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Hospice

What exactly IS hospice care?

By now, you’ve heard us say “hospice is help for the patient and family” and “hospice treats the 5 types of pain.” But have you thought to yourself, “what does that even mean?”

Read below and we will tell you more about it!

A hospice referral begins when a patient, family/friend, physician, case manager, nurse, whomever calls St. Anthony’s Hospice, right? Actually, the very  beginning of a hospice referral is when a patient is diagnosed with a serious illness with a life expectancy of 6 months or less should the disease run its normal course. When you are diagnosed or you have gone through treatment and are told “there’s nothing more that can be done,” always remember with hospice care, there is always  more that can be done! The official referral process begins with a call to (270) 826-2326 and an appointment will be set for one of our Admissions Nurses to come talk to the patient and family/caregiver to determine your goals of care and if hospice care is appropriate for you. If hospice care aligns with your goals and the patient is eligible, a few documents will be signed and you are now a patient of St. Anthony’s Hospice!

Once you are a patient, you have an interdisciplinary team that surrounds you and helps you develop a care plan and treat the 5 types of pain. Now here is where your questions can be answered.

Who makes up a hospice patient’s interdisciplinary team?
Your primary care physician and/or our St. Anthony’s Hospice medical director(s)
Hospice nurse
Hospice care aide/CNA
Social Worker
Our St. Anthony’s Hospice Nurse Practitioner
Hospice chaplain
Volunteers
Your normal caregiver

What are the 5 types of pain and how does St. Anthony’s treat them?
Physical: Physical pain is what you think of when you think of pain. This pain is managed by medication designed to control your pain and symptoms associated with your serious illness. Our nurses are expert in physical pain and symptom management; they work closely with your primary care physician, our medical director(s), and our nurse practitioner to ensure your physical pain and symptoms are properly controlled. Your nurse will visit at least once per week, but you have access to a nurse 24 hours per day, 7 days per week!

Spiritual: Our hospice Chaplains are available to give you spiritual support during this difficult time in your life. This does not mean they are there to force religion on you or “Bible beat” you. Rather, they are there to help patients have meaningful discussions about hope, forgiveness, and peace. Our chaplains also host bereavement support groups, open to anyone in the community, to help with grief once a loved one has passed.

Social: Many times a hospice patient is in need of interaction with a person other than his/her caregiver. Not only will the patient receive a volunteer to help the caregiver with short-term things like sitting with the patient while the caregiver runs some errands or takes some “me time” to unwind, the volunteer is there to do activities with the patient and to tend to some needs like making a snack! In addition to this volunteer, the patient will also have visits from his/her nurse, social worker, chaplain, and hospice care aide/CNA. These visits offer relief to the caregiver and companionship for the patient.

Financial: Healthcare costs can be scary. Fortunately, hospice care is a benefit under Medicare, Medicaid, and some private insurances! Yup, you read that right! In the hospice benefit, you receive an interdisciplinary team to help with your disease-related needs, durable medical equipment, medical supplies, and medication related to managing symptoms of the hospice diagnosis. And if the patient does not have health insurance? St. Anthony’s does not turn away a patient due to inability to pay!

Psychological: Every patient has a social worker to provide much-needed psychological pain. While social workers typically get a bad reputation, our social workers are there to assist patients and families with confusing insurance forms or other legal documents such as Powers of Attorney, Living Wills, etc. They also can assist with funeral plans and grief counseling, if needed.

So now you know how hospice care can help you or a loved one! If you have any additional questions or would like to refer a loved one to St. Anthony’s Hospice, please call us at (270) 826-2326 or fill out our referral form.

 

Photo Source: https://www.google.com/url?sa=i&url=https%3A%2F%2Fwww.senioradvice.com%2Fhospice&psig=AOvVaw0pPzoqgG-e9nBjm6cqtDPD&ust=1612551887481000&source=images&cd=vfe&ved=0CAIQjRxqFwoTCOjcuIL20O4CFQAAAAAdAAAAABAD

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End of Life Conversations with your Doctor

People generally enjoy talking to others about a variety of topics however, terminal illness and end of life care are not in those enjoyable topics.

But why don’t we normalize talking about these things?

Who should initiate conversations around end of life care and terminal illness?

The patient? Their family? Their physician?

Talking about a loved one’s wishes for end of life care should be a normal thing! Don’t you want to know the kind of care your loved one wants to receive? What if you were unable to speak for yourself? Would you want your loved ones to know the kind of care you desire to receive?

When discussing end of life care and/or terminal illnesses, a person should not depend on his/her physician to initiate these conversations. Talking about end of life decisions is really hard, but not talking about your end of life choices and expecting your physician and family to know is much more difficult.

So think about this, if 80% of people want to talk to their doctor about end of life care, if seriously ill, but only 7% of patients actually have these conversations with their physicians, what is happening?

This is where St. Anthony’s can help!

Start by thinking about these questions:
What is more important to you when faced with serious illness- quality of life or quantity of life?
Where do you want to be when you pass- in a hospital with cords, tubes, ventilation, etc. or at home with loved ones and pets in a familiar environment?
Do you have advance directives in place to help your loved ones if you are unable to make your own decisions?

If you choose quality of life and to be at home during your final months, weeks, or days, we can help! Whether you have advance directives in place or not, our hospice or palliative program can help you obtain optimal quality of life. If you do not have advance directives in place, we have social workers who can help you get those documents set up and understand what they are saying.

St. Anthony’s Hospice and Palliative Care programs are in place to help you! Not only do we help patients achieve optimal quality of life, but we also educate the patient and family on the disease progression and how to have those difficult conversations with family.

Don’t depend on someone else to initiate this conversation, start it yourself! If your or a loved one needs help with a serious illness and/or end of life care, please call us at (270) 826-2326.

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Dying Wishes Matter

By now you’ve seen us say how hospice care helps the whole person, including their psychosocial health. This means that we honor your end of life wishes!

Need help with advance directives? We can help!
Need help with funeral plans? We can help!
Need help improving quality of life with a serious illness? That’s our specialty!

Having the end of life conversation with loved ones is never easy. However, studies have shown that having these conversations ensure you receive the kind of care you want when at the end of life. A living will or 5 Wishes can help loved ones know your wishes. Knowing where a loved one stands on whether or not they desire intubation, CPR, and if they have a designated healthcare proxy can all take a huge stressor off family when the end of a patient’s life is near.

St. Anthony’s Hospice can also help you have those difficult conversations with loved ones. Our clinicians know how to approach these sensitive topics and can answer any questions you or family members may have. We want everyone to be educated on his/her disease process and to receive exceptional care when traditional curative treatments are no longer attainable.

If you or a loved one is in need of the exceptional hospice or palliative care we provide, please call us at (270) 826-2326 or visit our online referral form.

 

 

Photo and article source: https://www.vitas.com/hospice-and-palliative-care-basics/end-of-life-care-planning/having-a-conversation-about-the-end-of-life/infographic-hospice-honors-your-end-of-life-wishes

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How do you feel about Getting Old?

Hospice and palliative care are centered around maintaining a patient’s independence and dying with dignity. But what about aging?

When does a person need to begin thinking about their healthcare options?
When they are diagnosed with a terminal illness?
When they are actively dying?
Or when they are younger, either newly or not yet diagnosed, and can make choices for his/herself to ensure he/she gets what he/she wants out of life?
hint, if you said the last one, you are right!

Nobody wants to think about the possibility of getting sick or getting older, but everyone should begin planning for their future healthcare. Most people already contribute to a 401K, so why put off other future plans?

Once a patient is enrolled in palliative or hospice care, St. Anthony’s social workers can help patients with their advanced directives. We have an amazing team of social workers who can make legal documents easier to understand and help with funeral plans. Just another way St. Anthony’s Hospice helps to ease the psychosocial pain associated with illnesses!

Call us today to see how we can help you age gracefully, (270) 826-2326.

Photo source on picture.

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Why St. Anthony’s- Tina Eckels

Adding another Why St. Anthony’s story to our website today. This one features our Director of Nursing, Tina Eckels.

“My hospice journey began when I was just 17 years old. I had never before heard of Hospice and obviously knew nothing about the concept of Hospice. I was first introduced to Hospice while still in high school when I heard a Hospice Nurse give a talk about hospice care and what she did for the patients and families she cared for on a daily basis. I was so moved and energized by what I was hearing that I said to myself ‘I want to do that. I want to be part of that kind of caring.’ I never let go of that and have now been with St. Anthony’s for over 17 years.

I can remember caring for a woman in her late 50’s who was dying of lung cancer. While making a routine visit to her house it was apparent that she was quickly declining. Her daughter was in the living room sitting beside her mother’s hospital bed and I could tell she was having a difficult time. I said to her ‘What can I do for YOU?’ She told me that she wished she could lay with her mother and hold her the way her mother used to hold her when she was a child. I told her she absolutely could and we repositioned her mother in the bed and she climbed in the bed with her mother and help her and told her how much she loved her. Her mother died just a few days later.

About 5 years later that same daughter came up to me in the grocery store and thanked me for the care that St. Anthony’s provided to her mother and for allowing her to do what she needed to do most. She said she will always have that memory of being able to have those last few hours with her mother, just the two of them. That is what Hospice is all about! Allowing people to die with love and dignity in the place of their choosing, the way they want it to be.”

If you or a loved one is in need of the expert care hospice or palliative can provide, please call us at (270) 826-2326 or visit our website at https://stanthonyshospice.org/referral/.

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Why St. Anthony’s- Lisa Burke

We are continuing adding our past Why St. Anthony’s posts here to our website blog. Today’s, from the Why St. Anthony’s vault is from Lisa Burke.

“I worked at St. Anthony’s Hospice for 25 years. I love the mission of hospice and the personnel who have cared for our patient’s through the years.  St. Anthony’s has cared for my dad, mother-in-law, and father-in-law. It was such a comfort knowing I had someone to call at any time if I had questions or concerns. The staff was quick to respond and to go above and beyond to care for my loved ones. I feel proud to be part of such a wonderful agency. My hope is that I can give comfort to our patient’s and family’s as it was given to me during my time of need.

A more specific story, my dad was with St. Anthony’s care for about three months when he had a serious stroke that ultimately took his life. I was able to ask my dad if he wanted to go to the hospital or stay at home. He chose to stay at home. It was obvious after that first night of his stroke that he wasn’t going to improve. Hospice provided Continuous Care which was such a blessing. They provided education and support as we cared for him in his final days. The nurse was present, which gave me an opportunity to rest a little. The education they provided gave me the confidence to provide the necessary care for my dad. Just knowing I had someone to call at any time if I had questions or concerns was such a blessing. I will always be grateful to the staff members who assisted my family in the time of our greatest need. So, I can confidently say to families who wonder if hospice is right for them, a definite yes!”

If you or a loved one is in need of the help that St. Anthony’s Hospice can provide, please give us a call at (270) 826-2326 or visit our website at https://stanthonyshospice.org/referral/.

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2020: A Year in Review

2020 has been a crazy year! From the normality of January – early March, to the declaration of the pandemic status in Mid-March – today. Here’s a little peek at how our 2020 went!

If you or a loved one is in need of the extra help hospice or palliative care can provide, please call us at (270) 826-2326.

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He Only Takes the Best

“God saw he was getting tired,
And a cure was not to be,
So he put his arms around him,
And whispered “Come with me”,
With tearful eyes we watched him suffer,
And saw him fade away,
Although we love him dearly,
We could not make him stay,
A golden heart stopped beating,
Hard working hands to rest,
God broke our hearts to prove to us,
He only takes the best,
Although his heart stopped beating,
His love will always remain,
His absence puts upon our hearts,
A very heavy strain,
For now he is in a place of everlasting rest,
We just have to understand that God,
He only takes the best.”
-He Only Takes the Best, by Jimmy Arnold

If you have been to the Lucy Smith King Care Center lately, then you have seen this beautiful lantern at the nurses’ station. It is a loving reminder that “He Only Takes the Best” and even if you are laughing and having a good time with your loved one, someone may be saying goodbye to theirs.

If you or a loved one is in need of hospice, palliative, or bereavement services please call us at (270) 826-2326.

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Hospice Caregivers- The Unsung Heroes

The most important person in a hospice patient’s life is their caregiver! The caregiver is the special person in the home with the patient day in and out. They tend to every need the patient has, runs necessary errands, experiences the emotional roller coaster that comes from watching a terminal illness progress, and so much more.

Caregivers usually spend so much time caring for their loved one that their own well-being can take a turn. According to the CDC, “79.3% of caregivers aged 45 years and older reported having had a routine checkup in the past year.” Roughly 80% of women had a routine check-up vs. approximately 77% of men, reported from the same study. Also, around 14.5% of caregivers reported having 14 or more mentally unhealthy days in a month. 17.6% of caregivers reported experiencing 14 or more physically unhealthy days in a month. In addition to the mentally and physically unhealthy days, 36.7% of caregivers reported getting insufficient sleep (<7 hours within a 24-hour period).

Hospice and Caregiving

When enrolling a loved one in hospice care, most caregivers think hospice takes over all of their duties and we kick the caregiver aside. This couldn’t be farther from the truth! St. Anthony’s Hospice works in partnership with the caregiver! We know how important it is to have someone in the home providing that constant care and how important it is to be involved in your loved one’s care. St. Anthony’s comes in as extra help and support and to be the expert pain and symptom management. We educate the caregivers on medication, wound dressing, the disease process, the dying process, and much more.

Also, while in St. Anthony’s Hospice care, we have options to give caregivers breaks while the patient still receives the expert symptom management that hospice provides. At the Lucy Smith King Care Center, the patient can transfer for respite care. Respite care is covered 100% under Medicare, Medicaid, and some private insurances! The patient can stay for up to 5 days while the caregiver gets a break to attend a wedding, graduation, vacation, staycation, whatever the event is, and receive the expert 24/7 care that our clinicians provide. For more information on the Lucy Smith King Care Center, check out the webpage about it here- https://stanthonyshospice.org/lucy-smith-king-care-center/.

We work in partnership with the patient’s physician and patient’s caregiver to provide the best care to the patient! If you or a loved one is needing the extra help that St. Anthony’s Hospice can provide, give us a call at (270) 826-2326 or make a referral here- https://stanthonyshospice.org/referral/.

Sources: https://www.cdc.gov/aging/caregiving/caregiver-brief.html

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End of Life Choice

What does a hospital stay usually look like? A patient lying in a bed hooked up to an IV pump, sometimes oxygen, blood pressure cuff, oxygen monitor, and sometimes more. Nurses, aides, and physicians coming in and out of the patient’s room. IV pumps constantly beeping. All of this sounds like a very busy situation. What if you or a loved one finds yourself here, in the middle of all of it? Then, what if you or a loved one is told there is nothing more that can be done?

With hospice care, there is always more that can be done! Hospice care allows for the patient to be treated, rather than the disease. Hospice is about quality of life! St. Anthony’s treats the whole person, including the five types of pain: physical, social, psychological, financial, and spiritual. Hospice is about keeping the dignity of our patients, even after death. Hospice is support and help for the patient, caregiver, and family. Hospice is comfort for the patient in all definitions of the word.

Which do you prefer when you think about the end of your life?

This?

Or this?

Photo Source: The Institute for the Study of Birth, Breath, and Death Facebook post- 1/28/2020

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