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Why is hospice good? essay
The concept of hospice
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The Importance of Hospice Care
Death is a universal truth. Hospice reduces the suffering associated with death. Hospice is considered the philosophy and model for quality, compassionate care to terminally ill patients. Patients accepted into a hospice program usually have a prognosis of less than six months to live (Potter, Perry, Stockert & Hall, 2017, p. 761). Hospice provides skilled medical care, pain management, emotional, and spiritual support tailored to the patient’s needs and wishes. The goal of hospice is to focus on the quality of life during the end of life. It gives patients a sense of dignity, provides patients and families with support, and it is cost effective. Today, seven out of ten Americans die from chronic disease. By 2020, the number of people living with a chronic illness will increase to 157 million (Hogan 2012). As the elderly population in the U.S. continues to increase, the importance of hospice will only continue to grow.
Role of Hospice
“The hospice philosophy accepts death as the final stage of life: it affirms life and neither hastens nor postpones death. Hospice care treats the person rather than the
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(2016, May 16). What is hospice care? Retrieved from https://www.cancer.org/treatment/finding-and-paying-for-treatment/choosing-your-treatment-team/hospice-care/what-is-hospice-care.html
Hogan, D. (2012). Why Hospice is More Important Today than Ever Before. Retrieved from http://www.nahc.org/mobile/news/why-hospice-is-more-important-today-than-ever-before/
Hospice care saves money for Medicare Dollars. (2013). National Hospice and Palliative Care Organization.
Miller, S. C., Lima, J., Gozalo, P. L., & Mor, V. (2010). The Growth of Hospice Care in U.S. Nursing Homes. Journal of the American Geriatrics Society, 58(8), 1481-1488. doi:10.1111/j.1532-5415.2010.02968.x
Potter, P.A., Perry, A.G., Stocker, P.A., & Hall. (2017). Fundamentals of Nursing (9th ed.). St. Louis, MO:
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
God tells his children, “He will wipe every tear from their eyes. There will be no more death or mourning or crying or pain, for the old order of things has passed away” (Revelation). Death is one of the most frightening and confusing times a person can go through. Watching a loved one pass away is also one of the hardest trials a person can experience. Many people assume that death is a time of pain and the only thing that they can do is mourn and watch their loved one fade away from the earth. This is wrong. There are ways that people can turn a bad situation to good. Dying doesn’t have to be painful and full of suffering. The County Hospice staff makes sure of this. The Hospice staff not only takes care of passing patients physically, but they also take care of the patients emotionally and spiritually. Hospice staff also plays a key role in helping families during the grieving process.
For this practice guideline, the original development panel of six members included; a Chief Nursing Officer, Charge Nurse, Clinical Nurse Specialist, Clinical Practice Facilitator, a Professor from a School of Nursing, and an Education Coordinator. The revision panel members included; a Chief of Nursing & Professional Practice, an Assistant Lecturer from York University, a Clinical Nurse Specialist, Clinical Practice Facilitator, a Nursing Professional Development Educator, an Internist/Geriatrici...
Hospice workers, likely more than any other group of care providers, deal with the desperation that many individuals feel when they accept the fact that their illness is likely to be the cause of their death. In that process, hospice staff deal not only with the physical pain of the illness, but also the emotional pain of facing leaving one's family, the social pain of enduring what may be considered indignities, and the spiritual pain associated with one's cultural and personal beliefs about life after death. Through an interdisciplinary approach that is unique to hospice care, patients who elect hospice receive treatment for all their concerns. Hospice caregivers have discovered three central reasons a terminally ill person may want to discuss suicide.
Hospice always patient and families the automaty to decide a choice of end of life care. It allows who prefer to end life in their homes, pain free, surrounded by family and loved ones: Hospice works to make this happen. The focus in on caring, not curing. Hospice utilizes an interdisciplinary team of healthcare professionals and trained volunteers that address symptom control, pain management, and emotional and spiritual support expressly tailored to the patient's needs and wishes. Hospice is not “giving up,” nor is it a form of euthanasia or physician assisted
Taylor, C. (2011). Introduction to Nursing. Fundamentals of nursing: the art and science of nursing care (7th ed.). Philadelphia: Wolters Kluwer Health/Lippincott Williams & Wilkins.
K. Lynn Wieck, RN, PhD, FAAN, is the Jacqueline M. Braithwaite Professor, College of Nursing, The University of Texas at Tyler, Tyler, TX, and CEO, Management Solutions for Healthcare, Houston, TX; Jean Dois, RN, PhD, NEA-BC, FACHE, is the System Director for Quality and Nursing, CHRISTUS Health System, Houston, TX; and Peggy Landrum, RN, PhD, is Clinical Professor, College of Nursing, Texas Woman 's University, Houston,
(3)Publication Date: 2008-03-18Medicare Benefit Policy Manual Chapter 9 - Coverage of Hospice (4) JOURNAL OF PALLIATIVE MEDICINE
Practice. In P. A. Potter, & A. G. (7th ed.) Perry, Fundamentals of Nursing (pp. 215-324). Saint Louis MO: Mosby-Elsevier.
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).
Stair, J. (1998). Understanding the Challenges for Hospice: Fundamental for the Future. Oncology Issues [Online]. 13(2): pages 22-25. *http://ehostweb6.Epnet.com: (2000, October 13).
... that the nurse or family can do. The goal for palliative care is to make the patient’s passing as comfortable and relaxing, as possible. Medication management should be provided for every patient that is having pain to allow for a more comforting, pain-free, and peaceful death.
Taylor, C. R., Lillis, C., LeMone, P., & Lynn, P. (2011). Fundamentals of nursing: The art and science of nursing care (7th ed.). Philadelphia: Wolters Kluwer Health/Lippincott Williams & Wilkins.
Potter, P. A., & Perry, A. G. (2009). Fundamentals of nursing (Seventh ed.). St. Louis, Mo.: Mosby Elsevier.
A person who is terminally ill will be able to leave this world without having to go through the process of the intense suffering predicted by a doctor. Why should a human being have to suffer on his/her last days on earth? Would they be truly living, or would they be imprisoned in a hospital room for the remaining days depressed and not in control of their life like they used to? They lose their quality of life. Marc Siegel, a doctor, talks about the two roles of a doctor, to prolong life and to ease suffering. He explains how sometimes they conflict with each other, and how the number one priority is to respect a patient’s wishes. He says that they, “…when pain predominates, when the patient is in agony, when reducing morphine cannot bring back quality of life. When the only choice is pain or death, doctors routinely¬ – with their patients’ advance approval – help them choose death” (821). The terminally ill patient does not suffer at the moment of death like she would if she would let nature take its course. Not only would they have a painless death, they would be able to choose when, where, and with whom they want to die. They will be able to say all the goodbyes they want, they could leave this world having made peace with everyone, and they would have the opportunity to really enjoy their quality of life. They will have the opportunity to not go through all the excruciating mental