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Related Experiment Videos

Experience with a hospice-care program for the terminally ill

J M Zimmerman

    Annals of Surgery
    |June 1, 1979
    PubMed
    Summary
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    This hospice program effectively manages pain and symptoms for terminally ill cancer patients, enabling two-thirds to receive care at home. The multidisciplinary approach supports both patients and their families during end-of-life care.

    Area of Science:

    • Oncology
    • Palliative Care
    • Geriatrics

    Background:

    • Terminally ill patients with malignant diseases require specialized care beyond curative treatment.
    • Existing healthcare models may not adequately address the complex needs of dying patients and their families.
    • Hospice care offers a framework for comprehensive end-of-life support.

    Purpose of the Study:

    • To describe the organizational structure, financing, facilities, and clinical experience of a multidisciplinary hospice-care program.
    • To evaluate the program's effectiveness in providing palliative care for terminally ill patients.
    • To assess the program's success in managing symptoms and facilitating home-based care.

    Main Methods:

    • Implementation of a multidisciplinary hospice program at Church Hospital for patients ineligible for curative antitumor therapy.

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  • Integration of conventional and unconventional methods for symptom management, including pain control and non-operative management of intestinal obstruction.
  • Utilization of patient and family education, visiting nurses, and home health aides to support home-based care.

    • Main Results:

    • The program demonstrated enthusiastic acceptance from medical staff, patients, and families.
    • Significant success was achieved in managing common symptoms such as pain, weakness, anorexia, depression, and dyspnea.
    • Approximately two-thirds of patients were at home at any given time, indicating successful facilitation of home-based end-of-life care.
    • The hospital-based program facilitated coordination with curative treatments and palliative use of radiation and chemotherapy.

    Conclusions:

    • A multidisciplinary hospice-care program can effectively provide palliative care for terminally ill patients with malignant diseases.
    • The program successfully improved symptom management and facilitated a significant proportion of patients receiving care at home.
    • Basing the program within an acute care hospital allows for integrated care and effective utilization of resources for palliative purposes.