• Journal of Hospice and Palliative Care
• /
• 제13권2호
• /
• pp.69-75
• /
• 2010

Hospice is defined by the National Hospice and Palliative Care Organization (NHPCO, USA) and WHO, as a program of care that provides comprehensive medical, nursing and support services to dying patients and their family. Despite its broad definition, however, hospice care in Korea has been focused mostly on terminal cancer patients. Thus hospice eligibility for patients with advanced cancer is relatively easier to predict than those with other fatal chronic illnesses such as heart, lung, renal or liver diseases, and dementia. This makes it more difficult for patients and families to prepare for death and gain full benefits of hospice care. This article introduces the medical guidelines for selected non-cancer patients who are expected to live for only six months, this making it possible for patients, who are nearing the end of life, to avoid unwarranted suffering.

• Journal of Hospice and Palliative Care
• /
• 제1권1호
• /
• pp.6-13
• /
• 1998

• Journal of Hospice and Palliative Care
• /
• 제5권2호
• /
• pp.81-89
• /
• 2002

• Journal of Hospice and Palliative Care
• /
• 제3권1호
• /
• pp.1-3
• /
• 2000

• Journal of Hospice and Palliative Care
• /
• 제7권2호
• /
• pp.143-152
• /
• 2004

• Journal of Hospice and Palliative Care
• /
• 제7권1호
• /
• pp.1-7
• /
• 2004

• 한국간호교육학회지
• /
• 제17권3호
• /
• pp.454-463
• /
• 2011

Purpose: The purpose of this study was to examine the effects of a hospice and palliative care education program including meaning in life on attitudes to end-of-life care and meaning in life for nursing students. Methods: This study used a quasi-experimental and non- synchronized with a non-equivalent control group design. The experimental group (n=28) participated in a hospice and palliative care education program including meaning in life. The control group (n=28) participated only in a hospice and palliative care education program. The 30-hour course examined hospice and palliative nursing care and logotherapy. Data were collected using a structured questionnaire consisting of general characteristics, attitudes to end-of-life care, and meaning in life. Collected data were analyzed for frequency, percentage, ${\chi}^2$-test, and t-test using SPSS 19.0 WIN Program. Results: Scores for the attitude towards end-of-life care in the experimental group were significantly higher than in the control group. The meaning in life scores in the experimental group were significantly higher than in the control group. Conclusion: These findings suggest that the hospice and palliative care education program, including meaning in life, was effective in enhancing the attitude to end-of-life care and meaning in life among nursing students.

• Journal of Hospice and Palliative Care
• /
• 제24권3호
• /
• pp.194-197
• /
• 2021

End-of-life assessments aim to help dying patients and their families plan clinical interventions in advance and prepare them for a peaceful end of life, in which the patient accepts life and death, and the family accepts the patient's departure. It is important to assess whether death is imminent within a few days, because critical hospice care is provided intensively during that period. The following five changes constitute objective evidence of the end of life: diminished daily living performance, decreased food intake, changes in consciousness and increased sleep quantity, worsening of respiratory distress, and end-stage delirium. As subjective evidence, it is suggested that sensitive perceptions of experienced nurses and the feelings of family members caring for patients should also be considered. When notifying a patient or family members that the end of life is approaching, the members of the multidisciplinary hospice team must communicate with each other, share accurate information, and provide consistent explanations. They must also listen to non-verbal communication in an empathic and supportive manner.

• Journal of Hospice and Palliative Care
• /
• 제25권3호
• /
• pp.133-137
• /
• 2022

A 72-year-old woman with metastatic lung cancer to bone and brain and with left external iliac vein thrombosis was under the care of a community palliative care provider. She experienced an acute pain crisis due to acute limb ischemia of the left lower limb. Goals-of-care discussions were held with the patient and her family; she prioritized symptom control and end-of-life care at home. The family and patient were aware of her short prognosis. Her complex pain was managed by the community palliative team, and her family was empowered to give subcutaneous injections. We illustrate a case showing the importance of community health services with palliative care support in providing symptom management and support to patient and family caregivers throughout the course of a life-limiting illness. It also highlights family caregivers' potential psychological distress in delivering subcutaneous injections in terminal care for a patient at home.

• Journal of Hospice and Palliative Care
• /
• 제25권4호
• /
• pp.198-203
• /
• 2022

Purpose: To grasp public opinion accurately, we conducted an opinion poll on beliefs and attitudes toward physician-assisted suicide (PAS). Methods: A randomized telephone survey ensuring a representative sample was conducted, 1,007 participants aged 18 years or older (response rate, 9.5%). Results: The main results are as follows: i) 61.1% of participants thought that the current social support system for terminally ill patients and their families is insufficient; ii) 60% of participants did not recognize the term "hospice and palliative care"; iii) 81.7% of participants would not like to receive life-sustaining treatment if there is no possibility of recovery; iv) 58.4% of participants would like to receive hospice and palliative care if they are diagnosed with a terminal illness; v) the priorities for dignified dying were preparing a support system to reduce the burden of care (28.6%), economic support including reduction of medical expenses (26.7%), expansion of hospice and palliative care services (25.4%), and legalization of PAS (13.6%); and vi) 58.3% of participants agreed that the expansion of hospice and palliative care should precede the legalization of PAS. Conclusion: Koreans currently want other efforts, including expansion of hospice and palliative care services, instead of the legalization of PAS.