This article describes the concept of adult hospice day care, argues that programs of adult hospice day care can be an important adjunct to home care and inpatient care, and provides a concrete illustration of ways in which a typical program of adult hospice day care might be implemented.
Nursing education programs and nursing textbooks often present accounts of the work of Dr Elisabeth Kübler-Ross and her “5 stages” model. In this article, we examine a sampling of recent North American nursing textbooks to illustrate the different ways those subjects are discussed. Unfortunately, the information provided is not always accurate or helpful in guiding readers. We describe why that is so and suggest some ways in which better guidance could be delivered. It is particularly timely to undertake this examination since 2019 is the 50th anniversary of the publication of On Death and Dying, the well-known book in which Dr Kübler-Ross first published her theory and descriptions of the work that led to it.
Situations wherein children and their families become involved with problems of dying, death, and bereavement constitute an important challenge for the hospice movement. Such situations represent an opportunity for hospice programs and caregivers to add quality to the lives of vulnerable people, while also growing in their own self-understanding and appreciation. This article surveys three sorts of situations involving children which are appropriate for care in the hospice mode: (1) grieving or bereaved children; (2) adults who are grieving or bereaved in relation to the illness or death of a child; and (3) ill or dying children. Issues to be considered are identified and practical recommendations are offered for those who choose to enter into such care.
This article seeks to define the principles that are at the heart of the concept of children's hospice care and to indicate the wide range of activities to which that concept is relevant. The discussion is organized around five main points: 1) an analysis of that which is distinctive of the hospice philosophy or hospice-like approaches to care; 2) a sketch of situations involving children to which approaches guided by such a philosophy are or might be relevant; 3) a description of the principal contexts within which these approaches might be implemented; 4) some suggestions concerning the application of ideal models to practical realities; and 5) some concluding remarks concerning issues for practice and research. References to relevant literature indicate the present status of work in this field.
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