Suchergebnisse

Hospice Care and Cultural Diversity captures the richness and differences that make up the United States and its culture. This book shows you the complex issues arising from work with patients of a different culture and encourages research in hospices which support culturally innovative programs. Many people are individually knowledgeable and culturally sensitive, but few hospices have systematically planned for service to culturally diverse groups. This volume identifies who is implementing organizational programs of cultural sensitivity and acknowledges the efforts of those individuals worki

"This is the first book to explore how religion, belief and spirituality are negotiated in hospice care. Specifically, it considers the significant place that spiritual care has in hospice care and claims that the changing role of religion and belief in society highlights the need to re-examine how such identities are integrated in professional practice. Using religious literacy as a framework, the author explores how healthcare professionals in hospice care respond to religion, belief and spiritual identities of service users. Part 1 provides a comprehensive account of the content and history of the place of religion, belief and spirituality in hospice care. Part 2 examines how these topics are negotiated in hospice care by looking at three key areas: environment, professional practice and organisation. Part 3 proposes a religious literacy model applicable to hospice care and explores implications for practice and policy. Lastly, the author identifies future trends in research, policy and practice. Drawing on a range of theories and concepts and proposing a working model that can impact on the training of future and current professionals, Religious Literary in Hospice Care should be considered essential reading for students, researchers and practitioners"--

Stimulated by Downs(2003) article on Failure in Palliative Care the author reflects on the workings of a day hospice focusing on the difficult and challenging issues for patients and how the hospice setting can enable these issues to be raised and addressed. The issues are explored and illustrated using patient comments and experiences. Acknowledging a dearth of hospice day care research and literature the author seeks to motivate others and encourage a wider appreciation of day hospice and thereby influence future practice.

Hospice care is a type of care and philosophy of care that focuses on the palliation of a terminally ill or seriously ill patient's pain and symptoms, and attending to their emotional and spiritual needs (Powell 2014). The concept of hospice has been evolving since the 11th century. Then, and for centuries thereafter, hospices were places of hospitality for the sick, wounded, or dying, as well as those for travellers and pilgrims (Dossey 1999). The modern concept of hospice includes palliative care for the incurably ill given in such institutions as hospitals or nursing homes, but also care provided to those who would rather spend their last months and days of life in their own homes (McCue and Thompson 2006)

This volume demonstrates how hospice care leads to improved quality of life for patients with terminal dementia and their families. Much of the information is based on the successful 10-year experience of the E.N. Rogers Memorial Hospital, where the first palliative care program for the management of patients with advanced dementia was developed. The book discusses Alzheimer's and other progressive dementias and reviews the clinical problems encountered, including infections, eating difficulties, and behavioral problems. It further addresses how to implement hospice care programs for these pat

Purpose: The purpose of this study was to investigate the hospice care compliance of nurses working at a hospice ward and provide meaningful data to improve the hospice care compliances. Methods: Participants included 104 nurses working at the hospice ward of the hospital located at P and D cities. Data was collected from February to March 2012. The level of hospice care compliance was measured using Bae (2000)'s questionnaires. Data were analyzed with descriptive statistics, t-test, one-way ANOVA and Scheffè test using SPSS/WIN 18.0 program. Results: The level of hospice care compliance in hospice nurses working at a hospice ward was high (3.25 out of 4). In hospice care compliance, the physical area was highest, followed by the emotional, spiritual, and social areas. Hospice care compliance was significantly different according to age, marital status, education, religion, importance of religion, job position, job satisfaction and life satisfaction. Hospice care compliance was also significantly different according to the nurses' experience of death, having license or certification related to hospice care and experiences related to clients' death. Conclusions: The findings of this study showed that the level of hospice care compliance was high and the hospice care compliance in South Korea was primarily focused on physical care. Considering that spiritual needs are important needs in hospice clients, hospice nurses need to focus on those aspects more. To improve the quality of hospice care compliance in the hospice nurses, programs to increase hospice nurses' job and life satisfaction are needed. KEYWORDS Hospice Care; Compliance; Nurses ; open

ABSTRACTThe relationships between dentist characteristics and professional education with involvement of Iowa dentists in hospice care were investigated. Using the 1999 Iowa Health Professional database, a survey requesting information regarding involvement in and training for care of hospice patients was mailed to all licensed dentists (N = 1,210). Two mailings yielded a 54.6% response rate. Of the 638 dentist respondents, the mean age was 47, 86% were male, 88% general dentists, and 295 (46%) reported providing some treatment for hospice patients. At least one dentist reported providing hospice patient care in 72 of Iowa's 99 counties. About 90% of dentists treating hospice patients were general practitioners.Males were more likely to provide treatment (p < 0.0313). Neither dentist age nor years in practice were significant predictors. Dentists were more likely to treat hospice patients in the office (IO, 40%). The most prevalent treatments were denture relines (31% IO; 71% OO), examinations (16% IO; 68% OO), and emergency treatment (12.5% IO; 53% OO). More than 86% of surveyed dentists indicated that their professional education did not adequately train them to meet the clinical, psychosocial, communication, or spiritual needs of hospice patients.

Cover -- Half Title -- Title -- Copyright -- Contents -- Foreword -- Preface -- Individual Rights and the Human Good in Hospice -- Issues of Access in a Diverse Society -- Will Assisted Suicide Kill Hospice? -- Ethical Issues in Pain Management -- Focus on the Nurse: Ethical Dilemmas with Highly Symptomatic Patients Dying at Home -- Legal Requirements for Confidentiality in Hospice Care -- The Role of the Physician in Hospice -- The Role of Ethics Committees in Hospice Programs -- Growth in Caring and Professional Ethics in Hospice -- Hospice Organizations' Role in Health Care Improvement -- Hospice and Managed Care -- The Future of Hospice in a Reformed American Health Care System: What Are the Real Questions? -- Index

The differences in hospice care needs between United States veterans and non-veterans was explored using a systematic review research methodology that consisted of 18 articles. After a review of previous research studies, it was found that veterans tended to want their healthcare providers to be more open and to the point about their diagnosis than non-veterans did. Both non-veterans and veterans wanted to be in control of their end of life cares. Non-veterans were more likely to want their family and friends around compared to veterans who were less likely to want people around. Veterans who had post-traumatic stress disorder (PTSD) received a lower quality of care compared to hospice patients who did not have PTSD. Patients who received a palliative care consult reported having less discomfort compared to those who did not receive a palliative care consult. Patients who received extra services such as Reiki or music therapy or caregiver support had an increase in peacefulness and a decrease in pain. With the additional caregiver support, patients were able to stay at home longer or until their death. This study shows that there is not a lot of research done around hospice care with veterans, but it is a unique group that needs to be focused on more in order to increase the quality of care they receive.