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In hospice care, the main guardians are the family care giver(s) and a hospice nurse/team who make periodic visits. Hospice can be administered in a nursing home, hospice building, or sometimes a hospital; however, it is most commonly practiced in the home. [30] Hospice care targets the terminally ill who are expected to die within six months.
General inpatient care is an intensive level of care which may be provided in a nursing home, a specially contracted hospice bed or unit in a hospital, or in a free-standing hospice unit. [65] General inpatient criterion is for patients who are experiencing severe symptoms which require daily interventions from the hospice team to manage. [ 60 ]
Palliative care got its start as hospice care delivered largely by caregivers at religious institutions. The first formal hospice was founded in 1948 by the British physician Dame Cicely Saunders in order to care for patients with terminal illnesses. [2] She defined key physical, emotional, social, and spiritual dimensions of distress in her work.
Florence Wald (April 19, 1917 – November 8, 2008) was an American nurse, former Dean of Yale School of Nursing, and largely credited as "the mother of the American hospice movement". [ 1 ] [ 2 ] She led the founding of Connecticut Hospice, the first hospice program in the United States.
Over 40% of all dying patients in the United States currently undergo hospice care. [19] Most of the hospice care occurs at a home environment during the last weeks/months of their lives. Of those patients, 86.6% believe their care is "excellent". [19] Hospice's philosophy is that death is a part of life, so it is personal and unique.
Watchful care: A history of America's nurse anesthetists (Continuum, 1989) Bradshaw, Ann. "Compassion in nursing history." in Providing Compassionate Health Care: Challenges in Policy and Practice (2014) ch 2 pp 21+. Choy, Catherine Ceniza. Empire of Care: Nursing and Migration in Filipino American History (2003) excerpt and text search
Hospice doctors, they said, visited at-home patients only on rare occasions. Patients have suffered as a result, they said. One nurse, Diane Langella, a former weekend triage manager for Vitas, said she quit last year because she couldn’t cope with the stress of handling the complaints anymore.
Dame Cicely Mary Strode Saunders (22 June 1918 – 14 July 2005) was an English nurse, social worker, physician and writer. She is noted for her work in terminal care research and her role in the birth of the hospice movement, emphasising the importance of palliative care in modern medicine, and opposing the legalisation of voluntary euthanasia.