What is Hospice? What do we as people think of when we mention the word, Hospice? “Bereavement” in other words that is not always a true statement. I now been with Hospice going on three years; June 17 2016. I have taken care of most of the patients I have had since day one as yes’ there are long term patients not short term. The Amedisys Hospice service that I work for is special, loving, kind and caring; which we provide comfort and support for our patients, which are facing life- limiting illnesses for each family member and loved ones. The reason I chose the topic to write and tell about my story to tell; is because I am a Hospice aide that I experience each week days. I travel from home, to home, work at facilities, and work in the office some. There are lots of our patients choose to be home for their comfort of their illnesses; and some that aren’t able, or do not have the time for their loved ones; they chooses the facility’s such as the nursing homes, not stating that they do not want to care for them in their home, because they have busy schedules or what …show more content…
First of all we have the Amedisys hospice physician, which treat the patients for their chronic illnesses when in need. We have the Registered Nurses, which give the medications and manages it to control the pain that are needed for the patients; also we have a 24/7 on call services for Hospice. We have social workers who documents the patients evaluation that determines if the patient is still eligible for hospice or not; and also we have the chaplains that’s there for their “Bereavement”. And last but not least is the Hospice Aide, which is my Job Title. I am the one that does most of the work, but the last in order; I document the patients daily routines, meaning their wounds, their skin tears, their personal care and promoting compassionate dignity and affirms quality of life for the patient, family members, and their loved
Legacy Hospices missions statement is to affirm life and focus on the quality of life. Legacy Hospices consist of twenty-one offices located in seven states, including Alabama, Louisiana, Arkansas, Missouri, Kansas, Oklahoma, and Mississippi. Legacy Hospices provides care for people who are in their last stages of life. Hospices allow nurses, doctors, spiritual leaders, and rehab teams to stay and work with the patient so the family members can carry out their everyday lives. Hospices job is not to postpone deaths, but to prepare the family in every way possible for that time.
Medicare beneficiaries might need to jump through some hoops to get that palliative care. Hospice is one of the services covered for Medicare beneficiaries and is obviously a necessary service at the end of life. In the past, Hospice had four benefit periods, two-90 day periods, one-30 day period and one unlimited period. Prior to 1998, if a member entered the unlimited period but did not die, they lost all future Medicare Hospice coverage.
The three alternative that ACA suggest are: Adult Day Care Center is a non-residential facility that supports the health, nutritional, social, and daily living needs. They provide transitional care and short-term rehabilitation following hospital discharge. Hospice focuses on pain and symptom management. Emotional and spiritual support are also a part of hospice care to help everyone deal with the situation. Is a nursing facility or long-term care facility that patients can receive specialized visits from hospice nurses, home health aides, chaplains, social workers, and volunteers.
Health Care givers should be aware of the issues on what to say and how to act,give emotional support,and when to use hospice care. An article stated,”Several scholars listed the implications of spirituality,including preserving the patient’s hope,helping the patient find meaning in life and death,and helping the patient find spirit.. ”(Qiaohong Guo and Cynthia S Jacelon,An integrative review of dignity in end-of-life care.)What this means is it is there to help the patient have hope,remember the good moments in life,and find the feeling of completeness so they can pass on from the physical world with no regrets. Healthcare givers can encourage their patients without giving false hope.
A hospice provides a more suitable environment for those at the final stages of their lives compared to a hospital for a multitude of reasons. Hospice care is designed to care for all aspects of the person life; they provide physical, mental, and religious services, as well as caring for the patient’s family. Since hospice care is also available at home, the patient has the opportunity to die in familiar surroundings. On the contrary, hospital care provides primarily physical services to the patient and is focused on the patient’s disease. Also, dying in a hospital can be less pleasant because a connotation of hospitals is illness which is a negative quality compared to that of a home, where a person is surrounded by their memories and belongings.
At today’s visit, she is accompanied by her husband. She is awake, alert and pleasantly confused. She denies pain, shortness of breath and chest pain. The husband reports that the patient memory has worsened. He states that she forgets how to perform her ADLS, now he has to assist her with her ADLS.
Life and Death in Assisted Living Facilities Assisted living facilities are one of the fastest growing industries in the United States. Unfortunately, assisted living facilities have a history of being problematic. Specific cases from the movie Life and Death in Assisted Living Facilities indicates that assisted living facilities are often under staffed, poorly trained, and often admit elderly patients who are not qualified candidates for their facilities (Byker and Thompson, 2013). When taking this in to account, it is important to consider why families may admit their loved ones in to assisted living facilities.
I am reaching out to you because, like me, I know how much the subject of grief care means to you. I meet you about a year ago at the training/introduction over a year ago in Flat Rock with the original attempt to build the grief classes for children. I am also on your list for volunteering with bereavement classes that were canceled this year. I would love to set up a time to talk with you about my new children 's grief group that be will starting shortly, in Warren MI. I used this particular group set up with New Hope when I interned at a BS level Social Worker, I have made minor modifications, as a LLMSW, to this 9 weeks group but have seen the effectiveness it has on children
In all my experiences as a nurse, I’ve realized the importance of communication, providing holistic care to an individual and empowering them with the knowledge to manage their health. When an illness strikes a person, it affects not just his body, but also his mind and spirit. The art of communication is invaluable to patient interaction and establishing a therapeutic nurse-patient relationship, that facilitate coping mechanisms for patients, moreover it prepared myself as a nurse to meet their individual needs. Furthermore, there is at the moment an insurmountable demand for survivorship care as a result of the advancement in technology and medicine, which made living beyond life expectancy possible for increasingly more people. Living after cancer treatment is not free of complications as there are acute and chronic side effects of treatment that requires constant monitoring and attention, and this information spurred me to shift my focus from palliative to survivorship care.
I. Just imagine waking up one morning and not knowing or remembering anything you did yesterday or the past years of your life? Well that’s what people who have dementia go through. They cannot remember who their kids are or anyone around them. II. Dementia effects your memory and a person’s ability to achieve a normal everyday task and activities.
Training and Education: Policymakers should prioritize education and training programs for healthcare professionals and hospice care providers. These programs should focus on ensuring a clear understanding of policy updates, eligibility criteria, and the importance of regular reassessment of patients' prognoses. Improved knowledge and training will facilitate better decision-making and support for patients and their families (Stacey et al., 2020). V. Stakeholder Engagement: Policymakers should actively engage stakeholders, including healthcare professionals, patient advocacy groups, and hospice providers, in the policy review and revision process. Their expertise and perspectives are crucial in developing a policy that is responsive to the needs of patients and promotes high-quality end-of-life care.
It brought to my awareness both the limitation and the capacity of medicine. Although there was no medical intervention that could cure the diseases of those terminal patients, their quality of life was improved by an outstanding team of doctors, nurses and volunteers. This awareness helped reconcile myself to the fact that certain things, such as death and terminal illness, can not be avoided or changed. By viewing death as a natural part of life, I will be able to offer my dying patients the best care possible while also understanding my limitation as a physician and a human being.
Imagine being able to think about your loved one without feeling depressed. You could enjoy your fond memories of the past and still move on in life. When you hear your special song or see their favorite food, you feel happy. It feels like a sign that they are happy and want you to live your life. When you lose a loved one, you may be overcome by grief.
This assignment also covers the importance of hope for patients and the role hope plays in terminally ill patients. I will also discuss ways in which health professionals can foster hope in terminally ill patients. I was on my placement on an oncology ward. It was my second week on
Coping with the loss of someone or something you love is one of life’s biggest challenges. Often, the pain of loss can feel overwhelming. You may experience all kinds of difficult and unexpected emotions, from shock or anger to disbelief, guilt, and profound sadness. The pain of grief can also disrupt your physical health, making it difficult to sleep, eat, or even think straight. These are normal reactions to significant loss.