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Scenario of hospice patient
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An important topic is being discussed and it concerns hospice care. Hospice care is patient/family centered program which provides compassionate, professional, state-of-the-art physical, emotional, and spiritual care and support for people facing life-limiting illnesses. Indeed, there are many opinions about hospice care. However, by most measures of benefit and cost, hospice has been a successful experiment in end-of life care (Lessons from the Hospice Benefit, 2017, Pg. 58). As a result, I believe that hospice care is very beneficial to society.
History
Firstly, the first hospice was St. Christopher's in London in the 1960s, started by Dame Cicely Saunders, who was a social worker, nurse and physician. Overall, hospice care migrated to the United States in 1974. After the fact, we established Medicare Hospice Benefit (MHB), which was legislated a decade after the concept of hospice care migrated from England to North America; the MHB has paved the way for all Medicare beneficiaries to access hospice care (Lessons from the Hospice Benefit, 2017, Pg.
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The interdisciplinary team model of care distinguished itself from conventional health care delivery structures as a more coordinated means of providing comprehensive patient-centered care (Lessons from the Hospice Benefit, 2017, Pg. 59). This enables caregivers to work as a unit to develop the appropriate critical pathways. As a matter of fact, with greater adherence to the team-based paradigm over the years, when applied to care for patients with life-limiting disease and their families, the interdisciplinary team model consistently derives the desirable outcomes of safe and comfortable dying, self-determined life closure, and effective bereavement; as such, this model of care migrated upstream to chronic care, most notably as the Chronic Care Model (CCM) (Lessons from the Hospice Benefit, 2017, Pg.
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
Many people are unaware of what Hospice does and where they can find one, but Hospices have actually been around since the Middle Ages. People living during the time made shelters where they took in weary people who had no place to go. They called these places “Hospices” (History of Hospice). Later on, Dame Cicely Saunders had an idea to expand these places. Dame Cicely Saunders served as a nurse during World War II (The National Hospice Foundation). After watching all of the soldiers suffering during the war, Saunders was devastated to see all of those men die painful deaths. This sparked the idea for Saunders to create a place where people could peacefully die. She would call this place “Hospice”. The first Hospice was established in London in 1967 (The National Hospice Foundation). After opening the London Hospice, Saunders decided she wa...
The change which is outlined in this paper relates to how early referral of terminally ill patients into a hospice program results in better patient outcomes, in particular, with regard to pain management. PICO format question will be used , along with a supportive body of evidence regarding the fact that early onset into a hospice program is helpful with providing end of life pain control. Hospice programs available, and options associated with them will be discussed as well as common concerns associated with early admission to hospice. The methods used for payment of hospice, and how one qualifies for entrance into a hospice program will be explored. A literature search will be performed and its results detailed within the body of this paper. Recent publications on the subject matter and associated issues such as moral and ethical questions as well as the change question will be discussed. Planning, implementing and evaluation of the change proposed will be explored within this paper.
Being in hospice care is a better alternative than being stuck in the hospital to try to avoid the unavoidable. Common misconceptions about Hospice could include that hospice makes life more miserable; however, a physician expressed his findings in Hospice,“You can only fail a patient if you fail to understand and respond to their needs. We may not be able to cure all of our patients, but if we can make them comfortable in the last moments of their lives, we will not have failed them”..Hospice care gradually emerged in the 1970s, when groups like the National Hospice Organization were formed “in response to the unmet needs of dying patients and their families for whom traditional medical care was no longer effective.”Herbert Hendin, an executive director of the American Suicide Foundations illustrates a story of a young man diagnosed with acute myelocytic leukemia and was expected to have only a few months before he died. He persistently asked the doctor to assist him, but he eventually accepted the medical treatment. His doctor told him he can use his time wisely to become close to his family. Two days before he died, Tim talked about what he would have missed without the opportunity for a
Thanks in part to the scientific and technological advances of todays’ society, enhanced medicinal treatment options are helping people battle illnesses and diseases and live longer than ever before. Despite these advances, however, many people with life threatening illnesses have needs and concerns that are unidentified and therefore unmet at the end of life, notes Arnold, Artin, Griffith, Person and Graham (2006, p. 62). They further noted that when these needs and concerns remain unmet, due in part to the failure of providers to correctly evaluate these needs, as well as the patients’ reluctance to discuss them (p. 63, as originally noted by Heaven & Maguire, 1997), a patient’s quality of life may be adversely affected. According to Bosma et al. (2010, p. 84), “Many generalist social work skills regarding counseling, family systems, community resources, and psychosocial assessments are relevant to working with patients and families with terminal illness”, thereby placing social workers in the distinctive position of being able to support and assist clients with end of life decisions and care planning needs. In fact, they further noted that at some point, “most social work practitioners will encounter adults, children, and families who are facing progressive life limiting illness, dying, death, or bereavement” (p. 79).
One Work Cited This essay will present the views of that worldwide organization named Hospice which has seen the quiet, natural death of millions of terminally ill patients - without the use of physician-assisted suicide. It is important that the voice of the largest caregiver for the terminally ill be heard, and listened to attentively. For they have the most experience. The Hemlock Society is nothing (in scope, importance, goals)in comparison to this great Hospice Organization (HO).
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
Introduction The purpose of this report is to compare and contrast two different nursing research articles. The report will critique and evaluate two qualitative studies, one being an original research report and the second being a review paper. The scope of comparison and contrast will include research design, theories or conceptual models, how the research was conducted, analysis and reporting of research data, usefulness of the research, and a conclusion. Selection of Research Interest Area
Palliative care is an essential to the creation of a health and wellbeing continuum for Australians living with a chronic illness. It is an approach of care that seeks to improve the life of patients and family experiencing the effects of chronic illness. Palliative care centres on the relief of the symptoms and effects of disease and incorporate the physical, psychological and social dimensions of a person at the end of life. A recent focus for the delivery of palliative care by nurses to Indigenous communities is the consideration that culture can create barriers to the provision of appropriate and beneficial care for the dying or deceased person. This essay explores the palliative nurse caring for Indigenous communities and the need to consider
The type of research study, sample size, variables, intervention, measurement method, findings, and conclusion are all mentioned in the abstract. Statement of the Problem The problem explored in the article was stated as a problem statement. In this article, the authors explain the stressful situations of families having loved ones die in the intensive care unit. They also state that this problem is very important because there is poor communication between staff, physicians, and surrogates in the plan of care for end-of-life measures (Lautrette et al., 2007).
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...
Puckett , P., Hinds, P., & Milligan, M. M. (1996). Who supports you when your patient dies?. RN, 59(10), 48-50, 52-3. doi: 1996037794
The chronic care model calls for an organizational change in the way individuals with illnesses are cared for, and the involvement of nurses, social workers and patients themselves. The challenge is moving in an effective way of improving quality from research carried out predominantly in health maintenance organizations to the mainstream of health care practice (Wielawski, 2006). Wagner’s explanation is to substitute the customary physician-centric office structure with one that supports clinical teamwork in association with the patient. The notion spreads outside the health care organization to collaborative associations in the community. Wagner et al. (2001) termed this approach the “chronic care model.” With this model, physicians, nurses, case managers, dieticians, and patient educators
Palliative care involves the holistic care to maintain and improve the quality of life of the patient and family during hospitalisation until the terminal stage. Palliation of care refers to the multidisciplinary approach of providing comfort and support for the terminally ill patient and family, thus has an important role in maintaining and improving the quality of life of the whole family. Chronic illness such as cancer gives a physiologic and emotional burden for the patient and family. Education and counselling of the possible options as well as treatments for pain and other symptoms that could help alleviate anxiety, suffering and discomfort. Palliative care provides assistance for the family as a channel for communication between the
I chose to read into the Hospice Care policy statement because I am at Homestead Hospice and wanted to see if something I was familiar with. I believe it is important to be aware of what is happening in hospice setting since I am interning there. As policies are changing from time to time it is great to know where the policies for hospice care started and what if any provisions were made. As future social worker, I need to be aware of what goes on in hospice setting because I might have a future job there and I will need to know how to advocate for my clients. With that being said I agree with all policy statements I read in “NASW Social Work Speaks” on Hospice care. I really like that they noticed that hospice care needed attention in the