Home Health Care and Hospice

Historically the role of the nurse has been as a patient advocate. Nurses’ have advanced from being seen as low cost labor to an autonomous practioner. Prior to Florence Nightingale the nurse was a member of a religious order or under the direction of the military. Florence Nightingale established the first nursing schools and was responsible for their own practice. In the early 1900’s nursing education was taken over by hospitals and the licensing of nurses began. In the 1990’s nurse practioners, (under the license of a physician), began prescribing

Caring Hospice is a company that will provide nursing care to patients that are terminally ill. The ultimate goal is to insure the patient is kept as comfortable as possible while maintaining dignity during the dying process. This company will send registered nurses to the patient’s home for routine physical assessments, medication teaching and administration, education about terminal diseases and the dying process. The nursing staff will also create and maintain appropriate plans of care for the multi-disciplinary team to provide holistic care to the patient.

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 compassionate care provided to patients facing terminal illness or illness for which there is no cure. These patients are diagnosed with an illness from which they will never recover and usually have a life prognosis of six months or less (Hospice Foundation of America, 2014). The goal of hospice care is improving quality of life and managing the symptoms of disease and the dying process. The care hospice offers is focused on pain management and emotional and spiritual support for both the patient and family (National Hospice and Palliative Care Organization, 2012). Hospice care can be provided in many different settings, often the patient’s own home. Hospice care can also be provided in hospitals, nursing homes, long-term care facilities and free-standing hospice centers and is available to patients of all ages (NHPCO, 2012). A patient receiving care in a hospice program has a team of healthcare individuals that can consist of the patients own physician, nurses, home health aides, clergy, social workers, and speech and physical therapists (NHPCO, 2012). Usually, a care plan is developed by the hospice team and care of the patient is provided by family members with the support of the hospice staff (NHPCO, 2012). Nurses make regular visits to the patient and family and are on call 24/7. Once enrolled in a hospice program hospice covers everything that will be needed to care for you, from medications to manage pain to

The doctors were pretty sure that Pierre had less than 6 months to live, so he fell well within the guidelines for hospice coverage. Should hospice coverage be limited to those with 6 months or less to live, or should other be covered? 6 months is a random figure and I think that the covering other could help families deal with hospice care a little better; it would give them a better understanding of what hospice-type services is entailed. It also could be too expensive for covering others and how can you know for sure if 6 months is suitable.

In this paper we will explore many different things that effect and have contributed to the profession of nursing including but not limited to different agencies, nursing theories, and historical figures that have impacted the nursing profession.

In 1860, Florence Nightingale founded the first modern nursing school to break the stigma of previous nursing views and provide appropriate training to nurses (Finkelman & Kenner, 2016). Since then, the nursing profession has dramatically evolved over the last centuries.

There is a time to be born, and a time to die. As frightening as it is, we will all die someday. Some will die at birth, some in a tragic accident, and others from a natural cause. The average person will live a full life, and die in old age. Cancers and other deadly diseases are becoming more prominent in our culture, the demand for end of life care is becoming substantial. Hospice nurses provide near death care, and attend to the emotional, physical, mental, and spiritual needs of the terminally ill patient. Hospice nursing would not be the perfect job for all nurses, it takes a nurse with a special heart, and calling to specialize in the hospice field.

The United States needs to provide more hospice care awareness. Hospice care provides services for individuals who have six months or less to live. They are able to enjoy the end of their lives rather than using physician assisted suicide.

Since its establishment as a profession more than a century ago, Nursing has been a source for numerous debates related to its course, methods and development of nursing knowledge. Many nursing definitions and theories have evolved over time. Furthermore it is in a constant process of being redefined.

The earliest nurses never attended nursing school; they were often nuns or other women who provided care for the sick, poor, or homeless without family support (The history of Nursing, 2017). During the 18th and 19th centuries, the nursing profession expanded to include care of soldiers during many prominent wars (The History of Nursing, 2017). Florence Nightingale was a nurse during the Crimean War. The conditions she found soldiers in were deplorable. At this time she found that keeping these soldiers clean would lead to healing. She also began tending to them at all hours of the day. Upon her return to England, she wrote a report on her findings that helped reform health care. Years later, she started the Nightingale School for Nurses. After this several nursing schools began in the United States and were all founded on Nightingale’s ideas. The Civil War gave enormous impetus to the building of hospitals and to the development of nursing as a credentialed profession (Weathorford, 2010). One of the pioneers during this time was Clara Barton. By serving during the war she understood the need for clothing, food and shelter. She developed The Red Cross to be a program to aid those affected by

Nightingale had the power and was in the right position to establish modern nursing (Stein 1998). Nightingale said, “Let us never consider ourselves as finished nurses…we must be learning all our lives”. In the years of 1860 through 1899 the Unites States laid the groundwork for nursing. Following England’s format, the school of nursing would remain separate from the hospital, so that the educational needs would be kept separate from patient needs. The first doctoral program for nursing was instituted at the university of Pittsburg in 1954 (Stein 1998). In today’s society, the education and learning of nurses consist of programs, offerings, and independent studies in order to broaden a nurse’s ability (Stein 1998). The education required to become a register nurse today is, a Bachelor in science degree along with a nursing degree.

The profession of nursing has matured from the time of Florence Nightingale. Nursing has gone from just treating dying soldiers on the battlefield to helping guide people through their entire lives from birth to death. The maturation of nursing has led to changes in nursing philosophy and allowed for practitioners of Nursing to meld these philosophies together to form their own philosophy. In this paper I will explain my philosophy of nursing and compare it to Virginia Henderson 's definition of nursing along with discussing some of the changes to Nurse philosophy I will also discuss some of the difficulties to being a patient advocate.

In 1860, Florence's dream was finally realized when the Nightingale Training School for Nurses opened. This was the first formal, fully organized training program for nurses. Graduates of the program went into the four corners of the world to teach other nurses and were highly sought by hospitals. While Florence Nightingale did not invent the profession of nursing, she was a living memorial to it and forever will have a place and influence in the history of nursing.

In general people’s perception, nursing is a profession about caring for sick people. According to the Florence Nightingale (Alligood, 2013) nursing is to be accountable for other people’s health condition. Nursing theorist