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General inpatient care is an intensive level of care which may be provided in a nursing home, a specially contracted hospice bed or unit in a hospital, or in a free-standing hospice unit. General inpatient criterion is for patients who are experiencing severe symptoms which require daily interventions from the hospice team to manage.
The modern hospice concept includes palliative care for the incurably ill in institutions as hospitals and nursing homes, along with at-home care. The first modern hospice care was created by Dame Cicely Saunders in 1967. Saunders was a British registered nurse whose chronic health problems forced her to pursue a career in medical social work.
Hospice care begins when patients are diagnosed with a terminal illness and are expected to live six months or less. When patients elect to enter hospice care, there is an acceptance of death.
Palliative care (derived from the Latin root palliare, or 'to cloak') is an interdisciplinary medical caregiving approach aimed at optimizing quality of life and mitigating suffering among people with serious, complex, and often terminal illnesses. [1] Within the published literature, many definitions of palliative care exist.
Home is broadly defined as where the patient lives, and can be a private residence, nursing home, or other residential facility. Hospice care in the home is often misunderstood, says Tucci.
EoLC is most commonly provided at home, in the hospital, or in a long-term care facility with care being provided by family members, nurses, social workers, physicians, and other support staff. Facilities may also have palliative or hospice care teams that will provide end-of-life care services. [2]
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