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National Hospice and Palliative Care Month Videos

November is National Hospice and Palliative Care Month! This year, our Business Development Coordinator, Riley Hamilton, came up with the idea of putting out videos from different disciplines explaining in more detail about hospice and palliative care. We had some community members, nurses, social workers, chaplains, office crew, and more participate! Rather than searching through our social media to find your favorite video, we’ve listed all of them in order below.

The Vanvactor Family- https://www.youtube.com/watch?v=sDh4jH71JD8

Jessica Wright, LPN- https://www.youtube.com/watch?v=03VcNcDBGck

Meyer Goldberg- https://www.youtube.com/watch?v=0zJ3kHBN9j0

Kellie Holloran- https://www.youtube.com/watch?v=3F4MqaW7tzM

Kendra Marsh- https://www.youtube.com/watch?v=_ug1vikKRqg

John Brumfiel- https://www.youtube.com/watch?v=kFucrk39dX0

Thomas Emerson- https://www.youtube.com/watch?v=D4GI0X-IBhg

Nancy Litke, RN- https://www.youtube.com/watch?v=W9AcST4-06s

Dana Hurt, RN- https://www.youtube.com/watch?v=WOspWJRP8A8

Sherry Hagan, RN- https://www.youtube.com/watch?v=ul61DYE8ztg

Diane Henshaw, RN- https://www.youtube.com/watch?v=t0bRVxUQ9Os 

As always, if you or a loved one is in need of hospice or palliative care, give us a call anytime at (270) 826-2326 to see how we can help!

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Planning a “Good Death”

“Death leaves a heartache no one can heal. Love leaves a memory no one can steal” -Christ Atul B Purty

Death is a subject often skimmed over; especially when it comes to the death of a loved one or a person’s own death. Even though nobody wants to talk about death, everyone wishes for the same thing, a “good death”. We’re sure you’ve heard someone at some point say “I just want to die in my sleep when I’m old. You know, something peaceful.” We all hope to pass away peacefully, pain-free, and according to our 5 Wishes or other advanced directives. However, the only way to accomplish this is to have your wishes in place before the time comes.

Planning a Good Death

There are a few elements of a good death that a person cannot control- time, for instance. One very important factor that a person can control in regards to death is his/her healthcare wishes.

Not making healthcare wishes known ahead of time forces loved ones into a predicament of guessing what you want. Loved ones have to take into consideration feeding tubes, ventilators, CPR and other life-lengthening options. No matter the treatment that is pursued, or not pursued, by the family, loved ones can be riddled with guilt over wondering if they chose what their loved one would have wanted.

But how can you help your loved ones? As soon as you receive a diagnosis of a serious illness, lay out your wishes on advanced directives! You can head to an attorney to create documents such as a Power of Attorney, Living Will, or DNR (do not resuscitate) form. Or you can fill out a booklet entitled “5 Wishes.” This booklet is a recognized advanced directive document in the state of Kentucky. It’s easy to understand, to the point, and easy for the person to fill out. St. Anthony’s Hospice does have these documents and give us a call or stop by our office to obtain one- (270) 826-2326.

Hospice Can Help Make a “Good Death”

Hospice care is a benefit covered 100% under Medicare, Medicaid, and some private insurances. It is designed to help those with a serious illness live the best quality of life by controlling symptoms, assisting with psychological, social, and medical needs, and keeping the patient where he/she wishes to be- home. Patients are eligible for hospice if they have a diagnosis of a terminal illness with a life expectancy of 6 months or less, should the disease run its normal course.

St. Anthony’s Hospice is available 24 hours a day, 365 days a year to assist patients and their families. Patients receive St. Anthony’s Hospice care wherever they call home- home, apartment, skilled nursing facility, assisted living facility, or the Lucy Smith King Care Center. Our clinicians are experts at providing nursing care, personal care, emotional/psychosocial care, and spiritual care to treat the whole patient. We also offer bereavement services to help the family after the patient passes away.

Once admitted to hospice care, a team of nurses, aides, chaplains, social workers, and the patient’s doctor or our medical directors and our nurse practitioner surrounds the patient to develop a care plan to keep the patient where they want to be and manage any symptoms that inhibit a high quality of life. And yes, you read that right, a hospice patient does not have to give up his/her doctor; if the patient wishes to keep their physician and the physician wants to follow the patient! All medications related to the patient’s hospice diagnosis, durable medical equipment, and medical supplies are covered under hospice care and provided at no cost to the patient and family.

Advanced Directives and Funerals

Legal jargon can be confusing, especially in a high-stress time, like trying to determine a loved one’s wishes while he/she is incapacitated. St. Anthony’s has social workers who can assist with getting advanced directives in order. The social workers are not attorneys but they can help family members connect with an attorney to get documents in place and serve as a witness/notary on documents such as 5 Wishes or a Do Not Resuscitate (DNR) form. Social workers can also help get family members in contact with funeral directors to answer any questions they might have about a loved one’s funeral.

Putting advanced directives and funeral plans in place early can help save stress on family members and can help reduce costs to the grieving family.

If you or someone you love is in need of extra help to achieve a “good death”, give St. Anthony’s a call at (270) 826-2326 or fill out our referral form- https://stanthonyshospice.org/referral/.

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End of Life and the Emergency Room

When most people think of emergency rooms, they might think of a scene out of Grey’s Anatomy. The ambulance racing to the door with paramedics jumping out as soon as the ambulance stops to get the patient on the gurney out of the back. Doctors and nurses rushing to meet the ambulance with all the staff running into the hospital to save the patient that is standing on death’s doorstep.

While scenes like this can sometimes be true, ER staff has seen an increase in elderly patients suffering from serious illness and unmanaged symptoms. Hospice and palliative care are the perfect solutions to keeping patients’ symptoms managed and keeping them at home, where most wish to be.

End of Life and the Emergency Room

Emergency Room physicians and nurses are incredible. They never know what is going to walk or roll through the ER entrance from day to day. They face serious and often unplanned injuries and illness often and must be on their toes to diagnose the issue and work to fix it.

With that being said, the emergency room is not the best place for patients who are nearing the end of life. Hear us out! Determining a patient’s longevity is difficult, even for primary care physicians who know a patient’s full medical history. It’s natural for ER physicians to steer clear of discussing a patient’s prognosis when he/she only sees the patient for a small bit of the patient’s condition. Because of this, emergency physicians often stay away from discussing end of life care with patients.

On the other hand, some patients do not have strong relationships with their primary care physician so they put a lot of trust in their ER doctor to provide the best possible education and treatment options.

Hospice & Palliative Care Support for ER Physicians

St. Anthony’s Hospice works with ER staff to provide education and end of life options for patients with serious illness. Rather than patients being admitted into the hospital, it is possible to discharge a patient from the ER to home with hospice or palliative services.

With hospice referrals from the ER, St. Anthony’s works to get one of our Admission RNs out ASAP to assess the patient for hospice eligibility and if eligible, get the admission documents signed.

If the patient is eligible for hospice, we work to get durable medical equipment in the home quickly. The patient’s nurse (or on-call nurse if patient arrives home after hours) will make a visit or call, if the patient does not have any immediate needs, once the patient is back home.

Hospice care provides many benefits to the patient, all of which are covered 100% under Medicare and Medicaid. Some private insurances also cover hospice services. Visit our hospice information page to learn more about these benefits- https://stanthonyshospice.org/hospice-care/.

If the patient is not eligible for hospice care, we discuss palliative care with the patient. Palliative care is for patients who are still seeking aggressive or curative treatments, or those who have a chronic illness but do not meet criteria for hospice care just yet. Visit our palliative care information page to learn more about palliative care- https://stanthonyshospice.org/palliative/.

The overall goals of hospice and palliative care are quality of life and keeping the patient at home and out of the hospital/ER. To learn more about St. Anthony’s Hospice and Palliative Care or to refer yourself or a loved one, give us a call at (270) 826-2326 or visit our referral page at https://stanthonyshospice.org/referral/.

 

1st photo source: https://media.gettyimages.com/photos/blurred-emergency-in-hospital-picture-id543076252?s=612×612

2nd photo source- google images

 

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Breast Cancer Awareness Month

Ever notice how October is filled with falling leaves, pumpkin spice lattes, and a lot of pink? It’s because October is Breast Cancer Awareness Month.

Every year in the United States, close to 250,000 cases of breast cancer are diagnosed in women and close to 2,300 cases in men. Yes, even men can get breast cancer! Out of those cases, nearly 42,000 women and 510 men unfortunately die from breast cancer.

Symptoms
Some of the common symptoms of breast cancer include:

  • New lump in breast and/or armpit
  • Thickening or swelling of part of the breast
  • Irritation or dimpling of breast skin (orange peel skin)
  • Redness or flaky skin in the nipple area or breast
  • Unusual invert of the nipple or pain in nipple area
  • Nipple discharge other than breast milk, including blood
  • Any change in the size or shape of the breast
  • Pain in any area of the breast

If you have any of these symptoms, please contact your physician right away to schedule testing. Some women and men can have lumps in breast tissue that are not cancerous. Always check with your doctor if you notice any lumps or unusual appearance in your breast tissue.

Risk Factors
Some of the common risk factors for breast cancer include:

  • Age. The risk for breast cancer increases with age.
  • Genetic Mutations. Some women inherit certain genes such as BRCA1 & BRCA2, which carry a higher risk for breast and ovarian cancers.
  • Reproductive History. Beginning your menstrual cycle before age 12 or starting menopause after age 55 increase your chances of breast cancer due to extended hormone exposure.
  • Dense Breasts. Dense breast tissue means there is more connective tissue than fatty tissue, which makes it harder to detect cancer,
  • Personal History. Having breast cancer once makes a person more susceptible to getting it again.
  • Family History. Family history of breast or ovarian cancer raises risk of developing breast cancer.
  • Previous Radiation Therapy. Women who received radiation therapy to their chest or breasts before age 30 have a higher chance of getting breast cancer.
  • Diethylstillbestrol (DES). This drug was given to some pregnant women in the US between 1940-1971 to prevent miscarriage. It has been linked to breast cancer for women who took the drug as well as the children who’s mother took the drug while pregnant with them.

Risk Factors that can be changed:

  • Not Being Physically Active. Get up and moving! Exercise lowers a woman’s chance of developing breast cancer.
  • Being Overweight/Obese After Menopause.
  • Taking Hormones. Some forms of replacement hormones, including replacement of both estrogen and progesterone, taken during menopause can increase risk for breast cancer when taken for more than 5 years. Certain birth control pills are also linked to breast cancer.
  • Pregnancy History. Having the first pregnancy after 30, not breastfeeding, and never carrying a child to full-term can increase breast cancer risk.
  • Alcohol. Studies have shown that breast cancer risk increases with the more alcohol a woman drinks.

Protecting Myself & Treatment Options

Test early and regularly! Regular yearly mammograms, as well as self-exams done monthly, help catch breast cancer early, which increases survival rate. Schedule your yearly mammogram and check-up with your doctor. Deaconess even offers a mobile breast cancer van which provides mammograms.

For those women and men who get diagnosed with breast cancer, there are several options to help beat this cancer. Surgery, chemotherapy, hormone therapy, biological therapy, and radiation are most often used.

In conjunction with aggressive, curative treatments, St. Anthony’s offers Palliative Care. This helps manage symptoms associated with the disease and side effects to the treatment, it provides education to the patient and family, and we help set the patient up with community resources to remove stress. And our palliative care program comes to you! No extra appointments to get to and we work in conjunction with your physician/specialist to help develop your care plan. Give us a call at (270) 826-2326 to learn more about Palliative Care!

 

 

Source: https://www.cdc.gov/cancer/breast/index.htm 

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Psychosocial and Physical Pain

You’ve read many times “St. Anthony’s Hospice treats the five types of pain- physical, psychological, spiritual, social, and financial,” But what does this mean? Today we are going to dive into psychosocial, or social, pain.

Everyone likes to socialize, whether in person, via phone call or texting, social media, etc. And there are many things in our daily lives that affect social pain- marital status, social status, home and work atmosphere, social support, etc. For instance, if someone is going through a divorce or other traumatic social experience, he/she might have a lower pain tolerance. Whereas someone who has a loved one by their side might have a higher pain tolerance, think a child who is getting a shot and has mom or dad hold him/her.

Recognizing Social Factors that Affect Physical Pain

  1. Becoming Aware of the Social Factors.

Pain is one of the ways our body communicates with our brain. For example, if we touch something hot, we pull away from it before we develop a serious injury. If we are paying attention while touching the hot object and expecting the pain, the pain may be more severe.

One way to decrease the pain intensity is to distract the patient. Start a conversation, turn on a television show, or have company while doing something unpleasant, such as giving an injection. While the pain won’t fully go away, the distraction may help decrease the intensity of the pain.

  1. Interpretating the Pain.

How a patient perceives the pain can impact how the pain is felt. If the paint expects the worst physical pain, they may be pleasantly surprised when the actual pain is less than expected. On the other hand, if the patient was previously told by a physician that their disease would be cured in a certain timeframe and they are still receiving painful treatments, the physical and emotional pain could be more intense

To help lower the intensity of pain, it can be beneficial for the caregiver or hospice/palliative care team to discuss expectations with the patient. This helps the patient to express his/her wishes and avoid both overestimating and looking for all devastations in their care.

  1. Emotions and Physical Pain.

Fear, depression, anxiety, worry, and other psychological factors can lower a patient’s threshold for pain. Treating the emotional triggers as well as the emotions can reduce social pain, thus reducing physical pain.

Talking with a trained counselor or even a social worker can be a huge relief. This gives the patient the opportunity to feel heard and allows the patient to practice healthy coping skills. In addition, meditation, any type of physical activity, enjoying time outdoors, and enjoying time with company can help increase positive emotions which increases the patient’s threshold for physical pain.

  1. Managing the Pain.

How the patient approaches treatment options, as well as any additional support such as hospice or palliative care, can be beneficial to increasing the threshold for physical pain. The treatment options should be appropriate to the levels of pain; for example, narcotics shouldn’t be prescribed for mild pain. This can force the patient to develop other coping mechanisms, some often unhealthy.

Addressing the Social Pain

Improving a patient’s social surroundings can greatly improve a patient’s social and physical pain. Having someone there to ease the patient’s mind or take their mind off some of the more painful treatments can go a long way.

As the caregiver, look for ways to increase the patient’s social support. Encourage regular contact with friends and loved ones. If he/she lives alone, encourage visits to the local senior center (check for current COVID restrictions) or regular coffee dates and/or lunches with friends. If the patient is receiving hospice care, volunteers can go to their home and provide companionship and do activities with the patient (current COVID restrictions unfortunately are not allowing hospice volunteers to go into patient homes amidst the pandemic).

Social workers also work to address social factors, it’s in the name! They can help patients with stress management techniques, as well as address any issues the patients may be having and work toward solutions.

To learn more about how St. Anthony’s Hospice addresses symptoms of pain or to refer a loved one or yourself, give us a call at (270) 826-2326 or visit our “Make a Referral” page here- https://stanthonyshospice.org/referral/.

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COPD and Anxiety

Chronic Obstructive Pulmonary Disease, or COPD, is a “chronic inflammatory lung disease that causes obstructed airflow to the lungs” (Mayo Clinic). COPD damage is irreversible but the condition is treatable. With proper symptom management, people living with COPD can attain a good quality of life and reduce the risk of developing other associated conditions. Some of the common symptoms of COPD include shortness of breath, wheezing, chest tightness, a chronic cough that produces clear, white, yellow, or greenish mucus, frequent respiratory infections, lack of energy, unintentional weight loss, or swelling in legs, feet, and ankles (Mayo Clinic).

Its no surprise that patients with COPD who experience shortness of breath often experience anxiety. This creates an endless cycle of breathing difficulty, inability to breathe, panic, inability to breathe due to panic and anxiety. Understanding and managing anxiety is extra important for those living with COPD to help break this cycle.

Palliative & Hospice Care for COPD

COPD does have many management options- both pharmaceutical and not, it cannot be cured. It can be difficult for loved ones or caregivers to decide when to get additional care.

St. Anthony’s Palliative care is a great place to start when your loved one’s COPD is declining. We have a Nurse Practitioner, RN, and Social Worker who are an extra set of eyes and ears in the home to help manage symptoms and communicate with patient’s physician and/or specialist. Our Palliative Care team will visit in the patient’s home, cutting down on doctor and hospital visits.

When the patient’s condition declines and their physician expects they have 6 months left to live, the patient is eligible for the added benefits of hospice care. However, this does not mean the patient will only live for 6 months if on hospice care; only that the patient’s life expectancy is 6 months or less should the disease run its normal course.

Once admitted to hospice care, the patient is instantly surrounded by a team of experts who work together to care for the patient’s pain and symptoms and spiritual needs. Additionally, the patient and family receive much-needed emotional support.

If you have any questions or would like to learn more about St. Anthony’s Hospice or Palliative Care or make a referral, please contact us at (270) 826-2326.

Sources- https://www.mayoclinic.org/diseases-conditions/copd/symptoms-causes/syc-20353679?utm_source=Google&utm_medium=abstract&utm_content=Chronic-Obstructive-Pulmonary-Disease&utm_campaign=Knowledge-panel

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Serious Illnesses and COVID-19

As we continue into month 7(ish) of the COVID-19 pandemic, this virus continues lead the news, social media, talk shows, and our daily thoughts and actions. We’ve all adopted new actions and phrases in our daily lives such as wearing a mask and “social distancing” and “hotspots”, to name a few.

We are all pros at checking for symptoms of the virus- fever of 100.4°F or higher, cough, shortness of breath and/or difficulty breathing, sudden loss of taste or smell, muscle/body aches, nausea or vomiting or diarrhea, etc. Sadly, what has not changed is the numerous individuals still facing serious illnesses.

Serious Illness and COVID-19

Serious illnesses include, but are not limited to, COPD, heart disease, dementia, Parkinson’s, CHF, MS, diabetes, cirrhosis, kidney disease, and others. These illnesses require access to medical providers and treatment, even during a pandemic. At the beginning of the pandemic, these treatment options were difficult to come by. Now treatment options are becoming easier to obtain, but there are more ways to access your treatment possibilities.

Hospitals and treatment centers have new policies and procedures for patient appointments and visitors. Many Skilled Nursing Facilities and Assisted Living Facilities are prohibiting visitors and additional healthcare providers entirely, except when a patient is on hospice or end of life care.

Some over the counter medications and household essentials are in short supply, creating anxiety and panic to many. This means many necessary household supplies may be difficult to find and/or maintain.

Caring for Your Serious Illness

COVID-19 seems to be the highest priority for all healthcare providers. However, you still are facing a serious illness, even in a pandemic. With all the new policies in place, how do healthcare providers provide proper care to those with serious illnesses? With the pandemic still in full swing, there is no single, easy answer. Here are some simple approaches one can take to ease some difficult situations.

Plan for the uncertain times.

We don’t know how much longer the pandemic will last. We all need to plan for the uncertainty, especially those with serious illnesses. Don’t wait until the last minute to refill medications or contact your physician if there is an issue.

Remain obedient with your treatments.

Compliance is key!  Don’t forget to take your usual medications or forgo treatments. This sounds so simple but it’s so effective.

Stick to easy but efficient treatment methods.

Sometimes the simplest methods are the most efficient. Be sure you get around 8 hours of sleep each night. Drink at least half your body weight in ounces of water each day (a 160lb person should get at least 80oz of water). Try to reduce stress in a healthy way- read a book, take a walk, disconnect from social media occasionally, and disconnect from the constant COVID-19 news coverage.

Follow CDC guidelines.

The most effective ways in keeping yourself safe from COVID-19! Wear your mask over your nose and mouth. Wash your hands for at least 20 seconds or use alcohol-based sanitizer when your hands are not visibly dirty. Clean regularly touched surfaces in your home and car, including your phone, with alcohol-based or bleach-based cleanser. Stay home if you exhibit any COVID-19 symptoms or just feel ill in general.

I have a Serious Illness and Need Extra Care. What are my options?

In addition to keeping up treatments and medications, St. Anthony’s Palliative Care is a great option! The biggest benefit to palliative care is the extra support. Palliative Care allows patients to continue aggressive treatments, avoid repeat hospitalizations, and remain in their home. St. Anthony’s Palliative Care comes to you- no additional clinics or appointments to go to.

If you or a loved one is struggling with a serious illness, give St. Anthony’s a call at (270) 826-2326 to see how we can help you.

 

 

Images from google search. Information 

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Et in Arcadia, Ego

“Et in Arcadia ego” is a painting by artist Nicolas Poussin. This painting was created in 1637-1638 and was in the classical French Baroque style. It is currently housed in the Louvre Museum in Paris, France.

In the painting you will see four Arcadian shepherds looking at something on a tomb. The shepherds are looking at an inscription on the tomb which reads “et in Arcadia ego”. But what does this inscription mean? Roughly translated from Latin to English, the inscription means “I too lived in Arcadia” or “I too exist in paradise”.

Who is “I”? In this painting, “I” is death. Death exists in paradise. Death exists everywhere, happens to everyone eventually, and cannot be escaped. Death is being referred to in the first person and present tense because everyone can watch death unfold and it has gone on since the beginning of time, through today, and into the future.

With hospice care, we know death is an inevitable part of life and we strive to make it comfortable for the patient and provide resources for loved ones to care for their loved ones and grieve properly after the patient passes away. Hospice does not hasten death rather it enhances quality of life, even to the final moments. The clinicians of St. Anthony’s are experts in pain and symptom management to ensure our patients are physically, spiritually, emotionally, and socially comfortable.

For the family, St. Anthony’s offers bereavement services for 15 months after their loved ones passes away. And we even offer grief support to the community. These include camps, grief support groups, one-on-one grief counseling, and more. We want to be sure the family is emotionally supported while dealing with this difficult time.

If you or someone you know is in need of the extra care and support that hospice care provides, please give us a call at (270) 826-2326.

Sources for the painting: Image from google images.
Sources for information about painting: https://www.merriam-webster.com/dictionary/et%20in%20Arcadia%20ego

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Childhood Cancer Awareness Month

September is a month of many things- the unofficial and official start of fall, back to school month, a super fun song by Earth, Wind & Fire, and the official month of the Virgo. Most importantly, its Childhood Cancer Awareness Month.

Childhood cancer is the leading cause of death by disease for children under age 14, according to St. Jude’s website. We all know of a child or family that has been directly impacted by this horrible disease.

We’ve put together some facts about childhood cancer to help raise awareness.

The awareness ribbon for childhood cancer is gold.

43 children in the US are diagnosed with cancer every day.

Around the world, at least 300,000 children and teens are diagnosed with cancer every year. That is over 800 children and teens diagnosed daily.

It is estimated that 10% of children with cancer developed it due to a genetic mutation.

Childhood cancer survivors are twice as likely to suffer from chronic health conditions into adulthood.

1 in 285 children will be diagnosed with cancer by the age of 20.

Childhood cancer research only receives 4% of the budget from the National Cancer Institute.

(facts sourced from- https://www.alexslemonade.org/childhood-cancer/about-childhood-cancer/facts and https://www.stjude.org)

Children with cancer can receive concurrent care, which is aggressive treatment along with palliative care. This type of care ensures the child is kept comfortable while fighting their cancer.

If you or someone you know needs extra help in symptom management, please give us a call at (270) 826-2326.

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Pain Management Awareness Month

The month of September is Pain Management Awareness Month! It was first declared this in 2001 when the American Chronic Pain Association (ACPA) led a partnership of groups to establish such.

Pain management is one of the primary goals of hospice care- keeping patients comfortable and managing symptoms to ensure the highest quality of life for as long as they may live. Not all patients experience pain near the end of life but treating pain and other symptoms effectively is crucial. The hospice care team continues to evaluate the patient’s pain at every visit. They use pain rating scales as well as monitoring the nonverbal signs of pain.

How Pain is Determined

How many times have you been to the doctor or hospital where he/she asks you “on a scale of 1-10, what your pain level?” This is a common and universal communication tool in healthcare. It allows patients to rate their pain or point to one of the faces to help the clinician understand the patient’s pain level and better manage it. Below is an example of the commonly used/seen pain scale chart. The chart ranges from no pain whatsoever to the worst pain possible.

Image from Google image search- “pain scale”

If there is a nonverbal patient, hospice clinicians can look at how a patient is acting to assess pain level. For example, a nonresponsive or sleeping patient may grimace, his/her chin may quiver, jaw may be clenched, he/she may be kicking their legs or tensing them up, he/she could squirm, moan or whimper or cry, or he/she could be difficult to comfort or be extremely distracted. St. Anthony’s Hospice wants all patients to be comfortable and have the highest quality of life in a patient’s final months, weeks, days, hours, and minutes.

Pain signs for Caregivers

When caring for a loved one who has been diagnosed with a serious illness, the caregiver must know what to look for. Here are some signs to look for:

  • Increased breathing rate
  • Tightly closed eyes or rapid blinking
  • An increase in the patient’s systolic blood pressure from their baseline
  • Holding arm or leg muscles tightly or a rigid body posture
  • Rocking, fidgeting, or pacing
  • Resisting care or guarding certain areas of the body when turning
  • Becoming withdrawn
  • Becoming more aggressive or easily angered
  • Crying
  • Increased confusion
  • Vocalizations such as moaning, calling out, sighing, and asking for help.

Pain Management Misconceptions

One common misconception about hospice care is that hospice clinicians medicate the patient so much that he/she is constantly sleeping or “out of it.” While hospice care does involve medication to keep the patient comfortable, that’s just it. We want the patient to be comfortable and pain-free and still able to interact with loved ones, if the patient still can. Hospice care utilizes opioids to ensure the patient is pain-free. Hospice nurses educate the caregiver on how to administer the medication to the patient. All hospice patients and caregivers are informed of and sign our opioid medication protocol. Opioid addiction is not a concern at the end of life; often there is not enough time to develop an addiction in 6 months or less. Addiction for the patient should not be a concern, rather using the effective tools is more important. Controlled substances do not hasten death. Studies have proven the opposite! These medications do not prolong life however if a patient’s symptoms are properly managed, quality of life increases thus increasing quantity of life!

Emotional, Spiritual, and Social Pain

We’ve often said that hospice care treats all types of pain. But what does this mean? Physical pain is what we most often think of when we think of pain. Emotional, spiritual, and social types of pain are huge players in increasing quality of life. Emotional pain, like anxiety or depression, can increase a person’s physical pain and vice versa. Emotional pain is treated both with medications such as Ativan, and regular visits from the patient’s social worker and chaplain, who also works to treat the patient’s spiritual pain. Social pain is eased by interacting with people other than the primary caregiver. Social pain is especially important to treat during the COVID-19 pandemic. St. Anthony’s Hospice is taking precautions to ensure our patients and staff are staying negative.

Family members and caregivers should be careful to not add to the patient’s stress and anxiety by arguing with or in front of the patient.

What if I have a loved one who is experiencing a lot of pain?

If you or a loved one needs pain managed due to a serious illness, give St. Anthony’s a call- (270) 826-2326. Our clinicians work hard to ensure our patients have the best quality of life by controlling all types of pain.

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