The Hospice journal最新文献_第7页

Reflections on the history of occupational stress in hospice/palliative care. 安宁疗护/缓和疗护中职业压力的历史反思。

The Hospice journal Pub Date : 1999-01-01 DOI: 10.1080/0742-969X.1999.11882941

M. Vachon

{"title":"Reflections on the history of occupational stress in hospice/palliative care.","authors":"M. Vachon","doi":"10.1080/0742-969X.1999.11882941","DOIUrl":"https://doi.org/10.1080/0742-969X.1999.11882941","url":null,"abstract":"The concept of hospice and palliative care emerged a quarter of a century ago out of recognition of the unmet needs of dying persons and the social issues of the 1960s and 1970s. The issues of the day included the sexual revolution; a questioning of social values; an increased awareness of death resulting from the murder of the Kennedy brothers and Martin Luther King and daily television exposure to deaths in the Vietnam War, feminism, consumerism, reclaiming a more humanized role in the birth process, and hence in the process of death. The history of the hospice movement and the stress experienced by staff is traced from the early developmental days through to the present. Initially there was sometimes a struggle to integrate the concepts of relief of physical symptoms with meeting the psychosocial and emotional needs of patients and families, caregivers were expected to sacrifice much of their personal life for work, emotional intensity was high and supports were developed to ease some of the stress experienced by caregivers. From the early days team stress and burnout have been issues of concern. In the 1980s issues involved establishing funding sources, dealing with the new crisis of AIDS, and dealing with the gap between the ideal and the real. In the 1990s the economic climate has escalated some of the tensions that have always existed as hospice attempts to position itself within mainstream care with diminishing fiscal resources. These are issues that confront us as we move into the next century.","PeriodicalId":77421,"journal":{"name":"The Hospice journal","volume":"14 3-4 1","pages":"229-46"},"PeriodicalIF":0.0,"publicationDate":"1999-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1080/0742-969X.1999.11882941","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"59937143","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 28

Origins: an American perspective. 起源:一个美国人的视角。

The Hospice journal Pub Date : 1999-01-01 DOI: 10.1080/0742-969x.1999.11882926

Z Foster, I B Corless

引用次数: 7

Symptom control in hospice--state of the art. 临终关怀的症状控制——最先进的技术。

The Hospice journal Pub Date : 1999-01-01 DOI: 10.1080/0742-969x.1999.11882928

J C Muir, L M Krammer, J R Cameron, C F von Gunten

引用次数: 0

End of life care and decision making: how far we have come, how far we have to go. 临终关怀和决策:我们已经走了多远，还要走多远。

The Hospice journal Pub Date : 1999-01-01 DOI: 10.1080/0742-969X.1999.11882931

C. Zuckerman, D. Wollner

{"title":"End of life care and decision making: how far we have come, how far we have to go.","authors":"C. Zuckerman, D. Wollner","doi":"10.1080/0742-969X.1999.11882931","DOIUrl":"https://doi.org/10.1080/0742-969X.1999.11882931","url":null,"abstract":"While enormous progress has been made in improving the quality of care and the decision-making process for patients at the end of life, as a society we still have far to go to ensure that dying patients and their families have a comfortable and dignified death. In particular, reexamination and reconfiguration of our current decision framework is essential as our elderly population with chronic disease and slowly fatal conditions expands. With less certain disease paths and more complex and ambiguous choices, the growth of this geriatric population challenges us to develop a broader conceptualization of end of life care planning, so that end of life considerations are integrated into a larger anticipatory framework addressing options and needs as patients gradually decline. Within this framework hospice becomes a natural, integrated option along a continuum of care planning, rather than an abrupt alternative at a late stage of illness. End of life care planning must positively anticipate a robust array of needs and concerns well beyond the dramatic decisions to withhold or withdraw life-prolonging technologies usually found in advance directives. To embrace this broader framework it is critical that primary care physicians as well as disease specialists receive training in fundamental aspects of both geriatric and palliative care. Professionals from both of these disciplines must share expertise with each other, and should collaborate in advocacy efforts to effectuate changes in the clinical, policy and legislative arenas.","PeriodicalId":77421,"journal":{"name":"The Hospice journal","volume":"14 3-4 1","pages":"85-107"},"PeriodicalIF":0.0,"publicationDate":"1999-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1080/0742-969X.1999.11882931","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"59935964","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 29

End-of-life care: challenges and opportunities for health care professionals. 临终关怀:卫生保健专业人员的挑战和机遇。

The Hospice journal Pub Date : 1999-01-01 DOI: 10.1080/0742-969X.1999.11882932

D. Sherman

引用次数: 12

Documenting the impact of hospice. 记录临终关怀的影响。

The Hospice journal Pub Date : 1999-01-01 DOI: 10.1080/0742-969X.1999.11882937

M. Merriman

引用次数: 5

Personal reflections. 个人反思。

The Hospice journal Pub Date : 1999-01-01

C B Tehan