Annotated+Bibliography

**__Annotated Bibliography__**

**Information: ** This PDF is written by The American Cancer Society. The PDF is about hospice care and all different stuff about a lot of different things that deal with Hospice houses all around not only the country but all around the world. **Summary:** T__hesis:__ This PDF is all about hospice care and all different things such as: the care of the patients and the services provided to the patients. __Arguments:__ 1. This PDF includes many ways people is hospice patients are helped and treated. 2. It also talks about their volunteer workers and what criteria that is issued so that the patients would have the best care. __Evidence:__ 1. Hospice volunteers play an important role in planning and giving hospice care in the United States. Volunteers may be health professionals or lay people who provide services. That range from hands-on care to working in the hospice office or fundraising. 2. People in Hospice need all the help they can get and having service with them all the time. __Evaluation:__ This information was very helpful and helped me understand what people w a deadly disease and lives in a Hospice house. __Reflection:__ This website definitely helped me understand a lot more what Hospice is all about and it was very helpful and insightful on the lives of people in Hospice.

**//<span style="font-family: 'Times New Roman','serif'; font-size: 12pt;">9/30/10 //**

**__<span style="font-family: 'Times New Roman','serif'; font-size: 12pt;">Information __****<span style="font-family: 'Times New Roman','serif'; font-size: 12pt;">: ** <span style="font-family: 'Times New Roman','serif'; font-size: 12pt; line-height: normal; margin: 0in 0in 10pt;">This Article “Living Longer- Hospice and Palliative Care” was written by James McGregor, who is the Medical Director of Sutter Visiting Nurses Association and hospice in Roseville and Sacramento which is in California <span style="font-family: 'Times New Roman','serif'; font-size: 12pt; line-height: normal; margin: 0in 0in 10pt;">This article is an editorial piece to give facts and information on how hospice care works and what the hospice nurses do with the patients and how the patients are treated. It also talks about how some people believe that Hospice care hastens death. <span style="font-family: 'Times New Roman','serif'; font-size: 12pt; line-height: normal; margin: 0in 0in 10pt;">**__Summary__:** <span style="font-family: 'Times New Roman','serif'; font-size: 12pt; line-height: normal; margin: 0in 0in 10pt;">The author’s thesis in this article is that HE believes that ill people having Hospice care live longer than ill people who don’t at all. McGregor’s main point he wanted to get across to his readers was that Hospice is a good choice if you are someone or know someone who is dying. Throughout the article there are many statistics that would make people actually think that hospice is a good place for people to go if their dying. Some have a longer life span if they are being cared of by Hospice nurses. It also gives many facts that would help the average Joe decide to go there. Also, McGregor talks about how patients are treated when they are residents in the Hospice community. With all the evidence portrayed in this article, the author supported his argument 100%. <span style="font-family: 'Times New Roman','serif'; font-size: 12pt; line-height: normal; margin: 0in 0in 10pt;">**__Evaluation:__** <span style="font-family: 'Times New Roman','serif'; font-size: 12pt; line-height: normal; margin: 0in 0in 10pt;">McGregor had done a great deal of research for this article because there are many facts and statistics that no one really would know on the top of their heads. McGregor’s article was greatly portrayed to help influence readers to absolutely have a second opinion on not trying the hospice thing. Throughout the article, McGregor made it very clear that he felt very dear towards the fact that Hospice had a very bad reputation and just wanted people know what kind of life people would actually have in a Hospice. <span style="font-family: 'Times New Roman','serif'; font-size: 12pt; line-height: normal; margin: 0in 0in 10pt;">**__Reflection:__** <span style="font-family: 'Times New Roman','serif'; font-size: 12pt; line-height: normal; margin: 0in 0in 10pt;">This article made me feel like Hospice was a good thing for dying people. It also helped me realize that when my Grand pop was in Hospice care he was not in pain and he was ending his life in a slow relaxing way. When my Grand pop realized he had cancer and they brought up the hospice he hated the fact that he had no chance to live and he lost all hope. By reading this article, I’ve realized that he never needed to have hope to live any longer because he had already lived a great life.

<span style="font-family: 'Times New Roman','serif'; font-size: 12pt; line-height: normal; margin: 0in 0in 10pt;">McGregor, James. "Living Longer- Hospice and Palliative Care." //Sierra Sacramento// //<span style="font-family: 'Times New Roman','serif'; font-size: 12pt;">Valley Medicine //<span style="font-family: 'Times New Roman','serif'; font-size: 12pt;"> May-June 2008: 20-21. //www.google.com//. Web. 14 Oct. 2010. <span style="font-family: 'Times New Roman','serif'; font-size: 12pt; line-height: normal; margin: 0in 0in 10pt;">< [] <span style="font-family: 'Times New Roman','serif'; font-size: 12pt; line-height: normal; margin: 0in 0in 10pt;">live_longer_with_hospice.pdf>.

**//<span style="font-family: 'Times New Roman','serif'; font-size: 12pt;">10/6/10 //** **__<span style="font-family: 'Times New Roman','serif'; font-size: 12pt;">Information __** <span style="font-family: 'Times New Roman','serif'; font-size: 12pt; line-height: normal; margin: 0in 0in 10pt;">This article was written by Stephen R. Connor, PhD, Bruce Pyenson, FSA, MAAA, Kathryn Fitch, RN, MA, MEd, Carol Spence, RN, MS, and Kosuke Iwasaki, FIJA, MAAA about the lifestyles of hospice patients vs. non hospice patients and the length of life you gain in hospice. This editorial article is an insight on how hospice care actually helps patients have asmall but longer life than the people who decide not to go to hospice. **__<span style="font-family: 'Times New Roman','serif'; font-size: 12pt;">Summary __** <span style="font-family: 'Times New Roman','serif'; font-size: 12pt; line-height: normal; margin: 0in 0in 10pt;">This article which was featured by the NHPCO (Natinal Hospice and Palliative Care Organization) is about how hospice care helps the ill live a little bit longer that the ill people who choose not too choose hospice care. This article shows many data and staticts on the nature of hospice and palliative care and how ir is way better for the deathly ill rather than just staying home and letting your life rot away. In this article there are many statistics and data that proves that hospice care is the only thing that will keep the dying alive to their full extent. **__<span style="font-family: 'Times New Roman','serif'; font-size: 12pt;">Evaluation __** <span style="font-family: 'Times New Roman','serif'; font-size: 12pt; line-height: normal; margin: 0in 0in 10pt;">This article helps people understand and actually see the statistics that hospice doesn’t get people to die fatser, it actually helps keep the patients live longer so they cn live the rest of their lives as if nothing was wonrg with them and live life to the fullest while they still have a chance. It helped me understand how hospice works and what the percent of people are in hospice. It was also helpful to figure out how many people are in hospice and the percent of people that actually live after 5 weeks of being in hospice when they only had like 3 weeks to live. **__<span style="font-family: 'Times New Roman','serif'; font-size: 12pt;">Reflection __** <span style="font-family: 'Times New Roman','serif'; font-size: 12pt; line-height: normal; margin: 0in 0in 10pt;">Reading this and the pervious articles about hospice care, I have read about hospice and palliative care it is all starting to help me to figure out that Hospice is not as bad of a treatment as people portray it to be. Hospice care actually helps the last few days of the patients life be as full and lasting before it was ther time to pass away and go to another place.

<span style="font-family: 'Times New Roman','serif'; font-size: 12pt; line-height: normal; margin: 0in 0in 10pt;">Connor, Stephen R., et al. "Comparing Hospice and Nonhospice Patient Survival <span style="font-family: 'Times New Roman','serif'; font-size: 12pt; line-height: normal; margin: 0in 0in 10pt;">Among Patients Who DIe Within a Three-Year Window." //Journal of Pain and// //<span style="font-family: 'Times New Roman','serif'; font-size: 12pt;">Symptom Management //<span style="font-family: 'Times New Roman','serif'; font-size: 12pt;"> 33.3: 238-246. //www.google.com//. Web. 14 Oct. 2010. <span style="font-family: 'Times New Roman','serif'; font-size: 12pt; line-height: normal; margin: 0in 0in 10pt;"> [].

**//__<span style="font-family: 'Times New Roman','serif'; font-size: 12pt;">10/15/10 __//** **__<span style="font-family: 'Times New Roman','serif'; font-size: 12pt;">Information: __** <span style="font-family: 'Times New Roman','serif'; font-size: 12pt; line-height: normal; margin: 0in 0in 10pt;">This article written by Judy Bachrach is about what is best for the hospice patient in the long run. This article is an editorial and it helps realize and really figure out what is the best for the patients and his/her family members. **__<span style="font-family: 'Times New Roman','serif'; font-size: 12pt;">Summary: __** <span style="font-family: 'Times New Roman','serif'; font-size: 12pt; line-height: normal; margin: 0in 0in 10pt;">In this article it describes how people have different perspectives on what to do about the ill loved one that is going to die. It gives a lot on insight on what people should do over what they choose to do. **__<span style="font-family: 'Times New Roman','serif'; font-size: 12pt;">Evaluation: __** <span style="font-family: 'Times New Roman','serif'; font-size: 12pt; line-height: normal; margin: 0in 0in 10pt;">This article is good to have but it really has a minimum effort on helping me with my research. It is a little help; however, it doesn’t really help as much as I would have liked it to help. **__<span style="font-family: 'Times New Roman','serif'; font-size: 12pt;">Reflection: __** <span style="font-family: 'Times New Roman','serif'; font-size: 12pt; line-height: normal; margin: 0in 0in 10pt;">This article wasn’t really a big help. I thought it would have exactly what I wanted but it didn’t at all. It had some very good advice and very good facts but it just won’t work for what I’m planning to research.

<span style="font-family: 'Times New Roman','serif'; font-size: 12pt; line-height: normal; margin: 0in 0in 10pt;">Bachrach, Judy. "Shopping for a Good Life." //Obit// 2010: n. pag. <span style="font-family: 'Times New Roman','serif'; font-size: 12pt; line-height: normal; margin: 0in 0in 10pt;">//www.google.com//. Web. 14 Oct. 2010. <http://obit-mag.com/articles/ <span style="font-family: 'Times New Roman','serif'; font-size: 12pt; line-height: normal; margin: 0in 0in 10pt;">shopping-for-a-good-end>.

**//__<span style="font-family: 'Times New Roman','serif'; font-size: 12pt;">10/15/10 __//** **__<span style="font-family: 'Times New Roman','serif'; font-size: 12pt;">Information: __** <span style="font-family: 'Times New Roman','serif'; font-size: 12pt; line-height: normal; margin: 0in 0in 10pt;">The article from Long-Term Living Magazine is written by Robert T. Strang. This article is about hospice and the fight they have to do to keep the facility open. This is an editorial piece that would have an impact on anyone who actually read it. **__<span style="font-family: 'Times New Roman','serif'; font-size: 12pt;">Summary: __** <span style="font-family: 'Times New Roman','serif'; font-size: 12pt; line-height: normal; margin: 0in 0in 10pt;">This article is about how people are protesting and fighting against hospice and palliative care which makes no sense to its entirety. The protestors tried to use the deaths of patients against the hospice houses and say that they were to blame. However, by the end of the fighting the hospice houses never got shut down and never really will. **__<span style="font-family: 'Times New Roman','serif'; font-size: 12pt;">Evaluation: __** <span style="font-family: 'Times New Roman','serif'; font-size: 12pt; line-height: normal; margin: 0in 0in 10pt;">This article was pretty boring but I liked how I found out about all the hard times that hospice houses and hospice nurses had it from when hospice houses even began. **__<span style="font-family: 'Times New Roman','serif'; font-size: 12pt;">Reflection: __** <span style="font-family: 'Times New Roman','serif'; font-size: 12pt; line-height: normal; margin: 0in 0in 10pt;">This article made me feel like I was doing something that I never had done before. It talked a lot about the fight of hospice houses and the fight for hospice and palliative car in the world. It made me feel honored and respected for reading this because now I know that they are good people that work in the palliative care industry and they would treat you well.

<span style="font-family: 'Times New Roman','serif'; font-size: 12pt; line-height: normal; margin: 0in 0in 10pt;">Strang, Robert T. "Hospice Providers Rejoice." //Long Term Living//. Vendome Group, <span style="font-family: 'Times New Roman','serif'; font-size: 12pt; line-height: normal; margin: 0in 0in 10pt;">2010. Web. 14 Oct. 2010. <http://www.ltlmagazine.com/ME2/ <span style="font-family: 'Times New Roman','serif'; font-size: 12pt; line-height: normal; margin: 0in 0in 10pt;">dirmod.asp?sid=&nm=&type=Publishing&mod=Publications%3A%3AArticle&mid=8F3A7027421 <span style="font-family: 'Times New Roman','serif'; font-size: 12pt; line-height: normal; margin: 0in 0in 10pt;">841978F18BE895F87F791&tier=4&id=1BB5B80CDB7A49FD8F122858BD12CC8B>.

**//__<span style="font-family: 'Times New Roman','serif'; font-size: 12pt;">10/18/10 __//**

**__<span style="font-family: 'Times New Roman','serif'; font-size: 12pt;">Information: __** <span style="font-family: 'Times New Roman','serif'; font-size: 12pt; line-height: normal; margin: 0in 0in 10pt;">This journal entry By Ira R. Byrok is about patients in the Hospice homes that will not eat or drink anything at all. This is possibly due to the depression of the knowledge that death is approaching to the patients. **__<span style="font-family: 'Times New Roman','serif'; font-size: 12pt;">Summary: __** <span style="font-family: 'Times New Roman','serif'; font-size: 12pt; line-height: normal; margin: 0in 0in 10pt;">This article is about how people who have to go under hospice care get really upset and depressed that they would never see their families again that they decide not to eat at all. The patients think that if they don’t eat they will die faster and without pain. Honestly that wouldn’t happen at all. If they starved themselves it would take a while for someone to die when they starve themselves it is also very painful. If you eat regularly and follow their diet they have for the patients under hospice care they would die at around the same time as if they starved themselves. However, the difference between the two is one thing. No pain during the time of your death. **__<span style="font-family: 'Times New Roman','serif'; font-size: 12pt;">Evaluation: __** <span style="font-family: 'Times New Roman','serif'; font-size: 12pt; line-height: normal; margin: 0in 0in 10pt;">This article is helpful if you are trying to see if hospice and palliative care helpful during your last days of life or is it not. **__<span style="font-family: 'Times New Roman','serif'; font-size: 12pt;">Reflection: __** <span style="font-family: 'Times New Roman','serif'; font-size: 12pt; line-height: normal; margin: 0in 0in 10pt;">This article helped me realize that some people in the care of hospice can be super depressed and starts to hate their god that they believe in. In my opinion this makes me sad. My grandpop when he was in the care of hospice he was joyful and was happy every day. He was never in pain or anything like that; however, with stories of joy their also stories of pain and sorrow.

<span style="font-family: 'Times New Roman','serif'; font-size: 12pt; line-height: normal; margin: 0in 0in 10pt;">Byrok, Ira R. "Patient Refusal of Nutrition and Hydration:Walking the Ever-FIner <span style="font-family: 'Times New Roman','serif'; font-size: 12pt; line-height: normal; margin: 0in 0in 10pt;">Line." //American Journal for Hospice and Palliative Care// 2 (Mar.-Apr. 1995): <span style="font-family: 'Times New Roman','serif'; font-size: 12pt; line-height: normal; margin: 0in 0in 10pt;">8-13. //www.google.com//. Web. 18 Oct. 2010. <http://www.dyingwell.org/ <span style="font-family: 'Times New Roman','serif'; font-size: 12pt; line-height: normal; margin: 0in 0in 10pt;">prnh.htm>.

**//__<span style="font-family: 'Times New Roman','serif'; font-size: 12pt;">10/20/10 __//**

**__<span style="font-family: 'Times New Roman','serif'; font-size: 12pt;">Information: __** <span style="color: windowtext; font-family: 'Times New Roman','serif'; font-size: 12pt; font-style: normal;">This magazine editorial titled <span style="color: windowtext; font-family: 'Times New Roman','serif'; font-size: 12pt;">//Coastal Hospice & Palliative Care// <span style="color: windowtext; font-family: 'Times New Roman','serif'; font-size: 12pt; font-style: normal;">: <span style="color: windowtext; font-family: 'Times New Roman','serif'; font-size: 12pt;">//Focusing on Comfort and Quality Of Life// <span style="color: windowtext; font-family: 'Times New Roman','serif'; font-size: 12pt; font-style: normal;"> which was included in __<span style="color: windowtext; font-family: 'Times New Roman','serif'; font-size: 12pt;">//The Metropolitan Magazine// __<span style="color: windowtext; font-family: 'Times New Roman','serif'; font-size: 12pt; font-style: normal;"> and is about the life of hospice patients and how living within the care helps the patients be comfortable and love living the last couple of day or weeks they have left to live.

**__<span style="font-family: 'Times New Roman','serif'; font-size: 12pt;">Summary: __** <span style="font-family: 'Times New Roman','serif'; font-size: 12pt; line-height: normal; margin: 0in 0in 10pt;">This article is about how hospice and palliative care helps patients feel comfortable and happy the last days of their life. This article itself is about the Costal Hospice which is located in Salisbury, MD. It talks about many things that hospice patients can do and what people who decide not to have hospice and palliative care differs from each other. It also is about how hospice care helps lengthen and help patient’s life their lives out to the fullest. **__<span style="font-family: 'Times New Roman','serif'; font-size: 12pt;">Evaluation: __** <span style="font-family: 'Times New Roman','serif'; font-size: 12pt; line-height: normal; margin: 0in 0in 10pt;">This source is very suitable for topic of research. It talks about hospice care and how it makes the patients really appreciate the last couple days of their lifetime and their time on this earth. **__<span style="font-family: 'Times New Roman','serif'; font-size: 12pt;">Reflection: __** <span style="font-family: 'Times New Roman','serif'; font-size: 12pt; line-height: normal; margin: 0in 0in 10pt;">This article made me realize that hospice care actually might just make people happy during their last days of living. It made me appreciate so much more the fact that people actually have to deal with this everyday like mine had too. I am happy my grand pop decided to go into hospice care when he was sick.

**//__<span style="font-family: 'Times New Roman','serif'; font-size: 12pt;">10/20/10 __//** **__<span style="font-family: 'Times New Roman','serif'; font-size: 12pt;">Information: __** <span style="font-family: 'Times New Roman','serif'; font-size: 12pt; line-height: normal; margin: 0in 0in 10pt;">This is a PDF of the Palliative Care Protocol in the state of Massachusetts. This is written to inform the workers about the rules and the procedures that they should use in case of an emergency with the patients and how they should treat them. **__<span style="font-family: 'Times New Roman','serif'; font-size: 12pt;">Summary: __** <span style="font-family: 'Times New Roman','serif'; font-size: 12pt; line-height: normal; margin: 0in 0in 10pt;">This PDF is about the rules and regulations that people in MA have to abide by when they are near or working with people under Palliative care. It also includes charts, forms and many other things that teach you and tells you how to treat people in Palliative care. **__<span style="font-family: 'Times New Roman','serif'; font-size: 12pt;">Evaluation: __** <span style="font-family: 'Times New Roman','serif'; font-size: 12pt; line-height: normal; margin: 0in 0in 10pt;">This is a good thing to read about because me being a volunteer worker at the hospice around the corner from my house this will teach me and help me understand the boundaries I have to take with the patients under hospice and palliative care. **__<span style="font-family: 'Times New Roman','serif'; font-size: 12pt;">Reflection: __** <span style="font-family: 'Times New Roman','serif'; font-size: 12pt; line-height: normal; margin: 0in 0in 10pt;">This helps a lot realize the boundaries that people have when they go visit, work, or volunteer at a facility that deals with people working with hospice and palliative care.

<span style="font-family: 'Times New Roman','serif'; font-size: 12pt; line-height: normal; margin: 0in 0in 10pt;">Pace, Claire, et al. //Palliative Sedation Protocol//. Massachusetts: Hospice & <span style="font-family: 'Times New Roman','serif'; font-size: 12pt; line-height: normal; margin: 0in 0in 10pt;">Palliative Care Federation of MA, Apr. 2004. N. pag. //www.hospicefed.org//. <span style="font-family: 'Times New Roman','serif'; font-size: 12pt; line-height: normal; margin: 0in 0in 10pt;">Web. 20 Oct. 2010. <http://www.hospicefed.org/hospice_pages/reports/ <span style="font-family: 'Times New Roman','serif'; font-size: 12pt; line-height: normal; margin: 0in 0in 10pt;">pal_sed_protocol.pdf>.

**//__<span style="font-family: 'Times New Roman','serif'; font-size: 12pt;">10/26/10 __//** **__<span style="font-family: 'Times New Roman','serif'; font-size: 12pt;">Information: __** <span style="font-family: 'Times New Roman','serif'; font-size: 12pt; line-height: normal; margin: 0in 0in 10pt;">This editorial newsletter article written by Betsy Hawley is a piece written about how Hospice and Palliative care is not only for terminally ill old people. However, it also affects the lives of young dying children in Pennsylvania. **__<span style="font-family: 'Times New Roman','serif'; font-size: 12pt;">Summary: __** <span style="font-family: 'Times New Roman','serif'; font-size: 12pt; line-height: normal; margin: 0in 0in 10pt;">This article is written with many stories of children that are terminally ill and are put into Hospice and Palliative care. This article also wrote about the __Pennsylvania Children’s Hospice and Palliative Care Coalition__ (PA- CHaPCC) and what they are trying to do in Pennsylvania to raise awareness on what children’s palliative and hospice care is about and how it differs from adult hospice. **__<span style="font-family: 'Times New Roman','serif'; font-size: 12pt;">Evaluation: __** <span style="font-family: 'Times New Roman','serif'; font-size: 12pt; line-height: normal; margin: 0in 0in 10pt;">This article is not really helpful to my topic; however, it is helpful in the fact that it teaches that not only old dying people get hospice and palliative care. Young children get it too if they are deathly ill. **__<span style="font-family: 'Times New Roman','serif'; font-size: 12pt;">Reflection: __** <span style="font-family: 'Times New Roman','serif'; font-size: 12pt; line-height: normal; margin: 0in 0in 10pt;">Learning about children having to have Palliative and Hospice care when they are pretty much toddlers really makes me feel sad. It makes me sad to think about people in general having to go through death and the hospice and palliative care experience; however, thinking about children having to go through that just makes it even worse.

<span style="font-family: 'Times New Roman','serif'; font-size: 12pt; line-height: normal; margin: 0in 0in 10pt;">Hawley, Betsy. "Pediatric Palliative and Hospice Care: Pennsylvania's Model of <span style="font-family: 'Times New Roman','serif'; font-size: 12pt; line-height: normal; margin: 0in 0in 10pt;">Collaboration." //Pediatric Nursing// 36.1 (Jan.-Feb. 2010): 61-67. Print.

<span style="font-family: 'Times New Roman','serif'; font-size: 12pt;"> ** // __<span style="font-family: 'Times New Roman','serif'; font-size: 12pt;">10/26/10 __ // ** ** __<span style="font-family: 'Times New Roman','serif'; font-size: 12pt;">Information: __ ** <span style="font-family: 'Times New Roman','serif'; font-size: 12pt;">This PDF written by The Department of Health & Human Services gives an insight on Hospice care. It includes such things as: how people pay for it, what is Hospice care and how does it work, and the benefits on what Hospice and Palliative care on a person. ** __<span style="font-family: 'Times New Roman','serif'; font-size: 12pt;">Summary: __ ** <span style="font-family: 'Times New Roman','serif'; font-size: 12pt;">This PDF gives great insight on the whole Hospice and Palliative care scene. It helps a lot with how to comprehend how they work and how everything happens and how they do it. The article also gives a good scene on Medicare’s impact n the Palliative and Hospice settings. ** __<span style="font-family: 'Times New Roman','serif'; font-size: 12pt;">Evaluation: __ ** <span style="font-family: 'Times New Roman','serif'; font-size: 12pt;">This article gives me good idea on how Hospice and Palliative care works. With all the information in this article it may lead me to a good argument and possible research topic. ** __<span style="font-family: 'Times New Roman','serif'; font-size: 12pt;">Reflection: __ ** <span style="font-family: 'Times New Roman','serif'; font-size: 12pt;">This PDF helped a lot for me to understand how to deal with the Hospice care. I always wondered who would pay to be introduced into Hospice care and how much it cost. With this article it provides me with the information I need to make this project a success story.