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Current Practices of Live Discharge from Hospice: Social Work Perspectives

机译：来自临终关怀的现场卸货实践：社会工作视角

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摘要

Hospice provides holistic support for individuals living with terminal illness and to their caregivers during the bereavement period. However, some individuals who enroll in hospice services are decertified as they do not experience a decline in health as quickly as required by current regulations, a practice referred to as a live discharge. The interruption in care can affect the physical and psychosocial care needs for individuals and caregivers and leave hospice clinicians with questions about how to best support them. However, there are no formal guidelines to support this process. This qualitative study (N = 24) explored the current practices of hospice social workers across the United States engaged in the live discharge process. Results from this study emphasize the need to bridge the gaps between policy and practice. Specifically, results highlight the challenges hospice social workers face to replicate or supplement the holistic support and unique services hospice provides for individuals discharged alive, and suggest further research to develop live discharge guidelines to identify appropriate support for patients and their caregivers who no longer meet hospice eligibility requirements.
机译：临终关怀为在丧亲期间为终端疾病和护理人员提供生活的全面支持。然而，注册临终关怀服务的一些人被定量地定罪，因为他们不按照现行法规要求迅速经历健康状况下降，这项实践称为现场放电。护理中断可能影响个人和护理人员的身体和心理社会护理需求，并留下临终关怀临床医生，了解如何最好地支持它们。但是，没有正式指导方针支持这一过程。这种定性研究（n = 24）探讨了在美国从事Living Distration Process的美国临终关怀社会工作者的现行做法。这项研究的结果强调需要弥合政策和实践之间的差距。具体而言，结果突出了挑战临时康的社会工作者面临的挑战或补充全面的支持和独特的服务临终关怀，为个人提供的个人提供，并进一步研究了开发现场票据，以确定对患者及其不再符合临终关系的护理人员资格要求。

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