Académique Documents
Professionnel Documents
Culture Documents
Visiting Nurses/Covenant
What is Hospice?
Social Stigma
Old
People Death/Dying Depressed Drug Coma Where you die The End
Ages Living life to the fullest Quality Care Pain Management Comfort for Family and Client
Welcome Home.
Mission:
To provide support and comfort to you and your family and to control pain and other physical, emotional and spiritual discomfort.
Purpose/Treatment:
Focus
on care, not cure Treats individual, not the disease Emphasize quality and dignity vs. length of life Family/Client-Centered
To provide choices for end-of-life care Bereavement counseling available for at least 13 months after death
Services Covered
Medicine
relating to life limiting illness Medical equipment Medical supplies Bereavement services
About Cartwright
Non-profit
Sister
company to Covenant Established in 1996 Once a girls home, now purchased and leased to Covenant
Eligibility
Clients
that are diagnosed by a physician with a terminal disease and are given 6 months or less to live Choose treatments to enhance quality of life Agree to work with Hospice team, in cooperation with the family and physician Reassessment occurs every 90 days
Population served
They
accept any individual who has a referral from a physician stating they have 6 months or less to live Ages range from as young as 30 on up All religious backgrounds are welcomed with accommodations All are welcome despite sex, race, ethnicity, religion etc..
Access to Services
Doctor
Referral Any income level Medicare/Medicaid/Private Insurance Financial Need Assistance Available Daily fee of $115.00 for room and board (Medicare/Medicaid doesnt cover)
is provided through a foundation that can be accessed by Cartwright Contributions from families Reimbursement from Medicare/Medicaid
provides financial assistance for those who cannot afford the out of pocket expenses
Amenities
Reflection Room
15 Bedrooms
In Loving Memory
The Facility
The Staff
Questions?
People passed away at home Women cared for dying family Family care for passed relatives
1940s: 49.5% of deaths occurred in institutions 1950s: 60.9% of deaths occurred in institutions 1960s: Television portrays death inaccurately
Leads to avoidance of talking about death Most people afraid and misinformed
Main focus: comfort patients with terminal illnesses through symptom control Eliminate technology and focus on a natural approach to death and dying
Opened after Florence Wald (then Dean of Yale) and Dr. Elisabeth Kubler-Ross studied with Dr. Saunders and Dr. Sylvia Lack
1970s-2000s
Emphasis changes from cure to comfort Importance of family as part of health care team Symptom control to improve quality of life rather than sedate patients Many options for individuals who are terminally ill
Hospitalization Stay home Hospice care
to follow biomedical model Focus on curing patient Hospice referrals given too late
References
Hoffmann,
R. L. (2005). The evolution of hospice in america: Nursings role in the movement. Journal of Gerontological Nursing, 26-34. Krisman-Scott, M. A. (2003). Originas of hospice in the united states: The Care of the dying, 1945-1975. Journal of Hospice and Palliative Nursing, 5(4), 205-210.