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Journal articles on the topic 'Hospice and Palliative Care'

Author: Grafiati

Published: 4 June 2021

Last updated: 15 February 2022

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1

Swietlik, E., and A. Doboszynska. "History and organization of palliative care in Poland." Journal of Clinical Oncology 27, no. 15_suppl (May 20, 2009): e20749-e20749. http://dx.doi.org/10.1200/jco.2009.27.15_suppl.e20749.

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e20749 Beginning of the hospice care in Poland is associated with democratic opposition in the eighties of the XX century and social movement Solidarity. In 1978, C. Saunders visited Gdansk, Warsaw, and Krakow, supporting an organization of palliative care in Poland. Polish hospice care, similarly to other countries,originated from the necessity of special care of terminally ill cancer patients. Palliative care societies, initially informal, then registered formally, emerged in Poland in 1981. Hospices, both institutional and house hospice care, came into being in all larger cities in Poland to the nineties of the XX century. In 1991, National Forum of the Hospice Movement was founded. This Forum, gathering the majority of hospices, is actually transformed into the association of societies: Forum of the Polish Hospices. In the nineties of the XX century, professional palliative care developed. Since 1998, specialization in the palliative care for both physicians and nurses is available. From the very beginning, hospice care based on the volunteers gathered at the Roman Catholic parish and several priests first organized palliative care. In 1991, The Sejm (lower chamber of the Polish Parliament) passed the law Health care institutions, enabling various societies and associations to establish health care institutions, whereas the law The Social Insurance Act (1997) gives an opportunity to get financial means for hospice care from the State. Actually, there are hospices acting on voluntary service (the number of such hospices decreases), partial voluntary service and also paid employees, and institutions which activities are based on full-time employment and financed by the National Health Fund. About 130 non-profit societies and hospice foundations both secular andchurch exist in Poland. Non-public health care institutions founded 99 hospices. About 70 hospices (both public and private) are stationary. No significant financial relationships to disclose.

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Reid, D. B. "Hospice palliative care." Medical Journal of Australia 142, no. 11 (May 1985): 619. http://dx.doi.org/10.5694/j.1326-5377.1985.tb113542.x.

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3

Klochko, Asmik, and Iuliya Yaseneckaya. "Modern trends in architectural design of hospices." Stroitel stvo nauka i obrazovanie [Construction Science and Education], no. 2 (June 30, 2020): 2. http://dx.doi.org/10.22227/2305-5502.2020.2.2.

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Introduction. This article reviews the brief history of palliative care spreading, it also studies specific characteristics of palliative care centers architecture. It also gives attention to the current condition of hospices in our country, and to the problems and opportunities that these hospices face. Materials and methods. Studies consider, firstly, methods of comparative analysis and synthesis of foreign and domestic scientific, literary and design materials; secondly, use of opinion poll findings; thirdly, use of interdisciplinary approach, which takes into account issues in the fields in medicine, sociology, legal regulations, that affect a set of requirements for hospice and palliative care centers design. Results. of the survey are presented as recommendations for the design of hospice territory, their landscaping, architectural planning and architectural-artistic characteristics of hospice design. These results can be used in architectural practice of hospice and palliative care centers design, as well as in the teaching and learning process as guidelines for hospice and palliative care centers design. Conclusions. Basic recommendations for hospice design are introduced. Problem analysis in the context of architectural planning and city planning organization of hospices will help to improve the structure of such architectural objects, and investigate their typology for future evolution. Public involvement in palliative care evolution, and in particular from the point of view of their architectural and spatial design, places an emphasis not only on currently dominating entertainment culture, but also on human duty and dignity.

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Vidal, Marieberta. "Acute care medical interventions in the palliative care unit versus inpatient hospice." Journal of Clinical Oncology 35, no. 31_suppl (November 1, 2017): 88. http://dx.doi.org/10.1200/jco.2017.35.31_suppl.88.

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88 Background: In a survey of different cancer centers in the United States, only 23% reported having dedicated palliative care beds and hospital executives have reported not having further plans for expansion of their program. Barriers that are often cited include poor reimbursement for services, limited institutional support and resources. Patients admitted to an Acute Palliative care unit (APCU) benefit from the multidisciplinary approach that is evident in daily rounds, interdisciplinary team meetings, and family conferences. There could be occasionally misconceptions about the differences between inpatient hospice and an APCU. Even though the psychosocial component of palliative care is extremely important a significant amount of medical interventions also are necessary to provide patients and family with a sense of and optimal care during this time. Methods: A retrospective chart reviewed was performed in 100 consecutives patients admitted to the APCU and inpatient hospice prior to October 2013. From this data we identified the acute medical interventions ordered by the palliative Care specialist tduring the first 5 days of admission. Results: A total of 100 patients from the APCU and 100 patients from inpatient hospice were reviewed. In the APCU 100% of patients had iv fluids vs 7% in inpatient hospice. Antibiotics were given in 52% of APCU patients vs 2% in the inpatient hospice. Steroids were given in 48% of APCU patients vs 30% in inpatient hospices. (See Table). Conclusions: The APCU in comparison to inpatient hospices had higher rate of acute medical interventions with the most common been iv fluids, antibiotics, laboratory and radiologic diagnostic tests. This represent the importance of Acute Palliative Care Units in advanced cancer patients with complicated situations to achieve comfort when transitioning to EOL. [Table: see text]

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Lutz, Stephen, Carol Spence, Edward Chow, Nora Janjan, and Stephen Connor. "Survey on Use of Palliative Radiotherapy in Hospice Care." Journal of Clinical Oncology 22, no. 17 (September 1, 2004): 3581–86. http://dx.doi.org/10.1200/jco.2004.11.151.

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Purpose Radiation oncologists and hospice professionals both provide end-of-life care for oncology patients, and little has been written about the interface between these two groups of specialists. Hospice professionals were surveyed to assess the perceived need for palliative radiotherapy in the hospice setting, to investigate factors that limit the access of hospice patients to radiotherapy, and to suggest areas of future collaboration on education, research, and patient advocacy. Patients and Methods Members of the National Hospice and Palliative Care Organization (NHPCO) and American Society for Therapeutic Radiology and Oncology jointly authored a questionnaire to investigate the beliefs of hospice professionals toward the use of radiotherapy for oncology patients in hospice. The questionnaire was distributed to all NHPCO member institutions, and the results were compiled and statistically analyzed. Results Four hundred eighty of more than 1,800 surveyed facilities responded to the questionnaire. The findings suggest that the majority of hospice professionals feel that radiotherapy is important in palliative oncology and that radiotherapy is widely available in the United States. Yet less than 3% on average of hospice patients served by hospices responding to the survey actually received radiotherapy in 2002. The most common barriers to radiotherapy in hospice care include radiotherapy expense, transportation difficulties, short life expectancy, and educational deficiencies between the specialties. Conclusion Multiple barriers act to limit the use of palliative radiotherapy in hospice care. Finding ways to surmount these obstacles will provide opportunity for improvement in the end-of-life care of cancer patients.

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6

Powell, Jason L. "The Social Philosophical Dimensions of Hospice Care." International Letters of Social and Humanistic Sciences 52 (May 2015): 76–80. http://dx.doi.org/10.18052/www.scipress.com/ilshs.52.76.

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Hospice care is a type of care and philosophy of care that focuses on the palliation of a terminally ill or seriously ill patient's pain and symptoms, and attending to their emotional and spiritual needs (Powell 2014). The concept of hospice has been evolving since the 11th century. Then, and for centuries thereafter, hospices were places of hospitality for the sick, wounded, or dying, as well as those for travellers and pilgrims (Dossey 1999). The modern concept of hospice includes palliative care for the incurably ill given in such institutions as hospitals or nursing homes, but also care provided to those who would rather spend their last months and days of life in their own homes (McCue and Thompson 2006).

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Brenner, Paul. "Hospice Care and Palliative Care:." Hospice Journal, The 14, no. 3/4 (November 9, 1999): 155–66. http://dx.doi.org/10.1300/j011v14n03_12.

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Pawłowski, Leszek, Monika Lichodziejewska-Niemierko, Iga Pawłowska, Wojciech Leppert, and Piotr Mróz. "Nationwide survey on volunteers' training in hospice and palliative care in Poland." BMJ Supportive & Palliative Care 9, no. 3 (July 29, 2016): e25-e25. http://dx.doi.org/10.1136/bmjspcare-2015-000984.

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BackgroundVolunteers working in hospice and palliative care facilities in Poland undertake various activities which are performed in accordance with legal regulations and the individual policies of each hospice. The aim of this study was to explore the roles and training of volunteers working in hospice and palliative care settings.MethodsA cross-sectional survey was carried out that investigated the services performed by volunteers and their preparation for work within residential hospices. Questionnaires were distributed to volunteers and hospice representatives, and the responses obtained underwent statistical analysis.ParticipantsA total of 180 volunteers and 28 hospice representatives from 29 residential hospices participated in this survey.ResultsAll hospices surveyed were supported by volunteers. 79% of volunteers worked alongside patients and performed the following services: accompanying patients (76%), feeding patients (61%), cleaning rooms (48%), dressing and bathing (42%) and organising leisure time (40%). Fewer volunteers were involved in activities outside of patient support—for example, charity work and fundraising (34%), cleaning hospice buildings (23%) as well as providing information and education (22%). According to volunteers, prior to undertaking their duties, 64% participated in theoretical training and 37% took part in a practical course. The majority attended courses relating to general knowledge of hospice and palliative care (64%) and volunteer rights and duties (55%).ConclusionsOverall, proper training was an essential requirement needed to be fulfilled by volunteers, particularly when involved in direct patient support. Most volunteers were simultaneously involved in various areas of service; therefore, their training should be comprehensive.

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Bickel, Kathleen Elizabeth, Cari Levy, Emily Corneau, Susan C. Miller, and Vincent Mor. "Examining the intersection of palliative care, hospice, and concurrent care in Veterans Affairs (VA)." Journal of Clinical Oncology 36, no. 34_suppl (December 1, 2018): 139. http://dx.doi.org/10.1200/jco.2018.36.34_suppl.139.

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139 Background: The VA advocates for both palliative care and concurrent care (hospice care and cancer-directed treatment). Studies indicate that these policies have increased hospice use and have improved family-reported outcomes and other quality metrics. However, little is known about how palliative care, hospice care and concurrent care may interact to obtain these outcomes. Methods: This was a retrospective cohort study of veterans dying with stage IV non-small cell lung cancer in 2012. VA and Medicare administrative data were used to identify the cohort, chemotherapy and radiation use, hospitalizations, hospice use and length of stay (LOS). Palliative care use was determined by VA data only. Analyses included descriptive statistics, chi-square and analysis of variance. Results: Of the 1763 veterans, 850 (48.2%) received both palliative care and hospice, 392 (22.2%) received hospice only, 241 (13.7%) received palliative care only and 280 (15.9%) received neither. Receipt of cancer-directed treatment or hospitalization in the last 30 days of life was significantly different across these groups (p < 0.0001) and was highest at 65% (182/280) in the neither palliative care or hospice group. In the remaining groups, rates of cancer-directed treatment or hospitalization in the last 30 days were: 39.4% (95/241) in palliative care only, 29.3% (115/392) in hospice only and 23% (198/850) with both palliative care and hospice. Concurrent care was received by 314 veterans (17.8%), 275 also receiving palliative care. Among veterans receiving palliative care and Medicare hospice, concurrent care did not alter hospice utilization rates or LOS: 36.4% (100/275), LOS mean 22.3, median 16.5, range 1-97 and 37.2% (214/575), LOS mean 20.1, median 13, range 1-94, for concurrent care and non-concurrent care respectively. Conclusions: The rates of cancer-directed treatment or hospitalization in the last 30 days of life appeared to be reduced in a continuum from receipt of neither hospice nor palliative care, to receipt of palliative care or hospice alone, followed by receipt of both together. Concurrent care use was facilitated by palliative care without impacting Medicare hospice use or LOS in palliative care recipients.

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10

Glišović, Vladimir, and Danijela Savić. "Palliative care and hospice." Zdravstvena zastita 39, no. 6 (2010): 55–60. http://dx.doi.org/10.5937/zz1003055g.

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11

Rousseau, Paul. "Hospice and palliative care." Disease-a-Month 41, no. 12 (December 1995): 769–842. http://dx.doi.org/10.1016/s0011-5029(95)90103-5.

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Harper, Bernice Catherine. "Hospice and Palliative Care." Journal of Hospice & Palliative Nursing 2, no. 1 (January 2000): 21–27. http://dx.doi.org/10.1097/00129191-200002010-00005.

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O'Connor, Patrice. "Hospice vs. Palliative Care." Hospice Journal, The 14, no. 3/4 (November 9, 1999): 123–37. http://dx.doi.org/10.1300/j011v14n03_09.

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Claxton-Oldfield, Stephen. "Hospice Palliative Care Volunteers." American Journal of Hospice and Palliative Medicine® 33, no. 2 (February 10, 2015): 201–4. http://dx.doi.org/10.1177/1049909115571545.

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Simpson, David A., and Elizabeth Ford Pitorak. "Hospice or palliative care?" American Journal of Hospice and Palliative Medicine® 15, no. 2 (March 1998): 122–23. http://dx.doi.org/10.1177/104990919801500212.

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Tatum, Paul E., and Sarah S. Mills. "Hospice and Palliative Care." Medical Clinics of North America 104, no. 3 (May 2020): 359–73. http://dx.doi.org/10.1016/j.mcna.2020.01.001.

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Galicia-Castillo, Marissa. "Palliative Care And Hospice." Health Affairs 30, no. 11 (November 2011): 2219. http://dx.doi.org/10.1377/hlthaff.2011.1109.

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Fine, Perry G. "Hospice and Palliative Care." Journal of Pain & Palliative Care Pharmacotherapy 20, no. 1 (January 2006): 29–30. http://dx.doi.org/10.1080/j354v20n01_06.

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Fine, Perry. "Hospice and Palliative Care." Journal Of Pain & Palliative Care Pharmacotherapy 20, no. 1 (March 21, 2006): 29–30. http://dx.doi.org/10.1300/j354v20n01_06.

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Emeritus and David Noakes. "Hospice and palliative care." Veterinary Record 178, no. 17 (April 21, 2016): 426.2–426. http://dx.doi.org/10.1136/vr.i2268.

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Flecknell, Paul, Eddie Clutton, Kathy Murphy, Guen Bradbury, and Polly Taylor. "Hospice and palliative care." Veterinary Record 178, no. 19 (May 6, 2016): 476.3–476. http://dx.doi.org/10.1136/vr.i2516.

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Lewis, Jo. "Hospice and palliative care." Veterinary Record 178, no. 21 (May 19, 2016): 539.1–539. http://dx.doi.org/10.1136/vr.i2812.

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Fox, Michael W. "Hospice and palliative care." Veterinary Record 178, no. 21 (May 19, 2016): 539.2–540. http://dx.doi.org/10.1136/vr.i2813.

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O’Connor, Patrice. "Hospice vs. Palliative Care." Hospice Journal 14, no. 3-4 (September 1999): 123–37. http://dx.doi.org/10.1080/0742-969x.1999.11882933.

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TAYLOR, ELIZABETH JOHNSTON. "Hospice and Palliative Care." Home Healthcare Nurse: The Journal for the Home Care and Hospice Professional 29, no. 3 (March 2011): 133–34. http://dx.doi.org/10.1097/nhh.0b013e318211014e.

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Syme, Ann, and Anne Bruce. "Hospice and Palliative Care." Journal of Hospice & Palliative Nursing 11, no. 1 (January 2009): 19–24. http://dx.doi.org/10.1097/njh.0b013e3181917ee3.

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&NA;. "Hospice and Palliative Care." Journal of Hospice & Palliative Nursing 11, no. 1 (January 2009): 25–26. http://dx.doi.org/10.1097/njh.0b013e318194620d.

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UFEMA, JOY. "Hospice or palliative care?" Nursing 33, no. 9 (September 2003): 81. http://dx.doi.org/10.1097/00152193-200309000-00055.

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Gotay, Carolyn Cook. "Research Issues in Palliative Care." Journal of Palliative Care 1, no. 1 (March 1985): 24–31. http://dx.doi.org/10.1177/082585978500100105.

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Despite the recent proliferation of hospice programs and related research, a number of basic issues remain. Firstly the populations “at risk” for hospice care have not been precisely delineated. Secondly, the impact of the structure of a given hospice program on outcome has been given insufficient attention. Thirdly, assessing the impact of hospice care on quality of life has presented challenges in both definition and measurement. Finally, data relating to the costs of hospice care are difficult to evaluate. It is recommended that palliative care research focus on these areas. In addition, hospice programs and research need to be sensitive to changes over time and to dissemination of principles of hospice care.

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Levy, Cari, Julie Bemski, and Jean S. Kutner. "Are Hospices Establishing Pre-Hospice/Palliative Care Programs?" Journal of Palliative Medicine 11, no. 3 (April 2008): 413–14. http://dx.doi.org/10.1089/jpm.2007.0274.

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Dai, Ying-Xiu, Tzeng-Ji Chen, and Ming-Hwai Lin. "Branding Palliative Care Units by Avoiding the Terms “Palliative” and “Hospice”." INQUIRY: The Journal of Health Care Organization, Provision, and Financing 54 (January 1, 2017): 004695801668644. http://dx.doi.org/10.1177/0046958016686449.

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The term “palliative care” has a negative connotation and may act as a barrier to early patient referrals. Rebranding has thus been proposed as a strategy to reduce the negative perceptions associated with palliative care. For example, using the term “supportive care” instead of “palliative care” in naming palliative care units has been proposed in several studies. In Taiwan, terms other than “palliative” and “hospice” are already widely used in the names of palliative care units. With this in mind, this study investigated the characteristics of palliative care unit names in order to better understand the role of naming in palliative care. Relevant data were collected from the Taiwan Academy of Hospice Palliative Medicine, the National Health Insurance Administration of the Ministry of Health and Welfare, and the open database maintained by the government of Taiwan. We found a clear phenomenon of avoiding use of the terms “palliative” and “hospice” in the naming of palliative care units, a phenomenon that reflects the stigma attached to the terms “palliative” and “hospice” in Taiwan. At the time of the study (September, 2016), there were 55 palliative care units in Taiwan. Only 20.0% (n = 11) of the palliative care unit names included the term “palliative,” while 25.2% (n = 14) included the term “hospice.” Religiously affiliated hospitals were less likely to use the terms “palliative” and “hospice” (χ2 = 11.461, P = .001). There was also a lower prevalence of use of the terms “palliative” and “hospice” for naming palliative care units in private hospitals than in public hospitals (χ2 = 4.61, P = .032). This finding highlights the strong stigma attached to the terms “palliative” and “hospice” in Taiwan. It is hypothesized that sociocultural and religious factors may partially account for this phenomenon.

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Schonwetter, Ronald S. "Overview of Hospice and Palliative Care in Oncology." Cancer Control 3, no. 3 (May 1996): 197–203. http://dx.doi.org/10.1177/107327489600300301.

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Background The concept of palliative care in oncology has not yet reached the forefront of American medicine, and hospice care may be underused. Methods Data on increasing needs for palliative care and the development of the hospice movement are compared with practice behavior patterns of physicians in regard to palliative care. Results Hospice/palliative care has grown from an alternative health care movement to an accepted part of the American health field. Limitations of hospice/palliative care include health professionals’ discomfort with care of the terminally ill as well as difficulties in predicting limited prognoses that may hinder access to such care. Conclusions Hospice/palliative care principles should be integrated into other elements of cancer control to ensure comprehensive care for all cancer patients.

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Shalev, Ariel, Veerawat Phongtankuel, Elissa Kozlov, Megan Johnson Shen, Ronald D. Adelman, and M. C. Reid. "Awareness and Misperceptions of Hospice and Palliative Care: A Population-Based Survey Study." American Journal of Hospice and Palliative Medicine® 35, no. 3 (June 20, 2017): 431–39. http://dx.doi.org/10.1177/1049909117715215.

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Background: Despite the documented benefits of palliative and hospice care on improving patients’ quality of life, these services remain underutilized. Multiple factors limit the utilization of these services, including patients’ and caregivers’ lack of knowledge and misperceptions. Objectives: To examine palliative and hospice care awareness, misperceptions, and receptivity among community-dwelling adults. Design: Cross-sectional study. Subjects: New York State residents ≥18 years old who participated in the 2016 Empire State Poll. Outcomes Measured: Palliative and hospice care awareness, misperceptions, and receptivity. Results: Of the 800 participants, 664 (83%) and 216 (27%) provided a definition of hospice care and palliative care, respectively. Of those who defined hospice care, 399 (60%) associated it with end-of-life care, 89 (13.4%) mentioned it was comfort care, and 35 (5.3%) reported hospice care provides care to patients and families. Of those who defined palliative care (n = 216), 57 (26.4%) mentioned it provided symptom management to patients, 47 (21.9%) stated it was comfort care, and 19 (8.8%) reported it was applicable in any course of an illness. Of those who defined hospice or palliative care, 248 (37.3%) had a misperception about hospice care and 115 (53.2%) had a misperception about palliative care. Conclusions: Most community-dwelling adults did not mention the major components of palliative and hospice care in their definitions, implying a low level of awareness of these services, and misinformation is common among community-dwelling adults. Palliative and hospice care education initiatives are needed to both increase awareness of and reduce misperceptions about these services.

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Coyle, Nessa. "Palliative Care, Hospice Care, and Bioethics." Journal of Hospice & Palliative Nursing 16, no. 1 (February 2014): 6–12. http://dx.doi.org/10.1097/njh.0000000000000032.

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&NA;. "Palliative Care, Hospice Care, and Bioethics." Journal of Hospice & Palliative Nursing 16, no. 1 (February 2014): 13–14. http://dx.doi.org/10.1097/njh.0000000000000045.

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Spencer, Karen Lutfey, Emily Hammad Mrig, and Ariana Kobra Talaie. "Does Palliative Care Utilization Facilitate Conversion to Hospice Care? A Qualitative Study of the “Soft No”." American Journal of Hospice and Palliative Medicine® 37, no. 9 (January 23, 2020): 701–6. http://dx.doi.org/10.1177/1049909119900640.

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Background: Facilitating patient conversion to hospice at end of life is a prominent clinical concern. Enrollment in outpatient palliative care services is often assumed to encourage seamless transition to hospice care, but this has not been demonstrated. Moreover, decisions to convert from palliative care to hospice are generally treated as dichotomous, thus hampering our ability to understand decision processes. Objective: To examine medical decision-making among patients who are prospectively evaluating whether to convert from palliative care to hospice. Design: Qualitative case study, using in-depth interviews and constant comparative method. Setting/Patients: Terminally ill patients currently enrolled in outpatient palliative care services (N = 26) and their caregivers (N = 16), selected purposely for maximum variation in condition and personal background. Measurements: Themes identified in qualitative in-depth interviews. Results: Patients rarely refused hospice outright but more often postponed using a “soft no,” in which they neither accepted nor overtly refused hospice. Justifications patients and caregivers offered for why hospice was not needed (yet) appeared in these themes: (1) not seeing the value added of hospice, (2) assuming the timing is premature, and (3) relying on extensive health-related support networks that justify or endorse continuation of active care. Conclusions: Despite assumptions to the contrary, benefits associated with utilization of outpatient palliative care services have the potential to incentivize the delay of hospice in some cases. Clinical interactions with outpatient palliative care patients should consider the influence of these broad social support systems when discussing hospice options.

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Bogusz, Halina, Katarzyna Pękacka-Falkowska, and Anita Magowska. "Under the British Roof." Journal of Palliative Care 33, no. 2 (February 20, 2018): 115–19. http://dx.doi.org/10.1177/0825859718757083.

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The article focuses on British contribution to the development of palliative and hospice care in Poland in the 1980s and beyond. It is based on archival research in the hospices in Cracow and Poznan and broad-scoped Polish journals’ review. The social background of the hospice movement in Poland is described. We explore the role of inspiration and help of Dame Cicely Saunders and other British leaders in the transfer of British hospice philosophy and practice of palliative care to the medical community in Poland. This study demonstrates the importance of institutions for the formal exchange of medical information.

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Gidwani, Risha, Nina Joyce, Bruce Kinosian, Cari Levy, Katherine E. Faricy-Anderson, Mary Ersek, Susan Miller, and Vincent Mor. "Variations in use and timing of hospice and palliative care: Differences across health care payers and cancer type." Journal of Clinical Oncology 33, no. 29_suppl (October 10, 2015): 132. http://dx.doi.org/10.1200/jco.2015.33.29_suppl.132.

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132 Background: Cancer societies recommend cancer patients receive palliative care soon after diagnosis of illness and hospice for at least 3 days before death. While studies suggest receipt of hospice in the last 3 days of life is increasing for patients, the timing of first hospice and first palliative care is currently unknown. It is also not known whether fee-for-service versus capitated healthcare systems differ in their provision of supportive care. We evaluated the timing and frequency of palliative care and hospice use across the Department of Veterans Affairs (VA) and Medicare for dually-eligible Veterans, to understand variations in the use and timing of these services across healthcare systems for the same patient population. Methods: A retrospective evaluation of all VA and Medicare administrative data for the population of Veterans aged 65 or older who died with advanced cancer in 2012. Results: The majority of Veterans received supportive care before death: 67% received hospice and 69% received palliative care. On average, patients had 2 encounters with palliative care before death. Patients with melanoma were most likely to receive palliative care (82%); patients with hematologic malignancies were least likely to receive palliative care (58%). Veterans received VA-based hospice on average 35 days before death (SD = 42), while Veterans receiving Medicare-based hospice did so an average of 25 days before death (SD = 24). However, across both systems, 50% of Veterans were receiving hospice 16 days before death. There were substantial variations in timing of hospice enrollment by cancer type. Of Veterans receiving VA- or Medicare-based hospice, 22% cycled in and out of hospice, meaning they dis-enrolled and re-enrolled in such care. 16% of patients were discharged from hospice before death, with VA more likely to discharge Veterans before death compared with Medicare. Conclusions: There are large variations in healthcare system approaches to timing and use of hospice and palliative care, as well variations by cancer type. VA provides hospice to patients earlier in the disease trajectory, while Medicare is more likely to have patients die while enrolled in hospice.

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Messner, Roberta L. "Hospice and Palliative Nursing Care." Journal of Gerontological Nursing 11, no. 3 (March 1, 1985): 6. http://dx.doi.org/10.3928/0098-9134-19850301-07.

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Kaur, Judith S. "Palliative Care and Hospice Programs." Mayo Clinic Proceedings 75, no. 2 (February 2000): 181–84. http://dx.doi.org/10.4065/75.2.181.

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Shchurovska, I. P., I. P. Andreychuk, and Ya E. Bojko. "Palliative and hospice pediatric care." EMERGENCY MEDICINE, no. 3.90 (May 7, 2018): 81–85. http://dx.doi.org/10.22141/2224-0586.3.90.2018.129500.

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Perron, Vince, and Ronald Schonwetter. "Hospice and palliative care programs." Primary Care: Clinics in Office Practice 28, no. 2 (June 2001): 427–40. http://dx.doi.org/10.1016/s0095-4543(05)70032-4.

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Von Gunten, Charles F. "Training in Hospice/Palliative Care." Journal of Palliative Medicine 2, no. 1 (March 1999): 117–20. http://dx.doi.org/10.1089/jpm.1999.2.117.

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Avanzato, Angela. "Early Hospice and Palliative Care." AJN, American Journal of Nursing 117, no. 2 (February 2017): 11. http://dx.doi.org/10.1097/01.naj.0000512277.02501.2e.

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Cavenagh, JD, and FW Gunz. "Palliative hospice care in Australia." Palliative Medicine 2, no. 1 (January 1988): 51–57. http://dx.doi.org/10.1177/026921638800200108.

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Luczak, Jacek. "Palliative/hospice care in Poland." Palliative Medicine 7, no. 1 (January 1993): 67–75. http://dx.doi.org/10.1177/026921639300700111.

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Kaur, Judith S. "Palliative Care and Hospice Programs." Mayo Clinic Proceedings 75, no. 2 (February 2000): 181–84. http://dx.doi.org/10.1016/s0025-6196(11)64191-8.

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Lindley, Lisa C., Wenjun Zhou, Jennifer W. Mack, and Xueping Li. "Pediatric Hospice and Palliative Care." CIN: Computers, Informatics, Nursing 32, no. 7 (July 2014): 299–302. http://dx.doi.org/10.1097/cin.0000000000000084.

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Generali, Joyce A. "Fever; Hospice and Palliative Care." Hospital Pharmacy 37, no. 12 (December 2002): 1351–68. http://dx.doi.org/10.1177/001857870203701201.

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Abstract:

To help readers monitor the most important developments in specialized areas of pharmacy practice in organized health systems, Hospital Pharmacy commissions Basic Bibliographies by guest editors, who have expertise in their respective fields. These guest editors survey the relevant literature and rank approximately 15 to 20 references that represent the most significant research and practice contributions in their areas. The more fundamental are listed first so that persons with limited time can select reading appropriate to their needs.

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Mann, Susan M., and Thomas A. Welk. "Hospice and/or palliative care?" American Journal of Hospice and Palliative Medicine® 14, no. 6 (November 1997): 314–15. http://dx.doi.org/10.1177/104990919701400611.

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