A Brief History of Hospice Care
Although the origin of the word “hospice” is uncertain, it is universally understood to mean taking care of or providing rest to a guest/individual who is ill.
Hospices were formed initially to provide solace to the ill and dying pilgrims travelling to and from the Holy Land. Following a general decline after that, the hospice movement saw a revival in the mid-19th century.
As we know it today, hospice care owes its existence to Cecily Saunders, whose nursing experience with terminally-ill patients inspired her to become a physician. Dr Saunders coined the term “total pain”, including physical, emotional, social and spiritual distress.
Her philosophy stems from the concept that when hospice care focuses on alleviating the total pain of the patient and their family instead of treating the disease, it allows the patient to have a more comfortable, end-of-life stage care experience.
Hospice care continues to evolve and become accessible worldwide, significantly impacting a patient's overall physical and mental well-being.
Hospice Care vs Palliative Care
Both strive to ensure the patient’s comfort. However, hospice care begins after prescribed disease treatment ends when it is clear that the patient will not survive the illness beyond a limited time. Palliative care may follow the diagnosis and continue throughout treatment.
An Embarrassment of Riches
Hospice nursing has so much to offer that a close study of the various options is essential to make an educated decision. A BSN is a must in most cases, with each position requiring specific technical abilities and soft skills to succeed.
Admissions Liaisons develop consultative relationships with healthcare professionals and provide them with appropriate hospice referrals that would best suit their patient's needs.
Performance Improvement Specialists (PIS) assess and facilitate a facility’s compliance with accepted healthcare standards, licensure laws, organisational policies, and relevant regulatory/accrediting bodies.
Patient Care Administrators monitor the clinical and financial performance of the interdisciplinary team and guarantee optimal patient care in terms of clinical appropriateness and quality of patient care.
Admissions Nurses visit patients’ homes, hospitals, and emergency rooms to meet with patients and families who have been referred to or are considering hospice. They explain the services and philosophy of the hospice they represent to facilitate the admission of appropriate patients.
Admissions Managers recruit and manage the admissions team. They develop viable strategies and plans, coordinate staff and schedules, and monitor customer service and referrals to admission goals.
Registered Nurse (RN) Team Managers or Nurse Managers ensure patients and their families receive sustained care and support through effective supervision of the interdisciplinary team.
RN Continuous Care Staffing Managers develop and evaluate the staffing resources required by patient care teams that provide continuous patient care.
RN Telecare Supervisors are in charge of care connection centres - call centres that provide customer service and medical advice and dispatch home visits to hospice patients and caregivers during alternate business hours. The supervisor offers clinical oversight and manages the triage staff.
Current Scenario,
The continued global nurse shortage and remarkable growth in the worldwide use of and need for hospice care following a rapidly ageing population translates into sustainable job creation for Hospice Nurses.
Potential Pros & Cons of Freelancing vs Full-Time Employment
Freelancing Hospice Nurses have more flexible work schedules and locations. They own the business and can select their projects and clients. However, they experience inconsistent work and cash flow, which means more responsibility, effort and risk.
On the other hand, a full-time Hospice Nurse has company-sponsored health benefits, insurance, and retirement plans. They have job security with a fixed, reliable source of income and guidance from their bosses. Yet, they may experience boredom due to a lack of flexibility, ownership, and variety.
When deciding between freelancing or being a full-time employee, consider the pros and cons to see what works best for you.