...invasive treatment processes. This is when hospice becomes beneficial, the hospice care teams are created to care for and make sure the patient is as comfortable as possible during this scary stage of life as well as making sure the family has wills and counseling in place for themselves if they need it. After further examining hospice care it becomes evident that the involvement of Hospice is beneficial to both patient and family. The term “hospice” can be traced back to medieval times...
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...Hospice Creation of Hospice Hospice care is designed to give supportive care to people in the final phase of a terminal illness and focus on comfort and quality of life rather than cure. The goal is to enable patients to be comfortable and free of pain, so that they live each day as fully as possible. The term “hospice” ( from the same linguistic root as “hospitality”) can be traced back to medieval times when it referred to a place of shelter and rest for the weary or terminally ill on a long journey in 1948 (History of Hospice Care, 2012). The name of the physician was Dame Cicely Saunders who treated the terminally ill and eventually went on to create the first modern hospice, named St Christopher’s Hospice, in a residential suburb of London. (History of Hospice Care, 2012). Ms. Saunders introduced the idea of specialized care for the dying to the United States of America during a 1963 visit with Yale University. Her lecture, given to medical students, nurses, social workers, and chaplains, about the concept of holistic hospital care, included photos of terminally ill patients and their families, showing the dramatic differences before and after the symptom control care (History of Hospice Care, 2012). Ownership In 2010, there were over 5000 hospice programs nationwide (Facts and Figures: Hospice Care in America, 2012). The majority of these facilities are freestanding agencies constituting 58 percent of all hospice centers (Facts and Figures: Hospice Care in America...
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...Franciscan Hospice and Palliative Care Cindra Jones BSHS301 September 29, 2012 Christopher Bingham FRANCISCAN HOSPICE AND PALLIATIVE CARE I chose Franciscan Hospice and Palliative Care because I am interested in the valuable service they provide to the community. I wanted to know exactly what they do and how it is paid for so I made an appointment to talk to someone at the Franciscan Hospice and Palliative Care facility. Hospice is care designed to give supportive care to people in the final phase of a terminal illness and focus on comfort and quality of life, rather than a cure. The word “hospice” comes from the Latin “hospitum” meaning guesthouse. It was originally a place of shelter for sick and weary travelers. Palliative care is the treatment and relief of mental and physical pain for those with a life threatening illness. This treatment uses several types of therapy to make a person comfortable and free of pain. I was very fortunate to meet Pam Ketzner, the hospice educator and registered nurse at the Franciscan Hospice and Palliative Care facility located in University Place, Washington. Pam is in charge of educating the hospice nursing staff. With new equipment and medications always becoming available, she instructs the nurses on their proper use. She has been a nurse for 35 years. She was a visiting nurse to begin with and then became the head of education so she spends most of her time at the facility. She feels very privileged to be a part of...
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...Caring Hospice Business Plan Bonita Lewis Central Methodist University COMPANY SUMMARY/CATCHY-SELLS Caring Hospice is a new hospice company in its start-up stages. It will offer compassionate and caring end of life care for terminally ill patients and their families in southeast Missouri. The company name “Caring Hospice” is catchy and easily remembered by consumers. The name indicates that this company will care for dying loved ones. MARKET ANALYSIS Caring Hospice will be located in Poplar Bluff, Missouri. This is the southeastern region of the state. It is comprised of poor communities where residents often are forced to travel as far as fifty miles or more for adequate health care. Market research shows there is a significant need for quality hospice care in this region, with only six competitors that travel to the homes of patients living in the rural counties (Yellow Pages, n.d). Caring Hospice will thrive for years to come simply due to the fact that it will bring care to the patients in their own homes. FINANCIALS The start-up budget includes a list of expenditures (Henderson, 2003). The expenses will be compiled of operating and non-operating costs (Dunham-Taylor & Pinczuk, 2010). The start-up costs will be paid with a new business loan the first 90 days. After this time, the business will be able to support itself with revenue from billing to Medicare, Medicaid, and private insurances (Hogan & Hartson, 2012). The estimated beginning...
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...Health Care Support Services Paper Health Care Support Services Paper The last thing that you want to here is that a loved one is terminally ill. In this situation we try to do anything we can to support our loved one in their hour of need. The truth is that most of us are not trained to care for our family members and if we could one person could not provide the care and support that they need. The good news is that there is an organization that can help your loved one through this difficult time by providing health care, therapy, comfort, dignity, and emotional support. The health care service that I am referring to is hospice care. Hospice care is different from regular health care in that Hospice is a style of caring for people. Hospice care is intended for patients who’s doctor puts their life expectancy no longer than six months. In the following reading I will provide a detailed description of hospice care including the demographics, services and a reason for choosing hospice as my topic. The beginnings of hospice care is debated by many authors. The majority of authors agree that a form of hospice did exist before the 19th century outside of the United States. The foundation of hospice care started to take form in London somewhere about 1948. Hospice care came to the United States in 1963 by a physician Cicely Saunders who spoke of the new style of care given to terminally ill patients. After the first introduction back in 1963 hospice care in the United States...
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...loved one fade away. But there are programs out there to help not just the dying person but also the families of the dying person. Palliative care and Hospice care are two of the programs in the U.S that are tailored to medical care, pain management, and emotional and spiritual support for the patient and family. At the center of hospice and palliative care is the belief that each of us has the right to die pain-free and with dignity, and that our families will receive the necessary support to allow us to do so. Palliative care focuses on relieving symptoms that are related to chronic illnesses, such as cancer, cardiac disease, respiratory disease, kidney failure, Alzheimer’s and other dementias, AIDS, Amyotrophic Lateral Sclerosis and other neurological diseases. World Health Organization defines Palliative care as “improving the quality of life of patients and families who face life-threatening illness, by providing pain and symptom relief, spiritual and psychosocial support to from diagnosis to the end of life and bereavement” (“WHO”, 2013). Palliative care is accessed at any point during the course of a chronic illness regardless of life expectancy. It is typically provided through regular physician and nursing visits in an inpatient consultation service in a hospital setting. Palliative care is provided by a team of doctors, nurses and other specialists who work together with a patient’s other doctors to provide an extra layer of support. Some treatments and medications...
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...Review of Literature Essay When a person is placed on hospice, it is generally seen as a comfort measure instead of a curative measure (Villet-Langomarsino 2018). Pain management of the hospice patient is of great importance because it is one of the few things that can be done during the end stage of life when treatment of a disease is no longer desired. Pain is a common symptom in health care and should be one of the easiest to treat due to its popularity, but unfortunately it is not. Since pain is so unique to person, assessment and treatment must be custom tailored to each patient. The problem with pain management is its specificity to each person and disease plus the numerous ways to treat it. Without one specific roadmap of treating...
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...Evidence Based Practice: “Stress nurses face caring for palliative care patients?” Regina Nelson Governors State University Abstract Palliative Care Nurses are at risk of experiencing stressful situations related to symptom management and death. The aim of this paper is to critically examine the current stress nurses face caring for Palliative Care patients. Four Nursing Journals and one Psycho-Oncology were reviewed. There was strong evidence to support that nurse’s experience stress caring for Palliative care patients. Common concerns in the first study were caring for a dying patient; personal level, comfort of the patient, and mediating between patient and family. The second study reported physical and emotional health consequences for nurses who provide hospice and palliative care over extended periods of time. The third study of nursesreported job satisfaction, stressors, coping strategies, and support. The fourth study nurses had 10 themes that conceptualize their work that may enable palliative care workers to remain resilient and effectively buffer or moderate stressful effects. The fifth study reported routinization of care, lack of nursing staff’s availability for emotional engagement, frequent interruptions, quiet afternoons, upbeat and positive culture, and a matter of fact attitude surrounding death and dying ,were all the behaviors that “being with” could not create. Although the report showed nurses able to cope by not “being with” the overall impact...
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...Health care workers that are providing care for death and dying in the hospice and palliative care settings are at risk for professional compassion fatigue (PCF). Nurses dealing with the patients’ dying and the emotions of the patients’ loved ones on an ongoing basis can experience PCF. In order, to prevent becoming overwhelmed with PCF the health care workers needs to make the arrangements to take time off, and have an outlet to vent the health care workers feelings. Healthcare care workers need to be aware of the symptoms of PCF which are, anxiety, depression, apathy and intrusive thoughts. The need for nurses that specialize in caring for the death and dying may increase due to the population getting older according to the US census of 2008. Purpose and Research Questions The purpose of this study was to describe if health care workers are experiencing PCF by caring for hospice and/or palliative care population on an ongoing basis. The research questions were as followed: “Are nurses whose job it is to deal with death and dying on a continual basis at risk of developing PCF?” the other one was “What are the consequences (both physical and emotional) of hospice and palliative care nurses continually dealing with death” (Melvin, 2012)? Literature Review This was a descriptive qualitative study, the expected outcome was a comprehensive summary of events in the daily terms of those events. One to one interviewing was used to collected data from six female nurses that worked...
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...University A. Personal Perceptions As a Registered Nurse for thirteen years in an acute care hospital setting, I have tended to many dying patients. It is my personal belief that quality of life and health promotion are imperative to the care of the terminally ill patient. Personally, I am a big fan of palliative care nursing. The World Health Organization (WHO) defines palliative care as “an approach that improves the quality of life of patients and their families facing the problem associated with life-threatening illness, through the prevention and relief of suffering by means of early identification and impeccable assessment and treatment of pain and other problems, physical, psychosocial, and spiritual.” B. Strategies Improving Mrs. Thomas’ quality of life would comprise of assisting her with her increased level of pain, limited amount of emotional support, and financial concerns. Firstly, Mrs. Thomas’ physical comfort needs addressed immediately. As evidenced by the patient spending large amounts of her day crying in bed, her pain is not under control. As her nurse, I would listen to her fears about addiction, but discuss quality of life versus drug addiction. I would explain how once her pain is tolerable, she will be able to assume a more productive, engaged role in her own life. Secondly, addressing Mr. and Mrs. Thomas’ financial concerns would be my next order of business. Insufficient health care insurance or financial resources can cause excessive worry...
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...R.M Community Health Task 2 When caring for the terminally ill patient, one must examine their feeling in order to provide care. It is important for the nurse not to judge the patient or family for decisions made, only to support and advocate for the patient and family during this time. As a critical care nurse the author has participated in the care of numerous terminally ill and palliative care patients. Unfortunately every person that lives will eventually die and it is the responsibility of the nurse to help improve the quality of life for the patient and offer support to the family during this dying process. The nurse must respect and honor the patient. To improve the quality of life for Mrs. Thomas, education on disease process and end of life events is of the utmost importance. Hospice is a specialty offers support and services to the terminally ill (“What is hospice,”). Not only does hospice provide services, but also a wealth of education for the patient and family. Along with education, symptom management and spiritual support are also offered to improve Mrs. Thomas’s quality of life. Pain control and symptom management can also improve the quality of life in this case. After adequate education is received, Mrs. Thomas may not be as reluctant to receive pain medication. As pain relief is obtained, the patient may enjoy more of time with her husband and may even return to church for social interaction thus increasing her quality of life. The third...
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...The mission of Cleveland Clinic is” to provide better care of the sick, investigation into their problems, and further education of those who serve” The mission or philosophy of Cleveland Clinic hospice says that “hospice care does not attempt to offer a cure for illness. Rather, it provides support to patients and families as they progress through one of life's most profound passages.” The hospice care team, led by a nurse liaison, develops that best plan for that patient and family’s needs. This is accomplished by team management of experienced professionals that our versed in symptom management and pain control. The hospice team provides medications, medical supplies and equipment to the facility or home. Our team provides teaching and...
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... Serving as a patient care advocate is the most important role a nurse serves as a health care provider. Nurses serve to support the patient, sometimes having to put their own personal beliefs and values to the side. Although this is ingrained in us as nurses, sometimes health care providers allow their emotions to alter their perspective when dealing with death and dying. For twenty-four years I have served as a critical care nurse, and as an ICU nurse, I have been trained to help patients and families through this time of illness to provide care to help them heal and get better. Despite all that we do to treat patients, sometimes their illnesses are such that they do not get better and a decision is made to pursue comfort care. Since we are trained to help patients and families heal, this can be difficult to handle. Regardless of my personal feelings or beliefs, I always encourage my patients and their families to make the decisions that are best for them with the information they have been given. Our job as patient care advocates is crucial, especially when dealing with end of life and quality of life issues. The National Institute of Health defines hospice as “end of life care provided by health professionals and volunteers.” This type of care gives attention to pain control while trying to keep the patient as alert as possible. A referral to hospice is placed when a patient has been given less than six months to live. The goal of hospice is to maintain dignity...
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...Hospice Care HCS 212 December 12, 2012 Hospice Care Hospice is a very special type of healthcare that offers comfort and support for patients and families that are facing a terminal illness. The focus is put on making a patient comfortable with a quality of life instead of a cure. The main goal is for a patient to have comfort and free of pain, with the hope that they will live each day as fully as possible, allowing people to live the remainder of their life with comfort and dignity. Hospice services are available for people that can no longer benefit from curative treatments, and are different from other types of care. You may require more help than you are used to which can be both good and bad. The life expectancy for these individuals is normally six months or less, but sometimes they do live past six months. These patients are encouraged to try and live as much of a normal life as possible and to the fullest as possible as well, they do not have to confined to a bed or stay at home 24/7. A multi-disciplinary team of physicians, nurses, pharmacists, social workers, dietician’s, hospice certified nursing assistants, clergy, therapist and bereavement counselors as well as volunteers who all work together as team to address the physical, mental, emotional, spiritual, and social needs of each and every family member. This care is provided in their own home no matter what age...
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...staff nurses and hospice nurses collaborate on the administration of morphine. The rationale for this question is nurses are to medically provide comfort to the dying but not assist with a rapid increase of death. Appendix B on page 28 asked the following questions: 1. What is the problem and why is it important? The problem that exist is morphine being issued to hospice patients and the medication suppresses respirations. 2. What is the current practice? The current practice is hospice patients are being ordered morphine as a standard of practice by hospice nurses and staff nurses are the practitioners who have to implement the orders. 3. What is the focus of the problem? The focus of the problem are clinical, educational. and administrative 4. How was the problem identified? Safety/Risk Management Quality Concerns Unsatisfactory Patient, Staff, or Organizational Outcomes 5. What is the scope of the problem? The scope of the problem is institution. 6. What is PICO components? P - Patient, Population, Problem - Hospice patient receiving medication as standard. The medication is noted to reduce respirations. I - Intervention - Collaborate with hospice nurses to order morphine as a individualized medication and not automatically used for protocol C - Comparison with other interventions, if applicable Research to be done to do comparison, O - Outcomes that include metrics for evaluation - The outcome of hospice staff...
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