Easing the End - Working in Hospice Care

Dr. Elisabeth Kubler Ross, author of the book "Oncounseling, if indicated
Death and Dying," also considered to be the founder- Will enhance quality of life, and may also positively
of the death with dignity and hospice care movementinfluence the course of illness
said, "There is no joy without hardship. If not for death,- Is applicable early in the course of illness, in
would we appreciate life? Those who learn to knowconjunction with other therapies that are intended to
death, rather than to fear and fight it, become ourprolong life, such as chemotherapy or radiation therapy,
teachers about life." The entire philosophy behindand includes those investigations needed to better
end-of-life care, often called hospice or palliative care,understand and manage distressing clinical
is about love, kindness, and dignity-and learning tocomplications.
appreciate life. Helping to ease the pain and grief thatWhat Comprise a Hospice Team?
comes with death is the role of those rare individualsA hospice team is made up of physicians, nurses,
that are willing to work with the dying.home care aids, social workers, therapists and
Physician assistants are an integral part of a hospicecounselors, and the family of the dying individual.
team; if you are currently pursuing a degree in an onlineHospice care is often provided both in the home and in
allied health program and are interested in one of thea hospice center.
top paying health care careers, consider working inBecause of our aging population, hospice care is in high
hospice care. It is a labor of love, and a field where ademand, and there is a critical shortage of those
physician's assistant can really help patients and theirspecial people that can work in the hospice field. Home
families.Care Aids are especially in high demand in the hospice
What is Palliative (Hospice) Care?field, and this allied health career offers stability and
Palliative Care tackles both the physical and thesubstantial personal and financial reward.
psychological aspects of the end of life. According toHow Do I Work in Hospice Care?
the World Health Organization (WHO), palliative care isHospice workers are obviously physicians and nurses,
"an approach that improves the quality of life ofbut there are many allied health professionals who also
patients and their families facing the problemprovide this important care. Home Care Aids are a
associated with life-threatening illness, through thelarge part of a hospice care team, offering the kind of
prevention and relief of suffering by means of earlyintimate care that is needed for the very sick.
identification and impeccable assessment andMost community, career, and vocational college offer
treatment of pain and other problems, physical,Home Care Aid certification programs. In order to
psychosocial and spiritual."work in the Medicare system, specific guidelines must
The WHO goes on to list the following to describebe met, and home care aids must pass a specific test.
hospice care:Most programs are between one and two years.
- Provides relief from pain and other distressingA Special Gift: A Peaceful Passing
symptomsWorking in hospice care requires a special person.
- Affirms life and regards dying as a normal processBecause the focus is on comfort rather than cure,
- Intends neither to hasten or postpone deathmost patients in hospice care are in their last six
- Integrates the psychological and spiritual aspects ofmonths of life. Hospice care provides patients with pain
patient careand symptom relief as well as emotional support for
- Offers a support system to help patients live asthe patients and their families.
actively as possible until deathIf you want to give the gift of death with dignity and an
- Offers a support system to help the family copeabsence of pain, perhaps working in hospice care if
during the patients illness and in their own bereavementright for you. Helping ease the end for the terminally ill is
- Uses a team approach to address the needs ofquite a gift indeed.
patients and their families, including bereavement