The Crisis Of Us Hospice Care

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The Crisis of US Hospice Care

Author : Harold Braswell
Publisher : Johns Hopkins University Press
ISBN 13 : 9781421429823
Total Pages : 0 pages
Book Rating : 4.4/5 (298 download)

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Book Synopsis The Crisis of US Hospice Care by : Harold Braswell

Download or read book The Crisis of US Hospice Care written by Harold Braswell and published by Johns Hopkins University Press. This book was released on 2019-11-26 with total page 0 pages. Available in PDF, EPUB and Kindle. Book excerpt: Exploring the failure of hospice in America to care for patients and families at the end of life. Hospice is the dominant form of end-of-life care in the United States. But while the US hospice system provides many forms of treatment that are beneficial to dying people and their families, it does not encompass what is commonly referred to as long-term care, which includes help with the activities of daily living: feeding, bathing, general safety, and routine hygienic maintenance. Frequently, such care is carried out by an informal network of unpaid caregivers, such as the person's family or loved ones, who are often ill-prepared to offer this type of support. In The Crisis of US Hospice Care, Harold Braswell argues that the stress of providing long-term care typically overwhelms family members and that overdependence on familial caregiving constitutes a crisis of US hospice care that limits the freedom of dying people. Arguing for the need to focus on the time just before death, Braswell examines how the relationship of hospice to familial caregiving evolved. He traces the history of hospice over the past fifty years and describes the choice that people dying with inadequate familial support face between a neglectful home environment and an impersonal nursing home. A nuanced look at the personal and political dimensions that shape long-term, end-of-life care, this historical and ethnographic study demonstrates that the crisis in US hospice care can be alleviated only by establishing the centrality of hospice to American freedom. Providing a model for the transformative work that is required going forward, The Crisis of US Hospice Care illustrates the potential of hospice for facilitating a new way of living our last days and for having the best death possible.

Medicare Hospice Benefits

Author : United States. Health Care Financing Administration
Publisher :
ISBN 13 :
Total Pages : 6 pages
Book Rating : 4.:/5 (319 download)

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Book Synopsis Medicare Hospice Benefits by : United States. Health Care Financing Administration

Download or read book Medicare Hospice Benefits written by United States. Health Care Financing Administration and published by . This book was released on 1993 with total page 6 pages. Available in PDF, EPUB and Kindle. Book excerpt:

Approaching Death

Author : Committee on Care at the End of Life
Publisher : National Academies Press
ISBN 13 : 0309518253
Total Pages : 457 pages
Book Rating : 4.3/5 (95 download)

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Book Synopsis Approaching Death by : Committee on Care at the End of Life

Download or read book Approaching Death written by Committee on Care at the End of Life and published by National Academies Press. This book was released on 1997-10-30 with total page 457 pages. Available in PDF, EPUB and Kindle. Book excerpt: When the end of life makes its inevitable appearance, people should be able to expect reliable, humane, and effective caregiving. Yet too many dying people suffer unnecessarily. While an "overtreated" dying is feared, untreated pain or emotional abandonment are equally frightening. Approaching Death reflects a wide-ranging effort to understand what we know about care at the end of life, what we have yet to learn, and what we know but do not adequately apply. It seeks to build understanding of what constitutes good care for the dying and offers recommendations to decisionmakers that address specific barriers to achieving good care. This volume offers a profile of when, where, and how Americans die. It examines the dimensions of caring at the end of life: Determining diagnosis and prognosis and communicating these to patient and family. Establishing clinical and personal goals. Matching physical, psychological, spiritual, and practical care strategies to the patient's values and circumstances. Approaching Death considers the dying experience in hospitals, nursing homes, and other settings and the role of interdisciplinary teams and managed care. It offers perspectives on quality measurement and improvement, the role of practice guidelines, cost concerns, and legal issues such as assisted suicide. The book proposes how health professionals can become better prepared to care well for those who are dying and to understand that these are not patients for whom "nothing can be done."

Changing the Way We Die

Author : Fran Smith
Publisher : Simon and Schuster
ISBN 13 : 1936740605
Total Pages : 288 pages
Book Rating : 4.9/5 (367 download)

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Book Synopsis Changing the Way We Die by : Fran Smith

Download or read book Changing the Way We Die written by Fran Smith and published by Simon and Schuster. This book was released on 2013-10-28 with total page 288 pages. Available in PDF, EPUB and Kindle. Book excerpt: There’s a quiet revolution happening in the way we die. More than 1.5 million Americans a year die in hospice care—nearly 44 percent of all deaths—and a vast industry has sprung up to meet the growing demand. Once viewed as a New Age indulgence, hospice is now a $14 billion business and one of the most successful segments in health care. Changing the Way We Die, by award-winning journalists Fran Smith and Sheila Himmel, is the first book to take a broad, penetrating look at the hospice landscape, through gripping stories of real patients, families, and doctors, as well as the corporate giants that increasingly own the market. Changing the Way We Die is a vital resource for anyone who wants to be prepared to face life’s most challenging and universal event. You will learn: — Hospice use is soaring, yet most people come too late to get the full benefits. — With the age tsunami, it becomes even more critical for families and patients to choose end-of-life care wisely. — Hospice at its best is much more than a way to relieve the suffering of dying. It is a way to live.

The Best Care Possible

Author : Ira Byock
Publisher : Penguin
ISBN 13 : 1583335129
Total Pages : 338 pages
Book Rating : 4.5/5 (833 download)

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Book Synopsis The Best Care Possible by : Ira Byock

Download or read book The Best Care Possible written by Ira Byock and published by Penguin. This book was released on 2013-03-05 with total page 338 pages. Available in PDF, EPUB and Kindle. Book excerpt: A doctor on the front lines of hospital care illuminates one of the most important and controversial social issues of our time. It is harder to die in this country than ever before. Though the vast majority of Americans would prefer to die at home—which hospice care provides—many of us spend our last days fearful and in pain in a healthcare system ruled by high-tech procedures and a philosophy to “fight disease and illness at all cost.” Dr. Ira Byock, one of the foremost palliative-care physicians in the country, argues that how we die represents a national crisis today. To ensure the best possible elder care, Dr. Byock explains we must not only remake our healthcare system but also move beyond our cultural aversion to thinking about death. The Best Care Possible is a compelling meditation on medicine and ethics told through page-turning life-or-death medical drama. It has the power to lead a new national conversation.

Dying in America

Author : Institute of Medicine
Publisher : National Academies Press
ISBN 13 : 0309303133
Total Pages : 638 pages
Book Rating : 4.3/5 (93 download)

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Book Synopsis Dying in America by : Institute of Medicine

Download or read book Dying in America written by Institute of Medicine and published by National Academies Press. This book was released on 2015-03-19 with total page 638 pages. Available in PDF, EPUB and Kindle. Book excerpt: For patients and their loved ones, no care decisions are more profound than those made near the end of life. Unfortunately, the experience of dying in the United States is often characterized by fragmented care, inadequate treatment of distressing symptoms, frequent transitions among care settings, and enormous care responsibilities for families. According to this report, the current health care system of rendering more intensive services than are necessary and desired by patients, and the lack of coordination among programs increases risks to patients and creates avoidable burdens on them and their families. Dying in America is a study of the current state of health care for persons of all ages who are nearing the end of life. Death is not a strictly medical event. Ideally, health care for those nearing the end of life harmonizes with social, psychological, and spiritual support. All people with advanced illnesses who may be approaching the end of life are entitled to access to high-quality, compassionate, evidence-based care, consistent with their wishes. Dying in America evaluates strategies to integrate care into a person- and family-centered, team-based framework, and makes recommendations to create a system that coordinates care and supports and respects the choices of patients and their families. The findings and recommendations of this report will address the needs of patients and their families and assist policy makers, clinicians and their educational and credentialing bodies, leaders of health care delivery and financing organizations, researchers, public and private funders, religious and community leaders, advocates of better care, journalists, and the public to provide the best care possible for people nearing the end of life.

Hospice

Author : Stephen R. Connor
Publisher : Taylor & Francis US
ISBN 13 : 9781560325123
Total Pages : 222 pages
Book Rating : 4.3/5 (251 download)

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Book Synopsis Hospice by : Stephen R. Connor

Download or read book Hospice written by Stephen R. Connor and published by Taylor & Francis US. This book was released on 1998 with total page 222 pages. Available in PDF, EPUB and Kindle. Book excerpt: Written as an introduction for professionals, this book gives the reader an overall grasp of how hospice care is practised, the challenges hospices currently face, and the direction the movement is taking. The author claims that in spite of expansion, people are not aware of the work of hospices.

The opioid crisis and hospice care: Exploring key partner experiences

Author : Megan Clayton
Publisher : RTI Press
ISBN 13 :
Total Pages : 6 pages
Book Rating : 4./5 ( download)

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Book Synopsis The opioid crisis and hospice care: Exploring key partner experiences by : Megan Clayton

Download or read book The opioid crisis and hospice care: Exploring key partner experiences written by Megan Clayton and published by RTI Press. This book was released on 2024-02-02 with total page 6 pages. Available in PDF, EPUB and Kindle. Book excerpt: The opioid epidemic has changed policies and practices governing opioid access and use, and little is known about how these shifts may influence the delivery and experience of hospice care. To explore key partner perceptions of how the opioid crisis has shaped hospice care, we conducted semi-structured interviews and focus groups with hospice administrators and providers. Because of the opioid crisis, hospice partners described challenges with understanding and implementing new policies governing opioid prescribing and disposal; increased need for misuse prevention and control activities; and decreased willingness among some providers, caregivers, and patients to engage with opioids, even when critical to symptom management or directed by law. Study insights may guide education and support for providers related to new and changing laws and help inform strategies to maintain safe and effective hospice care during public health emergencies like the opioid crisis.

A Field Manual for Palliative Care in Humanitarian Crises

Author : Elisha Waldman
Publisher : Oxford University Press
ISBN 13 : 0190066547
Total Pages : 112 pages
Book Rating : 4.1/5 (9 download)

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Book Synopsis A Field Manual for Palliative Care in Humanitarian Crises by : Elisha Waldman

Download or read book A Field Manual for Palliative Care in Humanitarian Crises written by Elisha Waldman and published by Oxford University Press. This book was released on 2019-11-11 with total page 112 pages. Available in PDF, EPUB and Kindle. Book excerpt: As humanitarian aid organizations have evolved, there is a growing recognition that incorporating palliative care into aid efforts is an essential part of providing the best care possible. A Field Manual for Palliative Care in Humanitarian Crises represents the first-ever effort at educating and providing guidance for clinicians not formally trained in palliative care in how to incorporate its principles into their work in crisis situations. Written by a team of international experts, this pocket-sized manual identifies the needs of people affected by natural hazards, political or ethnic conflict, epidemics of life-threatening infections, and other humanitarian crises. Later chapters explore topics including pain management, skin conditions, non-communicable diseases, palliative care emergencies, the law and ethics of end of life care, and more. Concise and highly accessible, this manual is an ideal educational tool pre-deployment or during fieldwork for clinicians involved in planning and providing humanitarian aid, local care providers, and medical trainees.

Hospice and Palliative Care

Author : Stephen R. Connor
Publisher : Taylor & Francis
ISBN 13 : 1135849196
Total Pages : 279 pages
Book Rating : 4.1/5 (358 download)

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Book Synopsis Hospice and Palliative Care by : Stephen R. Connor

Download or read book Hospice and Palliative Care written by Stephen R. Connor and published by Taylor & Francis. This book was released on 2009-04-02 with total page 279 pages. Available in PDF, EPUB and Kindle. Book excerpt: Offers a comprehensive overview of the practice of hospice, as well as the challenges faced by and the direction of the hospice movement. This book provides chapters that address key topics such as the goals and importance of community involvement, outcome measurement, and the manner in which hospices address death, grief, and bereavement.

Dying Well

Author : Ira Byock
Publisher : Penguin
ISBN 13 : 110150028X
Total Pages : 321 pages
Book Rating : 4.1/5 (15 download)

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Book Synopsis Dying Well by : Ira Byock

Download or read book Dying Well written by Ira Byock and published by Penguin. This book was released on 1998-03-01 with total page 321 pages. Available in PDF, EPUB and Kindle. Book excerpt: From Ira Byock, prominent palliative care physician and expert in end of life decisions, a lesson in Dying Well. Nobody should have to die in pain. Nobody should have to die alone. This is Ira Byock's dream, and he is dedicating his life to making it come true. Dying Well brings us to the homes and bedsides of families with whom Dr. Byock has worked, telling stories of love and reconciliation in the face of tragedy, pain, medical drama, and conflict. Through the true stories of patients, he shows us that a lot of important emotional work can be accomplished in the final months, weeks, and even days of life. It is a companion for families, showing them how to deal with doctors, how to talk to loved ones—and how to make the end of life as meaningful and enriching as the beginning. Ira Byock is also the author of The Best Care Possible: A Physician's Quest to Transform Care Through the End of Life.

Crisis In U.S. Health Care

Author : John Geyman
Publisher :
ISBN 13 : 9781938218224
Total Pages : 398 pages
Book Rating : 4.2/5 (182 download)

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Book Synopsis Crisis In U.S. Health Care by : John Geyman

Download or read book Crisis In U.S. Health Care written by John Geyman and published by . This book was released on 2018-12-06 with total page 398 pages. Available in PDF, EPUB and Kindle. Book excerpt: The problems of U.S. health care are of intense public interest today. The debate over where to go next to rein in costs and improve access to quality health care has become bitterly partisan, with distorted rhetoric largely uninformed by history, evidence, or health policy science. Based on present trends, our expensive dysfunctional system threatens patients, families, the government, and taxpayers with future bankruptcy. This book takes a 60-year view of our health care system, from 1956 to 2016, from the perspective of a family physician who has lived through these years as a practitioner in two rural communities, a professor and administrator of family medicine in medical schools, a journal editor for 30 years, and a researcher and writer on health care for more than four decades. There has been a complete transformation of health care and medical practice over that time from physicians in solo or small group practice and community hospitals to an enormous, largely corporatized industry that has left behind many of the traditions of personalized health care. This is an objective, non-partisan look at the major trends changing U.S. health care over these years, and points out some of the highs--and lows--of these changes, which may surprise some readers. It also compares the three basic alternatives for health care reform currently being debated.

An Approach to Community Mental Health

Author : Gerald Caplan
Publisher : Routledge
ISBN 13 : 1136435093
Total Pages : 280 pages
Book Rating : 4.1/5 (364 download)

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Book Synopsis An Approach to Community Mental Health by : Gerald Caplan

Download or read book An Approach to Community Mental Health written by Gerald Caplan and published by Routledge. This book was released on 2013-11-05 with total page 280 pages. Available in PDF, EPUB and Kindle. Book excerpt: Tavistock Press was established as a co-operative venture between the Tavistock Institute and Routledge & Kegan Paul (RKP) in the 1950s to produce a series of major contributions across the social sciences. This volume is part of a 2001 reissue of a selection of those important works which have since gone out of print, or are difficult to locate. Published by Routledge, 112 volumes in total are being brought together under the name The International Behavioural and Social Sciences Library: Classics from the Tavistock Press. Reproduced here in facsimile, this volume was originally published in 1961 and is available individually. The collection is also available in a number of themed mini-sets of between 5 and 13 volumes, or as a complete collection.

The Five Invitations

Author : Frank Ostaseski
Publisher : Flatiron Books
ISBN 13 : 1250074665
Total Pages : 288 pages
Book Rating : 4.2/5 (5 download)

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Book Synopsis The Five Invitations by : Frank Ostaseski

Download or read book The Five Invitations written by Frank Ostaseski and published by Flatiron Books. This book was released on 2017-03-14 with total page 288 pages. Available in PDF, EPUB and Kindle. Book excerpt: Death is not waiting for us at the end of a long road. Death is always with us, in the marrow of every passing moment. She is the secret teacher hiding in plain sight, helping us to discover what matters most. Life and death are a package deal. They cannot be pulled apart and we cannot truly live unless we are aware of death. The Five Invitations is an exhilarating meditation on the meaning of life and how maintaining an ever-present consciousness of death can bring us closer to our truest selves. As a renowned teacher of compassionate caregiving and the cofounder of the Zen Hospice Project, Frank Ostaseski has sat on the precipice of death with more than a thousand people. In The Five Invitations, he distills the lessons gleaned over the course of his career, offering an evocative and stirring guide that points to a radical path to transformation. The Five Invitations: -Don’t Wait -Welcome Everything, Push Away Nothing -Bring Your Whole Self to the Experience -Find a Place of Rest in the Middle of Things -Cultivate Don’t Know Mind These Five Invitations show us how to wake up fully to our lives. They can be understood as best practices for anyone coping with loss or navigating any sort of transition or crisis; they guide us toward appreciating life’s preciousness. Awareness of death can be a valuable companion on the road to living well, forging a rich and meaningful life, and letting go of regret. The Five Invitations is a powerful and inspiring exploration of the essential wisdom dying has to impart to all of us.

Crisis Standards of Care

Author : Institute of Medicine
Publisher : National Academies Press
ISBN 13 : 0309126665
Total Pages : 174 pages
Book Rating : 4.3/5 (91 download)

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Book Synopsis Crisis Standards of Care by : Institute of Medicine

Download or read book Crisis Standards of Care written by Institute of Medicine and published by National Academies Press. This book was released on 2010-02-22 with total page 174 pages. Available in PDF, EPUB and Kindle. Book excerpt: During a wide-reaching catastrophic public health emergency or disaster, existing surge capacity plans may not be sufficient to enable health care providers to continue to adhere to normal treatment procedures and follow usual standards of care. This is a particular concern for emergencies that may severely strain resources across a large geographic area, such as a pandemic influenza or the detonation of a nuclear device. Under these circumstances, it may be impossible to provide care according to the standards of care used in non-disaster situations, and, under the most extreme circumstances, it may not even be possible to provide basic life sustaining interventions to all patients who need them. Although recent efforts to address these concerns have accomplished a tremendous amount in just a few years, a great deal remains to be done in even the most advanced plan. This workshop summary highlights the extensive work that is already occurring across the nation. Specifically, the book draws attention to existing federal, state, and local policies and protocols for crisis standards of care; discusses current barriers to increased provider and community engagement; relays examples of existing interstate collaborations; and presents workshop participants' ideas, comments, concerns, and potential solutions to some of the most difficult challenges.

The Helping Professional's Guide to End-of-Life Care

Author : E. Alessandra Strada
Publisher : New Harbinger Publications
ISBN 13 : 160882201X
Total Pages : 400 pages
Book Rating : 4.6/5 (88 download)

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Book Synopsis The Helping Professional's Guide to End-of-Life Care by : E. Alessandra Strada

Download or read book The Helping Professional's Guide to End-of-Life Care written by E. Alessandra Strada and published by New Harbinger Publications. This book was released on 2013-01-02 with total page 400 pages. Available in PDF, EPUB and Kindle. Book excerpt: Nearly half of people at the end of life will receive hospice care, but few psychologists, nurses, physicians, chaplains, and hospice workers have been trained specifically to recognize and address the psychological, social, and emotional issues that may arise in patients who are dying. Patients in the midst of advanced terminal illness may experience a variety of distressing emotions, and may feel anxious, frightened, regretful, or desperate. This guide was created specifically to guide helping professionals of all kinds through the process of working through patients’ psychological issues to allow them peace and comfort in their final moments. The Helping Professional’s Guide to End-of-Life Care clarifies the spiritual and emotional care that patients need and presents an evidence-based approach integrating cognitive behavioral therapy (CBT), transpersonal psychotherapy, hypnosis, mindfulness, and guided imagery to help patients manage emotional distress at the end of life. Through case conceptualizations and detailed treatment planning guidance, readers learn to formulate comprehensive assessment and treatment plans for patients and gain skills that will help them manage the emotional intensity of this work. This secular, professional treatment model can be applied to patients of any religious or spiritual background. The book also addresses integrating the patient’s therapeutic team with the medical team, addressing the emotional needs of friends and family of the dying, crisis intervention for suicidal patients, working with clients on psychotropic medications, and how helping professionals can manage their own emotions to become more effective clinicians.

Hospice Voices

Author : Eric Lindner
Publisher : Rowman & Littlefield
ISBN 13 : 1461742056
Total Pages : 233 pages
Book Rating : 4.4/5 (617 download)

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Book Synopsis Hospice Voices by : Eric Lindner

Download or read book Hospice Voices written by Eric Lindner and published by Rowman & Littlefield. This book was released on 2013-10-08 with total page 233 pages. Available in PDF, EPUB and Kindle. Book excerpt: As a part-time hospice volunteer, Eric Lindner provides “companion care” to dying strangers. They’re chatterboxes and recluses, religious and irreligious; battered by cancer, congestive heart failure, Alzheimer’s, old age. Some cling to life amazingly. Most pass as they expected. In telling his story, Lindner reveals the thoughts, fears, and lessons of those living the ends of their lives in the care of others, having exhausted their medical options or ceased treatment for their illnesses. In each chapter, Lindner not only reveals the lessons of lives explored in their final days, but zeroes in on how working for hospice can be incredibly fulfilling. As he’s not a doctor, nurse, or professional social worker, just a volunteer lending a hand, offering a respite for other care providers, his charges often reveal more, and in more detail, to him than they do to those with whom they spend the majority of their time. They impart what they feel are life lessons as they reflect on their own lives and the prospect of their last days. Lindner captures it all in his lively storytelling. Anyone who knows or loves someone working through end of life issues, living in hospice or other end of life facilities, or dealing with terminal or chronic illnesses, will find in these pages the wisdom of those who are working through their own end of life issues, tackling life’s big questions, and boiling them down into lessons for anyone as they age or face illness. And those who may feel compelled to volunteer to serve as companions will find motivation, inspiration, and encouragement. Rather than sink under the weight of depression, pity, or sorrow, Lindner celebrates the lives of those who choose to live even as they die.