The American journal of hospice & palliative care
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Am J Hosp Palliat Care · Mar 1994
Effective hospice volunteers: demographic and personality characteristics.
The purpose of the study was to examine demographic and personality characteristics of highly effective hospice volunteers. Volunteer coordinators of all Texas Hospice Organization member hospices were asked to select their most committed and effective volunteers to participate in the study. ⋯ The largest proportion of female volunteers (27.3 percent) were extroverted, sensing, feeling, judging personality types (ESFJ), whereas, for male volunteers, the largest proportion (20.8 percent) were introverted, sensing, thinking, judging personality types (ISTJ). This information will be beneficial in recruitment, training, and retention of hospice volunteers.
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Am J Hosp Palliat Care · Jan 1994
Intermittent subcutaneous infusion of opioids in hospice home care: an effective, economical, manageable option.
Administration of oral opioids is not always possible for terminally-ill patients. Obstruction, emesis, or inability to swallow frequently force us to seek alternative routes of administration. When the rectal route is contraindicated, impractical, or otherwise rejected by the patient or caregivers, we must resort to the parenteral route. ⋯ Of the 42 percent of patients able to indicate a pain rating (0-10 scale) all rated their pain at 2 or below while using the subcutaneous route. No objective signs of pain were noted by caregivers or hospice nurses in the 58 percent of patients who were unable to rate their pain. The mean duration of time the needle remained in place was 4.62 days, with a range of 1-26 days.(ABSTRACT TRUNCATED AT 250 WORDS)
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The objective of this study was to determine the effects of very high cost patients on hospice financial status. Ten Pennsylvania hospices dually certified by Medicare were randomly selected and agreed to participate. Patient age, sex, diagnosis, length of stay and payer were fairly uniform across hospices. ⋯ Between the time the study was planned and completed, Medicare instituted a reinsurance program allowing unused funds below the maximum allowable limit from one patient to be used for patients who exhausted their benefits. Thus, no study hospice was adversely affected by high cost patients. However, it should serve as an object lesson to Medicare in using prospective payment.(ABSTRACT TRUNCATED AT 250 WORDS)