Pub Date : 1999-01-01DOI: 10.1080/0742-969x.1999.11882920
P W Zehnder, D Royse
Technological advances have lengthened our years and, often, the dying process as well. While studies have been conducted of physicians and dying patients concerning their views on assisted suicide, no prior studies have examined the attitudes of hospice volunteers. This survey of 277 hospice volunteers found that overall their attitudes were more supportive of assisted suicide than that of a convenience sample of the public. Thirty-seven percent of the volunteers endorsed the view that there are situations when assisting death may be morally acceptable; 4% had been asked to provide assistance to help a patient end his or her life.
{"title":"Attitudes toward assisted suicide: a survey of hospice volunteers.","authors":"P W Zehnder, D Royse","doi":"10.1080/0742-969x.1999.11882920","DOIUrl":"https://doi.org/10.1080/0742-969x.1999.11882920","url":null,"abstract":"<p><p>Technological advances have lengthened our years and, often, the dying process as well. While studies have been conducted of physicians and dying patients concerning their views on assisted suicide, no prior studies have examined the attitudes of hospice volunteers. This survey of 277 hospice volunteers found that overall their attitudes were more supportive of assisted suicide than that of a convenience sample of the public. Thirty-seven percent of the volunteers endorsed the view that there are situations when assisting death may be morally acceptable; 4% had been asked to provide assistance to help a patient end his or her life.</p>","PeriodicalId":77421,"journal":{"name":"The Hospice journal","volume":"14 2","pages":"49-63"},"PeriodicalIF":0.0,"publicationDate":"1999-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1080/0742-969x.1999.11882920","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"21480324","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 1999-01-01DOI: 10.1080/0742-969x.1999.11882911
C Cox
Injection drug use now accounts for the majority of new AIDS cases. Treatment for these patients is both more complex and more costly than for other AIDS patients as the factors associated with drug use are obstacles to treatment. Using data from a national survey of hospices, the findings from this study indicated that resources, hospice size, years in operation, and the Medicaid waiver were associated with hospice involvement with these patients. Staff training and supports are important factors in adequately dealing with the issues that these patients present.
{"title":"Hospice care for injection drug using AIDS patients.","authors":"C Cox","doi":"10.1080/0742-969x.1999.11882911","DOIUrl":"https://doi.org/10.1080/0742-969x.1999.11882911","url":null,"abstract":"<p><p>Injection drug use now accounts for the majority of new AIDS cases. Treatment for these patients is both more complex and more costly than for other AIDS patients as the factors associated with drug use are obstacles to treatment. Using data from a national survey of hospices, the findings from this study indicated that resources, hospice size, years in operation, and the Medicaid waiver were associated with hospice involvement with these patients. Staff training and supports are important factors in adequately dealing with the issues that these patients present.</p>","PeriodicalId":77421,"journal":{"name":"The Hospice journal","volume":"14 1","pages":"13-24"},"PeriodicalIF":0.0,"publicationDate":"1999-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1080/0742-969x.1999.11882911","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"21284341","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 1999-01-01DOI: 10.1080/0742-969X.1999.11882938
S. Connor
Hospice care has been successful in serving a large segment of the terminally ill population in the United States. This article addresses a number of significant trends that may impact the future of hospice care. It is proposed that as many as one-third of those who die will not be in a position to make use of any end-stage program of care. Of the remaining, some will have difficulty being served by hospices due to uncertain prognosis and continued efforts at curative treatment. New models of caring for chronically terminally ill persons are being developed and are reviewed. A clearer definition of who ought to be served by hospice programs is encouraged.
{"title":"New initiatives transforming hospice care.","authors":"S. Connor","doi":"10.1080/0742-969X.1999.11882938","DOIUrl":"https://doi.org/10.1080/0742-969X.1999.11882938","url":null,"abstract":"Hospice care has been successful in serving a large segment of the terminally ill population in the United States. This article addresses a number of significant trends that may impact the future of hospice care. It is proposed that as many as one-third of those who die will not be in a position to make use of any end-stage program of care. Of the remaining, some will have difficulty being served by hospices due to uncertain prognosis and continued efforts at curative treatment. New models of caring for chronically terminally ill persons are being developed and are reviewed. A clearer definition of who ought to be served by hospice programs is encouraged.","PeriodicalId":77421,"journal":{"name":"The Hospice journal","volume":"14 3-4 1","pages":"193-203"},"PeriodicalIF":0.0,"publicationDate":"1999-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1080/0742-969X.1999.11882938","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"59936860","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 1999-01-01DOI: 10.1080/0742-969X.1999.11882939
G. Soros
The project on Death in America was established to promote a better understanding of the experience of dying and bereavement and by doing so help transform the culture surrounding death. The Faculty Scholars Program provides three year fellowships for projects that explore critical aspects of the care of the dying, for those who will become academic leaders on the issue, as well as, role models and mentors to future generations of health professionals. A Grants Program broad enough to cover every aspect of the culture of dying allocates funding for innovative projects. A new grants program is underway to support projects aimed at enhancing the role of the humanities in transforming the culture of death and dying in America.
{"title":"Reflections on death in America.","authors":"G. Soros","doi":"10.1080/0742-969X.1999.11882939","DOIUrl":"https://doi.org/10.1080/0742-969X.1999.11882939","url":null,"abstract":"The project on Death in America was established to promote a better understanding of the experience of dying and bereavement and by doing so help transform the culture surrounding death. The Faculty Scholars Program provides three year fellowships for projects that explore critical aspects of the care of the dying, for those who will become academic leaders on the issue, as well as, role models and mentors to future generations of health professionals. A Grants Program broad enough to cover every aspect of the culture of dying allocates funding for innovative projects. A new grants program is underway to support projects aimed at enhancing the role of the humanities in transforming the culture of death and dying in America.","PeriodicalId":77421,"journal":{"name":"The Hospice journal","volume":"14 3-4 1","pages":"205-15"},"PeriodicalIF":0.0,"publicationDate":"1999-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1080/0742-969X.1999.11882939","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"59937024","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 1999-01-01DOI: 10.1080/0742-969x.1999.11882912
B Trauger-Querry, K R Haghighi
Pain and symptom management are a major part of hospice care. Literature and direct experience suggest that pain can be resistant if psychological, emotional, or spiritual issues are not addressed. This article explains how art and music therapies can work in conjunction with traditional medical treatment of pain control in the hospice setting. The process of pain modulation through the use of art and music interventions is diagrammed and described. Brief clinical examples demonstrate the use of art and music therapies for pain reduction with a variety of hospice patients. Information regarding appropriate education and training necessary for art and music therapists to practice in their field is presented.
{"title":"Balancing the focus: art and music therapy for pain control and symptom management in hospice care.","authors":"B Trauger-Querry, K R Haghighi","doi":"10.1080/0742-969x.1999.11882912","DOIUrl":"https://doi.org/10.1080/0742-969x.1999.11882912","url":null,"abstract":"<p><p>Pain and symptom management are a major part of hospice care. Literature and direct experience suggest that pain can be resistant if psychological, emotional, or spiritual issues are not addressed. This article explains how art and music therapies can work in conjunction with traditional medical treatment of pain control in the hospice setting. The process of pain modulation through the use of art and music interventions is diagrammed and described. Brief clinical examples demonstrate the use of art and music therapies for pain reduction with a variety of hospice patients. Information regarding appropriate education and training necessary for art and music therapists to practice in their field is presented.</p>","PeriodicalId":77421,"journal":{"name":"The Hospice journal","volume":"14 1","pages":"25-38"},"PeriodicalIF":0.0,"publicationDate":"1999-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1080/0742-969x.1999.11882912","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"21284342","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 1999-01-01DOI: 10.1080/0742-969x.1999.11882914
M J Smith
Unique among professional codes of ethics is the Texas & New Mexico Hospice Organization's Code of Ethics. Where other codes concentrate only on principles-based ethics, this new code identifies five models of bioethics currently used in resolving ethical dilemmas. This report's primary purpose analyzes the code's four precepts in the context of (1) principles-based ethics, (2) casuistic-based ethics, (3) covenant-based ethics, (4) evidence-based ethics and narrative-based ethics. The second purpose is to present the practicality of these often esoteric concepts in the day-to-day work of palliative care providers. Indications are that this code of ethics, because of its broad scope, is more useful than other principles-based-only codes.
{"title":"Analysis of Texas & New Mexico Hospice Organization's new Code of Ethics.","authors":"M J Smith","doi":"10.1080/0742-969x.1999.11882914","DOIUrl":"https://doi.org/10.1080/0742-969x.1999.11882914","url":null,"abstract":"<p><p>Unique among professional codes of ethics is the Texas & New Mexico Hospice Organization's Code of Ethics. Where other codes concentrate only on principles-based ethics, this new code identifies five models of bioethics currently used in resolving ethical dilemmas. This report's primary purpose analyzes the code's four precepts in the context of (1) principles-based ethics, (2) casuistic-based ethics, (3) covenant-based ethics, (4) evidence-based ethics and narrative-based ethics. The second purpose is to present the practicality of these often esoteric concepts in the day-to-day work of palliative care providers. Indications are that this code of ethics, because of its broad scope, is more useful than other principles-based-only codes.</p>","PeriodicalId":77421,"journal":{"name":"The Hospice journal","volume":"14 1","pages":"55-80"},"PeriodicalIF":0.0,"publicationDate":"1999-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1080/0742-969x.1999.11882914","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"21284345","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Hospice Care and Palliative Care","authors":"P. Brenner","doi":"10.1300/j011v14n03_12","DOIUrl":"https://doi.org/10.1300/j011v14n03_12","url":null,"abstract":"","PeriodicalId":77421,"journal":{"name":"The Hospice journal","volume":"46 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"1999-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"85990852","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 1999-01-01DOI: 10.1080/0742-969x.1999.11882910
B A Virnig, N A Persily, R O Morgan, C A DeVito
This study compares use of the hospice benefit in Medicare fee-for-service (FFS) and Medicare risk-health maintenance organization (HMO) options in South Florida in 1992. A higher percentage of deaths occurred in hospice in the HMO option than in the FFS option. Compared to individuals in the FFS option, HMO-enrolled hospice users had longer lengths of hospice stay, lower 7-day mortality and higher 180-day (6 month) survival. These differences are consistent with the physician's financial incentives associated with the two programs.
{"title":"Do Medicare HMOs and Medicare FFS differ in their use of the Medicare hospice benefit?","authors":"B A Virnig, N A Persily, R O Morgan, C A DeVito","doi":"10.1080/0742-969x.1999.11882910","DOIUrl":"https://doi.org/10.1080/0742-969x.1999.11882910","url":null,"abstract":"<p><p>This study compares use of the hospice benefit in Medicare fee-for-service (FFS) and Medicare risk-health maintenance organization (HMO) options in South Florida in 1992. A higher percentage of deaths occurred in hospice in the HMO option than in the FFS option. Compared to individuals in the FFS option, HMO-enrolled hospice users had longer lengths of hospice stay, lower 7-day mortality and higher 180-day (6 month) survival. These differences are consistent with the physician's financial incentives associated with the two programs.</p>","PeriodicalId":77421,"journal":{"name":"The Hospice journal","volume":"14 1","pages":"1-12"},"PeriodicalIF":0.0,"publicationDate":"1999-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1080/0742-969x.1999.11882910","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"21284343","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 1999-01-01DOI: 10.1080/0742-969x.1999.11882921
D G Quigley, M S Schatz
In this study, the Grief Experience Inventory was used to examine grief responses among men and women associated with a Colorado hospice program. Using this inventory instrument, the findings document a broad range of emotional responses to grief among men and women, yet no significant differences were found. These findings appear to differ from the perceptions of bereavement counselors who often identify behavioral differences in the grief experiences of men and women.
{"title":"Men and women and their responses in spousal bereavement.","authors":"D G Quigley, M S Schatz","doi":"10.1080/0742-969x.1999.11882921","DOIUrl":"https://doi.org/10.1080/0742-969x.1999.11882921","url":null,"abstract":"<p><p>In this study, the Grief Experience Inventory was used to examine grief responses among men and women associated with a Colorado hospice program. Using this inventory instrument, the findings document a broad range of emotional responses to grief among men and women, yet no significant differences were found. These findings appear to differ from the perceptions of bereavement counselors who often identify behavioral differences in the grief experiences of men and women.</p>","PeriodicalId":77421,"journal":{"name":"The Hospice journal","volume":"14 2","pages":"65-78"},"PeriodicalIF":0.0,"publicationDate":"1999-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1080/0742-969x.1999.11882921","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"21480326","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
The establishment of the first Department of Pain Medicine and Palliative Care in a Medical Center in the United States is noteworthy. Since the design of the Department integrates a full-functioning hospice program within it, that has both a dedicated inpatient unit and extensive home care program, this Department represents a milestone in the development of the hospice movement, with full interrelationship between palliative care and hospice care. This paper will explore this interrelationship, its implications, and some of the background.
{"title":"Hospice care and palliative care: a perspective from experience.","authors":"P R Brenner","doi":"","DOIUrl":"","url":null,"abstract":"<p><p>The establishment of the first Department of Pain Medicine and Palliative Care in a Medical Center in the United States is noteworthy. Since the design of the Department integrates a full-functioning hospice program within it, that has both a dedicated inpatient unit and extensive home care program, this Department represents a milestone in the development of the hospice movement, with full interrelationship between palliative care and hospice care. This paper will explore this interrelationship, its implications, and some of the background.</p>","PeriodicalId":77421,"journal":{"name":"The Hospice journal","volume":"14 3-4","pages":"155-66"},"PeriodicalIF":0.0,"publicationDate":"1999-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"21683310","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}