Camtasia 9 key random5/28/2023 Given the vulnerability of both patients and family members, researchers must take care to place as little burden as possible on participants. Research is important for improving knowledge, the quality of life for patients and their families, and the quality of care in the hospice setting. While some have even questioned the ethics of conducting research involving hospice patients, the current view is overwhelmingly favorable towards conducting research in this population. All of these factors can make research, particularly randomized trials, difficult in this population. Patients are often cognitively impaired due to their conditions or medications, making informed consent difficult. Referrals are often late-within a few weeks of death-providing a short time frame to conduct research studies involving hospice patients and/or caregivers. Hospice care is a difficult and stressful time for patients and their families. If it is determined that a patient's prognosis is likely greater than six months, they may be designated as ineligible for hospice services, and their hospice care is “decertified.” A patient who has been receiving hospice care for six months may continue to do so if their life expectancy remains less than six months. The emphasis is on controlling pain and discomfort, but a variety of other services are provided as well, including care coordination, counseling, and emotional support. Attendance at this interdisciplinary team meeting is required for the medical director, nurses, social workers, and other counselors. Additionally, payment under Medicare requires hospice staff to meet every two weeks to discuss the care plan for every patient and family. Hospice staff members regularly visit patients in their homes throughout the course of their hospice enrollment. Hospice staff members comprise a multidisciplinary team that provides care and support to both the patient and the patient's caregiver(s). This model puts informal caregivers-often family members-in the role of managing patients' pain medications. While there are some inpatient hospice facilities, most hospice care in the United States is provided in patients' homes, family members' homes, or nursing homes (78.1% in 2010 ). Hospice is a special concept of care that provides support and comfort to patients and their families when a patient's life expectancy is six months or less.
0 Comments
Leave a Reply. |