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د فيصل الناصر - The hospice and its role in the community

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د فيصل الناصر - Faisal Alnasir is a Professor and Chairman at Dept Of Family & Community Medicine at Arabian Gulf University

د فيصل الناصر - Faisal Alnasir is a Professor and Chairman at Dept Of Family & Community Medicine at Arabian Gulf University

Published in: Health & Medicine

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  • 1. The Hospice CareFaisal Abdul-Latif Al-NasirFPC,MICGP,FRCGP,FFPC,PhDProfessor of Family MedicineEx-Vice PredidentArabian Gulf University
  • 2. Who is OldWho is Old: >60 Years???: >60 Years???‫طفل‬ ‫البربعين‬ ‫سن‬ ‫في‬ ‫السنسان‬ ‫إن‬‫طفل‬ ‫البربعين‬ ‫سن‬ ‫في‬ ‫السنسان‬ ‫إن‬ ……‫مراهق‬ ‫الخمسين‬ ‫سن‬ ‫وفي‬‫مراهق‬ ‫الخمسين‬ ‫سن‬ ‫وفي‬‫شاب‬ ‫الستين‬ ‫سن‬ ‫وفي‬‫شاب‬ ‫الستين‬ ‫سن‬ ‫وفي‬‫خضراء‬ ‫وجنة‬ ‫مخضرم‬ ‫السبعين……شيخ‬ ‫سن‬ ‫وفي‬‫خضراء‬ ‫وجنة‬ ‫مخضرم‬ ‫السبعين……شيخ‬ ‫سن‬ ‫وفي‬
  • 3. ‫للبحـــرين‬ ‫السـكاني‬ ‫الهرم‬‫للبحـــرين‬ ‫السـكاني‬ ‫الهرم‬‫للسنوات‬‫للسنوات‬19501950––20002000--20502050Population Pyramids, 20001950 2000 205060+0-59Male FemaleAgePercentage Percentage Percentage
  • 4. • Poor raw material• Prevailing poverty• Fast ageing in parallel with rapid socialchanges– urban vs. rural ageing– changes in family structure– Epidemic in Africa such as AIDSThe reality in the developing world
  • 5. The developed worldThe developed worldbecamebecame richrich before itbefore itbecamebecame oldold..Developing countries areDeveloping countries arebecomingbecoming oldoldbefore they becomebefore they become richrich..
  • 6. End of LifeAgeing is good for you – remember: there isonly one alternative to it!
  • 7. End of LifeAgeing is good for you – remember: there isonly one alternative to it! DEATH
  • 8. End of LifeAgeing is good for you – remember: there isonly one alternative to it! DEATHEvery person is different, and the paths todeath will vary.
  • 9. DefinitionThe word "hospice" stems from the Latinword "hospitium" meaning guesthouse.It was originally used to describe a placeof shelter for weary and sick travelersreturning from religious pilgrimages.
  • 10. HistoryIn UKDuring the 1960s, Dr. Cicely Saunders, established St.Christophers Hospice near London.St. Christophers organized a team approach toprofessional care-giving, and was the first program to usemodern pain management techniques to compassionatelycare for the dying.In USAThe first hospice established in New Haven, Connecticut in1974.Today there are more than 3,200 hospice caring for nearly885,000 people (in 2002).
  • 11. What is Hospice care?Is the choice made to enhance life for a dyingperson.Traditional care emphasizes the use of medicalinterventions, hospitalization and drugs to cureor control disease. It may involve aggressiveand expensive high-tech medicine.Hospice is an appropriate choice, when cure ispossible and when cure is not possible.However, it is not the only choice.
  • 12. -A special concept of care designed to providecomfort and support to patients and theirfamilies when a life-limiting illness no longerresponds to cure-oriented treatments.-Hospice care neither prolongs life norhastens death.What is Hospice?
  • 13. -Hospice staff and volunteers offer aspecialized knowledge of medical care,including pain management.-The goal of care is to improve the qualityof a patients last days by offeringcomfort and dignity.What is Hospice?
  • 14. What is Hospice?-Hospice care is provided by a team-oriented group of specially trainedprofessionals, volunteers and familymembers.-Hospice addresses all symptoms of adisease, with a special emphasis oncontrolling a patients pain and discomfort.
  • 15. What is Hospice?-Hospice deals with the emotional, social andspiritual impact of the disease on the patientand the patients family and friends.-Hospice offers a variety of bereavement andcounseling services to families before andafter a patients death.
  • 16. Why Hospice?It is important to die with dignity and peace
  • 17. Why Hospice?Hospice provides relief from pain.The physical pain arising from a terminalillness may be debilitating, frighteningand dehumanizing. Hospice providershave the skills and resources to permitpersons to live as pain-free, ascomfortable, and as full a life as possible.
  • 18. Why Hospice?Hospice care focuses on maintainingpatients quality of life, as opposed toaggressively treating their illnesses.Hospice provides support.Provides physical comfort of the dyingperson, also social and spiritual supportfor the patient and his or her family.
  • 19. Who are the Patients?•The are typically in their last six months oflife.•Approximately 2/3 of hospice patients areover the age of 65.•Not only patients with cancer, but patientswith pulmonary disease, heart disease,neurological disorders, AlzheimersDisease, and AIDS.
  • 20. Hospice StaffMulti-disciplinary team consisting of:physicians, nurses, aides, socialworkers, spiritual care givers,counselors, therapists and volunteers.Trained volunteers are an integral part ofhospice service. In USA Over 95,000 peoplevolunteer for hospice annually. Volunteersprovide over 5 million hours of care andservice annually.
  • 21. Staff TrainingThey are specially trained to providemedical assistance and to deal withthe loneliness and fears experiencedby both the patient and his or herloved ones.
  • 22. The experience of caring for people at the endof their lives Can be very difficult.Seeing the suffering of the dying may causefeelings of helplessness and anticipation offuture losses. Working with the dying can beexhausting because of the various emotions thatare shared. Those who do this work with thedying must understand themselves as importantand valuable individuals.
  • 23. Staff TrainingThere is a great need for psychosocial andpsychological death education for nursinghome staff.
  • 24. Staff TrainingThey works with the patient and his or herfamily to develop a personalized care plan.They respect patient wishes and help fostercommunication amongst family members
  • 25. Hospice Goals•Stages of Dying•Problems associated with a terminal illness•How caregivers can help the dying•Grief/Bereavement issues•Care for the caregivers•Exercises, handouts
  • 26. What to Expect Before DeathThe Dying Process: Physical and PsychologicalSymptoms•Signs of Approaching DeathSometimes caregivers do not know how to tell whentheir patient or loved one is dying. But patients oftentend to show specific symptoms when they are nearingdeath.•Emergency ProfileWhat rational decisions will need to be made in times ofcrisis.
  • 27. What to Expect After DeathGriefGrieve after lose of beloved.Every persons journey through grief is different.Correspondence details and logisticsAfter the death, loved ones will be faced withoverwhelming logistical details and paperwork. Theperson(s) responsible for taking care of thesedetails will need to correspond with appropriateorganizations, institutions, and businesses to informthem of the death of the family member.
  • 28. :(‫السل(م‬ ‫)عليه‬ ‫طالب‬ ‫أبي‬ ‫بن‬ ‫علي‬ ‫الاما(م‬ ‫قال‬‫ونا(م‬ ‫المضجع‬ ‫في‬ ‫أرق‬ ‫الستين‬ ‫أحدكم‬ ‫بلغ‬ ‫إذا‬ ”‫وجع‬ ‫بل‬ ‫وأن‬ ‫المجمع‬ ‫في‬ “