SCHEDULE CHANGE See handout for details Oct 27 12:30 -13:00 Review Midterm and Test 2 – New schedule and requirements October 28 11:30 – Midterm Due November.

Slides:



Advertisements
Similar presentations
Patient Questions and Hospice Myths Presented by: XXX.
Advertisements

1240 College View Drive, Riverton, WY Phone A non-profit organization 5 I MPORTANT H OSPICE F ACTS 1.Hospice is NOT only for the last.
End of Life Care Delivery Systems
Building a Pediatric Palliative Care Program in a Hospice Environment Diane Baldi RN CHPN Chief Executive Officer Hospice of the Sacred Heart Wilkes Barre,
UNDERSTANDING HOSPICE. WHY IS IT IMPORTANT FOR US TO UNDERSTAND HOSPICE? Our care and services overlap Continuity of Care Passing the baton.
COMMUNITY-BASED NURSING PRACTICE Presented by Lindy Peterson, RN.
Hospice Can Help You & Your Family Developed with assistance from Hospice Caring Project, Santa Cruz County, CA [Add name of presenter and organization]
Royal Wolverhampton Hospitals NHS Trust Medical Staff Induction Day Palliative Care at New Cross Hospital Dr Clare Marlow Dr Benoît Ritzenthaler Consultants.
Insert your organization’s logo here. Understanding Hospice, Palliative Care and End-of-life Issues This presentation is intended as a template. Modify.
Presented by Julie Stanton, BCH.  A two part legal document ◦ Healthcare Decisions- a person’s wishes for end of life medical treatment. ◦ Durable Power.
Understanding Hospice, Palliative Care and End-of-life Issues  This presentation is intended as a template  Modify and/or delete slides as appropriate.
PALLIATIVE CARE: ANY STAGE, ANY AGE WHAT PROVIDERS NEED TO KNOW May 2013.
Child Life and Pediatric Palliative Care
Adapted from CMS guidelines Aug 2013 for Ambercare Corporation Education Department 2014.
1 Nursing Facility and Hospice Collaborative Training Presented by Care Initiatives Hospice, Hospice of Central Iowa, Iowa Health Hospice, Iowa Hospice,
Understanding Hospice, Palliative Care and End-of-life Issues
Hospice Basics and Benefits. Goal  To educate nurses and other health care professionals about hospice basics and the benefits for the patient and family.
Palliative Medicine, Pain Management, and Hospice Devon Neale, MD Assistant Professor Dept of Internal Medicine UNM School of Medicine.
National Hospice and Palliative Care Organization, 2009 All Rights Reserved Providing Hospice Care in a SNF/NF or ICF/MR facility Education program Insert.
HOSPICE: OPTIMIZING PALLIATIVE CARE FOR PATIENTS WITH ESRD Judith A. Skretny, M.A. The Center for Hospice & Palliative Care Buffalo, New York.
Hospice A philosophy of care to assist those in the end stage of life Model of care originated in England First hospice in United States was in New Haven,
My Aging Loved One Needs Help. What Are My Options? Part II Understanding Senior Living Options.
Cheryl Shapiro Ferris State University Introduction The purpose of my presentation is to share my experience and introduce hospice as a worthy volunteer.
Palliative Care “101“. Definition Palliative Care Specialized medical care for people with serious illnesses. It is focused on providing patients with.
EPECEPEC Elements and Gaps in End-of-life Care Plenary 1 The Education in Palliative and End-of-life Care program at Northwestern University Feinberg School.
Long-Term Care: Managing Across the Continuum (Second Edition)
Long Term Healthcare Conference May 13, 2010 Hospice & Long Term Care Working Together to Improve End-of-Life Care Ann Hablitzel RN, BSN, MBA Hospice Care.
Understanding Hospice, Palliative Care and End-of-life Issues Richard E. Freeman MD.
A Hospice Like No Other!. Build the case Homeless people were dying on the streets, in shelters and in substandard housing. Barriers to mainstream palliative.
National Homecare Conference Anne Willis Hospice Manager : Marie Curie Hospice : Edinburgh.
PALLIATIVE CARE WORKING AS A TEAM TO IMPROVE YOUR QUALITY OF LIFE May 2013.
Harmony Life Hospice Every Moment of Every Life Matters Powerpoint by The Rev. Dr. Geoffrey Schmitt, Volunteer Coordinator & Chaplain Harmony Life Hospice.
The Role of the Respiratory Therapist in Hospice/Palliative Care Tim Buckley, RRT, FAARC Director Respiratory Services Walgreens Home Care.
Healthcare and Hospice Unit 8 Seminar. Human Services in Hospitals Psychosocial assessments Post discharge follow up Providing information and referrals.
Chang Gung University Lai-Chu See, Ph.D. Professor Department of Public Health, College of Medicine, Chang Gung University, Taiwan
Pediatric Dying and Death
Siriraj Palliative Care Center. Palliative Care Committee Faculty of Medicine Siriraj Hospital Palliative Care Executive Board Palliative Care Working.
The Actively Dying Phase John Mulder, MD VP of Medical Services Faith Hospice.
HOSPICES. HISTORY The word ‘hospice’ is derived from ‘the hospitium’, that part of the monastery where traditionally help was given to travellers, the.
rd St NW ● Salem, OR ● ● ● Willamette Valley Hospice Marion County Home Health asks, “Should we provide hospice services.
Palliative Care Michele Loos, MS, APRN, FNP-C Clinical Assistant Professor: University of New Hampshire Nurse Practitioner: Supportive and Palliative Care.
HEALTH CARE DECISIONS ACROSS THE TRAJECTORY OF ILLNESS Susan Barbour RN MS ACHPN.
Patient Description Older people over 60’s who are terminally ill and have no cure for their illness. They usually have less than 6 months to live. Hospice.
Hospice Can Help You & Your Family Developed with assistance from Hospice Caring Project, Santa Cruz County, CA Hospice of Helping Hands
March 4, 2014 Presentations:  Christen Papile  Itati Marin Vera  Kim Lanier Hospice Care vs. Palliative Care Discussion on.
“A Quality Journey for those we love to the end” “Hospice Care Now”
Component 2: The Culture of Health Care Unit 3- Healthcare Settings Lecture f: Long-Term and End of Life Care.
Understanding Hospice and Palliative Care This presentation is intended as a template. Modify and/or delete slides as appropriate for your organization.
End-of-Life Services. How to get Hospice Care Talk with a local physician Call a local hospice provider Contact your nearest VA hospital or clinic to.
This program is made possible through a collaborative community-education partnership between The Consortium for Advancements in Health & Human Services,
Healthcare and Hospice Unit 8 Dawn Burgess, Ed.D.
 Hospice-a facility or program that provides physical, emotional, and spiritual care for dying people and support for their families.  Terminal Illness-
An Introduction to Hospice Care Megan Cambridge – Head of Service Development and Communications.
Hospice and Palliative Care ROXANNE ROTH MSN, RN DIRECTOR OF INNOVATION.
The Role of the Volunteer HOSPICE PALLIATIVE CARE.
Stephanie Suggs and Meghan Wells.  Located in Montgomery County, PA  Our facility is open 24 hours a day, 7 days a week.  We are a non-profit organization.
Hospice Care in the Aging Population Mary Rossio Principals of Health Behavior MPH 515 Danielle Hartigan February 20, 2015.
M. Kay M. Judge, EdD, RN Marjorie J. Wells, PhD, ARNP.
What you should know about hospice care By: Elizabeth Stimatz.
Inpatient Palliative Care A hospital service at SOMC where patients can benefit from palliative care consultative services during their hospitalization.
Leo G. Rafail, BSW Community Liaison President Thomas Cellini Huntington’s Foundation Board Trustee Rock Steady Boxing Former Care Services Program Manager.
Caring for Aging Parents “Children, obey your parents in the Lord: for this is right. Honor your father and mother; which is the first commandment with.
A COMMUNITY RESOURCE WHEN LIFE MATTERS MOST. WHAT IS HOSPICE  THIS IS WHAT PEOPLE THINK HOSPICE IS!!
Hospice of the Bluegrass is now ….. Bluegrass Care Navigators
National Hospice Month November 2009
©2008 CareTrack Resources: End-of-Life Care for Alzheimer’s Clients
Hospice and Palliative Care Brief Overview
Understanding Hospice, Palliative Care and End-of-life Issues
Best Hospice Las Vegas
Best Hospice Services Las Vegas
Presentation transcript:

SCHEDULE CHANGE See handout for details Oct 27 12:30 -13:00 Review Midterm and Test 2 – New schedule and requirements October 28 11:30 – Midterm Due November 3 Test 2 – Guest speaker write ups Due Presentations and game pal test Due

Providence Hospice End Of Life Care in the Community Jane Brandes MSN Director Providence Hospice

HOSPICE PHILOSOPHY OF CARE Hospice provides support and care for persons in the last phases of a terminal disease. Hospice recognizes that the dying process is a part of the normal process of living and focuses on enhancing the quality of remaining life. NHPCO 2012

A BRIEF HISTORY OF HOSPICE Hospice can be traced back to medieval times referred to as a place of shelter and rest 1948 Dame Cicely Saunders began her work with terminally ill 1967 first modern hospice opened in London “St Christopher’s Hospice” 1974 First Hospice Program in the US opens in Connecticut

“PROVIDENCE HAS BEEN PROVIDING HOSPICE SINCE THERE WAS HOSPICE IN THIS COUNTRY”-RICK WARREN 1979 Providence is a demonstration project site Housed in old PPMC library with a small inpatient unit Average Census of 5-10 patients (Current Average is 400) Mid to late 80’s St Vincent's Hospice started Struggle as West Side physicians thought it would bankrupt the system Director was the only nurse had to take call 24 hours a day and then make visits in the middle of the night with her children ……We have come a long way

WHO IS ELIGIBLE FOR HOSPICE? Someone with a <6 Month Prognosis and is covered by Medicare part A or most commercial insurances. Common Examples of End Stage Illness: Cancer Heart Disease Pulmonary Disease Dementia

THE HOSPICE TEAM Personal physician Board-certified hospice and palliative medicine physicians and nurse practitioners Hospice nurses Social workers Pharmacists Chaplains Hospice aides Volunteers Bereavement support staff

HOSPICE SERVICES 24 hour availability Counseling services Physical and Occupational Therapy for safety Medical supplies and equipment Medications for control of symptoms Respite and Inpatient care

HOSPICE SERVICES Hospice services are provided in the patient’s home. It may be a private residence, an assisted living community, an adult care home, or a residential or intermediate care community.

COMPLIMENTARY THERAPIES Music Thanatology Massage Acupuncture Animal-assisted therapies

THE PHASES OF DYING Each person is unique and approaches death in their own way, the following is a broad guideline of what one may experience.

ONE TO THREE MONTHS BEFORE DEATH Withdrawal from people and activities Communicating less Eating and drinking less Sleeping More

ONE TO TWO WEEKS BEFORE DEATH Disorientation and confusion Use of symbolic language and talking to people not present Physical changes: not eating, taking little or no fluids, decrease in blood pressure and pulse

DAYS TO HOURS BEFORE THE DEATH Sleeping most of the time Surge of energy Restlessness Difficulty Swallowing Changes in Skin Color Rattling breath sounds

MINUTES BEFORE THE DEATH Shallow breath with longer pauses Mouth Open Unresponsive

BEREAVEMENT CARE SUPPORTING THE FAMILY AFTER A LOVED ONE PASSES ON During Hospice Care: Anticipatory Grief and Grief assessment After the loved one Passes on: 13 months of Bereavement Services

BEREAVEMENT SERVICES 13 Month Grief Support Mailings about Grief Support Grief Support Classes and Groups Grief Counseling Child and Family Grief Support Camp Erin Referrals for Long Term Counseling Twice Yearly Memorial Services for family, friends, caregivers.

RESOURCES! Providence Hospice CARE Web: rovidence-hospice rovidence-hospice Thank You!