The Medicare-certified hospice is vital to the community, especially if a previous contributor to the agency suddenly needed this service. He/she does not have to pay as he/she contributed willingly in the past, now that he/she is incapable. Further, in the Human Resources department, credentialing and background check are not in compliance, therefore employ the same process with the medical records. Employee handbook must be updated yearly, if there are…
Currently, Hillsboro County has no Medicare Certified Hospice care provider. The only provider of hospice services is Valley Hospice, Inc., in Middleboro, and they mostly provide emotional support to adult cancer patients and their families. They do not provide the full array of hospice services needed throughout the Middleboro community. Recently, there has been a public outcry for providing this very valuable benefit and historically, it has not been available through any other local health agencies. The lack of Medicare certified or accredited hospice services in Hillsboro is a problem to the residents in need of these services, as they are having to go out of area, and this creates a greater burden for them at a time when they should be focusing their energies on their current situation.…
It is a right of the patient is not to have or feel the pain or the suffering in the any phases or stages of disease.…
As the debate over aid-in-dying (AID) develops nurses must consider what their role in the process will be. The decision about their involvement in AID must be based on the moral obligations that they feel they are responsible to adhere to. The question that has to be considered is whether it is morally acceptable for nurses to be directly involved in the aid-in-dying of their terminally ill patients. In the article “Case Twenty-Three: A Fevered Hand on the Cooling Brow- The Nurse’s Role in Aid-in-Dying” the authors Peggy Connolly, David R. Keller, Martin G. Leever, and Becky Cox White, explore this topic through the deontology theory of Kant.…
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…
The focus on a patient's quality of life has increased greatly during the past twenty years. In the United States today, 55% of hospitals with more than 100 beds offer a palliative-care program,[2] and nearly one-fifth of community hospitals have palliative-care programs.[3] A relatively recent development is the palliative-care team, a dedicated health care team that is entirely geared toward palliative treatment.…
Since 1983, Costco Wholesale has risen to the top as the most proficient, efficient, and effective wholesale distributors in the world. By using a strategy based around ultra-low prices, a limited selection of nationally branded private labeled products, a treasure hunt shopping environment and operating with low operating costs, as well as geographic expansion, Costco has been able to distinguish itself from its competitors as the leading wholesale provider in the world.…
The program is comprehensive and includes activities that assess and improve the quality of service offered by the Amedisys Hospice agencies. The goal of Performance Improvement is the provision of high quality, sustainable health services. Results are achieved through a process that considers the institutional context, describes desired performance, identifies gaps between desired and actual performance, identifies root causes, selects interventions to close the gaps and measures changes in performance (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,…
As a college student, it is important to have volunteering experience, especially pertaining to the field you are interested in pursuing a career in. Since I have been a student at ECU, I have yet to participate in any volunteering opportunities. Considering I will be applying to physician assistant programs within the next two years, I need to start volunteering so I can build my resume, and make myself stand out as a competitive applicant. I used ECU’s Volunteer and Service- Learning Center website to help me search for volunteering opportunities that are available pertaining to my major and goals of becoming a physician assistant. I came across a variety of volunteering projects…
While debate continues on both the success and the future of managed care, one cannot deny the increased emphasis on cost containment. The results of managed care and the continuing evolution of the American health care system are both quantitative and qualitative. They range from a reduction in hospital admissions and stays to an increase in ambulatory care, out-patient surgeries, and home care from an emphasis on prevention and better decisions by consumers about health-related behaviors to the sometimes limited choices by consumers in selecting practitioners and in utilizing benefits from increasing limitations in coverage with higher deductibles and co-pays to the reality of a still significant portion of the population among the disenfranchised or uninsured and from quality of care and treatment to issues and concerns around trust. Four of these areas will be addressed in greater detail below. The Institute for the Future in Health and Health Care 2010 described three tiers of coverage in todays evolving health care system and projected how individuals and families may experience this changing system based on which tier of health coverage describes their particular situation (2000). Their observations are summarized below Tier 1 The securely enfranchised. The first group represents 38 percent of the population. It consists of empowered consumers with considerable discretionary income, who are well educated and use technology, including the Internet,, to get information about their health. Usually they are able to make choices in their plans and coverages. They are able to educate themselves about health behaviors as well as health care issues and concerns. They are likely to engage in shared decision making with physicians and other allied health professionals. Because access and benefit/ coverage security are not issues for them, and because they are more likely to be politically active, their tier will be the most likely to influence changes in legislation…
References: Campbell, C., & Cox, J. (2010). HOSPICE AND PHYSICIAN-ASSISTED DEATH Collaboration, Compliance, and Complicity. The Hastings Center Report, 40(5), 26-35. Retrieved May 26, 2011, from Research Library. (Document ID: 2150889851).…
According to the National Institute of Health, palliative care is "treatment of the discomfort, symptoms, and stress of serious illness. It provides relief from distressing symptoms including pain, shortness of breath, fatigue, constipation, nausea, loss of appetite, problems with sleep, and the side effects of the medical treatments you are receiving." Palliative care is also known as comfort care.…
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…
Associations were found between hospital strategy and volunteer resource management, volunteer attributes and patient satisfaction. Based on findings it can be suggested that volunteer management and hospital outcomes are positively associated.…