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Chapter Overview
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  • The kind and quality of modern health care depend on the relationships among the patient, the medical/nursing staff, and the institution.
  • Individual and social choices about financing health care exert an influence on the options available for care of the seriously ill and dying.
  • In the context of health care, a covenantal relationship implies a mutuality of interest between health care providers and patients; it encourages clear communication and promotes sharing of decision making.
  • Health care institutions are increasingly oriented toward providing "total" or "whole-person" care (physical, emotional, and spiritual) and social support.
  • Hospice and palliative care evolved from concerns about care of the terminally ill as well as from concerns about costs of health care at the end-stage of life.
  • Palliative care involves active total care of patients whose disease is not responsive to curative treatment.
  • Elder care includes a variety of housing and institutional care options as well as social service programs.
  • Emergency personnel and other caregivers are exposed to stress related to the helping role.
  • Hospice care is specialized palliative care of patients with terminal illness.
  • Death notification involves strategies for delivering bad news that can ease the traumatic impact of a death on survivors.
  • Being with someone who is dying involves a confrontation with one’s own mortality.







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