Hospice Care: Specialized health care, supportive in nature, provided to a dying person. A holistic approach is often taken, providing patients and their families with legal, financial, emotional, or spiritual counseling in addition to meeting patients' immediate physical needs. Care may be provided in the home, in the hospital, in specialized facilities (HOSPICES), or in specially designated areas of long-term care facilities. The concept also includes bereavement care for the family. (From Dictionary of Health Services Management, 2d ed)Hospices: Facilities or services which are especially devoted to providing palliative and supportive care to the patient with a terminal illness and to the patient's family.Hospice and Palliative Care Nursing: A nursing specialty concerned with care of patients facing serious or life-threatening illnesses. The goal of palliative nursing is to prevent and relieve suffering, and to support the best possible quality of life for patients and their families. Hospice nursing is palliative care for people in their final stages of life.Terminal Care: Medical and nursing care of patients in the terminal stage of an illness.Home Care Agencies: Public or private organizations that provide, either directly or through arrangements with other organizations, home health services in the patient's home. (Hospital Administration Terminology, 2d ed)Palliative Care: Care alleviating symptoms without curing the underlying disease. (Stedman, 25th ed)Terminally Ill: Persons with an incurable or irreversible illness at the end stage that will result in death within a short time. (From O'Leary et al., Lexikon: Dictionary of Health Care Terms, Organizations, and Acronyms for the Era of Reform, 1994, p780)Videoconferencing: Communications via an interactive conference between two or more participants at different sites, using computer networks (COMPUTER COMMUNICATION NETWORKS) or other telecommunication links to transmit audio, video, and data.Medicare: Federal program, created by Public Law 89-97, Title XVIII-Health Insurance for the Aged, a 1965 amendment to the Social Security Act, that provides health insurance benefits to persons over the age of 65 and others eligible for Social Security benefits. It consists of two separate but coordinated programs: hospital insurance (MEDICARE PART A) and supplementary medical insurance (MEDICARE PART B). (Hospital Administration Terminology, AHA, 2d ed and A Discursive Dictionary of Health Care, US House of Representatives, 1976)Attitude to Death: Conceptual response of the person to the various aspects of death, which are based on individual psychosocial and cultural experience.Home Care Services: Community health and NURSING SERVICES providing coordinated multiple services to the patient at the patient's homes. These home-care services are provided by a visiting nurse, home health agencies, HOSPITALS, or organized community groups using professional staff for care delivery. It differs from HOME NURSING which is provided by non-professionals.Nursing Homes: Facilities which provide nursing supervision and limited medical care to persons who do not require hospitalization.United StatesCaregivers: Persons who provide care to those who need supervision or assistance in illness or disability. They may provide the care in the home, in a hospital, or in an institution. Although caregivers include trained medical, nursing, and other health personnel, the concept also refers to parents, spouses, or other family members, friends, members of the clergy, teachers, social workers, fellow patients.Bereavement: Refers to the whole process of grieving and mourning and is associated with a deep sense of loss and sadness.Professional-Family Relations: The interactions between the professional person and the family.Neoplasms: New abnormal growth of tissue. Malignant neoplasms show a greater degree of anaplasia and have the properties of invasion and metastasis, compared to benign neoplasms.Death: Irreversible cessation of all bodily functions, manifested by absence of spontaneous breathing and total loss of cardiovascular and cerebral functions.Advance Care Planning: Discussions with patients and/or their representatives about the goals and desired direction of the patient's care, particularly end-of-life care, in the event that the patient is or becomes incompetent to make decisions.Eligibility Determination: Criteria to determine eligibility of patients for medical care programs and services.OregonHome Health Aides: Persons who assist ill, elderly, or disabled persons in the home, carrying out personal care and housekeeping tasks. (From Slee & Slee, Health Care Terms. 2d ed, p202)Home Nursing: Nursing care given to an individual in the home. The care may be provided by a family member or a friend. Home nursing as care by a non-professional is differentiated from HOME CARE SERVICES provided by professionals: visiting nurse, home health agencies, hospital, or other organized community group.Resuscitation Orders: Instructions issued by a physician pertaining to the institution, continuation, or withdrawal of life support measures. The concept includes policies, laws, statutes, decisions, guidelines, and discussions that may affect the issuance of such orders.Family: A social group consisting of parents or parent substitutes and children.Health Care Surveys: Statistical measures of utilization and other aspects of the provision of health care services including hospitalization and ambulatory care.Medicare Part A: The compulsory portion of Medicare that is known as the Hospital Insurance Program. All persons 65 years and older who are entitled to benefits under the Old Age, Survivors, Disability and Health Insurance Program or railroad retirement, persons under the age of 65 who have been eligible for disability for more than two years, and insured workers (and their dependents) requiring renal dialysis or kidney transplantation are automatically enrolled in Medicare Part A.

*  Medical & Nursing Care
Medical Care at Hospice in the Weald. The Hospice doctors work across all Hospice services. We see patients in the Hospice In- ... Nursing Care at Hospice in the Weald. Nursing at Hospice in the Weald is delivered by a single nursing team. We consider ... Medical & Nursing Care. Our medical and nursing teams are highly experienced in the management of all aspects of Hospice care ... About Hospice. in the Weald *About Hospice. in the Weald. *,Hospice Galleries*Hear from our Patients, their Families and Carers ...
  http://www.hospiceintheweald.org.uk/patient-family-and-carer-information/our-services/medical-nursing-care
*  Kilgore In Home Senior Care Agency | Kilgore Elderly Caregivers | Kilgore Home Care, Gregg County; | Caring Companions at Home
Kilgore Home Health & Hospice Services. While Caring Companions At Home does not offer Skilled Nursing or Hospice services ... If the time has come to consider making the transition to Hospice care, Caring Companions At Home can assist our clients with ... Kilgore Senior Care. In Home Senior Care Agency serving Kilgore, Texas. Caring Companions At Home is an independently owned ... Caring Companions At Home does things that others can't! When compared to other in home care agencies Caring Companions At Home ...
  http://caringcompanionsathome.com/lp/texas/gregg-county/kilgore
*  Bayshore HealthCare Launches Partnership with Pallium Canada for Hospice Palliative Care Education
19, 2013- Bayshore HealthCare Launches Partnership with Pallium Canada for Hospice Palliative Care Education. ... Bayshore HealthCare Launches Partnership with Pallium Canada for Hospice Palliative Care Education ... Pallium's CoP has grown over the years due to the members' common interest in improving the quality of hospice/palliative care ... Its services are purchased by government care programs, insurance companies, workers' compensation boards, health care ...
  http://www.newswire.ca/news-releases/bayshore-healthcare-launches-partnership-with-pallium-canada-for-hospice-palliative-care-education-513262051.html
*  Hospice Day Service
Referral to Hospice in the Weald*Safeguarding Vulnerable Adults*Safeguarding Children*Smoking*Spiritual Care ... About Hospice. in the Weald *About Hospice. in the Weald. *,Hospice Galleries*Hear from our Patients, their Families and Carers ... Hospice in the Weald Gallery*Your Trustees*Your Hospice Leadership Team*,Hospice in the Weald Fundraising Events*Moonlight Walk ... Meet your Hospice Team. *,Hospice in the Weald Policies*Admission to the In-Patient Ward*Advance Decisions to Refuse Treatment ...
  http://www.hospiceintheweald.org.uk/patient-family-and-carer-information/our-services/hospice-day-service
*  Seasons Hospice & Palliative Care Hospice Aide Coordinator in Columbia, MD
per week, monday through fridaydescriptionseasons hospice & palliative care seeking hospice aide coordinator join our team ... About Seasons Hospice & Palliative Care. At Seasons Hospice, our only goal is to provide the care you or your loved one needs ... Seasons Hospice & Palliative Care is seeking a Hospice Aide Coordinator to join our team of professionals. We make a difference ... Board Certified Hospice and Palliative Nursing Assistant (CHPNA). *At least two years' experience in Hospice care with strong ...
  https://www.aftercollege.com/company/seasons-hospice-and-palliative-care-3/497033/109904172/
*  IMPORTANT QUESTIONS FOR HOSPICE IN THE NEXT CENTURY APPENDICES
Attending Physician Care Manager Covered Services Facility Hospice Hospice Care Hospice Medical Director Hospice Services − ... Hospice to provide a copy of plan of care and assessments. 2. Nursing home to use hospice plan of care. 3. Hospice social ... 3. If hospice social worker has plan of care completed, assessing hospice RN brings copy of plan of care to nursing home to be ... PLAN OF CARE A. Changes will be made on plan of care to reflect appropriate hospice care. B. Changes will be entered into ...
  http://spotidoc.com/doc/3528/sermon-notes
*  Journal of Hospice & Palliative Nursing
... peer-reviewed journal for nurses in hospice and palliative care settings. ... is the official journal of the Hospice & Palliative Nurses Association and is the professional, ... Home , Journals , Journal of Hospice & Palliative Nursing View PDF. Journal of Hospice & Palliative Nursing. Editor(s): Ferrell ... The Journal of Hospice & Palliative Nursing (JHPN) is the official journal of the Hospice & Palliative Nurses Association and ...
  http://www.silverplatter.com/site/catalog/journals/1099.jsp
*  New Podcasts Address Physical Therapy and the Role of Hospice and Palliative Care
... Two new APTA podcasts provide guidance to ... It also highlights APTA's position The Role of Physical Therapy in Hospice and Palliative Care, which was adopted by the 2011 ... Wilson, who provides acute care physical therapy service in the Hospice and Oncology Unit and outpatient oncology services at ... Find more information on this topic on APTA's Hospice and Palliative Care webpage. ...
  http://www.apta.org/PTinMotion/NewsNow/2012/8/21/HospicePalliativeCare/?blogmonth=11&blogday=13&blogyear=2013&blogid=10737418615
*  Comprehensive Hospice Services in Olive Branch, MS (Mississippi) - Home Health Care Agencies
MS listing in the home health care directory. Includes contact and inspection info for Comprehensive Hospice Services. ... When facing a life-limiting diagnosis, you can trust your care or a family member's end-of-life care to Comprehensive Hospice. ... Service Area for Comprehensive Hospice Services. We don't have the exact service area for Comprehensive Hospice Services. Based ... We have caring, experienced advisors in and around Olive Branch, MS *We are the nation's largest senior care referral network * ...
  https://www.homehealthcareagencies.com/directory/ms/olive-branch/comprehensive-hospice-services/57653/
*  Making inroads with hospitals and hospice - McKnight's Long Term Care News
... strategic nursing home/hospice partnership with hospitals, ACOs, MCOs, etc. ... Hospice programs and SNFs must immediately implement a strategy to develop and market a strong, ... Hospice has long demonstrated the cost savings for using hospice, in lieu of curative care. ... Lisa Abicht-Swensen, M.H.A., is the director of home care and hospice at Pathway Health. ...
  http://www.mcknights.com/guest-columns/making-inroads-with-hospitals-and-hospice/article/432415/
*  Florida's Treasure Coast Hospice Turns to OnePoint Patient Care as Single Source for Its Hospice Pharmacy Needs
... based Treasure Coast Hospice to serve all its pharmacy-related needs for its 3,000 annual patients in Martin and St. Lucie ... a national hospice pharmacy services provider, announced today that it has reached an agreement with Stuart, Fla.- ... Florida's Treasure Coast Hospice Turns to OnePoint Patient Care as Single Source for Its Hospice Pharmacy Needs. OnePoint's ... About OnePoint Patient Care. OnePoint Patient Care continues to be an independent and employee owned hospice pharmacy services ...
  http://www.marketwired.com/press-release/floridas-treasure-coast-hospice-turns-onepoint-patient-care-as-single-source-its-hospice-2023202.htm
*  DMOZ - Health: Medicine: Facilities: Hospice: North America: United States
Includes a directory of hospice care, information about medicare, and information on what hospice care is. ... The National Hospice and Palliative Care Organization Charitable organization created in 1992 to broaden America's ... National Institute For Jewish Hospice Resources for families, medical and mental health care practitioners who are concerned ... Palliative care for children and adults in a number of American states. Also provides bereavement counseling. ...
  http://dmoztools.net/Health/Medicine/Facilities/Hospice/North_America/United_States/
*  Medicare Patients Who Use Hospice Receive Better Care at a Lower Cost to the Government
... if 1,000 additional Medicare beneficiaries chose to enroll in hospice 53-105 days before death, or 15-30 days prior to death. ... Medicare patients who enrolled in hospice received better care at a significantly lower cost to the government than those who ... did not use the Medicare hospice benefit. The data indicate that annual savings to Medicare could amount to $2.4 million to $ ... hospital and intensive care unit days and hospice's impact on selected measures of quality of care at the end of life such as ...
  http://www.newswise.com/articles/view/599702/?sc=rsmn
*  Hospice care in the United States - Wikipedia
Children's Hospice International CDC National Home and Hospice Care Data Question and Answers about hospice care needs provided ... The four primary levels of care provided by hospice are routine home care, continuous care, general inpatient, and respite care ... As the hospice industry has expanded, so, too, has the concept of hospice care. In 2003 the first US children's hospice ... Hospice care in America (PDF). Alexandria, Va.: National Hospice and Palliative Care Organization. October 2008. p. 8. ...
  https://en.wikipedia.org/wiki/Hospice_care_in_the_United_States
*  Archbishop Mahony's Plan for Hospice Care - latimes
An Archbishop's New Hospice: Hands-On, by Gospels Example,' the hospice community is grateful for the ... Hospice has been in the forefront of care for patients with acquired immune deficiency syndrome often when other health care ... Hospice care has been provided in the United States for 11 years and has been bringing a quality of life and comfort to all who ... the hospice community is grateful for the archbishop's response to the need for care of the AIDS patient. We also recognize the ...
  http://articles.latimes.com/1986-04-12/local/me-3569_1_hospice-care-hospice-community-hospice-organization
*  Hospice Care
International Association of Animal Hospice and Palliative Care. iaahpc.org [4]. A listing for hospice-care help in your area; ... Source URL: https://thebark.com/content/hospice-care?page=show Links. [1] https://thebark.com/content/hospice-care. [2] http:// ... Hospice can be a wonderful, caring option. Regardless of how you choose to navigate this stage, it is good to know that it ... As such, hospice care is geared toward maintaining comfort and ensuring the highest quality of life possible during a time that ...
  https://thebark.com/print/5417?page=show
*  Sherry Nichols: Giving Back Through Hospice Care
She found this gift of giving back while taking care of her mother while she had cancer. ... Sherry Nichols is a volunteer for hospice in Georgia. ... Facts about hospice. Read. *Get the facts about palliative care ... As a hospice volunteer, Nichols finds that sometimes simply listening to a patient is best. Other times nothing less than a ...
  https://www.aarp.org/giving-back/volunteering/info-12-2010/sherry_nichols_hospic_care_volunteer.html
*  Choosing Hospice Care
To find out more about hospice care, contact your local area hospice or visit the National Hospice and Palliative Care ... Hospice is a philosophy of care for the individual. It emphasizes compassionate care, quality of life and choices. Hospice ... Altzheimers and liver also qualify for hospice care.. Hospice care is available to anyone who:. *In consultation with his/her ... Thomas Hospice patient's family member.. Deciding on hospice care for a loved one can be difficult, especially if you are ...
  http://keepingyouwell.com/care-services/hospice/choosing-hospice-care
*  Volunteer Greeter: Infinity Hospice Care Opportunity - VolunteerMatch
Infinity Hospice Care offers the opportunity to serve your community through 'Volunteer Greeter'. This is an ongoing ... More opportunities with Infinity Hospice Care. * Do You Have A Heart For Hospice? ... Infinity Hospice Care is seeking volunteers to greet guest and answer incoming phone calls. ... Infinity Hospice Care works with patients and families impacted by a life-limiting illness. ...
  https://www.volunteermatch.org/search/opp1380904.jsp
*  Extra Security: Optimal Hospice Care Opportunity - VolunteerMatch
Optimal Hospice Care offers the opportunity to serve your community through 'Extra Security'. This is an ongoing opportunity ... Having someone who is available to partner with our dedicated nurses while them serve those in their care. They will escort on- ... This wiill provide extra security to those who take care of others. ... Minimum age requirement to volunteer with Optimal Hospice is 16 years old. ...
  https://www.volunteermatch.org/search/opp2308190.jsp
*  Experts offer answers concerning hospice care | GazetteXtra
Hospice does not shorten or prolong life. Rather it focuses on comfort care, not curing the illness.. Brown: Hospice care is a ... director of Mercy Hospice Care, to answer these questions:. Q: What is hospice?. Bracken: It is an approach to caring for ... Q: What services does your hospice. provide?. Bracken: The care is provided by a specially trained team that cares for the " ... Q: What are the benefits of choosing a hospice for your loved one?. Bracken: The philosophy of Mercy Hospice Care emphasizes ...
  http://www.gazettextra.com/news/2012/mar/05/experts-offer-answers-concerning-hospice-care/
*  St. Bernardine Hospice Care, Inc Volunteer Opportunities - VolunteerMatch
Bernardine Hospice Care, Inc volunteering opportunities at VolunteerMatch! ... Bernardine Hospice Care, Inc St. Bernardine Hospice Care, Inc Mission Statement. To provide an individualized program of high ... Hospice is about supporting people in their final life journey. Death is the closure to that journey. Mnay of our hospice ... To provide an individualized program of high quality interdisciplinary care for our patients and their families in their end-of ...
  https://www.volunteermatch.org/search/org773700.jsp
*  Serenity Palliative and Hospice Care Volunteer Opportunities - VolunteerMatch
Find Serenity Palliative and Hospice Care volunteering opportunities at VolunteerMatch! ... Serenity Palliative and Hospice Care Serenity Palliative and Hospice Care Mission Statement. Serenity Hospice's mission is to ... Volunteers have also made invaluable contributions with family pet care. •Bereavement support programs. Hospice volunteers can ... It's important that volunteers understand the history of hospice and are aware of the specific ways their local hospices works ...
  https://www.volunteermatch.org/search/org224321.jsp
*  Bluegrass Hospice Care - Northern Kentucky Volunteer Opportunities - VolunteerMatch
Find Bluegrass Hospice Care - Northern Kentucky volunteering opportunities at VolunteerMatch! ... Bluegrass Hospice Care - Northern Kentucky Bluegrass Hospice Care - Northern Kentucky Mission Statement. Providing patient- ... Bluegrass Hospice Care, part of Bluegrass Care Navigators, has been providing quality end-of-life care to Kentucky residents ... Providing patient-centered care to the seriously ill and their families with excellence and compassion; engaging in community ...
  https://www.volunteermatch.org/search/org525724.jsp
*  Friendly Visitor Program: Serenity Hospice Care Opportunity - VolunteerMatch
Serenity Hospice Care offers the opportunity to serve your community through 'Friendly Visitor Program'. This is an ongoing ... Friendly visitors provide companionship to our hospice patients. Spend time sharing stories, reading to them, listening to ... We're looking for volunteers to provide regular visits and companionship to hospice patients in their own community. ...
  https://www.volunteermatch.org/search/opp2677740.jsp

Hospice care in the United States: Hospice care in the United States is a type and philosophy of end-of-life care which focuses on the palliation of a terminally ill patient's symptoms. These symptoms can be physical, emotional, spiritual or social in nature.Elizabeth Jenkins (author): Margaret Elizabeth Jenkins (31 October 1905 – 5 September 2010) was an English novelist and biographer of Jane Austen, Henry Fielding, Lady Caroline Lamb, Joseph Lister and Elizabeth I.Webcam: A webcam is a video camera that feeds or streams its image in real time to or through a computer to computer network. When "captured" by the computer, the video stream may be saved, viewed or sent on to other networks via systems such as the internet, and email as an attachment.Themis MedicareHome of the future: The home of the future, similar to the office of the future, is a concept that has been popular to explore since the early 20th century, or perhaps earlier. There have been many exhibits, such as at World's Fairs and theme parks, purporting to show how future homes will look and work, as well as standalone model "homes of the future" sponsored by builders, developers, or technology companies.List of Parliamentary constituencies in Kent: The ceremonial county of Kent,Non-heart-beating donation: Prior to the introduction of brain death into law in the mid to late 1970s, all organ transplants from cadaveric donors came from non-heart beating donors (NHBDs).List of waterfalls in Oregon: There are at least 238 waterfalls in the U.S.

(1/334) Hospice and euthanasia in The Netherlands: an ethical point of view.

This contribution is a report of a two months' participant observation in a Dutch hospice. The goal of the observation was to gain an overview of moral decisions in a hospice in which euthanasia, a tolerated practice in the Netherlands, is not accepted as an option. In an introduction, the development of palliative care in the Netherlands will be briefly presented. Subsequently, various moral decisions that were taken during the participant observation are presented and analysed by means of case reports. Attention is especially drawn to decisions that directly or indirectly relate to euthanasia. These moral decisions will be clarified in the light of the philosophy behind the concept of palliative care as it has evolved since the foundation of St Christopher's Hospice, London in 1967.  (+info)

(2/334) The National Home and Hospice Care Survey: 1996 summary.

OBJECTIVE: This report presents data about agencies providing home and hospice care, their current patients, and their discharges. The data are presented in 159 tables according to standard sets of descriptive variables. The tables are grouped into five categories: agencies, home health care current patients, home health care discharges, hospice care current patients, and hospice care discharges. Data are presented on agency characteristics, demographic characteristics, utilization measures, and health and functional status of current patients and discharges. METHODS: The data used for this report are from the National Center for Health Statistics' 1996 National Home and Hospice Care Survey. This is a sample survey through which data are collected on the use of home health and hospice care agencies in the United States. The data were collected by personal interview using three questionnaires and two sampling lists.  (+info)

(3/334) Is care of the dying improving? The contribution of specialist and non-specialist to palliative care.

OBJECTIVES: To identify and synthesize evidence from studies examining the quality of care of dying patients in both specialist and general practitioner care. METHOD: Review of published research identified by online and manual searches. RESULTS: Three large, population-based surveys were identified, carried out between 1969 and 1990, and five randomized controlled trials of specialist palliative care programmes. There were, in addition, a small number of comparative studies and a large volume of descriptive, qualitative material. Some studies identified major methodological problems and the overall quality was poor. Most research concerned selected patients with neoplasms, particularly in settings where specialist palliative care teams are available. There was minimal information about the care of patients dying from non-neoplastic conditions. CONCLUSIONS: There is limited evidence of improvements in the care of selected cancer patients, and a dearth of evidence concerning patients dying from other, more common causes. The methods of research used to date are of limited current utility and new methods are required.  (+info)

(4/334) Experiences of older women with cancer receiving hospice care: significance for physical therapy.

BACKGROUND AND PURPOSE: The number of older adults with cancer is growing, increasing the need for professionals who are able to meet these patients' special needs. In palliative care settings, physical therapists strive to promote quality of life. Minimal research exists, however, to guide therapists working with patients with terminal illness. The purpose of this study was to gain knowledge that can be used by physical therapists to more effectively assess and treat older people with cancer receiving hospice care. SUBJECTS AND METHODS: A qualitative single-case study with replication was conducted with 3 older women with cancer who were receiving hospice care. Interview data were analyzed using grounded theory techniques. RESULTS: Four themes emerged as central to the experience of the informants: social relationships, spirituality, outlook on mortality, and meaningful physical activity. CONCLUSION AND DISCUSSION: In addition to maintaining physical function, physical therapists, who attend to nonphysical as well as physical aspects of care, may foster social cohesion, help maximize life's meaning, and support stabilizing strategies of older women with cancer who receive hospice care.  (+info)

(5/334) Long-term continuum of care for people living with HIV/AIDS.

The introduction of highly active antiretroviral therapy (HAART), has created new options for those infected and affected by human immunodeficiency virus/ acquired immunodeficiency syndrome (HIV/AIDS). Most HIV-infected persons no longer die within months of diagnosis. There is now a long-term continuum of care that can end in misery or relative comfort. The introduction of palliative care in concert with curative therapies throughout the disease trajectory should be the standard of care for all persons. At the very least, the introduction of palliative care and hospice at the end of life is important to the holistic care of persons living with HIV/AIDS.  (+info)

(6/334) Ethical dilemmas in palliative care: a study in Taiwan.

OBJECTIVES: To investigate the incidence and solution of ethical dilemmas in a palliative care unit. DESIGN: Health care workers recorded daily all dilemmas in caring for each patient. SETTING: Palliative care unit of National Taiwan University Hospital in Taiwan. PATIENTS: Two hundred and forty-six consecutive patients with terminal cancer during 1997-8. MAIN MEASUREMENT: Ethical dilemmas in the questionnaire were categorised as follows: telling the truth; place of care; therapeutic strategy; hydration and nutrition; blood transfusion; alternative treatment; terminal sedation; use of medication, and others. RESULTS: The type and frequency of ethical dilemmas encountered were: place of care (33.3%); truth-telling (32.1%); hydration and nutrition (25.2%); therapeutic strategy (24.8%), and use of medication (19.1%). Ethical problems relating to the place of care and to therapeutic strategy were unlikely to be solved with increased hospital stay and some ethical dilemmas remained unsolved even in the final week in hospital, including place of care (23.2%), truth-telling (17.1%) and therapeutic strategy (11.4%). Problems of truth-telling occurred in nearly half (42.6%) of patients over sixty-five-years-old. Conflicts about blood transfusion were experienced in all patients below 18-years-old, and the dilemmas concerning the place of care occurred most frequently with head and neck cancer patients (43.8%). CONCLUSIONS: The solution of ethical dilemmas required refocusing by medical professionals on the importance of continuing communication. Improved ethical training for professionals would contribute to solving the moral dilemmas of palliative care.  (+info)

(7/334) Patients with cancer referred to hospice versus a bridge program: patient characteristics, needs for care, and survival.

PURPOSE: The purpose of this study was to compare the characteristics and needs of patients with advanced cancer who were referred to hospice with those referred to a prehospice "bridge" program that is staffed by hospice nurses. PATIENTS AND METHODS: Data were gathered through retrospective review of computerized clinical records using precoded data fields of 284 patients with cancer enrolled in a bridge program and 1,000 who enrolled in a hospice program. Patient characteristics, needs for supportive care at the time of enrollment, and survival were assessed. RESULTS: Bridge patients were less likely to have Medicare or Medicaid (43% v 72%; odds ratio, 0.30; P <.001) and were younger (69 v 73 years, rank sum test; P <.001), more likely to be married (59% v 43%; odds ratio, 1.90; P <.001), and more likely to be in the highest income category (14% v 10%; odds ratio, 1.77; P =.009). Bridge patients had at least as many needs for care as did patients in hospice. Bridge patients lived significantly longer (median, 46 v 19 days; log-rank test of survivor functions, P <.001). CONCLUSION: Patients referred to this bridge program had prognoses that are significantly better than those of patients who enter hospice, but they have needs for supportive care that are at least as great. These findings underscore the importance of initiatives to extend some of the benefits of hospice care to a wider population of patients and should encourage the analysis of similar programs' ability to meet these needs.  (+info)

(8/334) Home care: what a physician needs to know.

When elderly patients might benefit from home care, a key question is whether Medicare will pay for it. We describe what physicians can do to avoid the pitfalls in qualifying appropriate patients for Medicare's Home Health Services and hospice programs, and the basic features of these two programs. We also describe the experience and methods used in prototype programs that provide home-based hospital-level care, and that revive a supposedly lost art: physician house calls.  (+info)



  • aides
  • The nurses and nurse aides provide nursing care on an intermittent basis. (gazettextra.com)
  • Features of Coastal Hospice at the Lake include: personalized care addressing the medical, spiritual, physical and emotional concerns of each patient, 24-hour-a-day staffing by medical professionals including physicians, nurses and hospice aides, six private patient rooms and eight semi-private patient rooms, accommodation for family members, homelife features including space where children can play, family kitchen, garden room and walkways. (wikipedia.org)
  • support
  • We have publicly commended the Archdiocese in the past for the step they have taken in providing for the care of AIDS patients and we continue to offer support to them. (latimes.com)
  • Grief support programs offered by Agrace HospiceCare are free to anyone in the community, regardless if Agrace has served them. (gazettextra.com)
  • Community support provided through the Agrace HospiceCare Foundation ensures that no one is turned away because of an inability to pay. (gazettextra.com)
  • When medical treatments can no longer cure a disease, our team of hospice professionals can do a great deal to control pain, reduce anxiety and offer needed spiritual and emotional support to patients and their families. (vitas.com)
  • The goal is to support patients and manage their care in the setting they consider home. (vitas.com)
  • Hospice Caring provides adult support groups that allow participants to meet others who are also grieving, share their stories, and learn from one another. (volunteermatch.org)
  • Participants of all ages are invited to join in this outdoor adventure to support hospice care in the community. (wikipedia.org)
  • The center staff address medical and nursing care for patients facing advanced illnesses, and emotional and spiritual support for patients and their relatives. (wikipedia.org)
  • Medicare
  • With practices largely defined by the Medicare system, a social insurance program in the United States, and other health insurance providers, hospice care is made available in the United States to patients of any age with any terminal prognosis who are medically certified to have less than six months to live. (wikipedia.org)
  • Medicare, Medicaid and most private insurances pay for Hospice. (gazettextra.com)
  • Hospice is covered by Medicare, Medicaid/Medi-Cal and most private insurance. (vitas.com)
  • The program was certified by Medicare in 1983, and like all Hospice organizations in the United States, relies on Medicare for 80-85% of their revenue. (wikipedia.org)
  • community
  • In response to the article written by Archbishop Roger M. Mahony (Opinion, March 30), "An Archbishop's New Hospice: Hands-On, by Gospels Example," the hospice community is grateful for the archbishop's response to the need for care of the AIDS patient. (latimes.com)
  • The hospice community is available to all who are faced with a shortened life span. (latimes.com)
  • Hospice care extends to wherever a seriously ill patient calls home-a private residence, assisted living community or nursing home. (vitas.com)
  • For patients who live in an assisted living community or nursing home, the hospice team provides care that complements the care the patient is already receiving. (vitas.com)
  • In 2008, the Hospice Association of Ontario membership grew significantly, partly a result of the end-of-life care strategy and increased community acceptance of palliative care. (wikipedia.org)
  • 81.6055 Community Hospice & Palliative Care, also known simply as Community Hospice, is a not-for-profit hospice, which has served the Greater Jacksonville Metropolitan Area since its inception in 1979. (wikipedia.org)
  • Community Hospice received their license in 1983 and in 2008, assisted nearly 1,000 patients daily and more than 6,000 patients a year. (wikipedia.org)
  • instead relying on the Community Hospice Foundation as a reliable source of funding. (wikipedia.org)
  • Community PedsCare, the pediatric palliative and hospice program developed by Community Hospice in collaboration with Wolfson Children's Hospital, Nemours Children's Clinic and University of Florida. (wikipedia.org)
  • Mandarin The Earl B. Hadlow Center for Caring was Community Hospice's first residential facility. (wikipedia.org)
  • St. Augustine Community Hospice established an outreach center in St. Augustine in 1985, but there was no inpatient facility until the Bailey Family Center for Caring at Flagler Hospital opened on January 8, 2011. (wikipedia.org)
  • The Charles M. Neviaser Educational Institute at Community Hospice provides clinical education to area medical professionals on subjects related to hospice and palliative care, including pain management, the dying process, grief and loss, advance directives and ethics in end-of-life care. (wikipedia.org)
  • Community Hospice holds several fund raisers each year with proceeds benefiting patients who are unable to pay for their care. (wikipedia.org)
  • physicians
  • In July 2011, Amedisys was named Innovator of the Year during the 2011 Louisiana Governor's Technology Awards for its patient care management web application for physicians, Mercury Doc. (wikipedia.org)
  • In 2009, the two organizations established the Quality Hospice Palliative Care Coalition with Cancer Care Ontario, Hospice Palliative Care Networks, and the Ontario College of Family Physicians. (wikipedia.org)
  • In September, 2004, the Neviaser Educational Institute, together with Mayo Clinic Jacksonville established a 12-month physician fellowship in palliative medicine to train physicians in end-of-life or chronic, non-curable disease care. (wikipedia.org)
  • team
  • In providing hospice care, you are the eyes and ears of the veterinary team, recording changes in your dog's weight, temperature, eating habits, mobility and other characteristics and reporting them to the vet so that interventions or adjustments to the care plan can be made in a timely manner. (thebark.com)
  • excellent care for my mother was given by the superb hospice team. (keepingyouwell.com)
  • The care is provided by a specially trained team that cares for the "whole person" including his or her physical, emotional, social, and spiritual needs. (gazettextra.com)
  • In addition, the family is of equal concern to the hospice team. (gazettextra.com)
  • From 1999 until 2006 the two hospices were run as separate charities though with a single Board of Trustees and one Senior Management Team. (wikipedia.org)
  • life
  • In such countries, the term hospice is more likely to refer to a particular type of institution, rather than specifically to care in the final months or weeks of life. (wikipedia.org)
  • Hospice care has been provided in the United States for 11 years and has been bringing a quality of life and comfort to all who are faced with a life-threatening disease. (latimes.com)
  • As such, hospice care is geared toward maintaining comfort and ensuring the highest quality of life possible during a time that may be measured in months, weeks or days. (thebark.com)
  • After months (or more) of caring for a dog in declining health, it can often be difficult to decide when the end has come, which is why it is helpful to determine ahead of time at what point you feel your dog's quality of life is no longer acceptable. (thebark.com)
  • Hospice affirms life, neither hastening nor postponing death, but rather recognizing that death is the final stage of life. (keepingyouwell.com)
  • Hospice is available to anyone with a life-limiting condition and a prognosis of six months or less. (gazettextra.com)
  • Hospice is about supporting people in their final life journey. (volunteermatch.org)
  • Focus of care is directed toward patient goals for the remainder of life and is adjusted and refocused as the condi. (volunteermatch.org)
  • Hospice care is a special form of care for people with life-limiting illnesses. (vitas.com)
  • Hospice is a philosophy of care focused on comfort and quality of life, intended to give seriously ill patients and their loved ones meaningful time together when the focus is on the people, not the disease. (vitas.com)
  • Hospice is a philosophy of care that focuses on enhancing comfort and overall quality of life during the last months, weeks and days of life. (vitas.com)
  • They're all coming together socially and enjoying being active, they're also getting such a lovely network of friends who they meet through the hospice, so it's actually a really positive environment for them and it actually isn't all about the end of their life. (itv.com)
  • The Society for the Promotion of Hospice Care ('SPHC') believes that everyone has the right to live with dignity at every turn of life, even towards the end of it. (wikipedia.org)
  • SPHC envisions a world in which all persons with life-limiting illnesses can have access to quality hospice and palliative care. (wikipedia.org)
  • Scheduled for completion in the fourth quarter of 2015, the new hospice will be Hong Kong's first family-oriented hospice residence, with the needs of people living with life-limiting illnesses and those of their families well-roundedly provided for. (wikipedia.org)
  • Tim Kennard River Run A Taste of Finer Things Geranium Sale Purnell-Thomas Memorial Tennis Tournament-held at Salisbury University Blues on the Bay "Coastal Hospice and Palliative Care: Focusing on Comfort and Quality of Life. (wikipedia.org)
  • It provides family-led care to children and young people with life-limiting and life-threatening illnesses, either at the hospice or in families' own homes. (wikipedia.org)
  • The charity also supoprts families whose child has died from a life-limited condition but did not access hospice care. (wikipedia.org)
  • contributions
  • The first three years' operation was entirely supported by public contributions before the hospice was transferred to the Hospital Authority in 1995. (wikipedia.org)
  • Dr. Haynes is known for being chosen as the first Country Doctor of the Year in 1993 in recognition of his outstanding contributions to rural health care. (wikipedia.org)
  • centers
  • Amedisys announced March 28, 2014, it was closing 29 care centers (23 home health and six hospice) and consolidating another 25 (21 home health and four hospice). (wikipedia.org)
  • In June 2011, three Amedisys care centers were awarded the first Integrated Health Care Standards Accreditation for Behavioral Health Disorders by ACHC. (wikipedia.org)
  • One-hundred-four Amedisys care centers have been honored multiple times, including 13 that have been acknowledged every year since the inception of the HomeCare Elite in 2005. (wikipedia.org)
  • people
  • In 2007, hospice treatment was used by 1.4 million people in the United States. (wikipedia.org)
  • As they move into the closing stages of their lives, pets (we'll focus on dogs here, but the concept is the same for other companion animals) can benefit from animal hospice, and so can their people. (thebark.com)
  • Saint Elizabeth Hospice in Ipswich currently looks after around 2,000 people each year with progressive and terminal illnesses. (itv.com)
  • hospital
  • The Hospice Association of Ontario was more focussed on residential hospice organizations, whereas the scope of operations of the Ontario Palliative Care Association was more broadly represented by organizations tending to dying patients in hospital and other settings. (wikipedia.org)
  • Beaches The Anne and Donald McGraw Center for Caring at Mayo Clinic Hospital opened in December, 2007. (wikipedia.org)
  • program
  • Many believe this information would enhance their ability to make crucial decisions regarding their loved one's care, including admittance to a hospice program. (keepingyouwell.com)
  • While many individuals remain in hospice care for weeks, if not months, the median length of stay in a hospice program is only two weeks, with a large proportion of individuals being admitted for only a few days. (keepingyouwell.com)
  • But do you really understand what hospice is, how it works and who is eligible to use the program? (gazettextra.com)
  • The program and a Georgia case study demonstrating a downward trend in acute care hospitalization rate were highlighted in Home Health Quality Improvement Campaign's Cross Settings I - Best Practice Intervention Package. (wikipedia.org)
  • quality
  • HHP4P shared more than $15 million in savings with 166 home health agencies that either maintained high levels of quality or made significant improvements in quality of care. (wikipedia.org)