cover image Hospice Handbook 1993

Hospice Handbook 1993

Larry Beresford, Beresford. Little Brown and Company, $16.99 (192pp) ISBN 978-0-316-09138-1

Once way-stations run by religious orders to give respite to those on pilgrimages, today hospices provide care for dying people. Their philosophy of care is dedicated to the physical comfort and emotional support of the terminal patient. The hospice movement also affirms the idea that the patient deserves to be completely informed about his or her medical condition and treatment alternatives. Beresford, a San Francisco-based health policy writer, provides a complete, if somewhat dry, account of the hospice movement. But this is more than an intellectual discussion of a health-care policy; it also addresses practical questions. Beresford devotes the first two chapters to an explanation of hospice care and how to know when it is needed. In subsequent chapters he describes a typical hospice team (social worker, nurse, personal care aide and chaplain) and enumerates additional services, such as in-patient care. He explains the differences between community- and home health agency-based hospice programs and those that are based in hospitals or nursing homes. He also tackles insurance coverage, and his rundown of Medicare's hospice benefits is clear and concise (unlike most insurance forms). Finally, he reminds us that death, though inevitable, is rarely easy. His guide may make some of the tough decisions about choosing a hospice a little bit simpler. (Mar.)