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Published in Braithwaite Jeffrey, Mannion Russell, Matsuyama Yukihiro, Paul G. Shekelle, Whittaker Stuart, Al-Adawi Samir, Healthcare Systems:, 2018
Yousuf Al Maslamani, Noora Alkaabi, Nagah Abdelaziz Selim
The planned hospice will be a specialist palliative care center with palliative specialists offering end-of-life care to all palliative patients. The hospice will have 30 beds and be located in a compound with about seven single-story villas. Patients with a terminal illness and a life expectancy of 6 months or less if the disease follows its natural course, as determined by two physicians, are eligible for hospice care. Guidelines, both disease specific and non-disease specific, will be available to assess patients for hospice eligibility.
Care Pathways for the Dying Patients: Physician Perspective
Published in Journal of Housing For the Elderly, 2018
Benyamin Schwarz, Jacquelyn J. Benson
The roots of palliative care can be found in medieval traditions of religious orders occupied with the care of the dying. These orders accepted human mortality and recognized the weakness and sin of human beings that can be forgiven. Their concept of “good death” perceived death as a testament to a good life. The modern hospice evolved in the late 1960s in England as a reaction against excessive use of medical technology, both in pharmaceuticals and in surgery. The remarkable medical advances following World War II resulted in new ways of prolonging life. “Sometimes these life-prolonging measures were justifiable, but those in the new hospice movement often believed that what was being prolonged was simply the process of dying” (Randall & Downie, 2006, p. 6). Developed by Dame Cicely Saunders in Britain, palliative care has emphasized from its modern inception the need to be able to “accompany” the dying person. Palliative care philosophy has stressed the recognition that despite the inability of medicine to provide a cure at a point when uncertainty becomes intrinsic in terminal illness, there is a significant medical contribution that can be provided for dying people. The hospice movement arrived in the United States in the mid 1970s, and hospice care became a Medicare benefit in the 1980s. One of the stipulations of this development was that patients could no longer receive life-prolonging therapy without a directive from a physician certifying that they have a life expectancy of 6 months or less.