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.…
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,…
Each patient has their own set of values that are important to them, their own perspectives on life and death, their own belief system, and their own personal needs. According to one of my patients (Anna), holistic communication is the most important to her because she feels a connection with a nurse that is attentive to her emotional needs. “I know that I am terminally ill, however I do not want to be defined by my illness. I appreciate the time nurses take to sit down and really listen to me. I need to share my thoughts on life, death, fears, and also my hopes (Anna, 2011). This is an example of “a caring moment”, in which the individual experiences the nurse’s presence as authentic, caring, compassionate, and sincere.…
You’re visiting the hospice for the twenty third day in a row, the bright flickering of the fluorescents and the squeaking of the linoleum floor greet you as you walk in. You are visiting your great grandmother, whose ninety three years old with a broken neck, who is unable to speak or eat. She hasn’t talked to you in several weeks due to the feeding tube and has lost the ability to move. She is a hollow shell of the woman she once was and her bright blue eyes have been fading endlessly every day. Her funny and bubbly attitude has become crushed and every single day as you leave you think to yourself if she should still continue living or not with the way she is. That’s when she’s able to finally talk and whispers “I don’t want to live anymore,”…
Hospice nurses by profession, they were able to observe and document the dying process of their patients, allowing us to learn from experiences of others. The end of life is certainly filled with emotions of all involved, physical changes, spiritual experiences, and highlighted by relationships with friends and family as death draws near. The patient often knows they are dying; their final mission is to make amends, find closure, and wrap up any “loose ends” in their life. It is important for the dying to know their family will be taken care of, that they accept their departure. Family should celebrate the life of the dying; their accomplishments, relationships and…
Compassion fatigue is most frequently reported amongst nurses, doctors and other frontline care providers in direct interaction with patients. This condition significantly effects these professionals’ interaction with patients, with families of patients and even with other health workers. In extreme cases, problems in interaction with own family has been reported according to Reese (2009). Reese (2009) further states there is an increasingly awareness of the profound emotional disturbances that occur in health care providers when they witness the pain and suffering of the patients in the face of an incurable disease such as cancer. Care providers are often partners in the journey of the patients they are attending. At present, an understanding of the effects of the treatment of terminally ill on the caregiver is limited.…
Palliative and hematological cancer care is the health interventions performed by nurses to improve quality of life, not only of a dying patient but his family too. Nurses who continuously give this kind of interference in a fast – pace and more complex condition might experience much stress and may become more vulnerable to compassion fatigue, burnout and resilience.…
Research has shown that those who receive palliative care have faster and more successful recoveries than patients who do not receive these services. Because a key component of palliative care is communication, patients feel that their wishes are followed and that their emotional and spiritual needs are…
You make a good point, as Jacylyn pointed out that hospice nurse is not only dealing with a patient but also family.…
Hospice care is the most graceful and peaceful part of a person’s life before passing. The…
Great spiritual, physical and emotional changes occur as an individual nears the end of a terminal illness, and hospice care is here to help you and your family deal with all of them. Hospice care helps both the individual and their family to cope changing care needs by offering emotional support as well as providing palliative care. Palliative care eases pain and makes the body's physical changes more comfortable. We are proud to support those confronting their illness with grace and dignity.…
There are many instances in the recent past that will affect me greatly in my educational pursuits at Colorado Christian University. I am currently employed as a full time nurse and have been for the better part of the last five years. In that time, I have worked in several different settings; I’ve worked acute care, critical care, obstetrics, pediatrics, emergency care, and long term care. No matter what setting I’ve worked, I’ve noticed that my personality and faith play a big role in the care I provide my patients. Another key component that affects the care I provide is my knowledge; I am always looking for ways to expand that knowledge. In the past, I haven’t put a lot of effort into my schooling. However, with my growing experience as…
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…