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The concept spread widely in the United States and it was something outside the conventional healthcare system. The hospices at that time were funded through charities and there was volunteer staff that provided personalized care to the patients. Hospice was not known for being a place for care but rather a concept of care. As it established, the hospice leaders came together to formulate standards and guidelines for developing hospice care (Cartwright, Miller, & Volpin, 2009).
In 1978, the National Hospice Organization (NHO) was developed and it provided a national forum for education, discussion, and support of hospice quality care standards. Medicare coverage was expanded by the Congress in 1983 to include hospice care. Hospice benefits were also offered by many private insurers as they recognized the compassion for hospice care and its cost effectiveness. The number of hospices and numbers of patients in hospices have increased gradually and in 1991, there were about 1,830 hospices serving about 212,000 patients throughout U.S.
Today the hospice concept remains unchanged since its early days. The intention of a hospice is to create a setting where patients get relief from their pain and are able to find support to improve the quality of their remaining life. Hospices make the effort to create a setting in which people can die peacefully. Today the hospices are a part of the mainstream healthcare system of U.S (Groninger, 2012).
Choosing a hospice care may have advantages and disadvantages. The major advantage of a hospice care is the availability of a care team which consists of professionals and volunteers. This comprehensive and interdisciplinary team is involved in understanding and taking care of the patient’s needs. The team includes nurses, physicians, social workers, and trained volunteers who fulfill the needs of the patients. Another
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More interesting; however, is the anthropological perspective of death that is how perception and observation differs in various cultures and how this perception has radically changed over the period. This paper will attempt to discover this very shift along with the role hospice care has played in this shift of view and its relevance to the whole proposition.
The primary goal of a RN in hospice care is to promote the quality of life of patients by avoiding burdensome interventions and providing palliative care at home, in hospitals or in nursing homes. In this respect, RNs assist patients and their families to navigate through the challenges of the end of life journey.
In the last 10 years, this care has undergone considerable changes in funding, eligibility, and service lines. For instance, concerning funding, the Medicare payment systems changes caused the latest increase in the agencies that offer home health care. Medicare remained the leading payer of home health and hospice care (Park Lee & Decker, 2010).
Also, it will detail what characteristics are found within the nurses that fulfill this pertinent role to the medical world. This author will strictly adhere to the utilization of solely academic and scholarly journals to meet the requirements of this literature in a highly academic manner.
More important, they help the child and the family make the most of the time they have left together.1 (Craft, Sir Alan) This is opposed to hospital care and treatment, which is usually ill-prepared to help with either the emotional side of this issue, or with comfort issues facing children, in which hospice caregivers have become expert; nor do hospitals historically do well with helping the dying child and their family to live their lives fully up to the moment of death and separation.
Therefore, the hospice care deals with the symptoms of a terminally ill patient which are physical, emotional, spiritual or social in nature. In a reflective analysis of the history of the hospice care, it becomes lucid that the concept of hospice as a place to treat the incurably ill has a long history of evolvement which dates back to the 11th century.
In many cases, individuals dying from prolonged but fatal diseases such as HIV and Aids, cancer or multiple sclerosis, are able to live out the latter part of their illness with dignity and comfort due to hospice care. The purpose of this paper is to
I have developed a strong appreciation for people working in this field who provide a variety of services to the patients like administering medications and providing emotional support to the patients and their
Manyhospice care practices are in the gray area of ethical acceptance by society. It is not clear why some practices are acceptable while others are rejected. For instance, total sedation is acceptable while euthanasia is frown upon. Despite advances in
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