Hospice Care Essays (Examples)

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Essay
Nursing and Hospice Care
Pages: 3 Words: 1091

Hospice nursing can be difficult. Many times nurses transitioning into hospice care face struggles they would not encounter in other specialties. However there is a level of recognition involved in hospice care as it necessitates better care of patients and a stronger connection to the job and self. Many nurses working in hospices have detailed their work experiences in reflective essays and even journal articles. "Chapter members are nominated by peers in recognition of their contribution to oncology nursing and to ONS, both locally and nationally. The timing of the award prompted me to reflect on my nursing values and the steps that led me to where I am today" (Thompson, 2013, p. 673). This essay will include the experience of one community health nurse by the name of osalind and her struggles and triumphs in hospice nursing.
esearch has gone into hospice care and community SPCs. An article by Levin,…...

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References

Levin, P.F., Swider, S.M., Breakwell, S., Cowell, J.M., & Reising, V. (2013). Embracing a Competency-Based Specialty Curriculum for Community-Based Nursing Roles. Public Health Nursing, 30(6), 557.

Luckett, T., Davidson, P.M., Lam, L., Phillips, J., Currow, D.C., & Agar, M. (2013). Do Community Specialist Palliative Care Services That Provide Home Nursing Increase Rates of Home Death for People With Life-Limiting Illnesses? A Systematic Review and Meta-Analysis of Comparative Studies. Journal of Pain and Symptom Management, 45(2), 279.

Meier, D.E. (2011). Increased Access to Palliative Care and Hospice Services: Opportunities to Improve Value in Health Care. Milbank Quarterly, 89(3), 343.

Rosser, M., & King, L. (2003). Transition experiences of qualified nurses moving into hospice nursing. Journal of Advanced Nursing, 43(2), 206. doi:10.1046/j.1365-2648.2003.02695.x

Essay
History of Hospice Care and
Pages: 4 Words: 1337

Kubler-oss became an advocate of the hospice concept, and testified before Congress in 1972, where she advocated patient care at home for those with terminal illnesses. This helped lend support to the growing call for hospice care in America. After her testimony, hospice legislation was introduced in Congress in 1974, but it did not pass. It did however, bring the idea to light, and the movement began to spread across the country.
The first American hospice was Hospice of Connecticut, which opened in 1973. It began as strictly a home-care program that provided visiting nurses to help care for terminally ill patients in their own homes. Many early home-care hospice units, like the Hospice of Connecticut, turned into full-fledged freestanding facilities that could take care of dozens of patients in their facilities at once, but they still offered home-care alternatives for patients, as well. As the hospice concept has developed,…...

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References

Editors. "History of Hospice Care." National Hospice and Palliative Care Organization. 2008. 14 March 2008.  http://www.nhpco.org/i4a/pages/index.cfm?pageid=3285 

Munley, Anne. The Hospice Alternative: A New Context for Death and Dying. New York: Basic Books, 1983.

What Is Hospice Care?." The Hastings Center Report 33.2 (2003): 6+.

Essay
Evidence Synthesis Paper involving Hospice Care
Pages: 19 Words: 5827

Evidence Synthesis PaperBackground and SignificanceThe critical importance of caregivers cannot be overemphasized concerning providing care for people with chronic ailments and disabilities. Caregivers play a crucial role in end-of-life struggles. They manage the patients\\\' condition and provide medication. They work towards the attainment of the highest well-being conditions possible under the circumstances. Caregivers carry a heavy responsibility. Since they are close to the patients and interact with them even personally during sickness, they are also prone to physical and psychological morbidities. Thus, to alleviate the caregiver\\\'s burden, there should be mechanisms that aim to provide relief to caregivers. The articles used in the research are shown in figure 2.Providing hospice care registers an effect on family caregivers\\\' well-being in many ways, with the greatest being on their mental health. The tasking duties, coupled with suboptimal working conditions, can place immense stress on a family caregiver. This stress can exacerbate if…...

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ReferencesAARP Public Policy Institute (2015). Caregiving in the U.S. Retrieved from   L., Dalwadi, S.M. & Jacobson, J.O. (2017). Supporting the Supporters: What Family Caregivers Need to Care for a Loved One with Cancer. Journal of Oncology Practice, 13(1), 82-93. Brassard, A. (2012). Removing barriers to advanced practice registered nurse care: Home health and hospice services (p. 3). Washington (D.C.): AARP Public Policy Institute.Doris, T. (2007). Care for the family in palliative care. J Pall Med, 2, 26-30.Engen, N. (2017). Interventions to Alleviate the Psychosocial Needs of Hospice Family Caregivers: A Systematic Review.Farmer, B. (2020, January 23). Patients Want A \\\\\\\\\\\\\\\'Good Death\\\\\\\\\\\\\\\' At Home, But Hospice Care Can Badly Strain Families. Retrieved October 13, 2020, from  https://khn.org/news/home-hospice-care-unexpectedly-burdens-family-caregivers/ Fay, M. (2019, April 02). End-of-life Options - Hospice Costs & Who Pays for Care. Retrieved October 13, 2020, from  https://www.debt.org/medical/hospice-costs/ Given, B. A., Given, C. W., Stommel, M., & Lin, C. S. (1994). Predictors of use of secondary carers used by the elderly following hospital discharge. Journal of aging and health, 6(3), 353-376.Grabel, E., Trilling, A., Donath, C. &Luttenberger, K. (2010). Support groups for dementia caregivers - Predictors for utilization and expected quality from a family caregiver\\\\\\\\\\\\\\\'s point of view: A questionnaire survey PART I. BMC Health Serv Res., 10(4), 214-219. Hoffmann, R.L. & Mitchell, A.M. (2007). Caregiver Burden: Historical Development. Nursing Forum, 33(4), 5-12. Huelat, B. &Pochron, S.T. (2020). Stress in the Volunteer Caregiver: Human-Centric Technology Can Support Both Caregivers and People with Dementia. Medicina, 56, 256-270. Jack, B. A., O\\\\\\\\\\\\\\\'Brien, M. R., Scrutton, J., Baldry, C. R., & Groves, K. E. (2015). Supporting family carers providing end?of?life home care: a qualitative study on the impact of a hospice at home service. Journal of Clinical Nursing, 24(1-2), 131-140.McMillan, S. C., Small, B. J., Weitzner, M., Schonwetter, R., Tittle, M., Moody, L., & Haley, W. E. (2006). Impact of coping skills intervention with family caregivers of hospice patients with cancer: a randomized clinical trial. Cancer, 106(1), 214-222.Nabili, S. N. (2018, August 21). Hospice: Facts About the History of Hospice and Respite Care. Retrieved October 13, 2020, from  https://www.medicinenet.com/hospice/article.htm National Hospice and Palliative Care Organization. (NHPCO). (2012). NHPCO facts and figures: hospice care in America. National Hospice and Palliative Care Organization. http://www.nhpco.org/sites/default/files/public/Statistics_Research/2012_Facts_Figures.p dfNorthouse, L. L., Katapodi, M. C., Schafenacker, A. M., & Weiss, D. (2012, November). The impact of caregiving on the psychological well-being of family caregivers and cancer patients. In Seminars in oncology nursing (Vol. 28, No. 4, pp. 236-245). WB Saunders.Oechsle, K., Ullrich, A., Marx, G., Benze, G., Heine, J., Dickel, L. M., ... &Bokemeyer, C. (2019). The psychological burden in family caregivers of patients with advanced cancer at the initiation of specialists inpatient palliative care. BMC Palliative Care, 18(1), 102.Oliver, D. P., Demiris, G., Washington, K. T., Clark, C., & Thomas-Jones, D. (2017). Challenges and strategies for hospice caregivers: a qualitative analysis. The Gerontologist, 57(4), 648-656.Otis-Green, S., & Juarez, G. (2012, November). Enhancing the social well-being of family caregivers. In Seminars in oncology nursing (Vol. 28, No. 4, pp. 246-255). WB Saunders.Parmar, J., Anderson, S., Abbasi, M., Ahmadinejad, S., Brémault-Phillips, S., Chan, K., ... & Tian, P. G. J. (2020). Support for family caregivers: A scoping review of family physician\\\\\\\\\\\\\\\'s perspectives on their role in supporting family caregivers. Health & social care in the community, 28(3), 716-733.Pottie, C. G., Burch, K. A., Montross Thomas, L. P., & Irwin, S. A. (2014). Informal caregiving of hospice patients. Journal of Palliative Medicine, 17(7), 845-856.Reinhard, S. C., Given, B., Petlick, N. H., & Bemis, A. (2008). Supporting family caregivers in providing care. In-Patient safety and quality: An evidence-based handbook for nurses. Agency for Healthcare Research and Quality (U.S.).Ullrich, A., Ascherfeld, L., Marx, G., Bokemeyer, C., Bergelt, C., &Oechsle, K. (2017). Quality of life, psychological burden, needs, and satisfaction during specialized in-patient palliative care in family caregivers of advanced cancer patients. BMC Palliative Care, 16(1), 31.Vanderwerker, L. C., Laff, R. E., Kadan-Lottick, N. S., McColl, S., &Prigerson, H. (2005). Psychiatric disorders and mental health service use among caregivers of advanced cancer patients. Journal of Clinical Psychology, 23(28), 11-19. Whitters, D. (2012). In U.S., Caregivers\\\\\\\\\\\\\\\' Emotional Health Often Suffers Negative emotional effects of caregiving greatest for those younger than 45. The Gallup Poll: Public Opinion 2011 (p. 186). Rowman & Littlefield Publishers.AppendixTable 1Well-being Sub-index Scores: Caregivers verses Non-CaregiversAmong those employed full time.Gallup-Healthways Well-Being Index. January 2, 2010- November 24, 2010Figure 2Matrix Table Source Citation Purpose/Problem Design/Sample Instruments/Measures[Include Reliability/Validity] Results[Include actual data] Strengths/Weaknesses Berry, L., Dalwadi, S.M. & Jacobson, J.O. (2017). Supporting the Supporters: What Family Caregivers Need to Care for a Loved One with Cancer. Journal of Oncology Practice, 13(1), 82-93. The authors of the present article propose a framework for advancing the relevant support to cancer patients\\\\\\\\\\\\\\\' caregivers. N/A N/A The authors make a finding to the effect that a four-part framework would be ideal in advancing support to caregivers. The framework comprises of the following steps: caregiver needs assessment, caregiver education, caregiver empowerment, and proactive assistance to caregivers. Strength: The authors, in this case, focus on a patient constituency that routinely needs caregiver support, i.e., patients with cancer. According to the authors, \\\\\\\\\\\\\\\"an estimated 4.6 million people in the United States care for someone with cancer at home\\\\\\\\\\\\\\\" (82). Thus, the author\\\\\\\\\\\\\\\'s findings would find a worthy and broad-based application. Weakness: It is, however, essential to note that the study is limited by its focus on only two very broad categories of caregivers, i.e., those caring for patients having metastatic cancer that is at an advanced stage and those caring for cancer patients undergoing therapy meant to cure the disease. This is a relatively narrow perspective, considering the broad nature of the caregiver burden problem. Grabel, E., Trilling, A., Donath, C. &Luttenberger, K. (2010). Support groups for dementia caregivers - Predictors for utilization and expected quality from a family caregiver\\\\\\\\\\\\\\\'s point of view: A questionnaire survey PART I. BMC Health Serv Res., 10(4), 214-219. The authors seek to identify the various factors that influence or impact caregiver support quality amongst dementia patients. The cross-sectional study was undertaken in a total of 4 regions – each having a minimum of 2,500 patients. A 3-page questionnaire was utilized. For acceptability and comprehensibility, the said questionnaire was tested on a total of twelve caregivers. The authors make a finding to the effect that caregivers agreed that the relevance of psycho-educative orientation could not be overstated. Strength: The focus on numerous regions gives the study findings broad applicability. Weakness: In seeking to analyze data from a total of 404 caregivers, the study made use of both binary logistic regression analysis and content analysis. Although the former statistical technique could come in handy to better comprehend the actual impact of independent variables, it is rather limited to predicting continuous outcomes. Hoffmann, R.L. & Mitchell, A.M. (2007). Caregiver Burden: Historical Development. Nursing Forum, 33(4), 5-12. The present article concerns itself with the caregiver burden concept – from a historical viewpoint. N/A N/A As per the authors of the article, the idea of caregiving has undergone various transitions over the last few decades. StrengthThe article reviews the initiation of the caregiver burden right from the onset – i.e., the 1950s and the successful evolution of the caregiver burdenWeakness: The article is somewhat outdated – having been published more than a decade ago. Huelat, B. &Pochron, S.T. (2020). Stress in the Volunteer Caregiver: Human-Centric Technology Can Support Both Caregivers and People with Dementia. Medicina, 56, 256-270. The study mainly concerns itself with the concept of \\\\\\\\\\\\\\\"caregiver stress burden and explore potential technologies and behaviors to ease it\\\\\\\\\\\\\\\" (257). In the present study, the authors elected to use a qualitative, exploratory design founded on hermeneutical methodology. Questionnaires were utilized – with two caregiver kinds being the focus of the interview. The authors found that amongst home-based caregivers, the primary source of stress burden was dementia symptoms. This is more so when it comes to hygiene care, memory loss, and medication management. Further, it was also found that access to the available resources was of great relevance in as far as stress relief is concerned. StrengthThe authors relied upon numerous peer-reviewed sources in support of their findings – hence promoting reliability. Weakness: However, their utilization of an exploratory design essentially resulted in the generation of qualitative info. It is important to note that the interpretation of information of this kind could result in bias to no small extent. Vanderwerker, L. C., Laff, R. E., Kadan-Lottick, N. S., McColl, S., &Prigerson, H. (2005). Psychiatric disorders and mental health service use among caregivers of advanced cancer patients. Journal of Clinical Psychology, 23(28), 11-19. In the present study, the authors sought to map the prevalence of both mental health services and psychiatric disorders among those in caregiver roles. Interviews were conducted, targeting a total of 250 informal caregivers. The Structured Clinical Interview of the Diagnostic and Statistical Manual of Mental Disorders – 4th ed. – was administered to interviewees. The study found that \\\\\\\\\\\\\\\"many caregivers of advanced cancer patients either meet criteria or are being treated for psychiatric problems\\\\\\\\\\\\\\\" (18). StrengthThis is the only study found that focused on the psychiatric disorder\\\\\\\\\\\\\\\'s prevalence amongst caregivers. The psychiatric disorder frequencies were highlighted.Weakness: Although this happens to be a peer-reviewed article, the fact that it was published more than a decade ago could limit the applicability of some of its conclusions in a contemporary scenario. Oechsle, K., Ullrich, A., Marx, G., Benze, G., Heine, J., Dickel, L. M., ... &Bokemeyer, C. (2019). The psychological burden in family caregivers of patients with advanced cancer at the initiation of specialist in-patient palliative care. BMC Palliative Care, 18(1), 102. The study aimed to systematically evaluate distress, depressive and anxiety symptoms in the defined cohort of F.C.s of advanced cancer patients. This prospective multicenter research was carried out in two University Medical Centers in Germany with similar F.C.s support structures. F.C.s completed the questionnaires that included German versions of various standardized and mostly validated scales to measure distress, depressive and anxiety symptoms Out of 23 given problems, the five most frequently reported ones were sadness in 91% (n?=?209), sorrows in 90% (n?=?202), anxiety in 78% (n?=?173), exhaustion in 77% (n?=?171), and sleep disturbances in 73% (n?=?163) of F.C.s. The data assessed in this study are housed at the Palliative Care Unit, Department of Oncology, Hematology, and BMT, University Medical Center HamburgAlternatively, interrelationships of mental burden in dyads of patients and their F.C.s also raise the question, when individual versus dyadic interventions are most beneficial. Oliver, D. P., Demiris, G., Washington, K. T., Clark, C., & Thomas-Jones, D. (2017). Challenges and strategies for hospice caregivers: a qualitative analysis. The Gerontologist, 57(4), 648-656. This study\\\\\\\\\\\\\\\'s goal was to comprehend the problems and coping methods used by hospice caregivers while they take care of family members. This study is a secondary data analysis from an attention control group in a large randomized controlled trial testing a cognitive-behavioral intervention with hospice caregivers. Audiotaped interviews were coded with initial themes and combined into final categories of caregiving challenges and strategies for managing the hospice caregiving experience. The sample included 52 caregivers who participated in a total of 205 phone calls (average of 3.9 of 4.0 per participant) for a total of nearly 58hr. Each interview averaged 33min and ranged from 2 to 60min. Caregivers had been an average of 62 years old, primarily female (77%), white (90%), and were most often adult children of the patient (56%). The majority had been caregiving for more than one year. Patients were an average of 82 years old and predominately female (65%). A third of the patients had a cancer diagnosis, and nearly a fourth had a diagnosis of dementia or a related disorder. The caregivers in the study described similar challenges as those reported in previous studies. Narratives discussed emotions, including anxiety, depression, stress, and relationship issues, all found in former research. Although data saturation was achieved, the findings cannot be generalized to a broader or more diverse population from these data alone. McMillan, S. C., Small, B. J., Weitzner, M., Schonwetter, R., Tittle, M., Moody, L., & Haley, W. E. (2006). Impact of coping skills intervention with family caregivers of hospice patients with cancer: a randomized clinical trial. Cancer, 106(1), 214-222. The study determined if hospice and a coping skill training intervention developed family caregivers\\\\\\\\\\\\\\\' QOL, stress, coping, and mastery, versus with hospice and emotional support, and general hospice care. A three-group randomized controlled trial was conducted, including baseline, 16 days, and 30-day analysis from March 1999 until May 2003. The participants included 354 family caregivers of community-dwelling hospice patients with advanced cancer. Inclusion Criteria: caregivers had to be giving care to adult patients who have cancer. Both had to give their consent to participate, have at least a sixth-grade schooling, and acquire at least a score of 7 on the Short Portable Mental Status Questionnaire. Exclusion criteria: caregivers had been excluded in case they were in active therapy for cancer themselves.  The coping skills intervention effectively improved caregiver QOL, cutting down the burden involving patients\\\\\\\\\\\\\\\' symptoms and caregiving tasks versus hospice care alone or hospice and emotional support. Because this intervention has been developed into a manual, it is replicable and can be easily used by professionals offering end?of?life care in several contexts. Only one element, younger patient age, anticipated attrition. It is unclear why younger individuals had higher attrition, but this result proposes that advanced age does not preclude involvement in this kind of trial. Engen, N. (2017). Interventions to Alleviate the Psychosocial Needs of Hospice Family Caregivers: A Systematic Review. This systematic review was developed to respond to what interventions happen to be available to alleviate the psychosocial needs of hospice family caregivers. This systematic review gathered and analyzed empirical peer-reviewed articles to determine what interventions exist for hospice family caregivers. This research\\\\\\\\\\\\\\\'s inclusion criteria had been as follows: all articles analyzed for this systematic review were empirical peer-reviewed studies. Both quantitative and qualitative articles had been considered for this research. The chosen time frame was 2000 to present as studies have shown growth both within the number of people receiving hospice services and the recognition to implement services that support patient and families\\\\\\\\\\\\\\\' psychosocial needs. Reasons for exclusion included support explored for bereaved family members instead of support while the family member provided care. Two key patterns materialized from the data, education opportunities and counseling services, and both of these were further broken down into informal education and psychoeducation. This study has shown that hospice caregivers often have difficulty identifying their individual needs, as so much of their focus is on the needs of patient\\\\\\\\\\\\\\\'s needsOne significant limitation of this research is the accessible data that centers on the demand of family caregivers. From the set of inclusion criteria carried out, only 11 papers had been extracted Oechsle, K. (2019). Current advances in palliative & hospice care: Problems and needs of relatives and family caregivers during palliative and hospice care—An overview of current literature. Medical Sciences, 7(3), 43. The narrative analysis offers an expert summary of peer-reviewed, English-centered original publications and analysis on psychosocial and existential issues, supportive demands, and interventions for relatives during the patients\\\\\\\\\\\\\\\' disease trajectory published between January 2017 and November 2018. A total of 64 publications were included.  This narrative review includes all relevant peer-reviewed publications on psychological morbidity and burden, quality of life, existential distress, preparedness/self-efficacy, supportive needs as well as on supportive interventions and the role of specialist palliative and hospice care in patients with advanced incurable diseases during disease trajectory published within the last two years. Relatives report high levels of existential and psychological distress, burden, and mental morbidity through the patient\\\\\\\\\\\\\\\'s total disease trajectory.  Overall, the discussed studies strengthen previous data reporting high rates of psychological and existential distress, psychosocial burden, and psychological morbidity in relatives during the patients\\\\\\\\\\\\\\\' disease trajectoryDespite the author\\\\\\\\\\\\\\\'s effort to review all relevant topic-related studies from the last two years, possibly some could be missed. The review involves subjective selection bias due to methodological reasons: Search media was restricted to one search engine (PubMed), and the literature search was not pre-defined protocol-based.https://www.aarp.org/content/dam/aarp/ppi/2015/caregiving-in-the-us-research-report-2015.pdf Berry,

Essay
Government Regulations Affecting Health Care in Hospice
Pages: 20 Words: 6236

Government Regulations and Hospice
Government Regulations Affecting Health Care in Hospice

Hospice

Regulations Affecting Health Care in Hospice

Impact of rules on Hospice services

Annotated Bibliography

This paper focuses on how government regulations impact hospice. The paper starts off with an introduction to the hospice system that was revived by a nurse, Cecily Saunders, who then went on to become a physician, establishing one of the first modern hospices. The concept of total pain is explained in some detail. The body of the paper then includes the studies that have been conducted on patients and caregivers in hospice systems as well as on people who died after they were diagnosed with terminal illness resulting in death in six months following the prognosis. The overall conclusion that can be drawn here is that while in Japan there is a marked need for improving the Day hospice system, the American hospice industry is acting as a mature competing…...

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Works Cited

American Medical Directors Association. (n.d.). White Paper on Palliative Care And Hospice In Long-Term Care. Retrieved March 10, 2012, from American Medical Directors Association: http://www.amda.com/governance/whitepapers/palliative_care.cfm

Carlson, M.D., Morrison, R.S., Holford, T.R., & Bradley, E.H. (2007). Hospice Care: What Services Do Patients and Their Families Receive? Health Services Research, 42(4), 1672-1690.

Centers for Medicare & Medicaid Services. (2008). Medicare and Medicaid Programs: Hospice Conditions of Participation; Final Rule. Federal Register, 73(109), 32088-32220.

Christakis, N.A., & Escarce, J. j. (1996). Survival of Medicare patients after enrollment In hospice programs . The New England Journal of Medicine, 172-179.

Essay
Health Care System Has Focused on the
Pages: 11 Words: 2963

health care system has focused on the prevention and cure of disease and illness. When people got sick, every bit of energy and finances went into trying to figure out how to stop it. This was true even when the patient had a disorder or a disease that was deemed incurable. For many years when someone got a disease in which there was no cure, it did not change the method of treatment. The medical community, the family and the patient continued to try every possible avenue to stop the progress. Often times the patient would submit to painful and disorienting treatments, because they didn't want to disappoint their family members or their doctors. At the same time the medical community was expanding the length of life so that many people were living longer than ever before. These two things began to clash. At what point do people stop…...

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Essay
Model for Community Palliative Care
Pages: 6 Words: 1740

Community Dementia Care and the Chronic Care Model
nd-Stage Dementia valuation Proposal

Health Promotion Plan for Community nd-Stage Dementia Care: The Chronic Care Model

Health Promotion Plan for Community nd-Stage Dementia Care: The Chronic Care Model.

In 2013 an estimated 5.0 million Americans over the age of 65 suffered from Alzheimer's disease (Alzheimer's Association, 2013). Although the U.S. Centers for Disease Control and Prevention (CDC) considers dementia/Alzheimer's to be the fifth leading cause of death among adults 65-years of age or older, careful examination of Medicare claims data revealed that dementia is probably right behind cardiovascular disease as the second leading cause of death for this age group (Tinetti et al., 2012). Most of these patients would prefer to die at home, not only because of comfort concerns, but due to the higher quality of care that tends to be provided by informal and paid caregivers in this setting (reviewed by Teno et al.,…...

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Eloniemi-Sulkava and colleagues (2009) evaluated patients at baseline using the Barthel Index and Neuropsychiatric Inventory (NPI) (see Appendix). The Barthel Index (Stone, Ali, Auberleek, Thompsell, & Young, 1994; University of Iowa Healthcare, n.d.) and NPI (Cummings et al., 1994) were administered again at 6 and 12 months into the study and will be used in the current study to track ADL and BPSDs using the same intervals. PQOL will represent a composite score obtained using the Color Analog Scale for pain (Santos & Castanho, 2013) and the Quality at the End of Life Scale (QUAL-E) (National Palliative Care Research Center, 2005) (see Appendix). In cases of severe cognitive impairment, completion of the QUAL-E may depend on family caregivers. FCQOL will be evaluated using the Zarit Burden Scale (Regional Geriatric Program Central, 2014) (see Appendix). The success of the intervention, as perceived by family caregivers and providers, will be assessed using the questionnaires developed by Morita and colleagues (2013). The goal of these questionnaires will be to evaluate how effective the community palliative intervention was in improving the knowledge and skills of palliative care, increasing access to specialized services, coordinating care services, and increasing deaths at home. This evaluation will be performed following the death of the patient or the end of the study period, whichever comes first. The validity and reliability of the questionnaires developed by Morita et al. (2013) have not been evaluated, but should prove informative and provide context for the other findings.

Discussion

A review of interventions designed to improve the quality of community palliative care has revealed mixed findings, but the trend is in the desired direction of reducing the number of patients dying in hospital wards, ICUs, and hospice facilities. CCM has garnered the interest of researchers interested in improving palliative care outcomes for patients, family caregivers, and providers alike, and have begun to study the efficacy and quality of interventions, including CCM. This proposal provides justification for implementing CCM for end-stage dementia patients residing at home and details an evaluation strategy that can be implemented to determine the efficacy, effectiveness, and quality of the care provided. In contrast to many other studies, however, this proposal places equal value on the experiences of patients, family caregivers, and providers alike, in addition to the more common outcome measures of BPSDs and institutional admissions. The methods of data gathering will involve the review of patient records and several instruments designed

Essay
Health Care A the Different
Pages: 9 Words: 2409

Day treatment programs can provide services at less cost because the patient goes home at night after being treated during the day, which often is used for rehabilitating chronically ill patients (Sharfstein, Stoline, & Koran, 1995, p. 249). The mere fact of having more choice benefits some patients by giving them more say in their care.
Patient-focused care involves a method for containing in-patient costs for hospitals and for improving quality by "restructuring services so that more of them take place on nursing units rather than in specialized units in other hospital locations, and by cross-training staff on the nursing units so that they can do several 'jobs' for the same small group of patients rather then one 'job' for a large number of patients" (Kovner, 1995, p. 186). Kovner notes a number of barriers to this type of care. One reason has been that hospitals have not had to…...

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References

Doctors Say Managed Care Strains Patient Relationships (1997, June 9). Westchester County Business Journal 36(23), p. 24.

Kovner, a.R. (1995). Hospitals. In Jonas's Health Care Delivery in the United States, a.R. Kovner (ed.), pp. 162-193. New York: springer Publishing.

Moore, G.T. (1991,

April 24). Let's provide primary care to all uninsured Americans ? now! JAMA, pp. 2108-2109.

Essay
Diversity Important in Health Care
Pages: 14 Words: 3805

The Foundation called specific attention to the prospect of institutional and policy-level strategies to increase the participation of under-represented minorities in the health professions. In response, the Institute Committee on Institutional and Policy-Level Strategies for Increasing the Diversity of the U.S. Healthcare Workforce came out with a report, entitled "In the Nation's Compelling Interest: Ensuring Diversity in the Health Care Workforce." The Committee consisted mostly of academicians, two of whom represented the nursing profession.
In its report, the Committee recognized the importance of increasing racial diversity among health professionals in order to improve access to care, greater patient choice and satisfaction and better educational experiences for practitioners, among other benefits. It also recognized the lack of strategies in reducing institutional and policy-level barriers among health profession educational institutions or HPEIs. In response to the lack, the Committee recommended that health professions education make a clear stand and mission on the…...

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BIBLIOGRAPHY

AHRQ (2007). The national healthcare disparities report, 2006. Agency for Healthcare

Quality and Research, Medscape. Retrieved on June 18, 2009 from  http://www.medscape.com/viewarticle/552271 

www.medscape.com

Alabama Nurse (2004). ANA Review: Institute of Medicine report on workforce diversity,

Essay
Planning for End of Life Care
Pages: 2 Words: 657

The death of elderly individuals takes place in different circumstances and settings such as painless death at home or painful death in a healthcare facility. Social workers have an important role in planning end-of-life care as part of providing essential social support to elderly individuals. The role of social workers in this process is attributable to the significance of their professional practice in a multidisciplinary palliative care team in hospice and hospital settings (Watts, 2013). Since the death of elderly individuals occurs in a variety of conditions and settings, social workers need to plan for end-of-life care. The planning and delivery of end-of-life care helps in helping the elderly cope with serious illness, face mortality or manage the process of dying in an effective manner.
One of the major functions of social workers in their role in planning for end-of-life care is providing psychosocial and practical support to individuals who are…...

Essay
Patients vs Healthcare Opinions
Pages: 5 Words: 1774

PATIENT & HEALTH POFESSIONAL PESPECTIVES
Patient & Professional Perspectives

Quality of care is a massive concern when it comes to healthcare in general. The issue is so multi-dimension and complicated. Even further, there are a lot of ideological bents and perspectives that further shape and form the issue as it exists today. A significant part of the paradigm mentioned above would be the perspectives of both patients and healthcare professionals as it relates to the aforementioned quality of care. Obviously, there are going to be some differences and similarities when talking to any large swath of patients or healthcare providers. The differences could be huge divides in some cases due to what is being expected being too different than what is able to be delivered given the resources or even the perspective or opinion of the healthcare professionals or providers. While there is no simple or neat answer to how to construct…...

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References

Bagchi, A., af Ursin, R., & Leonard, A. (2012). Assessing Cultural Perspectives on Healthcare Quality. Journal of Immigrant & Minority Health, 14(1), 175-182.

doi:10.1007/s10903-010-9403-z

Butala, N. (2010). Perspectives on efficiency and quality in an ever changing system:

Healthcare 2010. The Yale Journal Of Biology And Medicine, 83(2), 93-95.

Essay
Family Care Plan Nursing Family
Pages: 3 Words: 782


Family Interventions

-Mother can attend cancer support groups and receive advice and education through other channels regarding proper methods of providing care and improving quality of life for her husband

-Son can explore employment options as well as discuss various needs and responsibilities with his parents in order to determine his most effective utilization within the changed family dynamic

-Father can provide the levels of self-care that come easily, but should educate himself regarding his condition and ease care by allowing others to help when necessary

Nursing Interventions

-Provide educational materials/answer questions for both mother and father

-Assist son with psychological transition of increased responsibility/familial dependence

-Instruction of proper care techniques for mother and father regarding father's condition

Evaluation

Levels of comfort and competence in new family roles should be easily assessed in regular visits through brief questioning. Monitoring father's health through standard vital sign and other appropriate tests will determine level of care; questions determine quality of life.…...

Essay
Week 5 Discussion Healthcare Management
Pages: 2 Words: 705

WEEK DISCUSSION 1Week 5 Discussion Board PostingThe discussion question this week revolves around a monthly town hall meeting held by the local library to educate 100 residents on community health. The presenter is required to develop a presentation or program demonstrating ways of improving the communitys health. This assignment details the key points to include in the presentation.To begin with, the program needs to include a definition of key terms and services (Griffith & White, 2019). Since the participants are local residents who may not have knowledge about community and population health, it may be prudent to begin by defining key terminologies. In this regard, the presenter may need to define and explain community health, population health, hospice care, advocacy, health promotion, and health community, among other key terms.Secondly, the program needs to identify the specific health needs of the community as determined by needs-assessment exercises or results of epidemiological…...

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ReferencesGriffith, J. R., & White, K. R. (2019). The well-managed healthcare organization (9th ed.).American College of HealthcareJackson, T., et al. (2022). Engaging stakeholders and communities to improve respiratory health in Asia. Journal of Global Health, 7(12), Doi: 10.7189/jogh.12.01001Jamison, D. T., Gelband, H., & Horton, S. (2017). Disease control priorities: World Bank Publications.

Essay
Palliative Care and Cancer
Pages: 4 Words: 1233

Palliative care is a specialty that is relatively new but that has evolved steadily over the past few decades. Its goal is providing advanced cancer patients with end of life care. Its rise was because of the public's growing dissatisfaction and concern with how dying patients were being taken care of in the 1960s and the 1970s (Cole, Carlin & Carlson, 2015). At the time, oncologists were mostly concerned with curative interventions and so did not give the necessary attention to end of life care. According to the studies that were done at the time, medical care that was given to the terminally ill was suboptimal or in some cases did not even exist. The father of palliative care, Dave Cicely Saunders, reported having the same experience. She was the founder of St. Christopher's Hospice, based in the United Kingdom. The facility was the first modern hospice (Cole, Carlin &…...

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Bibliography

alMahrezi, A., & AlMandhari, Z. (2016). Palliative Care: Time for Action. Oman Med J., 161 -- 163.

Bhatnagar, S., & Gupta, M. (2015). Future of Palliative Medicine. Indian J. Palliat Care, 95 -- 104.

Bruera E, Hui D. Integrating supportive and palliative care in the trajectory of cancer: Establishing goals and models of care. (2010). J Clin Oncol. 28:4013 -- 7

Cole TR, Carlin NS, Carson RA. (2015). Medical humanities: An introduction. Cambridge University Press. 1 stEdition. New York.

Essay
Finite Health Care Resources Cutting Health Care
Pages: 2 Words: 758

Finite Health Care Resources
Cutting health care costs is becoming a serious issue for the government and for medical corporations and patients throughout the U.S. today. There are several ways in which these costs can be cut, and one of those ways is to limit the life-extending care that is currently being provided to the elderly (Bond & Bond, 1994). This is not the same as limiting care that would improve their lives, but is only designed to limit the care that prolongs a life that already has little to no quality. However, it is not just the elderly who cost the country a great deal of money when it comes to medical care. Premature infants are also very expensive to keep alive, and an argument could be made that these infants should be allowed to expire, since they were not viable when they were born. It is a conundrum on…...

Q/A
Can you help me with a thesis statement on an essay about end of life?
Words: 544

These statements can serve as a foundation for essays that explore various dimensions of end-of-life care, including ethical considerations, the impact of technology, the importance of palliative care, and the role of family and caregivers. Each thesis sets the stage for a detailed discussion on its respective topic, allowing for a deep dive into the complexities and nuances involved in end-of-life care and decision-making.

"The implementation of advanced care planning significantly improves end-of-life care by ensuring that individuals' preferences and values are respected, highlighting the need for more widespread adoption of these practices in healthcare settings."

"While technological advancements in medicine have....

Q/A
I need some suggestions for end of life essay topics. Can you offer any?
Words: 490

1. The role of hospice care in providing comfort and support at the end of life
2. The importance of advance care planning and discussing end of life wishes with loved ones
3. Ethical considerations surrounding end of life decision-making and assisted dying
4. The impact of grief and loss on family members when facing the end of a loved one’s life
5. Cultural differences in beliefs and practices surrounding death and dying
6. The stigma and fear surrounding death and how to approach the topic openly and honestly
7. The role of palliative care in managing symptoms and improving quality of life at the end....

Q/A
I need some suggestions for end of life essay topics. Can you offer any?
Words: 584

1. The Ethics of Physician-Assisted Suicide: A Philosophical Exploration

Explore the moral and ethical dilemmas surrounding physician-assisted suicide (PAS).
Examine the arguments for and against PAS, considering patient autonomy, dignity, and social justice.
Discuss the role of medical professionals, religious beliefs, and societal values in the PAS debate.

2. The Legalization of Euthanasia: A Comparative Analysis

Compare the legal frameworks for euthanasia in different countries.
Analyze the factors that have influenced the legalization or decriminalization of euthanasia.
Discuss the implications of euthanasia legalization for end-of-life care and society as a whole.

3. End-of-Life Care and Cultural Diversity: Exploring Variations in Attitudes and....

Q/A
I\'m not very familiar with thesis statement about end of life. Could you suggest some essay topics to help me learn more?
Words: 336

Here are some essay topics related to end of life that you can consider:

1. The ethical implications of end-of-life decisions, such as euthanasia and physician-assisted suicide.
2. The importance of advanced care planning and how it can impact end-of-life care decisions.
3. The role of spirituality and religion in coping with end-of-life issues.
4. The challenges and benefits of hospice care for terminally ill patients.
5. The impact of cultural beliefs and practices on end-of-life care.
6. The role of palliative care in improving quality of life for patients with terminal illnesses.
7. The psychological and emotional effects of caring for a loved one at the....

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