• Title/Summary/Keyword: Hospice Palliative Care

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A Convergence Study on the Necessity of General Hospital Workers Hospice Palliative Care Education (일반병원직원의 호스피스 완화의료 교육 요구도에 관한 융합 연구)

  • Kwon, Chun-Hye;Lee, Moo-sik;Kang, Kyung-Hee;Kim, Kwang-Hwan
    • Journal of the Korea Convergence Society
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    • v.8 no.6
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    • pp.45-54
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    • 2017
  • This study aims to identify the requirement of death, hospice palliative care education targeting nursing assistant and general workers among hospice palliative care private hospital workers convergencely. The survey period is from September 22 to October 21 in 2016, and 158 workers of hospice palliative care private hospitals in Chungnam region have been surveyed. Detailed results of this study are as follows. In terms of importance of theoretical and practical education in hospice palliative care education content, all of the respondents answered that practical had higher importance than theoretical education. The above results of this study are hoped to be helpful in developing customized hospice palliative care education program that is meeting characteristics and requirements of hospice palliative care private hospital workers, especially for nursing assistants as basic data.

Hospice Medical Guideline, Non-Cancer Diseases (비암성 질환들의 호스피스 의뢰 기준)

  • Choi, Youn-Seon;Kim, Hyun-Sook
    • Journal of Hospice and Palliative Care
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    • v.13 no.2
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    • pp.69-75
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    • 2010
  • Hospice is defined by the National Hospice and Palliative Care Organization (NHPCO, USA) and WHO, as a program of care that provides comprehensive medical, nursing and support services to dying patients and their family. Despite its broad definition, however, hospice care in Korea has been focused mostly on terminal cancer patients. Thus hospice eligibility for patients with advanced cancer is relatively easier to predict than those with other fatal chronic illnesses such as heart, lung, renal or liver diseases, and dementia. This makes it more difficult for patients and families to prepare for death and gain full benefits of hospice care. This article introduces the medical guidelines for selected non-cancer patients who are expected to live for only six months, this making it possible for patients, who are nearing the end of life, to avoid unwarranted suffering.

Effects of a Hospice and Palliative Care Education Program Including Meaning in Life on Attitudes Toward End-of-Life Care and Meaning in Life Among Nursing College Students (의미요법이 포함된 호스피스·완화 간호교육이 간호대학생의 임종간호태도와 생의 의미에 미치는 효과)

  • Kim, Sook-Nam;Kim, Hyun-Ju;Choi, Soon-Ock
    • The Journal of Korean Academic Society of Nursing Education
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    • v.17 no.3
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    • pp.454-463
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    • 2011
  • Purpose: The purpose of this study was to examine the effects of a hospice and palliative care education program including meaning in life on attitudes to end-of-life care and meaning in life for nursing students. Methods: This study used a quasi-experimental and non- synchronized with a non-equivalent control group design. The experimental group (n=28) participated in a hospice and palliative care education program including meaning in life. The control group (n=28) participated only in a hospice and palliative care education program. The 30-hour course examined hospice and palliative nursing care and logotherapy. Data were collected using a structured questionnaire consisting of general characteristics, attitudes to end-of-life care, and meaning in life. Collected data were analyzed for frequency, percentage, ${\chi}^2$-test, and t-test using SPSS 19.0 WIN Program. Results: Scores for the attitude towards end-of-life care in the experimental group were significantly higher than in the control group. The meaning in life scores in the experimental group were significantly higher than in the control group. Conclusion: These findings suggest that the hospice and palliative care education program, including meaning in life, was effective in enhancing the attitude to end-of-life care and meaning in life among nursing students.

End-of-Life Assessments and Communication for Dying Patients and Their Families

  • Lee, Eun Kyung;Jeong, Hyae Yeong;Kim, Kyung Won
    • Journal of Hospice and Palliative Care
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    • v.24 no.3
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    • pp.194-197
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    • 2021
  • End-of-life assessments aim to help dying patients and their families plan clinical interventions in advance and prepare them for a peaceful end of life, in which the patient accepts life and death, and the family accepts the patient's departure. It is important to assess whether death is imminent within a few days, because critical hospice care is provided intensively during that period. The following five changes constitute objective evidence of the end of life: diminished daily living performance, decreased food intake, changes in consciousness and increased sleep quantity, worsening of respiratory distress, and end-stage delirium. As subjective evidence, it is suggested that sensitive perceptions of experienced nurses and the feelings of family members caring for patients should also be considered. When notifying a patient or family members that the end of life is approaching, the members of the multidisciplinary hospice team must communicate with each other, share accurate information, and provide consistent explanations. They must also listen to non-verbal communication in an empathic and supportive manner.

Providing End-of-Life Care in the Community: What Are the Challenges in Malaysia?

  • Leong, Yoke Yeng;Hamzah, Ednin;McCarthy, Sylvia;Lim, Zee Nee
    • Journal of Hospice and Palliative Care
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    • v.25 no.3
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    • pp.133-137
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    • 2022
  • A 72-year-old woman with metastatic lung cancer to bone and brain and with left external iliac vein thrombosis was under the care of a community palliative care provider. She experienced an acute pain crisis due to acute limb ischemia of the left lower limb. Goals-of-care discussions were held with the patient and her family; she prioritized symptom control and end-of-life care at home. The family and patient were aware of her short prognosis. Her complex pain was managed by the community palliative team, and her family was empowered to give subcutaneous injections. We illustrate a case showing the importance of community health services with palliative care support in providing symptom management and support to patient and family caregivers throughout the course of a life-limiting illness. It also highlights family caregivers' potential psychological distress in delivering subcutaneous injections in terminal care for a patient at home.