Hospice; An Alternative From of Care for the Terminally Ill
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概要
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Hospice is a form of care for the terminally ill patient which has its origins in houses for the sick established by religious orders in Europe during the Middle Ages. Hospice refers to a place where the terminally ill go to die, and also to a philosophy of care for the dying. Since the philosophy underlying hospice was introduced into the United States in the 1960's by Dr. Cicely Saunders, hospice has become an accepted and increasingly popular form of care for the patient in the final stages of a terminal illness. Hospice philosophy stresses the concept of death with dignity, and the idea of upholding the quality of life, through keeping patients comfortable and largely free from pain. In the U.S., hospice is largely a home based form of care, or a form of care administered in a home like environment. Most hospices sponsor interdisciplinary teams, consisting of doctors, nurses, social workers, pastoral counselors, and volunteers, who attend to the various needs, including physical, emotional, social, and spiritual, of the patient and the patient's family. Almost half of the hospices in the U.S. are certified under Medicare, and have achieved a status comparable to hospitals and nursing homes, but hospice still faces various problems with funding, a lack of acceptance on the part of some members of the medical establishment, and with its ability to continue to provide a personalized system of care as hospice becomes more and more a part of the mainstream medical system in the United States.
- 高知大学の論文
- 1995-12-10
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