Critical incident descriptions were obtained by questionnaire from 472 practicing physicians, 59 medical students, 31 house officers, 50 clinical faculty, and 43 allied health professionals. Descriptions were obtained...
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Under physician leadership, Hospice, Inc., started a home care program for terminally ill cancer patients and their families in March 1974. This paper is based on the 3-year evaluation by the medical director who argu...
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Under physician leadership, Hospice, Inc., started a home care program for terminally ill cancer patients and their families in March 1974. This paper is based on the 3-year evaluation by the medical director who argues that priority of care should be directed to physical needs, managed in a problem-oriented approach.
The essential characteristics of a hospice program of care are described. Goals of the hospice are elaborated on. The myriad problems of dying patients and their families are discussed, along with the importance of vo...
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The essential characteristics of a hospice program of care are described. Goals of the hospice are elaborated on. The myriad problems of dying patients and their families are discussed, along with the importance of volunteers, a comprehensive interdisciplinary team, and the support of the medical community. British and American hospices are compared. Families are recognized as being a separate unit of care—not only do they participate in the care of the patient, but they also participate in bereavement follow-up programs after the patient's death. Pain control, involving titration of drugs, combined with team effort, is important to dying patients, along with relief from distressing symptoms of disease, the security of a caring environment, sustained expert care, and assurance that they and their families will not be abandoned.
The Palliative Care Service was developed after staff at the Royal Victoria Hospital, a McGill University teaching hospital, identified serious deficiencies in care of terminally ill patients and their families. The s...
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The Palliative Care Service was developed after staff at the Royal Victoria Hospital, a McGill University teaching hospital, identified serious deficiencies in care of terminally ill patients and their families. The service, including both an in-hospital unit and a home care program, cares for patients for whom treatment aimed at cure or prolongation of life is no longer appropriate. Its multidisciplinary team aims to meet the medical, psychological, social, and spiritual needs of patients and their families.
The Hospice Care Program developed from a liaison nursing model in a teaching hospital of Dalhousie University after it appeared that no designated area or full-service personnel would be approved. Highest priority is...
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The Hospice Care Program developed from a liaison nursing model in a teaching hospital of Dalhousie University after it appeared that no designated area or full-service personnel would be approved. Highest priority is given to quality nursing and psychosocial care.
In 1974 a small group began an apparently inauspicious organization to provide more effective care of the terminally ill. Focus was to be on outpatient services, public and professional education, and institutional co...
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In 1974 a small group began an apparently inauspicious organization to provide more effective care of the terminally ill. Focus was to be on outpatient services, public and professional education, and institutional coordination.
Hillhaven Hospice began patient services in 1977 as the nation's first “free standing,” comprehensive service hospice. This paper is a description of how the program was designed to be part of a community's ...
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Hillhaven Hospice began patient services in 1977 as the nation's first “free standing,” comprehensive service hospice. This paper is a description of how the program was designed to be part of a community's total health system, how it is staffed, and what its principles are.
Evaluates the diagnosis of extra-urethral urinary incontinence after incompetent vaginal obstetrics. Treatment of the disease; Occurrence of retrovaginal fistula associated with vaginopelvic disease; Complication of r...
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Evaluates the diagnosis of extra-urethral urinary incontinence after incompetent vaginal obstetrics. Treatment of the disease; Occurrence of retrovaginal fistula associated with vaginopelvic disease; Complication of radiotherapy and urological surgery.
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