scholarly journals The Role of Ownership in Hospice Care: Commentary on Teno et al.

2015 ◽  
Vol 50 (4) ◽  
pp. 435
Author(s):  
David G. Stevenson
Keyword(s):  
Hospice Care

Images of the Hospice

2017 ◽  
Author(s):  
Alan Baron ◽  
John Hassard ◽  
Fiona Cheetham ◽  
Sudi Sharifi
Keyword(s):  
General Public ◽  
Palliative Medicine ◽  
Healthcare Professionals ◽  
Hospice Care ◽  
Care Work ◽  
Dirty Work ◽  
Key Stakeholders ◽  
Host Organization ◽  
Local Healthcare

This chapter looks ‘outside’ the Hospice at issues of the organization’s image. The authors talked to staff, volunteers, and members of the general public, as well as to a number of key stakeholders in the local healthcare community, in order to gauge their views on the host organization. The analysis examines the problems associated with the image of hospices and discusses attempts of staff and volunteers to ‘dispel the myths’ about the nature of hospice care work—a form of labour which potentially runs the risk of being characterized as ‘dirty work’. The chapter then examines how the Hospice is seen in the eyes of other healthcare professionals and discusses the choice of palliative medicine as a career for junior medics. Finally it discusses a degree of ‘confusion’ that staff and volunteers claim exists in the minds of GPs and consultants in specialist cancer hospitals about the role of hospices.

scholarly journals Pharmacist’s role in the system of palliative and hospice care in Ukraine and Poland

2014 ◽  
Vol 83 (4) ◽  
pp. 282-287
Author(s):  
Sofiya Prokip ◽  
Iga Pawłowska ◽  
Bohdan Hromovyk ◽  
Leszek Pawłowski
Keyword(s):  
Multidisciplinary Team ◽  
Multidisciplinary Approach ◽  
Hospice Care ◽  
Multiple Choice Questions ◽  
Drug Management ◽  
Efficient Treatment ◽  
Study Results ◽  
Polish Study ◽  
The Status

Introduction. The efficient pharmacotherapy is an important part of palliative and hospice care, and requires a multidisciplinary approach to the patients. The pharmacist, as the member of the multidisciplinary therapeutic team, is responsible for performing pharmaceutical care, which provides safe and efficient treatment. The aim of the research was to conduct a comparative research about the status of palliative and hospice care and role of the pharmacist (clinical pharmacist) in Ukraine and Poland.Material and methods. It was a questionnaire survey conducted in Ukraine, as well as analysis of information sources associated with this subject. The questionnaire was developed on the basis of similar study conducted in Poland. It consisted of 15 multiple-choice questions addressed to head physicians and doctors in Ukraine. The obtained results were compared to the results of the mentioned above Polish study. Results. Eight head physicians and 22 doctors (30 questionnaires) from 13 palliative and hospice care institutions in Ukraine responded to the survey. It has been found that almost half in Ukraine (43%) believed that the pharmacist should be a mandatory member of a multidisciplinary team, because of his/her significant role in drug management in hospice. Conclusion. A multidisciplinary approach to satisfying of patients' needs in palliative and hospice care has a great significance. Results of the study testify to the importance of including the pharmacists into the multidisciplinary team.

Parenteral Hydration in Patients with Advanced Cancer (DRAFT)

2018 ◽  
Author(s):  
Carlos Eduardo Paiva ◽  
Bianca Sakamoto Ribeiro Paiva
Keyword(s):  
Quality Of Life ◽  
Advanced Cancer ◽  
Clinical Case ◽  
Fluid Intake ◽  
Hospice Care ◽  
Important Study ◽  
The Common ◽  
To Receive

There has been much debate about the role of parenteral hydration in the last weeks and days of life. In this important study, 129 patients with advanced cancer receiving hospice care with mild to moderate dehydration who were no longer able to maintain adequate fluid intake were randomized to receive parenteral hydration of either 1 L or 100 ml of normal saline per day subcutaneously. Parenteral hydration did not significantly improve the symptoms related to dehydration, the occurrence of delirium, fatigue, quality of life, and overall survival. At the end of the chapter, a clinical case leads readers to consider the common practice of parenteral hydration.

scholarly journals Accounts of Family Conflict in Home Hospice Care: The Central Role of Autonomy for Informal Caregiver Resilience

2019 ◽  
Vol 25 (2) ◽  
pp. 190-218 ◽  
Author(s):  
Jacquelyn J. Benson ◽  
Debra Parker Oliver ◽  
George Demiris ◽  
Karla Washington
Keyword(s):  
Family Conflict ◽  
Health Care Professionals ◽  
Hospice Care ◽  
Secondary Analysis ◽  
Relational Dialectics ◽  
Relational Dialectics Theory ◽  
Hospice Patients ◽  
Stressful Experience ◽  
Home Hospice Care

End-of-life caregiving is a highly stressful experience often fraught with conflict and tension. However, little is known about the ways family conflict manifests for informal caregivers of home hospice patients (IHCs). Framed by relational dialectics theory, the purpose of this study was to provide nurses and other health care professionals with an empirical understanding of how IHCs experience family conflict and tensions associated with caregiving. A second aim was to determine what strategies IHCs use to manage these family conflicts. Data used in this qualitative secondary analysis were originally collected as part of a randomized clinical trial of an IHC support intervention. Based on thematic analysis of data from 25 IHCs who reported family conflict, a conceptual model of caregiver resilience was developed from the themes and categories that emerged during the coding stage. Autonomy was identified as a central tension. IHCs used several strategies to address family conflict including communication, formal support, and emotional self-care.

Do Healthcare Professionals Really Understand the Role of OT in Hospice Care?

2019 ◽  
Vol 73 (4_Supplement_1) ◽  
pp. 7311515300p1
Author(s):  
Lisa Knecht-Sabres ◽  
Ashley Weppner ◽  
Cassandra Powers ◽  
Brooke Siesel
Keyword(s):  
Healthcare Professionals ◽  
Hospice Care

Children With Intellectual Disability and Hospice Utilization: The Moderating Effect of Residential Care

2017 ◽  
Vol 35 (7) ◽  
pp. 945-950
Author(s):  
Lisa C. Lindley
Keyword(s):  
Intellectual Disability ◽  
Length Of Stay ◽  
Residential Care ◽  
Hospice Care ◽  
Care Staff ◽  
Care Services ◽  
Life Trajectory ◽  
The Relationship ◽  
Children With Intellectual Disability

Background: Children with intellectual disability commonly lack access to pediatric hospice care services. Residential care may be a critical component in providing access to hospice care for children with intellectual disability. Objective/Hypothesis: This research tested whether residential care intensifies the relationship between intellectual disability and hospice utilization (ie, hospice enrollment, hospice length of stay), while controlling for demographic characteristics. Methods: Multivariate regression analyses were conducted using 2008 to 2010 California Medicaid claims data. Results: The odds of children with intellectual disability in residential care enrolling in hospice care were 3 times higher than their counterparts in their last year of life, when controlling for demographics. Residential care promoted hospice enrollment among children with intellectual disability. The interaction between intellectual disability and residential care was not related to hospice length of stay. Residential care did not attenuate or intensify the relationship between intellectual disability and hospice length of stay. Conclusions: The findings highlight the important role of residential care in facilitating hospice enrollment for children with intellectual disability. More research is needed to understand the capability of residential care staff to identify children with intellectual disability earlier in their end-of-life trajectory and initiate longer hospice length of stays.

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