Life in a Hospice

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Radcliffe Publishing, 2007 - 153 páginas
This book is about hospices, seen through the eyes of the people who work in them. Their individual voices, perspectives and stories invite readers into the day-to-day complexities of hospice life. There is growing public and professional attention to end of life care and the way dying patients and their families are treated. How can hospices make the process as peaceful and dignified as possible? What sort of people dedicate their careers to helping the dying? What difficulties are they up against in providing this care, and what makes it all worthwhile?

This inspirational book provides vivid, real-life accounts of hospice life from managers, doctors, nurses, carers and support staff. The thought-provoking narratives provide vital insights into the type of work undertaken in a hospice setting. They explore the challenges for – and personal motivations of – staff and the many ways hospices strive to meet the needs of patients and their families with sensitivity and respect. Life in a Hospice is enlightening reading for all healthcare professionals in palliative care, including volunteer, administrative and support staff. It is also highly recommended for nurses and others in caring roles considering a move into hospice work. Therapists, counsellors and religious leaders will discover poignant and encouraging insights, and people with a family member approaching the end of life will find the book reassuring and informative.

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Contenido

Introducing hospices
1
Helping dying people
3
Activities and therapies
4
Hospice compared to hospital care
6
What is special about a hospice
8
THE WORK UNDERTAKEN
13
The nature of the work
15
Particular roles
17
Family neglect
75
Other sources of stress and their impact
77
Particular frustrations
81
General pressures of work
84
The impact on staff and their families
87
Ways of coping
91
Support from family and friends
92
Finding ways to relax
96

Day patients
19
The hospice at night
20
Patients at home
22
Managing the hospice
25
Responding to patients and relatives
27
Physical and practical needs
28
Emotional help
30
Spiritual support
31
Discussions about returning home
33
The needs of relatives and friends
35
Children
37
Working with dying people
39
Returning home to die
43
Recognising the terminal phase
44
The actual death
46
After a death
51
Preparing the body
53
The next days
55
Attending funerals
59
Bereavement work
60
Subsequent contact with relatives
62
DIFFICULTIES EXPERIENCED AND COPING WITH THEM
63
Sources of stress difficult patients and families
65
Anger and aggression
67
Patients and families in denial
71
Support from the hospice
98
Own spirituality
101
MOTIVATIONS AND REWARDS
105
Initial motivation
107
Prior experience of death
109
Other formative experiences
111
The accidental route
112
What makes the work worthwhile
115
Responding to challenges
117
The variety of people
119
Feeling valued by patients and families
122
Working with other staff
124
A sense of fun
126
REFLECTIONS ON WORKING IN A HOSPICE
129
Working in a hospice
131
Training
137
Telling people what you do
138
Reflections on living and dying
141
Choosing the timing of death
142
What happens after death?
145
A sense of mortality
148
Learning what is important
150
Extending the learning from hospice care
152
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Acerca del autor (2007)

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