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Hospice Care End
Caring for a seriously ill person alone can be an overwhelming responsibility. If we know that there are others sharing the load, we can go on more easily. Also, many need care in order to give care. Professional caregivers should not supplant the family in the caregiver role, except where the family lacks the physical or emotional resources, knowledge, or desire to provide care. The provision of support and education to caregivers is essential to
the ongoing provision of care to the dying. None of us are born knowing how to provide personal care. Effective training programs for caregivers have been developed, but they need to be made more widely available. How much support is needed to take care of a person in the final phase of illness?
Caregivers and Hospice Care End
Those leaving the hospital have had the advantage of pharmacy services, transport aides, all the special supplies from a hospital bed right down to special cleansers, “24/7” surveillance and monitoring by a variety of nursing staff, dietary services, maintenance, housekeeping, and so on. We send people home who are very sick and do not make the correlation that an untrained person or family will have to do the work of an entire hospital staff. If they are fortunate, they will get hospice care or a limited “prescription” for home health care, which may come after they have already been pro-
viding care for a long time. Many caregivers are ambivalent about their own needs. They may focus on the patient to the detriment of their own health. Prior history of depression and pessimism are linked to poor adjustment after death. Caregivers who are able to continue participation in valued activities and interests experience less emotional distress regardless of the amount of care provided. The provision of family caregiving to the dying may help mediate the bereavement process following death. The combination of family caregiving and professional support creates the opportunity for optimal care delivery. Family members, involved in the care of their loved ones with the support of an interdisciplinary team, for a period of time, can find that they deal more effectively with their bereavement and have fewer physical symptoms in the year following the death. The Medicare Hospice Benefit is unique in that it requires hospices to provide caregiver education, support, and round-the-clock availability for emergency advice or visits. Caregiver support systems such as hospice are likely to reduce caregiver strain and consequent utilization of health care resources. While they are currently unrecognized, reductions in caregiver morbidity and mortality should be factored into cost-benefit studies of hospice and palliative care services.
Hospice Care End and Home Care Services
With home care services in high demand for hospice care it is important for caregivers to understand that there is a service out there that will help relieve the every day stressed in their life when caring for a loved one. Home care services for hospice care end is important to help reduce stress for care givers. Bathing, grooming,and household chores should not be an issue in hospice care end of life worries.