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Hospice care is a type of care and philosophy of care that focuses on the palliation of a chronically ill, terminally ill or seriously ill patient's pain and symptoms, and attending to their emotional and spiritual needs. In Western society, the concept of hospice has been evolving in Europe since the 1. Then, and for centuries thereafter in Roman Catholic tradition, hospices were places of hospitality for the sick, wounded, or dying, as well as those for travelers and pilgrims. The modern concept of hospice includes palliative care for the incurably ill given in such institutions as hospitals or nursing homes, but also care provided to those who would rather spend their last months and days of life in their own homes. It began to emerge in the 1. Hospice care also involves assistance for patients. The rise of the Crusading movement. John of Jerusalem opened the first hospice in Rhodes, meant to provide refuge for travelers and care for the ill and dying. In the United Kingdom, attention was drawn to the needs of the terminally ill in the middle of the 1. Lancet and the British Medical Journal publishing articles pointing to the need of the impoverished terminally ill for good care and sanitary conditions. Rose's Hospice by the Servants for Relief of Incurable Cancer, who soon expanded with six locations in other cities. The relationship she developed with a dying Polish refugee helped solidify her ideas that terminally ill patients needed compassionate care to help address their fears and concerns as well as palliative comfort for physical symptoms. When she achieved her degree in 1. She experimented with a wide range of opioids for controlling physical pain but included also the needs of the patient's family. She disseminated her philosophy internationally in a series of tours of the United States that began in 1. Florence Wald, the dean of Yale School of Nursing who had heard Saunders speak in America, spent a month working with Saunders there in 1. United States, establishing Hospice, Inc. Blues, had been elected at the national meeting in Washington DC and principles of hospice care had been addressed. Josefina Magno, who had been instrumental in forming the American Academy of Hospice and Palliative Medicine and sat as first executive director of the US National Hospice Organization, founded the International Hospice Institute, which in 1. International Hospice Institute and College and later the International Association for Hospice and Palliative Care (IAHPC). Derek Doyle, who was a founding member of IAHPC, told the British Medical Journal in 2. Philippine- born Magno had seen . Their survey found that 1. Hospice can be administered in a nursing home, hospice building, or sometimes a hospital; however, it is most commonly practiced in the home. Representatives of Nairobi Hospice sit on the committee to develop a Health Sector Strategic Plan for the Ministry of Health and are working with the Ministry of Health to help develop specific palliative care guidelines for cervical cancer. That same year saw the opening of Little Hospice Hoima in June. Hospice care in Uganda is supported by community volunteers and professionals, as Makerere University offers a distance diploma in palliative care. Given differences in medical funding in Canada, he determined that a hospital- based approach would be more affordable, creating a specialized ward at Royal Victoria in January, 1. In 2. 01. 0, an estimated 1. Hospice is the only Medicare benefit that includes pharmaceuticals, medical equipment, twenty- four- hour/seven- day- a- week access to care, and support for loved ones following a death. Hospice care is also covered by Medicaid and most private insurance plans. Most hospice care is delivered at home. Hospice care is also available to people in home- like hospice residences, nursing homes, assisted living facilities, veterans' facilities, hospitals, and prisons. The first hospice in the US was the Connecticut Hospice, located in Branford, Connecticut. A handful of institutions such as the Cleveland Clinic and Medical College of Wisconsin were among the early programs. By 1. 99. 5, hospices were a $2. United States, with $1. Medicare alone funding patients in 1,8. Medicare certification. Patients and family members should understand the care or lack of care that is planned. If one has pneumonia, it may (or may not) be treated. If the illness of the patient is not related to the terminal illness covered under the clinical determination of eligibility, the patient may seek standard treatment to address the cause of the suffering if they request such treatment. Any Medicare services received by a hospice patient are covered under original Medicare including those hospice patients who have a Medicare Advantage plan and also services provided by a primary care physician for unrelated hospice treatments. According to the UK's Help the Hospices, in 2. UK hospice services consisted of 2. Funding varies from 1. National Health Service to almost 1. The UK's palliative care has been ranked as the best in the world . The establishment by the Irish Sisters of Charity of hospices in Sydney (1. Melbourne (1. 93. The first hospice in New Zealand opened in 1. The event takes place on the second Saturday of October every year. Case Management in Health Care: A Practical Guide (2 ed.). Elsevier Health Sciences. Encompass Senior Solutions. Caring for the Dying Patient and the Family. Hospice: Practice, Pitfalls, and Promise. Medicine and Care of the Dying: A Modern History. Oxford University Press US. The Case Against Assisted Suicide: For the Right to End- of- life Care. End of Life Nursing Care. Boston ; Toronto: Jones and Bartlett. Home Health Care: Principles and Practices. Capturing Nursing History. Springer Publishing Company. Accessed November 1. Hospice and Palliative Nursing Care. Journal of Palliative Medicine. Ethical Issues in Neurology (3, revised ed.). Lippincott Williams & Wilkins. Cicely Saunders: Founder of the Hospice Movement : Selected Letters 1. Oxford University Press. That vision, fuelled by her drive and gritty determination, led to the International Hospice Institute, soon to metamorphose into the International Hospice Institute and College as the need for education and training became recognised, and finally into today's International Association for Hospice and Palliative Care. International Association for Hospice & Palliative Care. International Association for Hospice & Palliative Care. International Association for Hospice & Palliative Care. Hospice and Palliative Care: The Essential Guide (2nd ed.). Principles of Medicine in Africa (3 revised ed.). Cambridge University Press. Mapping levels of palliative care development: a global view(PDF) (Report). Help the Hospices; National Hospice and Palliative Care Organization. Foundation for Hospices in Sub- Saharan Africa. Hospice and Palliative Care: Concepts and Practice (2 ed.). Jones & Bartlett Publishers. Women, Health and Nation: Canada and the United States Since 1. Mc. Gill- Queen's Press - MQUP. Retrieved January 1, 2. Canadian Hospice Palliative Care Association. The Case Manager's Training Manual. Jones & Bartlett Publishers. Last Rights: Rescuing the End of Life from the Medical System (revised ed.). Wald, American pioneer in end- of- life care, Is dead at 9. The Economist Intelligence Unit. Retrieved 8 October 2. Retrieved 8 October 2. The current place and quality of end of life care, House of Commons. Public Accounts Committee, 3. March 2. 00. 9, paragraphs 1- 3.^Help The Hospices^Palliative Care in Australia and New Zealand p. Margaret O'Connor & Peter L Hudson 2. Roguska, Beata, ed. Polish Public Opinion. Japan Hospice Palliative Care Foundation. Middle East Cancer Consortium. Nursing Journal of India. ISBN 9. 78- 0- 3. Retrieved 3. 0 June 2. In 1. 98. 6, Professor D'Souza opened the first Indian hospice, Shanti Avedna Ashram, in Mumbai, Maharashtra, central India. Annals of the Academy of Medicine, Singapore. Retrieved 3. 0 June 2. The pin drop silence gives no indication that there are 6. Shanti Avedna Sadan- the country's first hospice that is located on the quiet incline leading to the Mount Mary Church in Bandra. Nursing Ethics in Modern China: Conflicting Values and Competing Role. Supportive Care in Cancer. Hospital Authority, Hong Kong. Established by the Society for the Promotion of Hospice Care in 1. Bradbury Hospice was the first institution in Hong Kong to provide specialist hospice care. July 2. 01. 4Further reading. Hospice Care on the International Scene. Szeloch Henryk, Hospice as a place of pastoral and palliative care over a badly ill person, Wyd. UKSW Warszawa 2. 01. ISSN 1. 89. 5- 3. Worpole, Ken, Modern Hospice Design: the architecture of palliative care, Routledge, ISBN 9. |
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