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.
70-744: Royal Trinity Hospice is the oldest hospice in the United Kingdom ; it was founded in 1891 by a member of the Hoare banking family . It is located in Clapham Common , London, England, and provides specialist palliative care . In 2019, Royal Trinity Hospice was rated "Outstanding" by the Care Quality Commission , the highest rating that can be awarded. The hospice provides palliative and end of life care for patients in an inpatient unit at their Clapham Common headquarters and in
140-486: 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
210-423: 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 a nurse" or "He can't go home"). The word hospice derives from Latin hospitum , meaning hospitality or place of rest and protection for
280-687: A fashion magazine. It featured articles on 'society and sporting news... Health and beauty advice... travelogues... and editorials', making it a 'skillfully mixed cocktail'. Champcommunal held her editorial position until 1922. Under its next editor, Dorothy Todd , a renowned Vogue editor due to her boldness, especially in her movement to blend the arts and fashion, the magazine shifted its focus from fashion to literature, featuring articles from Clive Bell about art exhibitions in Paris. There were also notable features from noted English writers such as Virginia Woolf and Aldous Huxley . Due to Todd's changes,
350-634: 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
420-580: A page. It is deemed to be more commercial than other editions of Vogue. British Vogue is the most profitable British magazine as well as the most profitable edition of Vogue besides the US and China editions. During the First World War , Condé Nast , Vogue ' s publisher, had to deal with restrictions on overseas shipping as well as paper shortages in America. The British edition of Vogue
490-647: 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 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
560-510: 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 ;
630-436: 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
700-410: 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
770-530: 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
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#1732776164296840-501: 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 British Vogue British Vogue is a British fashion magazine based in London and first published in 1916. It
910-594: 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
980-634: 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 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
1050-420: Is happening and provide care and support to keep the patient at home. The English word hospice 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
1120-578: Is the British edition of the American magazine Vogue and is owned and distributed by Condé Nast . Currently edited by Chioma Nnadi , British Vogue is said to link fashion to high society and class, teaching its readers how to 'assume a distinctively chic and modern appearance'. British Vogue is a magazine whose success is based upon its advertising rather than its sales revenue . In 2007, it ran 2,020 pages of advertising at an average of £16,000
1190-883: 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 ,
1260-533: The Hostel of God , as Trinity was originally called. The remainder was raised by public subscription. By 1894, Trinity had ten beds. Patients were cared for by the Order of St James's Servants of the Poor, a teaching order of nuns. In 1896, the Society of Saint Margaret of East Grinstead, a nursing order, took over. In 1899, the hospice moved from The Chase to Clapham Common Northside . By 1933, Trinity had 55 spaces in
1330-593: 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
1400-645: 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
1470-695: 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
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#17327761642961540-490: 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
1610-565: 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
1680-562: The Allied advance through Europe, reporting the liberation of Paris and sending a story from Buchenwald . Dame Anna Wintour edited the British edition from 1985 to 1987, before taking over House & Garden (which she renamed 'HG'), and subsequently Vogue in New York City. Liz Tilberis served as Editor-in-Chief of the magazine until 1992, when she became Editor-in-Chief of Harper's Bazaar in New York City. Alexandra Shulman
1750-683: 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
1820-732: 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
1890-492: The Hospice and was constantly caring for those in need. The much needed service continued to grow with the opening of the 25-bed St Michael's ward in 1953, bringing the bed total to 75. During the 1960s and 1970s, significant changes were made in the philosophy of running hospices, and more focus was put on symptom relief and enhancing a patient's quality of life to the end. Trinity Hospice still follows this policy today, putting
1960-532: The Hostel of God. During the 1980s Trinity expanded its services in education and in 1987 opened a day centre to outpatients. Trinity celebrated its centenary in 1991 with a service in Westminster Abbey . In the 1990s, treatment was broadened to include any patient with a life-threatening illness, as well as a greater emphasis on the needs of carers. In 2009, a new, purpose-built 28-bed inpatient centre
2030-480: The London boroughs of Kensington and Chelsea , Hammersmith and Fulham , Richmond upon Thames , Merton , Westminster and Lambeth . Trinity's current CEO is Emily Carter. William Hoare created the hospice in 1891 when he appealed for funds in The Times newspaper on Christmas Day to provide a home "for the man who is neither curable nor incurable, but simply dying". He gave £1,000 of the £2,000 needed to set up
2100-733: 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
2170-709: 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
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2240-662: 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
2310-722: 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
2380-824: 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
2450-1006: 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
2520-821: 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
2590-424: 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,
2660-405: 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
2730-545: The best vintage shops in London and the best charity shops in London by Time Out . In 2018, Royal Trinity Hospice shops collaborated with food writer Jasmine Hemsley on a collection of pre-used goods as part of the Love Not Landfill campaign, funded by the London Waste and Recycling board. In 2019 Trinity partnered with social media influencer Oenone for the same campaign. Among those who have stayed at
2800-433: The community, wherever patients may be living. In 2018, Trinity cared for 2,500 patients; in addition, the hospice provided pre- and post-bereavement support for over 900 carers. Royal Trinity Hospice provides its specialist services free of charge for those who need them across its community of over 750,000 people from central and south-west London. Its catchment includes all of the London borough of Wandsworth and parts of
2870-581: 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
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2940-405: 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
3010-481: 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
3080-558: The face of fashion. She pushed designers to stop using 'size-zero' models. In 2016, Shulman collaborated with photographer Josh Olins to shoot Catherine, Duchess of Cambridge on the cover of Vogue' s centenary issue. The photographs were subsequently featured in the National Portrait Gallery, London The magazine under Shulman was the subject of Richard Macer 's behind-the-scenes BBC documentary, Absolutely Fashion: Inside British Vogue (2016). Edward Enninful
3150-463: The hospice are: Hospice care 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 the Medicare Hospice Benefit requires documentation from two physicians estimating
3220-745: 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 the early 14th century, the order of the Knights Hospitaller of St. John of Jerusalem opened the first hospice in Rhodes . Hospices flourished in
3290-546: 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
3360-602: The magazine lost much of its audience, and she spent only four years as editor. British Vogue is not believed to have really taken off until after its third editor, Alison Settle , was appointed in 1926. Under Audrey Withers (editor from 1940 to 1960), the magazine again took a literary direction, and during the Second World War it even took part in reporting the war. In 1944, the American photographer Lee Miller persuaded Withers to send her to Normandy to produce an article on wartime nursing; Miller then followed
3430-588: 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
3500-602: 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
3570-476: 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
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#17327761642963640-400: The patient's quality of life first. In 1977, the running of Trinity Hospice was transferred from the hands of the nuns to Trinity's Council, which had been in place since the early 1900s. The hospice became a secular independent home. From 1978 to 1985, the first refurbishment programme took place, which included a renovation of its gardens. During this period only 18 beds were occupied. This
3710-578: 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 ,
3780-624: 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
3850-410: 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
3920-428: The responsibility of British Vogue ". Enninful's first issue as editor-in-chief was 2017's December issue, featuring British model and activist Adwoa Aboah on the cover. The magazine's September 2020 triple gatefold cover featured pictures of 20 activists often associated with the Black Lives Matter movement, including Marcus Rashford and Adwoa Aboah. The Activism Now edition was photographed by Misan Harriman and
3990-399: 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
4060-460: 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
4130-421: 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
4200-452: 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
4270-466: 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
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#17327761642964340-452: Was Editor-in-Chief of the magazine from 1992 to 2017. When Shulman was editor, the magazine drew more than a million readers. Shulman was known for developing collector's issues of British Vogue , such as the 'Gold Millennium Issue' where celebrities and supermodels such as Kate Moss featured on the cover. Shulman was also praised for her use of up and coming photographers like Mario Testino . Shulman became known for her attempt to change
4410-689: Was added, designed around the needs of the patients by TP Bennett . The building greatly improved the services provided at Trinity, offering patients private, en suites, family-friendly areas, counselling and bereavement rooms, new medical facilities and balconies overlooking peaceful gardens. The inpatient centre won the Civic Trust Award 2019 and a Building Better Healthcare Award for Best End of Life Care Design in 2009. Trinity has an estate of 21 shops across central and south west London selling new and pre-used goods, that help generate over £5.6 million towards free palliative and end of life care every year. Trinity's shops have been recognised by Vogue as among
4480-415: Was confirmed as the new editor-in-chief of British Vogue on 10 April 2017. Condé Nast International Chairman and CEO Jonathan Newhouse announced him as the successor to Alexandra Shulman , calling Enninful "an influential figure in the communities of fashion, Hollywood and music which shape the cultural zeitgeist", adding that "by virtue of his talent and experience, Edward is supremely prepared to assume
4550-465: 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
4620-478: 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
4690-449: Was not only due to the work going on but also a consequence of the increasing popularity of end of life care in the home. Thirty beds were available on completion of the work. In 1980, Trinity's first full-time medical director was appointed and its home-care team was established, offering their services to people with terminal illnesses in their own homes. 1980 was also the year that Trinity took its current name and officially stopped being
4760-406: Was the answer to this problem, providing Vogue fashion coverage in the British Isles when it was not practicable to receive it in the usual way. Under the London edition's second editor, Elspeth Champcommunal (1888–1976), the magazine was essentially the same as the American edition, except for its British English spellings. However, Champcommunal thought it important that Vogue be more than
4830-427: Was the first British Vogue cover taken by a black man in the magazine's 104-year history (Nadine Ijewere was the first black female to take a cover photograph). Actress Dame Judi Dench became the oldest person at age 85 to be featured on the June 2020 cover. In 2022, actor Timothée Chalamet became the first, solo male print cover star, in the magazine's history. In June 2023, Enninful announced his departure from
4900-408: 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
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