By Timothy W. Kirk
ISBN-10: 0199943834
ISBN-13: 9780199943838
Hospice care is without doubt one of the fastest-growing segments of the U. S. healthcare method, a pattern that's anticipated to speed up because the median age of the inhabitants keeps to upward thrust over the subsequent 3 many years. regardless of over 40 percentage of the inhabitants now loss of life whereas on hospice care, little or no has been released at the moral possibilities and demanding situations skilled within the daily lives of these giving and receiving hospice care.
This booklet is the 1st accomplished assortment dedicated to reading specific moral matters bobbing up within the supply of hospice care and designed to advertise most sensible moral practices for hospice care execs and enterprises. 13 newly commissioned chapters by way of seventeen hospice specialists populate 3 thematic sections of the ebook, each one dedicated to a facet of the intersection among ethics and hospice care. participants have targeted skills and skills to articulate and reply to ethically major phenomena that -- whereas no longer regularly distinct to hospice care -- come up in particularly poignant and complicated methods while taking good care of sufferers enrolled in hospice.
As the shift or go back to home-based care on the finish of lifestyles maintains, hospice pros and courses could be confronted with a broader array of terminal health problems, cultural ideals and traditions, and sufferer and relatives values than ever earlier than. Hospice will not be adapted completely to the ultimate level of melanoma, yet might want to accommodate sufferers whose health problems are variable of their development and whose remedies contain many clinical ideas. the moral orientations and frameworks that experience served hospice for the previous 50 years might want to be supplemented and subtle if hospice is to meet this altering social venture. Hospice Ethics explores a brand new paradigm for hospice ethics from a multi-disciplinary and gives an incredible academic source for pro education in finish of lifestyles care.
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Additional info for Hospice Ethics: Policy and Practice in Palliative Care
Sample text
In 1983, the average length of stay (LOS) was 70 days (US General Accounting Office, 1979), the optimal LOS from the perspective of the hospice’s effectiveness both in terms of care and costs. In 2000, almost two thirds of patients received hospice care for less than 30 days, and one third of these patients were in hospice programs for less than a week before dying (Haupt, 2003). The decline in LOS has been attributed to a variety of factors, including provider practices, patient preferences, public awareness, federal oversight and regulation, and hospice program closure.
Wald, personal communication, July 21, 2001). By 1968, Wald had stepped down as dean and obtained funding from the Division of Nursing and the American Nurses Foundation to conduct two interdisciplinary research studies that were pivotal to the initiation of the hospice movement in Connecticut. The research notebooks from both of these studies provide a rare and detailed account of how the group negotiated their personal spheres of influence, as well as professional and disciplinary boundaries, as they began caring for and advocating on behalf of terminally ill patients within the existing system.
Hospice History Project, Trent Palliative Care Centre, Sheffield, UK. Saunders, C. (1971). The patient’s response to treatment: A photographic presentation. In Catastrophic illness in the seventies: Critical issues and complex decisions (pp. 33–46). New York, NY: Cancer Care. Social Security Administration. (2003). History of SSA during the Johnson Administration 1963–1968. html. Technical Committee on Medical Care, Interdepartmental Committee to Coordinate Health and Welfare Activities. (1938).
Hospice Ethics: Policy and Practice in Palliative Care by Timothy W. Kirk
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