Hospice and palliative care: concepts and practice by Denice C. Sheehan, Walter Forman

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By Denice C. Sheehan, Walter Forman

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Bernard. As a response to the Crusades, the order of Knights Hospitalers established hospitals in Europe and the Middle East along the Crusader and pilgrimage routes. 9 The leprosy described in the Bible is probably a group of skin diseases such as psoriasis. In response to the medieval epidemic of leprosy, houses dedicated to Lazarus, who is mentioned as healed by Christ in the Roman Book of St. Luke, sprang up near more than 4,000 towns and cities in France and Germany. It is important to remember that both ancient India and Egypt had institutions that had some of the attributes of hospitals.

Kubler-Ross, E. On Death and Dying. New York: Macmillan, 1969. 17. Finn Paradis, L. The Development of Hospice in America: The Hospice Handbook. Rockland, MD: Aspen Publications, 1985. 18. H. The Enigma of Suicide. New York: Simon & Schuster, 1991. 19. E. Death and Dignity: Making Choices and Taking Charge. W. , 1993. 20. Rachels, J. The End of Life. Oxford: Oxford University Press, 1986. 21. Porter, R. Companion Encyclopedia of the History of Medicine. Routledge, UK, 1993, pp. 1589-1591. 22. King, H.

Table 2-5 lists selected demographic information. The statistics reflect consistency with past National Hospice Organization (NHO) census data. However, cancer diagnoses have decreased from 84 percent in 1990 to 78 percent in 1992. In 1992, hospice programs indicated that 77 percent of their patients died at home, 14 percent died in acute inpatient facilities, and 9 percent in another institution. 1,4 TABLE 2-3 Policies in Hospice Programs19901992Informed consent75%98%Primary caregiver signature on admission74%N/APrimary caregiver informed consent72%N/APatient understanding of illness59%N/ADo not resuscitate order39%40%Sources: National Hospice Organization.

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