International journal of aging & human development
-
Int J Aging Hum Dev · Jan 1982
Humanizing nursing home environments: the relevance of hospice principles.
At the heart of the rapidly growing American hospice movement is a philosophy of care that emphasizes patient individuality and responsiveness to total needs of the dying and their families. To date, the response to this model of terminal care has been favorable. The hospice is viewed as a humanizing mode of health care with a capacity to enhance the quality of life experienced by persons defined as terminal. ⋯ There are, however, crucial differences between a hospice and a nursing home which may hamper direct transference of humanizing hospice principles, e.g., hospice patients are defined as terminal; staff, thus, can be motivated to put forth their best because of perceived time limits. There are also important differences in the characteristics of patient populations, length of stay, economic constraints, ability to attract volunteers, and emphasis on task-orientation. The time has come to apply increased ingenuity to a adapting humanizing hospice principles to the care of elderly in nursing homes.