Death and dying in the US: the barriers to the benefits of palliative and hospice care

Albert J Finestone, Gail InderwiesSchool of Medicine, Temple University, Philadephia, PA, USAIn August 2006, after a trip to the New Jersey Shore, Peggy was having great difficulty catching her breath. In consultation with her children, Peggy decided that she was ready for hospice care. But, she did...

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Autores principales:	Albert J Finestone, Gail Inderwies
Formato:	article
Lenguaje:	EN
Publicado:	Dove Medical Press 2008
Materias:	Geriatrics RC952-954.6
Acceso en línea:	https://doaj.org/article/5602756dc6ba485b8ced1138156af241
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spelling	oai:doaj.org-article:5602756dc6ba485b8ced1138156af2412021-12-02T07:09:16ZDeath and dying in the US: the barriers to the benefits of palliative and hospice care1178-1998https://doaj.org/article/5602756dc6ba485b8ced1138156af2412008-09-01T00:00:00Zhttps://www.dovepress.com/death-and-dying-in-the-us-the-barriers-to-the-benefits-of-palliative-a-peer-reviewed-article-CIAhttps://doaj.org/toc/1178-1998Albert J Finestone, Gail InderwiesSchool of Medicine, Temple University, Philadephia, PA, USAIn August 2006, after a trip to the New Jersey Shore, Peggy was having great difficulty catching her breath. In consultation with her children, Peggy decided that she was ready for hospice care. But, she did not want to relinquish her independence just because shortness of breath and a weakening heart overtook her daily stride. However, a single episode at home had thrown Peggy into crisis. Since Peggy lived alone, hospice care at home presented a host of challenges including safety and how to manage her unstable cardiopulmonary condition. Peggy was an ideal candidate for the hospice’s TeleCare (see box) monitoring program which provided a passive monitoring system, a medication dispenser, and vital signs monitoring for blood pressure, weight, and blood oxygen levels. In addition, the hospice authorized routine draws of BNP (beta naturetic peptide) and BMP (basic metabolic profi le) with GFR (glomerular filtration rate) to manage her symptoms aggressively. Medications were adjusted accordingly to maximize quality of life and minimize symptoms. Though some would consider this treatment aggressive, it was the aggressive treatment of Peggy’s symptoms that allowed for an extended quality of life. There was sufficient evidence to support this action based on the concept of risk and reward, especially as there was a minimum of invasive therapies required. In Peggy’s case she went from being homebound and short of breath to living her life up to her final days.Albert J FinestoneGail InderwiesDove Medical PressarticleGeriatricsRC952-954.6ENClinical Interventions in Aging, Vol Volume 3, Pp 595-599 (2008)
institution	DOAJ
collection	DOAJ
language	EN
topic	Geriatrics RC952-954.6
spellingShingle	Geriatrics RC952-954.6 Albert J Finestone Gail Inderwies Death and dying in the US: the barriers to the benefits of palliative and hospice care
description	Albert J Finestone, Gail InderwiesSchool of Medicine, Temple University, Philadephia, PA, USAIn August 2006, after a trip to the New Jersey Shore, Peggy was having great difficulty catching her breath. In consultation with her children, Peggy decided that she was ready for hospice care. But, she did not want to relinquish her independence just because shortness of breath and a weakening heart overtook her daily stride. However, a single episode at home had thrown Peggy into crisis. Since Peggy lived alone, hospice care at home presented a host of challenges including safety and how to manage her unstable cardiopulmonary condition. Peggy was an ideal candidate for the hospice’s TeleCare (see box) monitoring program which provided a passive monitoring system, a medication dispenser, and vital signs monitoring for blood pressure, weight, and blood oxygen levels. In addition, the hospice authorized routine draws of BNP (beta naturetic peptide) and BMP (basic metabolic profi le) with GFR (glomerular filtration rate) to manage her symptoms aggressively. Medications were adjusted accordingly to maximize quality of life and minimize symptoms. Though some would consider this treatment aggressive, it was the aggressive treatment of Peggy’s symptoms that allowed for an extended quality of life. There was sufficient evidence to support this action based on the concept of risk and reward, especially as there was a minimum of invasive therapies required. In Peggy’s case she went from being homebound and short of breath to living her life up to her final days.
format	article
author	Albert J Finestone Gail Inderwies
author_facet	Albert J Finestone Gail Inderwies
author_sort	Albert J Finestone
title	Death and dying in the US: the barriers to the benefits of palliative and hospice care
title_short	Death and dying in the US: the barriers to the benefits of palliative and hospice care
title_full	Death and dying in the US: the barriers to the benefits of palliative and hospice care
title_fullStr	Death and dying in the US: the barriers to the benefits of palliative and hospice care
title_full_unstemmed	Death and dying in the US: the barriers to the benefits of palliative and hospice care
title_sort	death and dying in the us: the barriers to the benefits of palliative and hospice care
publisher	Dove Medical Press
publishDate	2008
url	https://doaj.org/article/5602756dc6ba485b8ced1138156af241
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Death and dying in the US: the barriers to the benefits of palliative and hospice care

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