Innovations In End-of-Life Care--Vol. 2 by David E. Weissman, Mildred Z. Solomon, Anna L. Romer, Karen

By David E. Weissman, Mildred Z. Solomon, Anna L. Romer, Karen S. Heller

Worldwide, individuals are constructing higher how one can take care of the death and their households. Their stories can assist do a greater activity. the net magazine options in End-of-Life Care publishes an annual compendium of state-of-the-art recommendations for making improvements to caliber of take care of sufferers and their households. This quantity, the second one within the techniques sequence, specializes in six issues in palliative care: Hospice in legal Intergenerational techniques to Hospice operating towards an built-in version of Palliative Care Measuring caliber in Palliative Care Pediatric Palliative Care Spirituality in End-of-Life Care

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I izations, clubs, and religious groups that offe tion. The hospice In 1997, I wasaskedwhat I thouaboutsetting up prison here at Angola. I had hea said he had seen a story about to i needed a program like this and wanted to use inmate volunteers t At first, I had my doubts than 20 years experience, the first thing would take advantageof sick and weak mate volunteers moving around the nu enemies, I tho~~ght that it would just b Setting up the hospice took abouta year of planning, cedures, and researchby Carol Evans,a hospice socialw and staff atthis facility.

Intravenous 0administration of narcotic analgesics is provided on rare occasions only by IV push. Our facility does not currently have patient-controlled analgesia (PCA) pumps or any typeof lockout IV pumps. Sustained-release of the risk for misnarcotic analgesic pain medicines are used frequently in spite use. It is impossible in any environment to prohibit misuse of medications. We recognize this and take reasonable precautions, but we have not withheld pain medicine from any patient because of security concerns or issues of long-term drug abuse.

Though a few states, like South Carolina, offer palliative care in all their prisons, most provide 16 HOSPICE IN PRISON comprehensive medical care in selected sites. Even if the inmate is relocated to a special housing unit or infkmary atthe prison, he or she may be leaving home. The challenge is to develop palliative care at all prisons. A n ideal perhaps, but the Oregon Department of Corrections, a G CE Project demonstration site,is plement this approach. ctives. The requirement for advance directives, inclL~dingdo not resuscitate (DNR) orders, is common among prison hospice programs.

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