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Dying With Love through Hospice There are many things in our society we do not talk about One of them is death Each life is like a candle There is a time to burn brightly and fully until the last moment We need to learn the place for love faith hope and joy in the dying process until our life candle is no more There is a land of the living and a land of the dead and the bridge is love the only survival the only memory Thorton Wilder Generally considered a program or philosophy or program of care than a place Hospice is a unique blend of services that address the physical emotional and spiritual needs of the terminally ill person and his or her family Hospice care is provided by an interdisciplinary team of professionals and volunteers guided by the goal of an individual care plan Hospice care emphasizes palliative medicine and supportive services rather than cure oriented therapies and interventions In Hospice care the management of pain and symptoms is an appropriate clinical goal and one of its cornerstones Services are usually provided in a patients home and in such alternative residences as nursing homes hospice residential facilities and other congregate living facilities The National Hospice Organization defines palliative as treatment that enhances comfort and improves the quality of the patients life No specific therapy is excluded from consideration The test of palliative treatment in Hospice care lies in the agreement by the patient the physician and the Hospice team that the expected outcome is relief from distressing symptoms easing of pain and enhancement of quality of life The decision to intervene with an active palliative treatment is based on the treatments ability to meet the stated goals rather than its effect on the underlying disease Each patients needs must continue to be assessed and all treatment options explored and evaluated in the context of
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