what is hospice who started it and how long has it been around pros and cons the difference past present and future who benifits from hospice

Running Head : Hospice

Hospice

Written by

Charles Hoadley

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Hospice

Historically , home care consisted primarily of nurses providing private duty care in clients ' homes and care of the ill by their own family members . However , the delivery of professional nursing services in home setting has increased in frequency , scope , and complexity in the past two decades . A number of factors have contributed to this trend , among them rising health care

costs , an aging population , and growing emphasis on managing chronic illness and stress , preventing illness , and enhancing the quality of life . In the not- too-distant past , home health care or hospice care occurred at the end of the client care continuum that is after discharge from an acute care facility . Today , the trend is changing to use of home health care services to avoid hospitalization

The hospice movement was founded by the physician Cecily Saunders in London , England , in 1967 and was later extended to the United States by Sylvia Lack , also a medical doctor . Hospice care focuses on support and care of the dying person and family , with the goal of facilitating a peaceful and dignified death . Hospice care is based on holistic concepts , emphasizes care to improve quality of life rather than cure supports the client and family through the dying process , and supports the family through bereavement . Assessing the needs of the client 's family is just as important as caring for the client who is receiving hospice care . The condition of the client usually deteriorates and attention needs to be focused on the caregivers to ensure that they are receiving support and resources as these changes occur . If the hospice team meets regularly , these needs can be discussed and interventions initiated . Physical needs are usually apparent , but emotional and behavioral signs are often more subtle . A good assessment and ongoing evaluation can help indicate when modifications or changes are needed

One of the purposes of Hospice setting is to meet the physiologic needs of the dying client . The physiologic needs of the client who are dying are related to a slowing body processes and to homeostatic imbalances Interventions includes providing personal hygiene measures , controlling pain relieving respiratory difficulties assisting with movement nutrition , hydration , and elimination and providing measures related to sensory changes

Spiritual support is of great importance in dealing with death Although not all clients identify with a specific religious faith or belief , most have a need for meaning in their lives , particularly as they experience a terminal illness . The health care provider has a responsibility to ensure that the client 's spiritual needs are attended to , either through direct intervention or by arranging access to individuals who can provide spiritual care . The care providers need to be aware of their own comfort with spiritual issues and be clear about their own ability to interact supportively with client . They have a responsibility not to impose their own...