Abstract
Hospice care in the United States has grown rapidly since its introduction here from England in the mid-1970s. Surprisingly little evaluation of services has been made public, particularly with regard not merely to demographics but also to the actual effect of hospice caregiving on patients and families. This artick describes an attempt to identify the life dimensions that hospice addresses and the levels of discomfort or wellbeing of patients and families achieved in a hospice home care program. After assessing the changes in medieal, psychosocial, and spiritual status for each of a group of hospice home care patients, the trend to ward greater wellbeing of patients in the progam can be delineated.

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