TCHR_Hospice_Overview

TCHR_Hospice_Overview - Week Six: Hospice and End of Life...

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Week Six: Hospice and End of Life Care Please note: Information for this Outline has been adapted from several sources. 1 1) What is hospice? a) History: i) Middle Ages: Knights Hospitalers; other institutions that gave rest and support for weary travelers ii) 1965: St. Christopher’s Hospice, London (Dame Cicely Saunders) (1) Originally a nurse; retrained as a social worker after injuring her back; then as a physician to pursue goal of developing care for terminally ill. Later: went outside National Health Service to found private hospice. iii) 1974: 1 st hospice in US (Connecticut); began as community-based iv) 1975: Canada b) Today: “The term hospice may be more appropriately used as an adjective to describe a type of care rather than to identify a place.” (Corr, et al 2006:190) c) “It is a unique concept and system of care, which is exclusively designed to address the challenging and often difficult needs and circumstances of a patient with a life-limiting illness.” (Hospice of AZ) i) Focus is on comfort (1) This is done with a team approach to address the physical, emotional and spiritual needs of the patient as well as the family ii) Medical orientation of hospice personnel: (1) Symptom management and pain control (2) Focus is on palliative care (treat symptoms; control or eliminate pain) rather than curative care (treat disease) (3) Hope is not abandoned, but the goal shifts from “curing” the life-limiting illness to “creating an environment for patient and family “that allows everyone to derive the greatest fulfillment from the remaining days they have to share with one another” (Hospice of AZ) (4) Care can be done in patient’s home or at an in-patient unit
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This note was uploaded on 04/02/2008 for the course ASB 353 taught by Professor Repp during the Spring '08 term at ASU.

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TCHR_Hospice_Overview - Week Six: Hospice and End of Life...

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