Clinton News-Record, 1984-09-19, Page 30•
Pt* *Air**
efforts '11deHowever1ti
contlnuing WOO to hnpro e-ppol facilities and
services for dying patients and their
WAWA.
•
These are the Mein 91101 „911.8 drawn
from the Huron Hospice Pjlot Project
which was completed in July under the
direction of Connie Osborn, Palliative
Care Co -Ordinator -at Alexan. dra Marine
and General Hospital, Godericli,
The project report and its recommenda-
tions have now been sent to Employment
and Imr :nition Canada which provided
a ;17090 Canada Works grant for the pro-
ject last January. Application for the grant
evolved through the desire of an area
cancer patient who strongly believed there
was a need for a free standing hospice in
Huron County.
A free standing hospice is home -like
facility (housed in its on building
separate from the hospital) designed to
provide support and care for the terminal-
ly ill (and their families) so that they
might live as fully and comfortably as
possible during their remaining days. The
hospice concept is often provided within
the hospital setting through palliative care
services. Palliative care offers
therapeutic services designed to address
the physical, psycho -social and spiritual
needs of dying patients and their families.
The Huron Hospice Pilot Project ex-
plored the needs and problems of the dying
and their families in Huron County and
Kincardine. In order to do this, project
workers used personal interview question-
naires to survey bereaved families in the
area. They also interviewed people facing
terminal illness and surveyed the profes-
sionals involved -community nurses,
hospital nurses, doctors, clergy and
funeral directors.
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ALL PURPOSE, VELVET, CAKE & PASTRY
INSTANT BLENDING,
MINUTE, LARGE FLAKE, OUICK COOKING
Robin Hood Flour
Old Mill Oats
REGULAR & DIET COKE, OR
REGULAR & DIET SPRITE
Coca-Cola & Sprite
2 KG BAG
2.5 kg BAG
1.35 kg BAG
CASE OF 24-280 mL TINS
RECOMMENDATIONS
Thelaroject report came up with a list of
recommendations divided into three
categories: hospital, community and
general.
Under hospital recommendations, it was
suggested that palliative care concepts
continue to be integrated into care provid-
ed in Huron County and Kincardine
hospitals; i.e., attention to control of pain
and other symptoms, awareness of patient
and family needs, flexibility and relaxa-
tion of hospital regulations, emphasis on
comfort and environment.
It was also recommended that volunteer
training programs be established to pro-
vide family support seryies. called `.`Sup-
portive Care Services", consisting of train-
ed volunteers to visit patients and families,
and to make telephone contacts. Expan-
sion of pastoral care services, including
the encouragement of training in palliative
care and bereavement counselling, was
recommended. And it was suggested that a
list be established of bereaved parents
willing to provide support for newly
bereaved families, and develop protocols
for stillbirths, miscarriages, and infant
and child deaths.
Under community recommendations, it
Was suggested that a part-time profes-
sional be provided with additional training
in death and dying to provide bereavement
d- counselling to those suffering severe pro-
blems with grief; as well as developing
self-help groups for the bereaved which
could rotate throughout the county to
make them more accessible. Referrals
could be made to this person who could
possibly work out of the Public Health Unit
and be funded by the provincial govern-
ment.
It was also recommended that there be
increased education for health profes-
sionals on death and dying, the grief pro-
cess and pain management and symptom
control throughout post 'secondary
courses, workshops, libraries, etc.
And it was advised that information
should be made available at all times to in-
terested community members on the
disease process, death and dying, and the
grief process (i.e. pamphlets could be
made available in health facilities,
through video presentations, speakers,
etc.)
The general, recommendation made by
the report was the establishment of a for-
mal communication network and pro-
cedures to improve communication on
behalf of patients and families between
county hospitals, doctors, community set -
vices and out -of -county doctors and health
facilities.
The project report made some in-
teresting observations about death and
bereavement as it applies to Huron County
and Kincardine.
It found, for instance, that this county's
deaths caused by cancer are too few to
justify the maintenance of a hospice. In
1983, only 71 cancer deaths occurred in
Huron County hospitals and not all of these
would be able to use a hospice. Based on
statistics gathered from other hospices,
this number is too low to operate a free
standing hospice here, keeping a
minimum number of staff fully untilized.
Current provincial legislation also does
not allow the operation of a free standing
hospice. A hospice would be classified as a
private hospital and would have to be
licenced by the Ministry of Health to
operate. To attain licencing, the feasibility
of a hospice must be proven, but such a
facilitiy is not feasible in Huron County so
that licencing would be impossible to at-
tain.
THE BEREAVED
General characteristics of the bereaved
in Huron County, based on a survey of 79
people in the project report, are that they
are over 65 years of age, predominantly
female and 53.2 per cent were either
widows or widowers. The , data revealed
that 78.5 per cent of the deceased covered
in the study were over 65 years of age with
Turn to page 9A
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226 99
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