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[A Challenge for Home-Based Hospice Care: Good Death at Home]
Chien-Wei Liu1, Chich-Hsiu Hung2, Wan-Ping Yang3
1MSN, RN, Clinical Nursing Teachers, Department of Nursing, National Tainan Junior College, and Doctoral Student, School of Nursing, Kaohsiung Medical University, Taiwan, ROC.
Hu Li Za Zhi the Journal of Nursing
|December 6, 2019
Summary
Taiwan faces a "super-aged" future, increasing the need for home-based hospice and palliative care. This study explores strategies to facilitate a good death at home, addressing challenges in nursing education and family support for terminal patients.
Area of Science:
- Gerontology
- Palliative Care
- End-of-Life Studies
Background:
- Taiwan is projected to become a "super-aged" society by 2065.
- Medical advancements increase lifespan but also chronic illness and end-of-life care needs.
- Public acceptance of hospice and palliative care is growing, highlighting the importance of a good death.
Purpose of the Study:
- To explore the importance of hospice care for terminal patients.
- To identify optimal locations for achieving a good death.
- To examine nursing education requirements for end-of-life care.
- To address challenges and strategies for facilitating a good death at home.
Main Methods:
- Literature review on hospice care, end-of-life location preferences, and nursing education.
- Analysis of challenges related to family dynamics and educational promotion of home-based dying.
- Exploration of strategies to support home-based dying.
Main Results:
- Guidelines for a good death at home are currently lacking in Taiwan.
- Key dimensions for successful home-based dying include family connections and nursing education.
- Challenges exist in promoting and implementing home-based end-of-life care.
Conclusions:
- Facilitating a good death at home requires addressing both family and educational aspects.
- Enhanced nursing education is crucial for supporting patients and families during end-of-life care at home.
- Developing comprehensive strategies is essential to help terminal patients achieve a peaceful home-based death.
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