Hospice care is a type of health care that focuses on the palliation of a terminally ill patient's pain and symptoms and attending to their emotional and spiritual needs at the end of life. Hospice care prioritizes comfort and quality of life by reducing pain and suffering. Hospice care provides an alternative to therapies focused on life-prolonging measures that may be arduous, likely to cause more symptoms, or are not aligned with a person's goals.
96-399: The North London Hospice (NLH) is a registered charity offering hospice care to patients with life-limiting and terminal illnesses . It was founded in 1984 in response to the lack of aftercare for patients being discharged from hospital in north London following the closure of St. Columbus Hospital in 1981, which had been north London's only long-stay hospital. The north London Hospice
192-477: A siege tower called Helepolis that weighed 360,000 lb (163,293 kg). Despite this engagement, in 304 BC after only one year, he relented and signed a peace agreement, leaving behind a huge store of military equipment. The Rhodians sold the equipment and used the money to erect a statue of their sun god, Helios , the statue since called the Colossus of Rhodes . The Rhodians celebrated in honour of Helios
288-586: A Rhodian race called the Telchines and associated the island of Rhodes with Danaus ; it was sometimes nicknamed Telchinis . In the 15th century BC, Mycenaean Greeks invaded. After the Bronze Age collapse , the first renewed outside contacts were with Cyprus . In Greek legend, Rhodes was claimed to have participated in the Trojan War under the leadership of Tlepolemus . In the 8th century BC,
384-593: A conflation of the Colossus of Rhodes and Paul 's Epistle to the Colossians , which refers to Colossae . The island's name might be derived from erod , Phoenician for snake, since the island was home to many snakes in antiquity. The island was inhabited in the Neolithic period although little remains of this culture. In the 16th century BC, the Minoans came to Rhodes. Later Greek mythology recalled
480-486: A desire to die at home, but only two of Canada's ten provinces were provided medication cost coverage for home care. Only four of ten identified palliative care as a core health service. At that time, palliative care was not widely taught at nursing schools or universally certified at medical colleges; only 175 specialized palliative care physicians served all of Canada. Hospice in the United States has grown from
576-752: A grand festival, the Halieia . Throughout the 3rd century BC, Rhodes attempted to secure its independence and commerce, particularly its virtual control over the grain trade in the eastern Mediterranean. Both of these goals depended on none of the three great Hellenistic states achieving dominance. Consequently, the Rhodians pursued a policy of maintaining a balance of power among the Antigonids, Seleucids, and Ptolemies, even if that meant going to war with its traditional ally, Egypt. To this end, they employed their economy and their excellent navy as leverage, which
672-634: A hospice setting (about 20,000 patients); a further number of patients spent time in a hospice, or were helped by hospice-based support services, but died elsewhere. Hospices also provide volunteering opportunities for over 100,000 people in the UK, whose economic value to the hospice movement has been estimated at over £112 million. According to the Global Atlas of Palliative Care at the End of Life , 78% of adults and 98% of children in need of palliative care at
768-506: A modern society. The island suffered through many "governors" appointed by the Italian government. As such, in 1938, the "Leggi razziali" (Racial Laws) were passed, mimicking the footsteps of the antisemitic policies promoted in other European countries. All Jews who served in the government, including the military, were forced to resign, school children were forced to abandon their studies, and all commerce that included any dealings with Jews
864-620: A nurse" or "He can't go home"). The word hospice derives from Latin hospitum , meaning hospitality or place of rest and protection for the ill and weary. Historians believe the first hospices originated in Malta around 1065, dedicated to caring for the ill and dying en route to and from the Holy Land. The rise of the European Crusading movement in the 1090s placed the incurably ill into places dedicated to treatment. In
960-510: A strategic plan for palliative care that permits nurses and clinical officers from HAU to prescribe morphine . Canadian physician Balfour Mount , who first coined the term "palliative care", was a pioneer in medical research and in the Canadian hospice movement, which focused primarily on palliative care in a hospital setting. After meeting Kübler-Ross, Mount studied the experiences of the terminally ill at Royal Victoria Hospital, Montreal ;
1056-436: A team that includes a physician, social worker and possibly a spiritual care counselor. Some of the nurse's duties will include reassuring family members, and ensuring adequate pain control. The nurse will need to explain to the patient and family that a pain-free death is possible, and scheduled opioid pain medications are appropriate in this case. The nurse will need to work closely with the medical provider to ensure that dosing
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#17327807985141152-410: A volunteer-led movement to improve care for people dying alone, isolated, or in hospitals, to a significant part of the health care system. In 2010, an estimated 1.581 million patients received hospice services. Hospice is the only Medicare benefit that includes pharmaceuticals, medical equipment, twenty-four-hour/seven-day-a-week access to care, and support for loved ones following a death. Hospice care
1248-465: Is Rhodes, jump here!" (as translated from Ancient Greek "Αὐτοῦ γὰρ καὶ Ῥόδος καὶ πήδημα"), an admonition to prove one's idle boasts by deed, rather than boastful talk. It comes from an Aesop's fable called " The Boasting Traveller " and was cited by Hegel , Marx , and Kierkegaard . In 395 with the division of the Roman Empire , the long Byzantine period began for Rhodes. In Late Antiquity ,
1344-573: Is a borrowing from French . In France however, the word hospice refers more generally to an institution where sick and destitute people are cared for, and does not necessarily have a palliative connotation. The goal of hospice care is to prioritize comfort, quality of life and individual wishes. How comfort is defined is up to each individual or, if the patient is incapacitated, the patient's family. This can include addressing physical, emotional, spiritual and/or social needs. In hospice care, patient-directed goals are integral and interwoven throughout
1440-530: Is an inclination to focus on the development of home-based hospice and palliative care services. The first hospice unit in Israel opened in 1983. More than two decades later, a 2016 study found that 46% of the general Israeli public had never heard of it, despite the 70% of physicians who reported that they had the skill to treat patients according to palliative principles. Hospice care in Australia predated
1536-461: Is appropriate, and in the case of tolerance, the dose is raised. The nurse should be aware of cultural differences and needs and should aim to meet them. The nurse will also support the family after death and connect the family to bereavement services. [REDACTED] Media related to Hospice at Wikimedia Commons Rhodes Rhodes ( / r oʊ d z / ; Greek : Ρόδος , romanized : Ródos [ˈroðos] )
1632-594: Is covered by Medicaid and most private insurance plans. Most hospice care is delivered at home. Hospice care is available to people in home-like hospice residences, nursing homes, assisted living facilities, veterans' facilities, hospitals and prisons. Florence Wald, Dean of the Yale School of Nursing, founded one of the first hospices in the United States in New Haven, Connecticut , in 1974. The first hospital-based palliative care consultation service developed in
1728-675: Is the largest of the Dodecanese islands of Greece and is their historical capital; it is the ninth largest island in the Mediterranean Sea . Administratively, the island forms a separate municipality within the Rhodes regional unit , which is part of the South Aegean administrative region . The principal town of the island and seat of the municipality is the city of Rhodes , which had 50,636 inhabitants in 2011. In 2022,
1824-621: The Angeloi emperors (1185–1204), in the first half of the 13th century, Rhodes became the centre of an independent domain under Leo Gabalas and his brother John , until it was occupied by the Genoese in 1248–1250. The Genoese were evicted by the Empire of Nicaea , after which the island became a regular province of the Nicaean state (and after 1261 of the restored Byzantine Empire). In 1305,
1920-883: The Hostel of God on Clapham Common founded in 1891 by Clara Maria Hole, Mother Superior of Sisterhood of St James' (Anglican) and taken over in 1896 by the Society of Saint Margaret of East Grinstead. Australia , too, saw active hospice development, with notable hospices including the Home for Incurables in Adelaide (1879), the Home of Peace (1902) and the Anglican House of Peace for the Dying in Sydney (1907). In 1899 New York City ,
2016-645: The National Health Service to almost 100% funding by charities, but the service is always free to patients. The UK's palliative care has been ranked as the best in the world "due to comprehensive national policies, the extensive integration of palliative care into the National Health Service, a strong hospice movement, and deep community engagement on the issue." As of 2006, about 4% of all deaths in England and Wales occurred in
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#17327807985142112-693: The Palace of the Grand Master , were built during this period. The walls had been strengthened by the Knights through hiring Italian engineers that used knowledge of ballistics to design defences against gunpowder attacks, and which withstood the attacks of the Sultan of Egypt in 1444, and a siege by the Ottomans under Mehmed II in 1480. Eventually, however, Rhodes fell to the large army of Suleiman
2208-738: The Seven Wonders of the Ancient World . The Medieval Old Town of the City of Rhodes has been declared a World Heritage Site . Today, it is one of the most popular tourist destinations in Europe. The island has been known as Ρόδος (Ródos) in Greek throughout its history. Similar-sounding ῥόδον ( rhódon ) in ancient Greek was the word for the rose, whilst in modern Greek the also similar-sounding ρόδι ( ródi ) or ρόιδο ( róido ) refers to
2304-646: The Turkish Consul Selahattin Ülkümen succeeded, at considerable risk to himself and his family, in saving 42 Jewish families, about 200 persons in total, who had Turkish citizenship or were members of Turkish citizens' families. On 8 May 1945, the Germans under Otto Wagener surrendered Rhodes as well as the Dodecanese as a whole to the British, who soon after then occupied the islands as
2400-758: The United Kingdom attention was drawn to the needs of the terminally ill in the middle of the 19th century, with Lancet and the British Medical Journal publishing articles pointing to the need of the impoverished terminally ill for good care and sanitary conditions. Steps were taken to remedy inadequate facilities with the opening of the Friedenheim in London, which by 1892 offered 35 beds to patients dying of tuberculosis . Four more hospices were established in London by 1905, including
2496-490: The "abysmal inadequacy", as he termed it, that he found prompted him to spend a week with Cicely Saunders at St. Christopher's. Mount decided to adapt Saunders' model for Canada. Given differences in medical funding, he determined that a hospital-based approach would be more affordable, creating a specialized ward at Royal Victoria in January 1975. Canada's official languages include English and French, leading Mount to propose
2592-565: The 2003–2004 year were diagnosed with AIDS , with the majority of the remaining diagnosed with cancer . Palliative care is supported by the Hospice Palliative Care Association of South Africa and by national programmes partly funded by the President's Emergency Plan for AIDS Relief . Hospice Africa Uganda (HAU), founded by Anne Merriman , began offering services in 1993 in a two-bedroom house loaned for
2688-590: The Aegean and western Anatolia and Antiochus' plan for Egypt. Heading a coalition of small states, the Rhodians checked Philip's navy , but not his superior army. Without a third power to which to turn, the Rhodians (along with ambassadors from Pergamum, Egypt, and Athens) appealed in 201 BC to the Roman Republic . Despite being exhausted by the Second Punic War against Hannibal (218–201 BC)
2784-552: The Aegean Sea, Rhodes was an important stopping point for Phoenician merchants, and prosperous trading colonies and Phoenician communities emerged there, some within the Greek cities. In 408 BC, the cities united to form one territory . They built the city of Rhodes , a new capital on the northern end of the island. Its regular plan was, according to Strabo , superintended by the Athenian architect Hippodamus . In 357 BC,
2880-651: The Aegean was cemented through the organization of the Cyclades into the Second Nesiotic League under Rhodian leadership. The Romans withdrew from Greece after the end of the conflict, but the resulting power vacuum quickly drew in Antiochus III and subsequently the Romans. The Roman–Seleucid War lasted from 192 to 188 BC with Rome, Rhodes, Pergamon, and other Roman-allied Greek states defeated
2976-639: The Arabs in 673 as part of their first attack on Constantinople . When their fleet was destroyed by Greek fire before Constantinople and by storms on its return trip, however, the Umayyads evacuated their troops in 679/80 as part of the Byzantine–Umayyad peace treaty. In 715 the Byzantine fleet dispatched against the Arabs launched a rebellion at Rhodes, which led to the installation of Theodosios III on
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3072-530: The Athenian rhetorician Aeschines , who formed a school at Rhodes; Apollonius of Rhodes , who wrote about Jason and Medea in the Argonautica ; the observations and works of the astronomers Hipparchus and Geminus ; and the rhetorician Dionysius Thrax . Its school of sculptors developed, under Pergamese influence, a rich, dramatic style that can be characterized as " Hellenistic Baroque ". Agesander of Rhodes , with two other Rhodian sculptors, carved
3168-830: The Byzantine throne. From the early 8th to the 12th centuries, Rhodes belonged to the Cibyrrhaeot Theme of the Byzantine Empire, and was a centre for shipbuilding and commerce. In c. 1090, it was occupied by the forces of the Seljuk Turks , after the long period of chaos resulting from the Battle of Manzikert . Rhodes was recaptured by the Emperor Alexios I Komnenos during the First Crusade . As Byzantine central power weakened under
3264-683: The Chicago hospital where her American physician husband was employed. Her 1969 best-seller, On Death and Dying , influenced the medical profession's response to the terminally ill. Dr. Balfour Mount introduced the concept of palliative care to Canada in the early 1970s and established the first hospice program at the Royal Victoria Hospital in Montreal, laying the foundation for modern palliative care practices. Saunders and other thanatology pioneers helped to focus attention on
3360-732: The European Society of Medical Oncology as an Integrated Center of Oncology and Palliative Care. Other programs followed; some notable ones are: the Palliative Care Program at the Medical College of Wisconsin (1993); Pain and Palliative Care Service, Memorial Sloan-Kettering Cancer Center (1996); and The Lilian and Benjamin Hertzberg Palliative Care Institute, Mount Sinai School of Medicine (1997). In 1982, Congress initiated
3456-600: The Greek Orthodox community of ritually murdering a Christian boy. This became known as the Rhodes blood libel . Austria opened a post-office at RHODUS (Venetian name) before 1864, as witnessed by stamps with Franz Joseph 's head. In 1912, Italy seized Rhodes from the Ottomans during the Italo-Turkish War . Being under Italian administration, the island's population was thus spared the "exchange of
3552-523: The Magnificent in December 1522. The Sultan deployed 400 ships delivering 100,000 men to the island (200,000 in other sources). Against this force the Knights, under Grand Master Philippe Villiers de L'Isle-Adam , had about 7,000 men-at-arms, with an English, Spanish, French, and Italian contingent each defending separate areas and their fortifications. The siege lasted six months, at the end of which
3648-495: The Medicare Hospice Benefit requires documentation from two physicians estimating a person has less than six months to live if the disease follows its usual course. Hospice benefits include access to a multidisciplinary treatment team specialized in end-of-life care and can be accessed in the home, long-term care facility or the hospital. Outside the United States, the term tends to be primarily associated with
3744-628: The Mediterranean and Rhodian autonomy was ultimately dependent upon good relations with them. Those good graces soon evaporated in the wake of the Third Macedonian War (171–168 BC). In 169 BC, during the war against Perseus , Rhodes sent Agepolis as ambassador to the consul Quintus Marcius Philippus , and then to Rome in the following year, hoping to turn the Senate against the war. Rhodes remained scrupulously neutral during
3840-418: The Mediterranean and in use throughout Byzantine times (and influencing the development of admiralty law up to the present). In 622/3, during the climactic Byzantine–Sasanian War of 602–628 , Rhodes was captured by the Sasanian navy . Rhodes was occupied by the Islamic Umayyad forces of Caliph Muawiyah I in 654, who carried off the remains of the Colossus of Rhodes. The island was again captured by
3936-567: The NHS to support its services, but the majority of its funding comes from donations from its community and from income produced by its 17 charity shops. This article about an organisation in England is a stub . You can help Misplaced Pages by expanding it . Hospice Hospice care in the United States is largely defined by the practices of the Medicare system and other health insurance providers, which cover inpatient or at-home hospice care for patients with terminal diseases who are estimated to live six months or less. Hospice care under
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4032-434: The Near East and bronze objects from Syria. At Kameiros on the northwest coast, a former Bronze Age site, where the temple was founded in the 8th century BC, there is another notable contemporaneous sequence of carved ivory figurines. The cemeteries of Kameiros and Ialyssos yielded several exquisite exemplars of the Orientalizing Rhodian jewelry, dated in the 7th and early 6th centuries BC. The Persians invaded and overran
4128-409: The Nordics opened in Tampere, Finland in 1988. The first modern free-standing hospice in China opened in Shanghai in 1988. The first hospice unit in Taiwan, where the term for hospice translates as "peaceful care", opened in 1990. The first free-standing hospice in Hong Kong , where the term for hospice translates as "well-ending service", opened in 1992. The International Hospice Institute
4224-539: The Rhodians because the islanders were the only people they had encountered who were more arrogant than themselves. After surrendering its independence, Rhodes became a cultural and educational center for Roman noble families. It was especially noted for its teachers of rhetoric, such as Hermagoras and the unknown author of Rhetorica ad Herennium . At first, the state was an important ally of Rome and enjoyed numerous privileges, but these were later lost in various machinations of Roman politics. Cassius eventually invaded
4320-432: The Romans agreed to intervene, still angry over the Macedonian alliance with Carthage that had led to the First Macedonian War from 214 to 205 BC. The Senate saw the appeal from Rhodes and her allies as the opportunity to pressure Philip. The result was the Second Macedonian War (200–196 BC), which Rome won and greatly reduced Macedon's power, prestige, and territory. Rhodian independence was preserved. Rhodian influence in
4416-475: The Sacred Heart Hospice for the Dying in Sydney in 1890, with hospices in Melbourne and New South Wales following in the 1930s. In 1905, they opened St Joseph's Hospice in London . In Western society, the concept of hospice began evolving in Europe in the 11th century. In Roman Catholic tradition, hospices were places of hospitality for the sick, wounded, or dying, as well as for travelers and pilgrims. The modern hospice concept includes palliative care for
4512-409: The Seleucids and their allies, the last Mediterranean power that might even vaguely threaten Roman dominance. Having provided Rome with valuable naval help in her first foray into Asia, the Rhodians were rewarded with territory and enhanced status by the Treaty of Apamea (188 BC). The Romans once again evacuated the east – the Senate preferred clients to provinces – but it was clear that Rome now ruled
4608-478: The Servants for Relief of Incurable Cancer opened St. Rose's Hospice, which soon expanded to six locations in other cities. The more influential early developers of hospice included the Irish Religious Sisters of Charity , who opened Our Lady's Hospice in Harold's Cross , Dublin , Ireland, in 1879. It served as many as 20,000 people—primarily with tuberculosis and cancer —dying there between 1845 and 1945. The Sisters of Charity expanded internationally, opening
4704-450: The US was the Wayne State University School of Medicine in 1985 at Detroit Receiving Hospital . The first US-based palliative medicine and hospice service program was started in 1987 by Declan Walsh at the Cleveland Clinic Cancer Center in Cleveland, Ohio. The program evolved into The Harry R. Horvitz Center for Palliative Medicine, which was designated as a World Health Organization international demonstration project and accredited by
4800-625: The United Kingdom and the United States. In 2006, the United States–based National Hospice and Palliative Care Organization (NHPCO) and the United Kingdom's Help the Hospices jointly commissioned an independent, international study of worldwide palliative care practices. Their survey found that 15% of the world's countries offered widespread palliative care services with integration into major health care institutions, while an additional 35% offered some form of palliative care services, in some cases localized or limited. As of 2009, an estimated 10,000 programs internationally provided palliative care, although
4896-782: The United Kingdom model, but emphasise home-based assistance. Following the foundation of hospice in Kenya in the early 1990s, palliative care spread throughout the country. Representatives of Nairobi Hospice sit on the committee to develop a Health Sector Strategic Plan for the Ministry of Health and work with the Ministry of Health to help develop palliative care guidelines for cervical cancer. The Government of Kenya supported hospice by donating land to Nairobi Hospice and providing funding to several of its nurses. In South Africa, hospice services are widespread, focusing on diverse communities (including orphans and homeless) and offered in diverse settings (including in-patient, day care and home care). Over half of hospice patients in South Africa in
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#17327807985144992-703: The United Kingdom was the Trinity Hospice in Clapham south London in 1891, on the initiative of the Hoare banking family . More than half a century later, a hospice movement developed after Dame Cicely Saunders opened St Christopher's Hospice in 1967, widely considered the first modern hospice. According to the UK's Help the Hospices, in 2011 UK hospice services consisted of 220 inpatient units for adults with 3,175 beds, 42 inpatient units for children with 334 beds, 288 home care services, 127 hospice at-home services, 272 day care services, and 343 hospital support services. These services together helped over 250,000 patients in 2003 and 2004. Funding varies from 100% funding by
5088-424: The United States that began in 1963. In 1967, Saunders opened St Christopher's Hospice . Florence Wald , the dean of Yale School of Nursing , who had heard Saunders speak in America, spent a month working with Saunders there in 1969 before bringing the principles of modern hospice care back to the United States, establishing Hospice, Inc. in 1971. Another early hospice program in the United States, Alive Hospice,
5184-405: The actor Benedict Cumberbatch and the singer Jarvis Cocker at public events. Hospice faced resistance from cultural and professional taboos against open communication about death among healthcare providers and the wider population, discomfort with unfamiliar medical techniques and perceived professional callousness towards the terminally ill. Nevertheless, the movement has spread throughout
5280-657: The care. Hospices typically do not perform treatments that are meant to diagnose or cure an illness but also do not include treatments that hasten death. Instead, hospices focus on palliative care to relieve pain and symptoms. This philosophy affects how hospice staff treat people and their families. Compared to general healthcare providers, hospice professionals take a different approach to talking to people and their families. They are more likely to make predictions or express uncertainty around future events (e.g., "He might die this week" or "I think she might live longer") than to issue orders or prescribe actions (e.g., "She needs
5376-419: The cities were named for their three sons. The rhoda is a pink hibiscus , native to the island. Diodorus Siculus added that Actis , one of the sons of Helios and Rhode, travelled to Egypt . He built the city of Heliopolis and taught the Egyptians astrology . In the second half of the 8th century BC, the sanctuary of Athena received votive gifts that are markers for cultural contacts: small ivories from
5472-504: The creation of the Medicare Hospice Benefit, which became permanent in 1986. In 1993, President Clinton installed hospice as a guaranteed benefit and an accepted component of health care provisions. As of 2017 , 1.49 million Medicare beneficiaries were enrolled in hospice care for one day or more, which is a 4.5% increase from the previous year. From 2014 to 2019, Asian- and Hispanic-identifying beneficiaries of hospice care increased by 32% and 21% respectively. The first hospice to open in
5568-405: The disease and introduced the notion of 'total pain', which included psychological and spiritual as well as physical discomfort. She experimented with opioids for controlling physical pain. She also considered the needs of the patient's family. She developed many foundational principles of modern hospice care at St Joseph's. She disseminated her philosophy internationally in a series of tours of
5664-576: The early 14th century, the order of the Knights Hospitaller of St. John of Jerusalem opened the first hospice in Rhodes . Hospices flourished in the Middle Ages , but languished as religious orders became dispersed. They were revived in the 17th century in France by the Daughters of Charity of Saint Vincent de Paul . France continued to see development in the hospice field; the hospice of L'Association des Dames du Calvaire, founded by Jeanne Garnier, opened in 1843. Six other hospices followed before 1900. Meanwhile, hospices developed in other areas. In
5760-430: The end of life live in low and middle-income countries. Nevertheless, hospice and palliative care provision in Egypt is limited and sparsely available relative to the size of the population. Some of the obstacles to the development of these services have included the lack of public awareness, restricted availability of opioids, and the absence of a national hospice and palliative care development plan. Key efforts made in
5856-400: The famous Laocoön group , now in the Vatican Museums , and the large sculptures rediscovered at Sperlonga in the villa of Tiberius , probably in the early Imperial period . In 305 BC, Antigonus directed his son, Demetrius , to besiege Rhodes in an attempt to break its alliance with Egypt. Demetrius created huge siege engines , including a 180 ft (55 m) battering ram and
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#17327807985145952-546: The incurably ill in institutions as hospitals and nursing homes , along with at-home care. The first modern hospice care was created by Dame Cicely Saunders in 1967. Saunders was a British registered nurse whose chronic health problems forced her to pursue a career in medical social work . The relationship she developed with a dying Polish refugee helped solidify her ideas that terminally ill patients needed compassionate care to help address their fears and concerns as well as palliative comfort for physical symptoms. After
6048-414: The island and sacked the city. In the early Imperial period Rhodes became a favorite place for political exiles. In the 1st century AD, the Emperor Tiberius spent a brief term of exile on Rhodes. By tradition, Paul the Apostle evangelized and helped establish an early Christian church on the island during the first century. In ancient times there was a Roman saying: " Hic Rhodus, hic salta !"—"Here
6144-420: The island had a population of 125,113 people. It is located northeast of Crete and southeast of Athens . Rhodes has several nicknames, such as "Island of the Sun" due to its patron sun god Helios, "The Pearl Island", and "The Island of the Knights", named after the Knights of Saint John of Jerusalem , who ruled the island from 1310 to 1522. Historically, Rhodes was famous for the Colossus of Rhodes , one of
6240-416: The island was conquered by the king Mausolus of Caria ; then it fell again to the Persians in 340 BC. Their rule was also short. Rhodes then became a part of the growing empire of Alexander the Great in 332 BC, after he defeated the Persians. Following the death of Alexander, his generals ( Diadochi ) vied for control of the kingdom. Three — Ptolemy , Seleucus , and Antigonus — succeeded in dividing
6336-410: The island was given as a fief to Andrea Morisco , a Genoese adventurer who had entered Byzantine service. In 1306–1310, the Byzantine era of the island's history came to an end when the island was occupied by the Knights Hospitaller . Under the rule of the newly named "Knights of Rhodes", the city was rebuilt into a model of the European medieval ideal. Many of the city's famous monuments, including
6432-503: The island was the capital of the Roman province of the Islands , headed by a praeses ( hegemon in Greek), and encompassing most of the Aegean islands , with twenty cities. Correspondingly, the island was also the metropolis of the ecclesiastical province of Cyclades, with eleven suffragan sees. Beginning from ca. 600 AD, its influence in maritime issues was manifested in the collection of maritime laws known as " Rhodian Sea Law " ( Nomos Rhodion Nautikos ), accepted throughout
6528-406: The island's settlements started to form, with the coming of the Dorians , who built the three important cities of Lindus , Ialysus and Camirus , which together with Kos , Cnidus and Halicarnassus (on the mainland) made up the so-called Dorian Hexapolis (Greek for six cities). In Pindar 's ode, the island was said to be born of the union of Helios the sun god and the nymph Rhodos , and
6624-409: The island, but they were in turn defeated by forces from Athens in 478 BC. The Rhodian cities joined the Athenian League . When the Peloponnesian War broke out in 431 BC, Rhodes remained largely neutral, although it remained a member of the League. The war lasted until 404 BC, but by this time Rhodes had withdrawn entirely from the conflict and decided to go their own way. Being the eastern gate to
6720-441: The island, mainly in the capital "Rodi", while some of them founded farm villages (like "Peveragno Rodio" (1929), "Campochiaro" (1935), "San Marco" (1936) and "Savona" (1938): in 1940 the creation of the " Provincia italiana di Rodi " in the Dodecanese islands was officially proposed. In the late 1930s, Mussolini embarked on a program of Italianization , attempting to make the island of Rhodes a transportation hub that would facilitate
6816-463: The kingdom among themselves. Rhodes formed strong commercial and cultural ties with the Ptolemies in Alexandria , and together formed the Rhodo-Egyptian alliance that controlled trade throughout the Aegean in the 3rd century BC. The city developed into a maritime, commercial and cultural center; its coins circulated nearly everywhere in the Mediterranean. Its famous schools of philosophy, science, literature and rhetoric shared masters with Alexandria:
6912-661: The minorities" between Greece and Turkey . Rhodes and the rest of the Dodecanese Islands were assigned to Italy in the Treaty of Ouchy. Although the treaty stipulated that the islands were to be returned to Turkey, the advent of World War I prevented this from happening. Turkey ceded them officially to Italy with the 1923 Treaty of Lausanne . It then became the core of their possession of the Isole Italiane dell'Egeo . Thousands of Italian colonists settled in
7008-641: The opening of St Christophers in London by 79 years. The Irish Sisters of Charity opened hospices in Sydney (1889) and in Melbourne (1938). The first hospice in New Zealand opened in 1979. Hospice care entered Poland in the mid-1970s. Japan opened its first hospice in 1981, officially hosting 160 by July 2006. India 's first hospice, Shanti Avedna Ashram, opened in Bombay in 1986. The first hospice in
7104-411: The particular buildings or institutions that specialize in such care. Such institutions may similarly provide care mostly in an end-of-life setting, but they may also be available for patients with other palliative care needs. Hospice care includes assistance for patients' families to help them cope with what is happening and provide care and support to keep the patient at home. The English word hospice
7200-602: The past 10 years have been initiated by individuals allowing for the emergence of the first non-governmental organisation providing primarily home-based hospice services in 2010, the opening of one palliative medicine unit at Cairo University in 2008 and an inpatient palliative care unit in Alexandria . Models of both home-based care and stand-alone hospices exist globally, but with the cultural and societal preferences of patients and their families to die at home in Egypt there
7296-476: The patient's family. Patients can receive hospice care when they have less than six months to live or would like to shift the focus of care from curative to comfort care. The goal of hospice care is to meet the needs of both the patient and family, knowing that a home death is not always the best outcome. Medicare covers all costs of hospice treatment. The hospice home health nurse must be skilled in both physical care and psychosocial care. Most nurses will work with
7392-578: The philosophy that each country should develop a palliative care model based on its own resources and conditions. IAHPC founding member Derek Doyle told the British Medical Journal in 2003 that Magno had seen "more than 8000 hospice and palliative services established in more than 100 countries." Standards for Palliative and Hospice Care have been developed in countries including Australia, Canada , Hungary , Italy , Japan , Moldova , Norway , Poland , Romania , Spain , Switzerland ,
7488-570: The pomegranate. It was also called Lindos ( Ancient Greek : Λίνδος ). In addition, the island has been called Rodi in Italian , Rodos in Turkish , and רודי (Rodi) or רודיס (Rodes) in Ladino . Other ancient names were Ρόδη (Rodē), Τελχινίς ( Telchinis ) and Ηλιάς (Helias). The Travels of Sir John Mandeville incorrectly reports that Rhodes was formerly called "Collosus", through
7584-559: The present-day Dalyan , Turkey. Rhodes successfully carried on this policy through the course of the third century BC, an impressive achievement for what was essentially a democratic state. By the end of that period, however, the balance of power was crumbling, as declining Ptolemaic power made Egypt an attractive target for Seleucid ambitions. In 203/2 BC the young and dynamic kings of Antigonid Macedon and Seleucid Asia, Philip V and Antiochus III , agreed to accept—at least temporarily—their respective military ambitions: Philip's campaign in
7680-624: The purpose by Nsambya Hospital . HAU has since expanded to a base of operations at Makindye , Kampala , with hospice services offered at roadside clinics by Mobile Hospice Mbarara since January 1998. That same year the Little Hospice Hoima opened in June. Hospice care in Uganda is supported by community volunteers and professionals, as Makerere University offers a distance diploma in palliative care. The government of Uganda published
7776-469: The refugee's death, Saunders began volunteering at St Luke's Home for the Dying Poor, where a physician told her that she could best influence the treatment of the terminally ill as a physician . Saunders entered medical school while continuing her volunteer work at St. Joseph's. When she completed her degree in 1957, she took a position there. Saunders emphasized focusing on the patient rather than
7872-399: The singer David Bowie written by a palliative care doctor, Professor Mark Taubert , talked about the importance of good palliative care and hospice provision, especially being able to express wishes about the last months of life, and good education about end of life care generally. The letter went viral after David Bowie's son Duncan Jones shared it. The letter was subsequently read out by
7968-672: The spread of Italian culture in Greece and the Levant . The Fascist program coincided with improvements to infrastructure, building imposing buildings such as the Hotel Rodon, the Puccini Theater and many administrative buildings with master architects such as Armando Bernabiti and Florestano Di Fausto . While the government worked at modernization, they also obliterated many historical buildings that did not match their ideal of
8064-527: The surviving defeated Hospitallers were allowed to withdraw to the Kingdom of Sicily . Despite the defeat, both Christians and Muslims seem to have regarded the conduct of Villiers de L'Isle-Adam as extremely valiant, and the Grand Master was proclaimed a Defender of the Faith by Pope Adrian VI (see Knights of Cyprus and Rhodes ). The knights would later move their base of operations to Malta and Gozo . Rhodes
8160-617: The term "palliative care ward", as the word hospice was already used in France to refer to nursing homes . Hundreds of palliative care programs then followed throughout Canada through the 1970s and 1980s. However, as of 2004, according to the Canadian Hospice Palliative Care Association (CHPCA), hospice palliative care was only available to 5–15% of Canadians, with government funding declining. At that time, Canadians were increasingly expressing
8256-421: The term hospice is not always employed to describe such services. In hospice care, the main guardians are the family care giver(s) and a hospice nurse/team who make periodic visits. Hospice can be administered in a nursing home, hospice building, or sometimes a hospital; however, it is most commonly practiced in the home. Hospice care targets the terminally ill who are expected to die within six months. Hospice
8352-772: The types of care available to them. In 1984, Josefina Magno, who had been instrumental in forming the American Academy of Hospice and Palliative Medicine and sat as first executive director of the US National Hospice Organization, founded the International Hospice Institute, which in 1996 became the International Hospice Institute and College and later the International Association for Hospice and Palliative Care (IAHPC). The IAHPC follows
8448-405: The war, but in the view of hostile elements in the Senate she had been a bit too friendly with the defeated King Perseus. Some actually proposed declaring war on the island republic, but this was averted. In 164 BC, Rhodes became a "permanent ally" of Rome, which was essentially a reduction to client state of nominal but meaningless independence. It was said that the Romans ultimately turned against
8544-640: The world. A hospice opened in 1980 in Harare (Salisbury), Zimbabwe , the first in Sub-Saharan Africa . In spite of skepticism in the medical community, the hospice movement spread, and in 1987 the Hospice Palliative Care Association of South Africa formed. In 1990, Nairobi Hospice opened in Nairobi , Kenya. As of 2006, Kenya , South Africa and Uganda were among 35 countries offering widespread, well-integrated palliative care. Programs adopted
8640-674: Was forbidden. Following the Italian Armistice of 8 September 1943 , the British attempted to get the Italian garrison on Rhodes to change sides. This was anticipated by the German Army , which succeeded in occupying the island with the Battle of Rhodes . In great measure, the German occupation caused the British failure in the subsequent Dodecanese Campaign . After September 1943, the Jews were sent to concentration camps. However,
8736-605: Was founded in Nashville, Tennessee , on November 14, 1975. By 1977 the National Hospice Organization had been formed, and by 1979, a president, Ann G. Blues, had been elected and principles of hospice care had been addressed. At about the same time that Saunders was disseminating her theories and developing her hospice, in 1965, Swiss psychiatrist Elisabeth Kübler-Ross began to consider social responses to terminal illness, which she found inadequate at
8832-569: Was founded in 1984. In 2006, the first World Hospice and Palliative Care Day was organised by the Worldwide Palliative Care Alliance, a network of hospice and palliative care national and regional organisations that support the development of hospice and palliative care worldwide. The event takes place on the second Saturday of October every year. Nurses that work in hospice in the home healthcare setting aim to relieve pain and holistically support their patient and
8928-400: Was manned by proverbially the finest sailors in the Mediterranean world: “If we have ten Rhodians, we have ten ships.” The Rhodians also established their dominance on the shores of Caria across from their island, which became known as the " Rhodian Peraia ". It extended roughly from the modern city of Muğla (ancient Mobolla ) in the north and Kaunos bordering Lycia in the south, near
9024-477: Was the United Kingdom 's first multi-faith hospice. It provides its specialist palliative and end-of-life care to people within the boroughs of Barnet, Enfield and Haringey. This takes place at its Finchley in-patient unit, which was opened in 1992, it's Health & Wellbeing Centre in Winchmore Hill and the majority of care is provided to people at home. North London Hospice receives some funding from
9120-462: Was the subject of the Netflix 2018 Academy Award–nominated short documentary End Game , about terminally ill patients in a San Francisco hospital and Zen Hospice Project , featuring the work of palliative care physician BJ Miller and other palliative care clinicians. The film was executive produced by hospice and palliative care activist Shoshana R. Ungerleider . In 2016, an open letter to
9216-479: Was thereafter a possession of the Ottoman Empire (see Sanjak of Rhodes ) for nearly four centuries. In the 19th century the island was populated by ethnic groups from the surrounding nations, including Jews, whose presence goes back 2,300 years. Under Ottoman rule, they generally did fairly well, but discrimination and bigotry occasionally arose. In February 1840, the Jews of Rhodes were falsely accused by
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