1.2 - Historical Evolution Flashcards
What social forces led to the Hospice Movement?
3-CMP
- Consumerism rose, pt began to take increased role in directing their course of care
- Med ethics emphasized autonomy
- Physicians acknowledged that while treatments existed, were they necessary?
4 Societal Mandates, coming about in the 70’s for the Hospice Movement:
DMPT
Death shouldn’t be taboo subject
Med technology need be applied more judiciously
Pt have right to be involved in own trtmt decisions
Term. Ill. pt should have access to appropriate care that attends to body, mind & spirit
The overriding principle behind hospice was the notion that patients needed & deserved an alternative TO THE…
Aggressive, Cure-Oriented, hospital based system
Hospice was driven by nurses who were reacting to the “_____ __ ___ ____” syndrome
Cure At Any Cost
Hospice care parallels the values of what movement?
Childbirth
Hospice is derived from 2 latin words:
Hospes - guest & host
Hospitum - inn or refuge for travellers
The first Hospice, that started it all.
St. Christopher’s - England
When American HCW travelled to St. Christophers they were surprised to discover: (2)
- Amazing care
- Oral opioids delivered 24/7
The role of the ______ is central in hospice care, often assigned as case-manager.
Nurse
Initially almost all hospice pt had:
Cancer
Barriers to accessing hospice? (3)
Length of time - difficult to determine
Space avaialable/Financial Status
Once choice is made - care & comfort only
In Canada, _ weeks of EI can be designated for caring for dying loved one.
6
______ means lessening pain and symptoms without curing.
Palliation
Palliation seeks to (3)
RRP
Reduce distress
Relieve suffering
Provide QoL for individual & family members
Mainstream medical sees death as defeat. palliative sees:
Dying as opportunity for growth
