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                    <text>Mervyn Taylor- Care for People Dying in Hospitals project manager&#13;
Denise Robinson- Administrator of Hospice Friendly Hospitals programme. &#13;
Irish Hospice Foundation.</text>
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                    <text>Orla Keegan-Head of Education, Research &amp; Bereavement at Irish Hospice Foundation&#13;
Eugene Murray-CEO of Irish Hospice Foundation.&#13;
Mervyn Taylor- Programme Manager.</text>
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                  <text>In March 2004, the Irish Hospice Foundation began a two-year pilot project at Our Lady of Lourdes Hospital in Drogheda aimed at developing the hospice philosophy in a hospital setting. The project was informed from the findings of the ‘Care of the dying patient in hospital’ project conducted in St James’ Hospital and published in 1999.&#13;
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The purpose of the Care for People Dying in Hospitals Project was to pioneer a process for change in the culture of care and organisation with regard to dying, death and bereavement in hospitals.  The project also aimed to enable the adoption of these changes in other hospitals. Research for the project pointed to tension between the needs of an acute hospital and the needs of dying people and their families. The limitations of the hospital’s physical environment, the shortage of private spaces, the need to develop skills for communicating in difficult situations, the work pressures on staff at all levels, and difficulties with recognising the dying state as a legitimate diagnosis were regarded as significant challenges.&#13;
&#13;
The project lead to the identification of the four themes which became the basis for the planning and development of the Hospice Friendly Hospitals programme; Integrated Care, Communication, Dignity and Design and Patient Autonomy. &#13;
&#13;
These themes would be the foundation for the Hospice Friendly Hospitals project.    &#13;
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