It takes a whole community: the contribution of rural hospice volunteers to whole-person palliative care

J Palliat Care. 2010 Summer;26(2):103-11.

Abstract

Although volunteers are widely acknowledged as important members of the palliative care team, their unique contribution to whole-person care has not been well documented or theorized, especially in rural communities. We conducted a focused ethnography in a small rural community, asking key community informants about their understanding of the role of hospice volunteers with dying people and their families. Our results show that these volunteers inhabit a unique third culture of care that fuses elements of formal care with the informal visiting of friends and neighbours. Their role is shaped to a community context where dying is not a private medical event, but rather a whole-person-in-community event, and where care is offered as a natural expression of the interdependence and reciprocity that characterizes rural community life. Our results are a reminder that it takes an entire community to care for the dying, and that hospice volunteers are a crucial link in the network of care that allows people to die with dignity and quality of life.

MeSH terms

  • Anthropology, Cultural
  • Attitude to Health
  • Community Networks*
  • Hospices* / organization & administration
  • Humans
  • Interpersonal Relations
  • Ontario
  • Palliative Care* / organization & administration
  • Rural Health Services* / organization & administration
  • Volunteers*
  • Workforce