HOSPICE CARE: A MERCIFUL CHOICE FOR THE TERMINALLY ILL

 

Brenda K. Purkey, RN, CHPN, Patient Care Director

Vice President of the Hope Hospice Board of Directors

Time Is Precious

How long is six months? For a child, six months until Christmas is a very long time. A six month old baby is viewed as a piece of paper with just a couple of lines written on it. A six month old carton of milk would redefine the word "gross". And six months of darkness in the arctic circle is something that could not be tolerated by most people. But when a doctor diagnoses someone with six months to live, each minute of this time would seem to be a precious commodity.

There Is Still Hope

When one has been diagnosed as being terminally ill, he or she probably has already been extensively involved with a whole spectrum of the health care system, but now all possibilities are exhausted. It would feel as if all hope had just been yanked out of a tightly closed fist leaving nothing but fear and uncertainty.

Hospice Is The Merciful Choice

What is the answer for this person? If the fear and uncertainty would be addressed, it would be discovered that one does not have to choose pain, fear, and suffering. But rather, the most merciful option for the terminally ill would be hospice care.

You Make The Decision

The media is filled with horror stories, but in order to scrutinize this argument any further, the terms involved must be clearly understood. In hospice and palliative care, a terminally ill person would not be given medicines or have certain procedures done which would only extend his or her life in a way that would not allow death to take a natural expected course. The courts have called this "the right to die."

Death With Dignity

Death with dignity is also a term that is heard often but is not clearly understood. Traditionally, death with dignity has meant that the dying are kept physically comfortable, and are given psychological, emotional and spiritual support. Everyone does want to have dignity, whether it be in life or in death. The dying have death with dignity through hospice and care.

A Method Of Caring

Another important term is hospice. Hospice is not a place, but rather, it is a method of caring for both the terminally ill person and his or her family, usually in the comforts of the home. The hospice staff is composed of doctors, nurses, nursing assistants, trained volunteers, a social worker, and a chaplain trained in palliative care. Hospice will carefully monitor and alleviate the troublesome symptoms of the terminally ill person in such a way that he or she will be able to participate in life until the very end.

Bereavement Support Groups

When death does occur, hospice will help support the family in any way possible. Hope Hospice offers a nine week bereavement program for anyone who wants help through the grieving process.

Pain And Suffering Can Be Relieved

Now that the foundation has been laid, it is time to get to the meat of the issue. Why would a terminally ill person choose hospice and palliative care? One of their main reasons stated is the fear of pain and suffering. With all of today's medical expertise, no one should have to die with pain and suffering. Most people don't realize that in virtually every case, pain can be relieved without rendering the individual unable to interact with his or her family. Unfortunately, many terminally ill patients are not given proper pain control and do unnecessarily suffer. But those patients in the hospice program receive modern palliative care techniques to control pain and other symptoms allowing a terminally ill individuals to take a renewed interest in life, and when the time comes, a pain-free death would be possible.

The Story Of "Rachel"

When "Rachel" first came to Hope Hospice, she had uncontrolled pain. Her medications were evaluated and readjusted to meet her needs. "Rachel" was able to enjoy playing the piano just two days before her death. The day she died, she was able to hold all of her grandchildren, enjoy time with her children, and have her picture taken with them just a couple of hours before she peacefully passed away.

The Story Of "Carl"

When "Carl" first became a Hope Hospice patient, he was bedridden, and the doctor had said that "Carl" had about a week to live. He was very despondent and spent most of his time just waiting to die. With wonderful family support and by having his burdensome symptoms relieved, "Carl" had a renewed interest in living those days he had left, which turned out to be several months of quality living.

Hope Hospice Helps Families

Another reason a terminally ill person would consider hospice care is the fear of becoming a burden to their loved ones. Hospice care seeks to help both the individual and the family to make the necessary physical, emotional and spiritual adjustments during this time of life. No matter how over-taken by disease, the terminally ill person still remains a unique human being, and as long as there is life, a person continues to have value.

The National Hospice Organization

Currently, the National Hospice and Palliative Care Organization, of which Hope Hospice is a member, cares for about 390,000 patients. There is a reason why far more terminally ill people prefer hospice  care than other types of care. Hospice care can help relieve pain and other symptoms enabling a terminally ill person to enjoy that precious remaining time. Increased comfort along with the network of support from hospice workers will decrease worry about becoming a burden because they have physical, emotional, and spiritual needs met. Hospice care truly is the most merciful choice for the terminally ill.

If you would like to learn more about Hope Hospice, how you may volunteer, how you may make a donation, or how the hospice program may serve you, please contact:

 

Hope Hospice

420 Main StreetP.O. Box 621

Rochester, Indiana 46975

 

Telephone: (574) 224-HOPE or Fax: (574) 224-4444

 

E-mail: hospice@rtcol.com

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