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Providing much-needed focus on hospice projects in the context of unprecedented rates of societal ageing, this new reference book presents an overview of major recent developments in this rapidly evolving building type. The authors present an overview of the historical origins of the contemporary hospice and the diverse variations on the basic premise of hospice care, and offer a series of case studies of exemplary hospices. The most innovative work in this area over the past decade has been in Japan, the US, Canada and the UK, and the authors describe and analyze examples both as individual projects and as comparable yet differing approaches. Hospice Architecture will be essential reading for anyone involved in the planning, design and construction of hospices.
When the end of life makes its inevitable appearance, people should be able to expect reliable, humane, and effective caregiving. Yet too many dying people suffer unnecessarily. While an "overtreated" dying is feared, untreated pain or emotional abandonment are equally frightening. Approaching Death reflects a wide-ranging effort to understand what we know about care at the end of life, what we have yet to learn, and what we know but do not adequately apply. It seeks to build understanding of what constitutes good care for the dying and offers recommendations to decisionmakers that address specific barriers to achieving good care. This volume offers a profile of when, where, and how Americans die. It examines the dimensions of caring at the end of life: Determining diagnosis and prognosis and communicating these to patient and family. Establishing clinical and personal goals. Matching physical, psychological, spiritual, and practical care strategies to the patient's values and circumstances. Approaching Death considers the dying experience in hospitals, nursing homes, and other settings and the role of interdisciplinary teams and managed care. It offers perspectives on quality measurement and improvement, the role of practice guidelines, cost concerns, and legal issues such as assisted suicide. The book proposes how health professionals can become better prepared to care well for those who are dying and to understand that these are not patients for whom "nothing can be done."
This major new work updates and significantly expands The Hastings Center's 1987 Guidelines on the Termination of Life-Sustaining Treatment and Care of the Dying. Like its predecessor, this second edition will shape the ethical and legal framework for decision-making on treatment and end-of-life care in the United States. This groundbreaking work incorporates 25 years of research and innovation in clinical care, law, and policy. It is written for physicians, nurses, and other health care professionals and is structured for easy reference in difficult clinical situations. It supports the work of clinical ethicists, ethics committee members, health lawyers, clinical educators, scholars, and policymakers. It includes extensive practical recommendations. Health care reform places a new set of challenges on decision-making and care near the end of life. The Hastings Center Guidelines are an essential resource.
A Field Manual for Palliative Care in Humanitarian Crises represents the first-ever effort at educating and providing guidance for clinicians not formally trained in palliative care in how to incorporate its principles into their work in crisis situations. A Field Manual for Palliative Care in Humanitarian Crises represents the first-ever effort at educating and providing guidance for clinicians not formally trained in palliative care in how to incorporate its principles into their work in crisis situations.
This fully revised, new edition of Innovations in Hospice Architecture responds to the need for an up-to-date, theoretically based reference book summarizing key historical and recent developments with respect to this rapidly evolving building type. This Second Edition presents: an overview of the historical origins of the contemporary hospice the diverse variations on the basic premise of hospice care a review of the scant architectural literature published on this subject to date a broad series of case studies of exemplary hospices around the world planning and design concepts for palliative care environments. Case study projects are from Japan, Canada, Europe, Africa, Australia, Indonesia, China, the United States and South America. Thirty-six case studies are individually presented and comparatively analysed, and prognostications for the future of hospice architecture are examined. Each case includes floor plans, technical drawings and beautiful, full colour illustrations. Through an in-depth discussion of the inner profundities of hospice architecture, the book presents this type as a humane, genuine expression of the spiritual, physical and psychosocial dimensions of the contemporary death and dying movement. Written with a broad audience in mind, the book provides both technical and conceptual information, blending narrative, images and diagrammation so that the audience may understand and articulate the complexities of this specialized building type in professional practice contexts.
This report describes the current situation with regard to universal health coverage and global quality of care, and outlines the steps governments, health services and their workers, together with citizens and patients need to urgently take.
This work includes Foreword by Nigel Sykes, Medical Director, St Christopher's Hospice, London. This practical, evidence-based guide has been specifically designed for teachers in cancer and palliative care. It is completely up-to-date and covers the recent complex changes in cancer and palliative care delivery, offering a range of different, creative approaches. Ideal for training, the text includes highlighted key points, self help questions for reflection, and references where applicable. It provides invaluable guidance for all healthcare professionals with palliative care teaching responsibilities, including undergraduate and postgraduate healthcare educators and Macmillan lecturers. '[This] book gives us a three-dimensional view of how to respond to the demands on cancer and palliative care education today, set particularly in a British context but, of course, capable of extrapolation to other settings. These three dimensions of innovation can be summarised as: What do you teach? How do you teach it? To whom do you teach it? Innovation in all three aspects simultaneously may be difficult to achieve, but all who have a responsibility for education are faced with the challenges of making their teaching more effective (and demonstrating that they have done so), keeping abreast of advancing knowledge and clinical practice, and of reaching out to groups of learners who hitherto have been neglected. Of significant help to anyone in this field whose concern is the delivery of effective and appropriate education.' - Nigel Sykes, in the Foreword.
In today's rapidly evolving healthcare landscape, the assisted living industry stands at the forefront of providing compassionate care and support to older adults. As you embark on this journey into assisted living, I invite you to explore the captivating realm where innovation, improved workplace environments, nurturing atmospheres, and exceptional care converge. The assisted living industry in the United States is a dynamic and ever-growing sector catering to older adults' evolving needs and aspirations. With a steady rise in the aging population, it has become essential to 18 explore the various types of operations within the industry, ranging from small residential care homes to large, full-service communities. As you navigate through the labyrinth of procedures, you will uncover the sources of funding that fuel the industry's growth, including private pay options, long-term care insurance, and government programs. The book promotes innovations in assisted living by providing administrators and staff in Assisted Living Communities with practical strategies and cutting-edge ideas to improve workplace practices, create a welcoming atmosphere, and enhance patient care and quality of life for residents. This comprehensive guide addresses the unique challenges and opportunities Assisted Living Communities face. It offers tangible solutions for achieving excellence in care and services.