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Hospice nursing: serving ambivalent clients.

C L Hamilton, B J Neubauer

    Nursing & Health Care : Official Publication of the National League for Nursing
    |June 1, 1989
    PubMed
    Summary
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    Hospice nursing presents unique challenges, balancing advanced medical technology with essential human values. This exploration reviews the psychological and legal factors influencing end-of-life care decisions.

    Area of Science:

    • Palliative Care
    • Nursing Ethics
    • Healthcare Management

    Background:

    • Hospice nursing involves complex ethical and practical considerations.
    • Patients and families often face a dichotomy between acute care technology and home-based humanistic values.

    Purpose of the Study:

    • To explore the multifaceted challenges in hospice nursing.
    • To analyze the conflict between technological acute care and humanistic home care values.

    Main Methods:

    • Review of nursing complexities in hospice care.
    • Exploration of psychological factors influencing patient and family decisions.
    • Analysis of legal and reimbursement dictates.

    Main Results:

    • Identified significant nursing challenges at the intersection of technology and human values.

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  • Highlighted the impact of psychological factors on end-of-life care choices.
  • Reviewed the influence of legal and financial considerations on hospice provision.

    • Conclusions:

    • Hospice nursing requires navigating complex patient and family needs.
    • Understanding psychological, legal, and financial factors is crucial for effective hospice care.
    • Balancing technological capabilities with humanistic values is central to hospice nursing.