Health Service Administration : Final Take Home Exam

Caring Hospice will be made up of an inter-disciplinary team that collaborate together to provide holistic, competent, and compassionate care for terminally ill patients and their families. The team will consist of the Medical Director, Patient Care Coordinator, Registered Nurse, Bereavement Coordinator, Social Worker, Chaplain, Certified Nurse Assistant, and Office Manager. Each team member will play a vital role in creating an effective care giving system.

The main duty is to do meeting with the patient and their family members to make them understand the role of care assistant; telling about the

Death is inevitable. It is one of the only certainties in life. Regardless, people are often uncomfortable discussing death. Nyatanga (2016) posits that the idea of no longer existing increases anxiety and emotional distress in relation to one’s mortality. Because of the difficulty in level of care for end-of-life patients, the patient and the family often need professional assistance for physical and emotional care. Many family caregivers are not professionally trained in medicine, and this is where hospice comes into play. Hospice aims to meet the holistic needs of both the patient and the patient’s family through treatment plans, education, and advocacy. There is a duality of care to the treatment provided by hospice staff in that they do not attempt to separate the patient’s care from the family’s care. Leming and Dickinson (2011) support that hospice, unlike other clinical fields, focuses on the patient and the family together instead of seeing the patient independent of the family. Many times in hospitals, the medical team focuses solely on the goal of returning the patient back to health in order for them to return to their normal lives. They do not take into account the psychological and spiritual components of the patient’s journey and the journey that the family must take as well. For treatment of the patient, Leming and Dickinson agree that hospice does not attempt to cure patients, and instead concentrates solely

Hospice is a process to end-of-life care and a kind of support facility for terminally ill patients. It provides comforting care, patient-centered care and related services. Comforting care relieves discomfort without improving the patient’s condition or curing his illness. Hospice is extended in a healthcare facility or at home. Its objective is to provide compassionate, emotional, and spiritual care for the dying patient.

Hospice is a philosophy of care. It treats the person rather than the disease and focuses on quality of life. It surrounds the patient and family with a team consisting of professionals who not only address physical distress, but emotional and spiritual issues as well. Hospice care is patient-centered because the needs of the patient and family drive the activities of the hospice team.

Many terminally-ill patients give up hope when treatments are no longer available to help them and hospice care is given to them as an option. However, hospice care has proven itself to provide the best quality care for the last six months of the dying. The purpose of hospice is to provide the best care for terminally-ill patients at the end stage of their lives. Hospice offer services to support too many aspects a patient’s life such as medical, legal, spiritual care. Hospice includes art therapists, music therapists, and certified chaplains on the palliative team.

Rather, the hospice staff and the patient understand the patient is going to die and no further treatment options are available. Therefore, hospice care centers direct their attention towards providing a dignified ending to a patient’s life by delivering comfort and emotional support through a palliative care approach designated to alleviate pain and emotional distress. For example, at Hospice of Dayton, each patient residing at the care facility is provided their own room where their family is able to stay with them and the patient is able to receive the pain management and emotional support they need to die a little closer to peace and security. Additionally, at Hospice of Dayton, there are full-time doctors, nurses, counselors, and religious support-staff that provide patients the physical treatment they need to minimize their pain, as well as the emotional support they need to live the last moments of their life with dignity and emotional well-being. Most importantly, Hospice of Dayton because of its volunteers. Volunteers provide the invaluable service of listening, crying, and laughing with those who may not necessarily have someone to spend time with, while they undergo their long, arduous, and painful experience of

Hospice care differs from other forms of medical care in that when the patient is dying, hospice works hard to relieve needless suffering. Normally, a patient is approved for hospice care if his or her life expectancy is 6 months or less. Hospice workers treat the person, rather than the disease. They aren't trying to cure a disease, but rather, they are trying to make the patient as comfortable as possible. Family and friends are encouraged to gather round and engage with the hospice patient. Many people have the misconception that the dying want to be left alone, but why would they want to be abandoned? Hospice is good for families, because they educate them on the dying process. Hospice care can be rendered in the family home, a nursing home, or in a hospital. Normally the majority of care is given by the family in the family home, or by nursing staff in a nursing home or hospital; however there are also private in-house hospice facilities-for those that may not have the family support. In the home, nursing home and hospitals the hospice workers come at specified times to work with the dying patient. They spend take vital signs, offer palliative care, and also offer support for family members. If you were to be admitted to hospice care you would find a great team of doctors, nurses, social workers, counselors, home healthcare assistants,

The hospice nurse should evaluate the ability of the patient and the family to cope because through that assessment the nurse can obtain more information about the patient. You can identify risks and symptoms of distress. The hospice nurse, especially the case manager, is responsible for evaluating and managing the care of a patient. Addressing loss, grief, and bereavement needs begin at the time of hospice with the initial evaluation and continue during the course of care.

Hospice care is a model of care that focuses on relieving symptoms and supporting patients with a life expectancy of six months or less (Altshuler, 2013). For most nurses, caring for a dying elder (individual aged 65 years and above) is a discrete, time-limited experience that begins with first contact, often in a hospital, emergency room, or long term care facility, and ends with the death itself (Phillips & Reed, 2008).

Hospice care has not been around for very longs but it is one of the fastest growing medical fields in the country, with over 1.58 million patients being cared for in 2010 alone. Hospice is an important part of caring for terminally ill patients and helps the families and loved ones to grieve.

Political: The Governor of Florida appoints seven members to the South Broward Hospital District Board of Commissioners to serve four-year terms. These seven board members then determine the President and CEO that will act as the leader and figurehead of the organization. The President and CEO is the head of Memorial Healthcare System’s executive department. Additionally, the board plays a role in the development of the regulations, policies, and bylaws of the South Broward Hospital District to ensure that the quality of care provided by every hospital remains satisfactory. Additional executive staff members are appointed by the CEO to manage the operation of the various branches of the Memorial Healthcare System located across the South Florida area.

I appreciate you all mentioning that there is a high turnover rate for hospice organizations. From my personal experience with hospice, it is a very difficult and rewarding field of work that takes a special person. Due to the high turnover rate, this can also impact the quality of care for patients. If an employee is not happy with their position or is feeling burnt out, then the patient and the family can be negatively impacted. While it is a waste of resources for the organization, it can also impact the organizational success on whether or not a patient and/or family members will refer to that particular facility.

Hospice is a component of palliative care. A person does not necessarily have to be dying in order to see a palliative care specialist. This is where the service is often underutilized in the hospital. In the 18 months I have been a nurse, I have cared for many patients with chronic illnesses who have dealt with symptoms that have severely impacted their quality of life. Most of the time, it seems as though the patient’s care providers are interested in treating the patient’s acute problems. My experience has been that the symptoms are often overlooked or are being treated in a manner that is to the dissatisfaction and discomfort of the patient.

1. Administration – He or she carries full administrative responsibility and authority for the entire nursing service of the hospital. The policies and procedures as well as objectives of each unit is always verified by the nursing director so that it will be congruent with the whole organization’s reason for existence.