of the patient having a carefully written out plan on how to carry out their final days. A strategy that can improve the rate of care that patients receive and improve the healthcare system in general would be to have the patient create a end of life care plan with their primary care physician one to two years prior to when the physician feels that the patient is near the end of their life. This would put the decision making power on the patient and it would improve the quality of care the patient receives when they are at the end of their life. By developing a specific care plan, the patient would be in control of their wishes on how they would like their care to be handled when the time of death nears. We can identify strengths and weakness with this strategy and implement changes to the strategy to improve the overall system of care with...
Hospice care is there for someone during the final stages of their life. They treat people who suffer from a life shortening illness or injury. Hospice provides medical care, emotional care and support during this hard time. Hospice is not only there for the patient, but they are also there to support and uplift the family. Hospice provides care in the home, nursing homes, hospitals and long term facilities. Hospice care is available to
Kolcaba K., Y. (1997). Comfort care: A framework for hospice nursing. American Journal of Hospice
Key Messages The key messages from this week’s readings build a cognitive development of diagnosis of terminal illness, grief and bereavement and reveal the best practice of palliative care, acknowledging the importance of person-centred care to manage terminally ill patients’ pain and other distressing symptoms in order to ensure the quality of life in challenging times. As core members of health care professionals, social workers are trained to provide psychological, social and spiritual support for patients and their families. Thus, social workers need to have requisite knowledge, expertise and experience dealing with grief, mourning and bereavement to provide specialised care and support to cope with a bereaved individual’s emotional and behavioural responses. Additionally, according to previous empirical literature, death is irreversible, non-functional and cessative as well as universal.
To implement the designated rooms for hospice patient we must create what we want our ideal room to look like. During the time of planning the chosen units should receive education on caring for hospice patients. These newly designed rooms should have several windows to allow natural light and paint the walls blue, which are Upstate’s colors. This room should have a couple of shelves for the patient’s family to bring belongings from home for the patient. This room should have a ceiling lift that goes from the patient’s room to the bathroom to help safely transport the patient. Once, the designing process is complete the materials should be ordered (Stall, 2012).
During hospice process, patients start to forget things and they need someone to remind them of the date, or the name of someone. Most family members place photo frame of patients’ husband, grandchildren, and an important events that had taken place in their lifetime at their bed side as a reminder. Helping patients look through their wedding photos help them remember the time they were excited to get married. Some people have a calendar and watch place around the house for patients to remind them of date, and time. As people age, their memories start to fade, they do not remember some of the events from their past, and they constantly ask for the same thing multiple times. In hospice’s patients (P), how does reflecting on old photos (I) compare