Date of Award

Winter 12-17-2004

Document Type

Open Access Thesis

Degree Name

Master of Arts in Nursing (MAN)



First Advisor

Susan K Nash


Access to Hospice for the terminally ill patient is a monumental problem for the disenfranchised person. According to the National Coalition for the Homeless (NCH) in Washington D.C. there is an estimate of 3.5 million people who experience homelessness in a year (2003). The homeless face many health care service gaps including the vital service of end- of- life nursing care, which allows for death with dignity. The following paper will discuss the author's experience with the homeless, the need of access to Hospice Care for the homeless, and a review of literature regarding access to Hospice for the homeless. The author proposes a model of access to Hospice for the homeless linking the homeless to nursing while addressing the physical, emotional, spiritual and environmental aspects, and pain control. Recommendations for a new model that can increase awareness of the homeless are presented and discussed.


SC 11.MAN.2004.Kinney.MAB

Included in

Nursing Commons