All About Nursing · Hospice & Palliative Care

Definitions Hospice

You matter because you are you. You matter to the last moment of life, and we will do all we can, not only to help you die peacefully, but also to live until you die. (Saunders in Stoddard, 1978)

  • Centers for Medicare & Medicaid Services (CMS) defines hospice as:

“A holistic approach to treatment that recognizes that the impending death of an individual warrants a change from curative to palliative care. Palliative care means ‘patient-and family-centered care that optimizes quality of life by anticipating, preventing, and treating suffering. Palliative care throughout the continuum of illness involves addressing physical, intellectual, emotional, social, and spiritual needs and to facilitate patient autonomy, access to information, and choice.'”

  • The National Hospice and Palliative Care Organization (NHPCO) defines hospice as:
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All About Nursing · Hospice & Palliative Care

Origins and a Bit of History of Hospice

Concept antedates 475 AD

  • The term hospes, a Latin word, from which the term hospice is derived, means to be both host and guest and implies interaction and mutual caring between the patient, family, and hospice staff.
  • Self-sustained communities evolved after 335 AD where ill, weary, homeless, and dying persons received care
  • During the early middle ages, the words hospice, hospital, and hostel were used interchangeably
  • Also during the middle ages, hospitia or travelers’ rest at monasteries and convents provided food, shelter, as well as care for those sick or dying.
  • The care and support of the whole person (the body, soul, mind, and spirit) evolved in these early hospices
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Bursitis

Bursitis is an inflammation a small fluid-filled sac called bursa that lubricates to reduce friction between a bone and muscle, skin or tendon. The most common places bursitis occurs is the olecranon and prepatellar bursae, but can also occur at the superficial infrapatellar and subcutaneous calcaneal bursea (Khodee, 2017). There various type of bursitis all of which depend on the affected bursa location.  The commonly affected areas of the condition include the elbow, shoulder, hip, knees, and calf. The primary cause of this condition is sports injuries and repetitive movements although other factors such as bad posture, some types of arthritis, diabetes and certain medications effects may also cause bursitis (Sayegh & Strauch, 2014).

The exact prevalence and incidence of bursitis are not known. However, according to the report given by national health interview survey on disability, the incidence of bursitis is approximated to be 560 cases per every 100,000 admissions (Rhyou et al., 2016). The prevalence rate is estimated to be 32 cases in every 1000 people (Rhyou et al., 2016).  Bursitis is a very common condition that even affects healthy individuals. It can occur at any age and affects both genders although the attack rate depends on the type of bursitis. For example, the incidence of trochanteric bursitis is higher in middle-aged groups as compared to elderly adults while prepatellar and septic bursitis commonly affects males than females.

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