Chapter

Hospice and Palliative Care: Clinical, Ethical, and Policy Challenges

Timothy E. Quill

in Caring for Patients at the End of Life

Published in print May 2001 | ISBN: 9780195139402
Published online November 2011 | e-ISBN: 9780199999859 | DOI: http://dx.doi.org/10.1093/acprof:oso/9780195139402.003.0011
Hospice and Palliative Care: Clinical, Ethical, and Policy Challenges

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This chapter examines the clinical, ethical, and policy challenges of hospice and palliative care in the U.S. It presents the case of two patients who both needed and received palliative care. Both patients benefited from palliative care interventions but they had unequal access to formal hospice programs and each found some limitations to the degree of palliation and support they received during the periods of their illnesses. These cases illustrate the potential effectiveness of palliative care and show that the clinical, ethical, and policy dilemmas are complex and at times vexing, even under the guidance of a skilled team of caregivers.

Keywords: hospice care; palliative care; U.S; clinical challenges; medical ethics; policy challenges

Chapter.  7670 words. 

Subjects: Palliative Medicine

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