Please provide ethical dilemma information on the areas below:

Please provide ethical dilemma information on the areas below:

1. Brief History/Background of services and ethical dilemma of Hospice
2. List Risk Management of hospice including HIPAA issues
3. Hospice Quality Assurance

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1. Brief History/Background of services and ethical dilemma of Hospice

A Hospice is a program or facility that provides special care for people who are near the end of life and for their families. Hospice care can be provided at home, in a hospice or another freestanding facility, or within a hospital. See also: Hospice care. http://www.medterms.com/script/main/art.asp?articlekey=24266

In 1967, hospice first applied to specialized care for dying patients by physician Dame Cicely Saunders, who founded the first modern hospice?St. Christopher’s Hospice?in a residential suburb of London. Then, Saunders introduced the idea of specialized care for the dying to the United States during a 1963 visit with Yale University. Her lecture, given to medical students, nurses, social workers, and chaplains about the concept of holistic hospice care, included photos of terminally ill cancer patients and their families, showing the dramatic differences before and after the symptom control care. This lecture launched a following chain of events (see timeline below), which resulted in the development of hospice care as we know it today (http://www.nhpco.org/i4a/pages/index.cfm?pageid=3285).

EXTRA INFORMATION: Timeline of Hospice Care (excerpt)

Hospice: A Historical Perspective

1965: Florence Wald, then Dean of the Yale School of Nursing, invites Saunders to become a visiting faculty member of the school for the spring term.

1968: Wald takes a sabbatical from Yale to work at St. Christopher’s and learn all she can about hospice.

1969: A book based on more than 500 interviews with dying patients is published, entitled, On Death and Dying. Written by Dr. Elisabeth Kubler-Ross, it identifies the five stages through which many terminally ill patients progress. The book becomes an internationally known best seller…………………..