Abstract
Abstract The essential characteristics of a hospice program of care are described. Goals of the hospice are elaborated on. The myriad problems of dying patients and their families are discussed, along with the importance of volunteers, a comprehensive interdisciplinary team, and the support of the medical community. British and American hospices are compared. Families are recognized as being a separate unit of care—not only do they participate in the care of the patient, but they also participate in bereavement follow-up programs after the patient's death. Pain control, involving titration of drugs, combined with team effort, is important to dying patients, along with relief from distressing symptoms of disease, the security of a caring environment, sustained expert care, and assurance that they and their families will not be abandoned.
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