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On Death And Dying By Dr. Elisabeth Kubler-Ross

1108 Words5 Pages

Home Health and Hospice
Many years ago, patients who were very sick chose to stay at home and only went to the hospital as their last option. House doctors and nurses provided more treatments in home settings than hospitals during the early nineteenth century.
Home Health
Many years after that, several environmental factors including poverty, diseases, and growing cities put a strain on home health organizations. Present day patients have more complications than patients from two centuries ago. Complications of caring for patients with declining health are becoming more common today. Many unresolved issues in home health nursing have become a major concern in the United States. Private duty nursing was created to continue care from the hospital …show more content…

Most hospice care takes place in the patient’s home, but can also be provided in hospice centers, hospitals, and long term care facilities. The word “hospice” was first used by physician Dame Cicely Saunders to describe specialized care for dying patients. She began working with the terminally ill in 1948, and eventually created the first modern hospice in London (St. Christopher’s Hospice) in 1967. Dr. Elisabeth Kubler-Ross published “On Death and Dying,” based on interviews with more than five hundred dying patients in 1969. The book identified five stages that terminally ill patients go through, and it was an international best seller. Dr. Kubler-Ross advocated for home care rather than an institutional setting by arguing that patients should have a choice in making the decision that affect their destiny. In 1972, Dr. Kubler-Ross testified at the first national hearings on Death with Dignity, conducted by the U.S. Senate Special Committee on Aging. The first U.S. hospice was founded in 1974, “Connecticut Hospice” in Branford, Connecticut. A few years later in 1980, the Joint Commission on Accreditation of Hospitals (JCAHO) was awarded a grant from the W.K. Kellogg Foundation to investigate the status of hospice and to develop standards for accreditation. Hospice accreditation is initiated by JCAHO in 1984. Hospice is now an accepted part of the health care continuum. In 1993, hospice is now included as a national guaranteed benefit under President Clinton’s health care reform proposal. Major grant makers begin pouring money into research and program initiatives to transform the culture of dying and improve end-of-life

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Another misinterpretation of Home Health (HH) is that they are used as long-term care when in fact HH is considered a short-term care service. In order for HH RNs to make any home visits, they must apply for certification with Medicare to get approval of a specific number of visits per patient’s condition. If the patient’s condition requires more visits, the RNs must apply for recertification with Medicare for an additional number of visits. It is unfortunate that many people in the community do not realize the full benefit and purpose of having HH RNs manage their care. However, after the RNs complete the initial home visit, the patient’s outlook on HH completely changes.

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Hospice is a term for a special program of care for terminally dying patients and their family. Home Care is a health care services that can be given in

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The modern hospice movement is attributed to the pioneering work of Cicely Saunders, a British nurse and social worker (and later a physician). It was Ms. Saunders who (in the 1960s) first, “…used

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Byock begins the article by discussing the experience of his deceased friend, who faced difficulties in the health care system first-hand. This provides Byock a second-hand ethos to support his argument for end-of-life care reform. In examining problems of the health care system, Byock provides clear statistics and references such as, “an American living with cancer has a roughly one in four chance of dying in a hospital and a similar chance of spending a portion of his or her last month in intensive care” (Byock, 2015). He links to a study from the Journal of American Medicine and cites reports from the Institute of Medicine, which examined further problems with the American health system and end-of-life care (Byock, 2015). Clearly, Byock grounds his argument in

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Saunders began working with terminally ill patients in 1948 after taking an interest in pain-relieving mixtures and fascination of pain-controllers, such as: morphine and diamorphine (Clark, 2001). Clark studied how Cicely Saunders influenced the modernization of hospice care, “Her knowledge of new approaches emanating from the growing field of pain medicine steadily increased” (Clark, 2001). Saunders eventually became the founder of the first modern hospice, Saint Christopher's House, in 1967. A review of the literature states, Saunders’s modernization of hospice care is the care people live and stand by today; to care for patients using the most humane and compassionate methods, resulting in to providing optimal comfort and support during

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The past year I have seen how much of a big difference hospice makes. I have seen how patients and their families become attached to their hospice team. I have witnessed all hospice team members working together to be supportive to families when their loved one has passed. I never knew how much of a difference hospice can make until my time at Homestead. I saw how the entire hospice team cared for each and every patient and wanted to make the patient’s last days the best they could possibly be.

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The topic of hospice nursing is not a popular topic, and to be fair, the subject of death is uncomfortable and even anxiety-producing for many across professions. As a whole, the nursing profession seeks to intervene with treatments and diagnoses and seeks to make the patient better. In hospice, the focus shifts from those traditional concepts to one that focuses almost entirely on quality of life with the understanding that death is imminent. Nurses are a vital part of end-of-life care, and while it's not a flashy specialty depicted in media, nor is it one of the top-paying specialties, it is one that is growing in demand alongside the aging baby-boomer generations. So, what is the hospice nursing specialty about?

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The novel “Conversations on death and dying” by Phil Dwyer (2016) is written from the perspective of Phil Dwyer and Dr. Larry Librach. Dr. Librach is a world-renowned pioneer in palliative care who has been diagnosed with pancreatic cancer as well as early onset Parkinson’s disease. The book gives the reader insight into what it is like to slowly approach death. It touches on the mental and physical impacts as well as how dying affects our loved ones. A broad theme in the novel I found most important in the book was the quality of medical care.

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What is Hospice? What do we as people think of when we mention the word, Hospice? “Bereavement” in other words that is not always a true statement. I now been with Hospice going on three years; June 17 2016. I have taken care of most of the patients I have had since day one as yes’ there are long term patients not short term.

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Health Care givers should be aware of the issues on what to say and how to act,give emotional support,and when to use hospice care. An article stated,”Several scholars listed the implications of spirituality,including preserving the patient’s hope,helping the patient find meaning in life and death,and helping the patient find spirit.. ”(Qiaohong Guo and Cynthia S Jacelon,An integrative review of dignity in end-of-life care.)What this means is it is there to help the patient have hope,remember the good moments in life,and find the feeling of completeness so they can pass on from the physical world with no regrets. Healthcare givers can encourage their patients without giving false hope.

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Hospice Care Elisabeth’s work with the dying led her to

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When it comes to end of life care, Colorado has limited options due to the fact that Death with Dignity is not legal. A patient that is terminally ill can choose between palliative care and hospice to finish out their final days. While there are options for end of life care in Colorado, they are costly, and do not take into account the patient’s will to live. Viewed through a quantitative and ethical lens, both major options not only hinder, but also are detrimental, to Colorado’s ability to provide end of life care. The passage of Death with Dignity legislation would provide an alternative, and could potentially alleviate some of undue financial and emotional stress put on terminally ill patients.

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A hospice provides a more suitable environment for those at the final stages of their lives compared to a hospital for a multitude of reasons. Hospice care is designed to care for all aspects of the person life; they provide physical, mental, and religious services, as well as caring for the patient’s family. Since hospice care is also available at home, the patient has the opportunity to die in familiar surroundings. On the contrary, hospital care provides primarily physical services to the patient and is focused on the patient’s disease. Also, dying in a hospital can be less pleasant because a connotation of hospitals is illness which is a negative quality compared to that of a home, where a person is surrounded by their memories and belongings.

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Hospice/Palliative care for a dying patient needs to be well planned and managed to ensure that all aspects of care giving are taken care of. The plan provides a reference for nurses and other practitioners who are involved in giving care to the patient. This is so as to ensure that they all know what needs to be done and does not. The plan also includes the relatives or family of the patient who need to be involved in the process not only to give emotional support but also physical support to the patient. However, this is just a plan and the nurse’s actions are independent and governed by the scope of practice of the state and specific country as well as the comfort levels of the nurse.

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People suffering through the days, wishing minutes would turn into hours, and hours would turn into a final breath. Every day people are suffering in the United States with terminal illnesses, hoping the end will come quickly. Although many religions and 45 states don't allow the act of physician-assisted suicide, people that meet the criteria should be able to make their decision regarding euthanasia, without having to move to a different state to do so. As far back as 1954, many people including Joseph Fletcher knew that there would be an upcoming controversy on the right to die. In 1969 Elizabeth Kubler opened up the topic to a discussion by publishing “On Death and Dying” (elk foundation).

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