Growing up in Stockton has taught me how to relate to the challenges faced in underserved communities.…
The term hospice refers to a cluster of comprehensive services for the terminally ill with a medically determined life expectancy of 6 months or less. Hospice care provides: meeting the patient’s physical needs, with an emphasis on pain management and comfort, emotional and spiritual needs, support for the family members before and after the patient’s death and focuses on maintaining the quality of life rather than prolonging life.…
Florence Wald is widely known as the pioneer of the hospice movement. She was born on April 19, 1971, in New York City and died at the age of 91 at her home in Connecticut. She received a bachelor’s of arts degree at Mount Holyoke College and a master’s degree in nursing from Yale University School of Nursing. Mrs. Wald started her nursing career as a staff nurse but went on to serve in many positions through her career, including research assistant, nursing instructor, associate professor, and clinical associate professor. She was appointed dean at Yale University School of Nursing and kept the position for ten years. (ANA).…
Hospice staff and volunteers offer a specialized knowledge of medical care, including pain management. The goal of hospice care is to improve the quality of a patient's last days by offering comfort and dignity…
Hospice care is delivered by a core interdisciplinary group or groups composed of individuals who work together to meet the physical, medical, psychosocial, emotional, and spiritual needs of hospice patients and families facing terminal illness and bereavement. Other professionals and/or paraprofessionals may also be necessary to meet the patient’s healthcare needs (2).…
Hospice can be described as a philosophy of care that focuses on the palliation of a terminally ill patient’s symptoms while providing emotional and spiritual support for them and their family (Meirer, McCormick, & Lagman, 2015). The hospice model of care focuses on improving quality of life rather than prolonging it, and holistically embraces the principles of dying with comfort and dignity. This model uses an interdisciplinary team to develop an individualized plan of care that addresses all aspects of care and is based on the patient’s goals and cultural values (Meirer, McCormick, & Lagman,…
Lachman, V. D. (2011). Nurse 's role in increasing patient access to hospice care. MedSurg Nursing, 20(4), 200+. Retrieved from http://go.galegroup.com.db16.linccweb.org/ps/i.do?id=GALE%7CA264270663&v=2.1&u=lincclin_mdcc&it=r&p=AONE&sw=w…
Even though we have palliative care and assisted living for the frail and old, unpreparedness means that the healthcare professionals and society, in general, have not thought and discussed much about the process of dying and what it entails. Because of this, patients are living in institutions that do not address any goals of the patient, simply because the family is incapacitated to care for them anymore. With industrialization, elderly is at least able to escape from the fate of death and this has brought about fear and resentment towards these homes. They see these homes as odious and they see themselves as someone who was abandoned. I was astonished that someone finally confronted the existent issues of how institutionalized our care have…
My experience and understanding of the hospice has changed completely since I’ve visited it. I was expecting it to be a quite depressing and sad place but its one of the most peaceful and joyful places I've been to. The people that works…
The people in hospice care usually are diagnosed with terminal diseases, cancer, dementia, or other fatal conditions. The quality of life for these patients tends to continuously decline the longer they remain in hospice care. Not all patients in hospice care want assisted suicide but there are many that feel it’s the only way to end their pain. The nurses and doctors of these patients spend time cleaning patients, helping them do basic everyday tasks that they aren’t able to do themselves, and constantly trying to keep them alive. Whereas these health care providers could be spending their time trying to save a healthy patient that has a chance of living.…
I step off the train in Bombay, India. I look down at my feet where I notice my feet covered in dust from the dirty ground that resides beneath me. The dust is swirling around my ankles like a quiet storm and it is then that I notice the quiet around me. So small and tugging at the very bottom of my shirt is how I first noticed her. She is a young, quiet girl and she is staring up at me – dead on. She is begging for attention. At first, I am not sure what to make of her. I look at her, long. I cannot help but notice her protruding stomach and her jutting bones that signal both starvation and desperation. Her clothes are ragged, and ripped, and they make life’s appreciation become real. I glance around and see hundreds of both children and adults looking the same way. She pulls her hands to her mouth signaling she is hungry and asking for food. It was then, in a mere moment, life seized around me.…
Throughout the course, it has become increasingly clearer how healthcare professionals play in to the role of end-of-life care for patients. Although I have not chosen a path in hospice or palliative care, it has become evident that end-of-life cares will be part of my nursing career regardless. As a nursing professional, it is important to remain a patient advocate throughout the end-of-life care process by ensuring ethical decision-making, continuing effective communication, and providing best practice and advice for pain and symptom management.…
If we are fortunate enough, we may have the opportunity to have a minimal pain or pain free death surrounded by our family and friends, maintaining our dignity. Hospice is a service that strives to achieve that goal. The National Hospice and Palliative Care Organization (NHPCO) represents hospice and palliative care professionals in the United States. Their NHPCO's goal is to improve the end of life care by increasing the access to hospice services to the dying people of our country. They greatly improving their quality of life in their last days by promoting a team-oriented approach of medical care, pain management, and spiritual and emotional support exclusively tailored toward the patient's final wishes. They also emphasize the importance of including the patient's family for the spiritual and emotional support…
Growing up in Mobile Alabama, I have spent most of my life in an economically disadvantaged area. Throughout my matriculation from elementary to high school, over 75 % of mobile county students received free or reduced lunch, including myself and my siblings. Mobile County public school system also has a very low academic record.…
End of life care is one of the most taboo topics in American society as it requires those involved to acknowledge that their lives will eventually come to an end. Planning for such an outcome can be difficult but ultimately it is necessary in order to save others from dealing with the burden of end of life care while unprepared. As a nurse it is especially important to have a firm grasp of the many different factors that weigh in decisions related to end of life care and be ready to assist both the patient and his or her family in any way needed when that time may come. A careful examination of the resources available in a community to assist with this care, the gaps in care prevalent in American society today, the cultural…