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Cancer is a word that no one wants to hear or think about, however there are many people

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.

The first hospice care was established in 1974. A hospice must make physician, nursing, drugs, and medical supply services available 24/7. It must have social workers and counseling services available to the patient and the family. Hospice also provides therapy and homemaker services when needed in order to be qualified under Medicare certification. Hospice is a combination of special services for terminal ill patients. Beside the medical service, hospice care also supports patients and family psychologically and spiritually to put their emotional suffering at ease. The psychological suffering can weight more than physical suffering. Many terminal ill patients cannot accept the bad news and living under emotional distress. Certified chaplains can work with people from different religions, they focus on the world-view of the patient and family. Using patient personal goal as the measurement, chaplains are the

Care designed to give supportive care to people in the final phase of a terminal illness and focus on comfort and quality of life, rather than cure. The goal is to enable patients to be comfortable and free of pain, so that they live each day as fully as possible. Aggressive methods of pain control may be used. Hospice programs generally are home-based, but they sometimes provide services away from home in freestanding facilities, in nursing homes, or within hospitals. The philosophy of hospice is to provide support for the patient's

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 present-day misconception of palliative care possibly comes from the circumstance that palliative care was used interchangeably with hospice care until the 1980s. (Clark & Seymour, 1999). Clark and Seymour (1999) extensively write on the beginnings and evolution of palliative care. They describe the progression of palliative care as a whole and explain the movement from palliative starting out as supplemental care to terminal patients to the concept division of palliative and hospice care. They describe the differences in each and explain why palliative is its own concept that differentiates from hospice care. In 2002, the World Health Organization defined palliative care as “an approach” that increases the quality of life of

Routine home care is the first level of hospice care that is designed to let the patient have access to medical services in the comfort of their own home. This level of care is available when a patient 's condition or illness does not require around the clock support from a doctor or registered nurse. Although the patient is terminally ill, there pain and comfort level can be managed by family or friends.  Many supportive options can be used by the patient and their family at this stage to ensure quality of life. A religious representative or chaplain may make regular visits to the home and offer “spiritual guidance”. Social workers assist families in many ways during hospice care, some examples include; helping to find community and nonprofit organizations (support groups, meal assistance, etc), assistance with insurance issues and funeral planning or other end of life decisions. Nurses and physicians help to educate family members on pain management and keeping their loved ones comfortable. During this stage of hospice, a nurse makes regular scheduled visits and does not “stay” with the patient 24 hours a day. Medical equipment such as a special bed or other assistance items are supplied to the hospice patient as well as medications and special support services. With the ultimate goal of keeping the patient in their own comfort, not going back

Hospice is a special healthcare option for patients and families faced with a terminal illness. At Hospice there’s a multidisciplinary team of physicians, nurses social workers, bereavement counselors and volunteers that work together to address the physical, social, emotional and spiritual needs of each patient and

“The colon cancer vs. Crohn’s disease debate is generating a lot of interest in the medical community. Every year in the U.S., approximately 57,000 people die from colorectal cancer and 147,000 new cases are diagnosed”states Dr. Victor Marchione. Crohn's disease is a new disease that was introduced into today's society in 2015. 1.4 million Americans have Crohn’s disease or ulcerative colitis. Of those, about 700,000 have Crohn’s has been diagnosed in the years between 1992 and 2004 just from a doctor's visit. People have came up with different ways that we can help and prevent the disease such as Surgery, Conferences and “ KEY TO PROCESS “.

The majority of the symptoms are straightforward, including weight loss, loss of appetite, nausea, and vomiting, but to Andrew, having loose stools up to eight times a day gives him the most heartache. On rare occasions, the diseases progresses to a point where rectal bleeding, skin lesions, and joint pain may begin to appear more consistently (NIH, 2014). The part that many patients suffer with, however, are the indirect consequences of Crohn’s, with Brockmeier stating that “I am never able to fully get the recommended amount of nutrients on a daily basis.” As a result of constant bloody stools and intestinal swelling, Brockmeier has an insufficient amount of red blood cells, a condition known as anemia. Perhaps the worst news available is that due to the fact that the cause is a mystery, there are no reliable prevention methods available to avert Crohn’s disease and its subsequent illnesses. Despite this, however, there are many home treatments that can aid with the severity of the condition and help lower the risk of relapse. Things as simple as centering one’s diet around whole plant foods and taking multivitamins could help prevent relapse of Crohn’s disease through the benefits of fiber and nutrients (Duricova, 2010). People can also

Nutrition is an important factor for patients with Crohn’s disease, and plays a big role in the management of inflammatory bowel disease and its symptoms by maintaining general health during times of disease activity and remission (Filippi et al., 2006). The nutritional status of patients affects physiological processes including immunity and wound healing, and as a result can influence the occurrence of long-term complications arising from Crohn’s disease (Verma et al., 2000). Although no one dietary factor has been identified as a cause for CD, certain dietary factors may trigger the disease in genetically susceptible individuals, or trigger a disease flare-up in patients living with CD. Subsequently, physicians recommend diet modification as part of the treatment plan, with certain food items to be avoided in managing symptoms. Some patients may have intolerances to specific proteins such as casein, which is found in milk, and gluten, which is found in wheat. By eliminating those proteins from their diet, the patients have lower flare-ups and experience some relief from CD symptoms (Zachos et al., 2007). In clinical practice, patients may also be instructed to reduce their fiber intake through a low-fiber diet. This type of

Ulcerative Colitis is a long-life disease that necessitates in long-term therapy. A step-up method for medical therapy is regularly applied from 5-aminosalicylate compounds, corticosteroids, immunomodulators, and biologics. There is not enough evidence that suggests that long-term medical therapy may possibly change the natural history of Ulcerative Colitis. Also, there are some patient concerns about compliance to medical therapy, cost and side effects of medications and the risk of dysplasia. Before offering any sort of treatment, it is necessary that the risks and also the benefits are discussed carefully in

In this instance standard homecare referred to non-nursing care, further demonstrating that end-of-life health care in the home ensures further comfort and heightening that sense of confidence with the palliative system. As patients are in their home, loved ones have an opportunity to be more involved in their care as they have constant access to the health care team, as well as a defined safety and care plan which helps in reducing some of the stressors that the family may experience during the palliative period of their loved one. As care progresses, the relationship built with the health care team, specifically nurses, becomes paramount to ensuring patient comfort.

3. Palliative Care Council of South Australia. (1996). Good palliative care project: final report. Retrieved September 4, 2002, from Palliative Care Council of So