Practical aspects of hospice care at home

While much of hospice care, from a medical professional viewpoint, is conce ntrated on the physiology and pharmacology of maximal symptom management in hospital or at home, families and those caring for the day-to-day aspects of dying face different barriers to care. Achieving an environment that is both the safest and the most efficient for care at home is not often consid ered and the elements of achieving that environment are the focus of this c hapter. What general equipment needs, what 'nursing' skills and what practi cal advice can we give to families and care-givers who care for dying patie nts at home! it is important that physicians understand the details of home care planning and needs so they can provide the best counsel for patients and their families as they make choices about terminal care.