- Title Pages
- Disclaimer
- Acknowledgements
- Introduction
- 1 Dying of Cancer
- 2 Should a Patient Know … ?
- 3 When a Patient is Dying
- 4 The Management of Patients in the Terminal Stage
- 5 And From Sudden Death…
- 6 A Patient
- 7 the Care of the Dying
- 8 Terminal Illness
- 9 Working at St. Joseph's Hospice Hackney
- 10 The Treatment of Intractable Pain In Terminal Cancer
- 11 Distress in Dying
- 12 The Depths and the Possible Heights
- 13 The Need for Institutional Care for the Patient with Advanced Cancer
- 14 the Last Stages of Life
- 15 the Last Frontier
- 16 The Management of Terminal Illness
- 17 St. Christopher's Hospice
- 18 Training for the Practice of Clinical Gerontology: The Role of Social Medicine
- 19 A Place to Die
- 20 Dimensions of Death
- 21 The Problem of Euthanasia (Care of the Dying—1)
- 22 Appropriate Treatment, Appropriate Death
- 23 The Philosophy of Terminal Care
- 24 Templeton Prize Speech
- 25 Current Views on Pain Relief and Terminal Care
- 26 Heroin and Morphine In Advanced Cancer
- 27 Pain and Impending Death
- 28 On Dying Well
- 29 Evaluation of Hospice Activities
- 30 The Modern Hospice
- 31 Foreword (<i>Pain: an Exploration</i>)
- 32 Spiritual Pain
- 33 Hospice—a Meeting Place for Religion and Science
- 34 Letter (On Alfred Worcester)
- 35 Voluntary Euthanasia
- 36 Foreword (<i>Mortally Wounded:Stories of Soul Pain, Death, and Healing</i>)
- 37 Why I Welcome TV Cameras at the Death Bed
- 38 Foreword (Good Practices In Palliative Care: A Psychosocial Perspective)
- 39 Origins: International Perspectives, Then and Now
- 40 the Evolution of Palliative Care
- 41 A Voice for the Voiceless
- 42 The Evolution of Palliative Care
- 43 Foreword (Oxford Textbook of Palliative Medicine)
- 44 Introduction (<i>Management of Advanced Disease</i>)
- Index
Evaluation of Hospice Activities
Evaluation of Hospice Activities
First published as a letter in Journal of Chronic Disease, vol. 37, no. 11 (1984), p. 871.
- Chapter:
- (p.203) 29 Evaluation of Hospice Activities
- Source:
- Cicely Saunders
- Author(s):
Cicely Saunders
- Publisher:
- Oxford University Press
A letter from 1984, reproduced here from the Journal of Chronic Diseases, was written in response to the appearance of early findings from the important National Hospice Study in the United States. It criticises two aspects of ‘hospice’ in the USA: first, the lack of physician involvement and second, the demand that the patient and family must know of the terminal nature of their illness before entering a reimbursed hospice programme. The letter suggests that ‘some experiences are impossible to evaluate or quantify’, whilst at the same time endorsing the need to continue research in this field. In particular, it urges that people should not become preoccupied with financial considerations at the expense of other factors when evaluating hospice care.
Keywords: Journal of Chronic Diseases, reimbursed hospice programme, physician involvement, financial considerations, USA
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- Title Pages
- Disclaimer
- Acknowledgements
- Introduction
- 1 Dying of Cancer
- 2 Should a Patient Know … ?
- 3 When a Patient is Dying
- 4 The Management of Patients in the Terminal Stage
- 5 And From Sudden Death…
- 6 A Patient
- 7 the Care of the Dying
- 8 Terminal Illness
- 9 Working at St. Joseph's Hospice Hackney
- 10 The Treatment of Intractable Pain In Terminal Cancer
- 11 Distress in Dying
- 12 The Depths and the Possible Heights
- 13 The Need for Institutional Care for the Patient with Advanced Cancer
- 14 the Last Stages of Life
- 15 the Last Frontier
- 16 The Management of Terminal Illness
- 17 St. Christopher's Hospice
- 18 Training for the Practice of Clinical Gerontology: The Role of Social Medicine
- 19 A Place to Die
- 20 Dimensions of Death
- 21 The Problem of Euthanasia (Care of the Dying—1)
- 22 Appropriate Treatment, Appropriate Death
- 23 The Philosophy of Terminal Care
- 24 Templeton Prize Speech
- 25 Current Views on Pain Relief and Terminal Care
- 26 Heroin and Morphine In Advanced Cancer
- 27 Pain and Impending Death
- 28 On Dying Well
- 29 Evaluation of Hospice Activities
- 30 The Modern Hospice
- 31 Foreword (<i>Pain: an Exploration</i>)
- 32 Spiritual Pain
- 33 Hospice—a Meeting Place for Religion and Science
- 34 Letter (On Alfred Worcester)
- 35 Voluntary Euthanasia
- 36 Foreword (<i>Mortally Wounded:Stories of Soul Pain, Death, and Healing</i>)
- 37 Why I Welcome TV Cameras at the Death Bed
- 38 Foreword (Good Practices In Palliative Care: A Psychosocial Perspective)
- 39 Origins: International Perspectives, Then and Now
- 40 the Evolution of Palliative Care
- 41 A Voice for the Voiceless
- 42 The Evolution of Palliative Care
- 43 Foreword (Oxford Textbook of Palliative Medicine)
- 44 Introduction (<i>Management of Advanced Disease</i>)
- Index
