St. Francis Hospice, Hawaii
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St. Francis Hospice, Hawaii
St. Francis Hospice is an end-of-life care provider in Honolulu, Hawaii. Founded in 1978, it was the first hospice provider in the state, and is part of the St. Francis Healthcare System of Hawaii. The hospice currently provides end-of-life care for terminally ill patients at home and in its dedicated 12-bed facility at the Sister Maureen Keleher Center in Nuʻuanu, which was the first freestanding hospice facility in the state. Sponsored by a Catholic religious order, the hospice admits patients regardless of religious belief, and also provides support for their families. History Palliative care in Hawaii was started in 1968 by Sister Maureen Keleher, chief executive of St. Francis Medical Center, who opened five hospital rooms for terminal cancer patients to live out their lives comfortably. Prior to that, St. Francis had offered assistance to dying patients and their families, through its home care program which started in 1962. In 1978, the end-of-life services were f ...
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Hospice Care In The United States
In the United States, hospice care is a type and philosophy of end-of-life care which focuses on the palliation of a terminally ill patient's symptoms. These symptoms can be physical, emotional, spiritual or social in nature. The concept of hospice as a place to treat the incurably ill has been evolving since the 11th century. Hospice care was introduced to the United States in the 1970s in response to the work of Cicely Saunders in the United Kingdom. This part of health care has expanded as people face a variety of issues with terminal illness. In the United States, it is distinguished by extensive use of volunteers and a greater emphasis on the patient's psychological needs in coming to terms with dying. Under hospice, medical and social services are supplied to patients and their families by an interdisciplinary team of professional providers and volunteers, who take a patient-directed approach to managing illness. Generally, treatment is not diagnostic or curative, although ...
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The Honolulu Advertiser
''The Honolulu Advertiser'' was a daily newspaper published in Honolulu, Hawaii. At the time publication ceased on June 6, 2010, it was the largest daily newspaper in the American state of Hawaii. It published daily with special Sunday and Internet editions. ''The Honolulu Advertiser'' was the parent publisher of ''Island Weekly'', ''Navy News'', ''Army Weekly'', ''Ka Nupepa People'', ''West Oahu People'', ''Leeward People'', ''East Oahu People'', ''Windward People'', ''Metro Honolulu People'', and ''Honolulu People'' small, community-based newspapers for the public. ''The Honolulu Advertiser'' has had a succession of owners since it began publishing in 1856 under the name the ''Pacific Commercial Advertiser''. On February 25, 2010, Black Press, which owned the '' Honolulu Star-Bulletin'', purchased ''The Honolulu Advertiser'' from Gannett Pacific Corporation, which acquired the ''Advertiser'' in 1992 after it had sold the ''Star-Bulletin'' to another publisher that later sold ...
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Joint Commission
The Joint Commission is a United States-based nonprofit tax-exempt 501(c) organization that accredits more than 22,000 US health care organizations and programs. The international branch accredits medical services from around the world. A majority of US state governments recognize Joint Commission accreditation as a condition of licensure for the receipt of Medicaid and Medicare reimbursements. The Joint Commission is based in the Chicago suburb of Oakbrook Terrace, Illinois. History The Joint Commission was formerly the Joint Commission on Accreditation of Healthcare Organizations (JCAHO) and previous to that the Joint Commission on Accreditation of Hospitals (JCAH). The Joint Commission was renamed The Joint Commission on Accreditation of Hospitals in 1951, but it was not until 1965, when the federal government decided that a hospital meeting Joint Commission accreditation met the Medicare Conditions of Participation, that accreditation had any official impact. However, Se ...
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Ethical And Religious Directives For Catholic Health Care Services
The United States Conference of Catholic Bishops (USCCB) is the episcopal conference of the Catholic Church in the United States. Founded in 1966 as the joint National Conference of Catholic Bishops (NCCB) and United States Catholic Conference (USCC), it is composed of all active and retired members of the Catholic hierarchy (i.e., diocesan, coadjutor, and auxiliary bishops and the ordinary of the Personal Ordinariate of the Chair of Saint Peter) in the United States and the territory of the U.S. Virgin Islands. In the Commonwealth of Puerto Rico, the bishops in the six dioceses form their own episcopal conference, the Puerto Rican Episcopal Conference. The bishops in U.S. insular areas in the Pacific Ocean the Commonwealth of the Northern Mariana Islands, the territory of American Samoa, and the territory of Guam are members of the Episcopal Conference of the Pacific. The USCCB adopted its current name in July 2001. The organization is a registered corporation based in Washing ...
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ʻEwa Beach, Hawaii
Ewa Beach () or simply Ewa () is a census-designated place (CDP) located in Ewa District and the Honolulu County, Hawaii, City & County of Honolulu along the coast of Māmala Bay on the leeward side of Oahu, Oahu in Hawaii. As of the United States 2010 Census, 2010 Census, the CDP had a total population of 14,955. The U.S. postal code for Ewa Beach is 96706. History and etymology The word ''ewa'' means "stray" in Hawaiian. The name comes from the myth that the gods Kāne and Kanaloa threw a stone to determine the boundaries, but it was lost and later found at Pili o Kahe. Hawaiian settlement on the Ewa Plain dates back at least to the 12th Century C.E., at which time Kanaka maoli expanded the main channel of Puuloa (Pearl Harbor) before creating fishponds and terraced agricultural fields in the surrounding area. Scholars have recognized Ewa's ancient fishponds as exemplary evidence of Native Hawaiian ingenuity. Before Ewa Beach became a town it was first a huge plantation farm ...
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Acacia Koa
''Acacia koa'' or commonly known as koa is a species of flowering tree in the family Fabaceae. It is endemic to the Hawaiian Islands, where it is the second most common tree. The highest populations are on Hawaii, Maui and Oahu. Name The name ''koa'' in the Hawaiian language ultimately comes from Proto-Austronesian *''teRas'' meaning "core" or "ironwood"; many names referring to certain ironwood or heartwood species in Southeast Asia and Oceania such as ''Vitex parviflora'' (''tugás'' in Cebuano), ''Eusideroxylon zwageri'' (''togas'' in Tombonuwo), and ''Intsia bijuga'' (''dort'' in Palauan) descend from this root. ''Koa'' also means brave, bold, fearless, or warrior. Description Koa is a large tree, typically attaining a height of and a spread of . In deep volcanic ash, a koa tree can reach a height of , a circumference of , and a spread of . It is one of the fastest-growing Hawaiian trees, capable of reaching in five years on a good site. Leaves Initially, bipinnat ...
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Pali Highway
Hawaii Route 61, often called the Pali Highway, is in Honolulu County, Hawaii, United States, that is the main highway connecting downtown Honolulu with the windward side of Oahu island. From downtown, it traverses up Nuuanu Valley and the residential neighborhood of Nuuanu, passes through the Nuuanu Pali Tunnels, and descends to the major windward communities of Kāneohe (reached by Kamehameha Highway, State Route 83) and Kailua. History The current Pali Highway is actually the third roadway to be built here. The original Pali "highway" went along much of the same route and portions of the old road still exist, although closed to vehicular traffic. When the current Pali Highway and its tunnels opened, the original roadway was closed and is now used by hikers. The "Old Pali Highway", as it is now called, is noted in the popular culture of Hawaii for being a place with strong spiritual connections. Many ghost stories have settings along this old highway. A large portion of th ...
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Hawaii Medical Service Association
Hawaii Medical Service Association (HMSA) is a nonprofit health insurer in the state of Hawaii. HMSA was founded in 1938, is an independent licensee of the Blue Cross Blue Shield Association, and is the largest insurer in the state of Hawaii serving more than 700,000 people. Hawaii Medical Service Association (HMSA) The Hawaii Medical Service Association (HMSA) is a member of the Blue Cross Blue Shield Association, an association of independent medical insurance providers. A nonprofit, mutual benefit association founded in 1938, HMSA covers more than half of the state’s population. HMSA’s headquarters are located at the HMSA Center, 818 Keeaumoku Street, in Honolulu, . History In 1935, a group of Hawaii social workers started a nonprofit association governed by a community board of directors. In June 1938, HMSA established its headquarters in Honolulu with 671 members. In 1946, HMSA joined the Blue Shield Association. During the 1950s, HMSA introduced a Major Medical Plan to ...
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Medicare (United States)
Medicare is a government national health insurance program in the United States, begun in 1965 under the Social Security Administration (SSA) and now administered by the Centers for Medicare and Medicaid Services (CMS). It primarily provides health insurance for Americans aged 65 and older, but also for some younger people with disability status as determined by the SSA, including people with end stage renal disease and amyotrophic lateral sclerosis (ALS or Lou Gehrig's disease). In 2018, according to the 2019 Medicare Trustees Report, Medicare provided health insurance for over 59.9 million individuals—more than 52 million people aged 65 and older and about 8 million younger people. According to annual Medicare Trustees reports and research by the government's MedPAC group, Medicare covers about half of healthcare expenses of those enrolled. Enrollees almost always cover most of the remaining costs by taking additional private insurance and/or by joining a public Part C or P ...
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Pain Control
Pain management is an aspect of medicine and health care involving relief of pain (pain relief, analgesia, pain control) in various dimensions, from acute and simple to chronic and challenging. Most physicians and other health professionals provide some pain control in the normal course of their practice, and for the more complex instances of pain, they also call on additional help from a specific medical specialty devoted to pain, which is called pain medicine. Pain management often uses a multidisciplinary approach for easing the suffering and improving the quality of life of anyone experiencing pain, whether acute pain or chronic pain. Relief of pain in general (analgesia) is often an acute affair, whereas managing chronic pain requires additional dimensions. The typical pain management team includes medical practitioners, pharmacists, clinical psychologists, physiotherapists, occupational therapists, recreational therapists, physician assistants, nurses, and dentists. The ...
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Honolulu
Honolulu (; ) is the capital and largest city of the U.S. state of Hawaii, which is in the Pacific Ocean. It is an unincorporated county seat of the consolidated City and County of Honolulu, situated along the southeast coast of the island of Oahu, and is the westernmost and southernmost major U.S. city. Honolulu is Hawaii's main gateway to the world. It is also a major hub for business, finance, hospitality, and military defense in both the state and Oceania. The city is characterized by a mix of various Asian, Western, and Pacific cultures, reflected in its diverse demography, cuisine, and traditions. ''Honolulu'' means "sheltered harbor" or "calm port" in Hawaiian; its old name, ''Kou'', roughly encompasses the area from Nuuanu Avenue to Alakea Street and from Hotel Street to Queen Street, which is the heart of the present downtown district. The city's desirability as a port accounts for its historical growth and importance in the Hawaiian archipelago and the broader P ...
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Terminal Cancer
Terminal illness or end-stage disease is a disease that cannot be cured or adequately treated and is expected to result in the death of the patient. This term is more commonly used for progressive diseases such as cancer, dementia or advanced heart disease than for injury. In popular use, it indicates a disease that will progress until death with near absolute certainty, regardless of treatment. A patient who has such an illness may be referred to as a terminal patient, terminally ill or simply as being terminal. There is no standardized life expectancy for a patient to be considered terminal, although it is generally months or less. Life expectancy for terminal patients is a rough estimate given by the physician based on previous data and does not always reflect true longevity. An illness which is lifelong but not fatal is a chronic condition. Terminal patients have options for disease management after diagnosis. Examples include caregiving, continued treatment, palliative ...
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