Chris DiMaso | July 28, 2021
“Praise be to the God and Father of our Lord Jesus Christ, the Father of compassion and the God of all comfort” 2 Cor 1:3
Hospice and palliative care are unique services available to help empower you and your loved one during end-of-life. This article is to help you make a decision on what services you need and provide you with resources to move forward.
What is hospice?
Hospice is a unique service that focuses on patients and their caregivers who are facing advanced end-of-life illness. Hospice provides compassionate care for people in their final phase of life so they can live in peace and comfort. The guiding philosophy of hospice is to regard death as the final stage of life. It respects life without trying to postpone death. Hospice focuses on the needs of the person and alleviating the symptoms afflicting them, related to their disease process instead of aggressively trying to cure the disease. Hospice works as a holistic team to manage symptoms, so the patient’s final time is met with quality and dignity. Hospice care is family-focused and includes the patient and their loved ones when making decisions.
What does hospice do?
When a care provider deems hospice is the right course of action, the patient will choose a hospice agency that suites their needs. Often the hospital or nursing facility can help provide options if the family doesn’t already have a choice in mind. The patient will be visited by a hospice nurse for an evaluation. Two doctors must agree that the patient’s prognosis is 6 months or less to qualify for services. If a patient qualifies, they are admitted and services begin. An interdisciplinary team is assigned to the patient/family that includes: an RN Case Manager, Social Worker, Home Health Aide, bereavement coordinator and a Chaplain and volunteers if they wish. Often hospice agencies also have complementary therapies such as music therapy, massage therapy, aromatherapy, and beautician services. This team approach is overseen by a hospice medical director who will collaborate with the primary physician of the patient. A patient can choose to have the hospice medical director as their primary physician if they prefer.
Services offered in hospice care include, but are not limited to:
Who needs hospice?
Hospice is considered when you or a loved one has been diagnosed with an illness that will limit the length and quality of life. Speak with your care provider about all options, including hospice. Frequent reasons to consider hospice include but are not limited to late-stage dementia and Alzheimer’s, cancer, heart disease, AIDS, ALS, COPD and others. Patients can become eligible for hospice care services when their provider deems that the natural course of illness has a life expectancy of six months or less. It is important that comfort and care of symptom management becomes the priority, and continuing treatment of the illness is no longer beneficial. Hospice care provides a level of support that is unrivaled. An interdisciplinary team of clinicians, social workers, spiritual and grief counselors, and volunteers rally around you or your loved one to meet their needs. This can range from medical treatment and cessation of pain, to coordination of services, or making peace with family and a higher power.
“At the end of our lives, what do we most wish for? For many, it’s simply comfort, respect, love.” -BJ Miller
What are the options in hospice?
End-of-life care is personal and should be tailored to meet the needs and desires of the individual. This can include everything from the level of care needed to directives of where someone wishes to pass.
Hospice vs palliative care
Hospice and palliative care address many of the same issues, but can look very different on a case-by-case basis. Hospice is intended for individuals will a life expectancy of fewer than six months, where palliative care isn’t limited to this time period. Your loved one could benefit from advanced care even if their illness is not life-limiting in the near future. End-of-life goals and symptom management are crucial in both scenarios, and it is important to meet with your healthcare provider to discuss which is appropriate for you or your loved one.
Home-based care
Depending on the resources needed, some patients choose to remain in the home at the end of their journey. This decision is closely linked to the goals of the patient, their condition, and the amount and quality of support available. It is important to note, that the hospice benefit does not include private duty care/or around the clock nursing services.
Long-term care facilities
Facilities like Villa St. Francis offer higher levels of support and can address needs on a case-by-case basis. We offer tranquil settings both in private and semi-private rooms. Our team works closely with Hospice services to ensure pain and symptom management is addressed 24 hours a day, and our nurses and CNAs are available to take care of the patient around the clock and coordinate care plans with hospice professionals who supply supplementary care. We have social workers and spiritual care on-site. Working with Villa St. Francis and a hospice service offers a comprehensive level of care.
General inpatient care
The highest level of care under hospice is called GIP- general inpatient. A patient can qualify for this if their symptoms are unmanageable in their home. GIP is considered “the ICU” of hospice. This can occur in the hospital, but most patients prefer not to return to or remain in the hospital at end of life. Villa St. Francis has a dedicated wing, called The Hospice Suites, with private rooms that can accommodate GIP level of care, with 24 hour RN support.
Who pays for hospice?
The majority of patients requiring hospice services will be eligible for Medicare Hospice Benefit, which covers up to 100% of services. You should not defer hospice due to concerns about payment or financial concerns. Medicare covers hospice as an inclusive benefit and all services related to a life limiting illness are included up to 100% by Medicare Part A. Services unrelated to the illness are covered by Parts A and B where normal rules apply.
Little known facts about hospice
What to look for in a hospice provider.
Talk to the professionals. Your doctor, nurses, and social workers are great resources when it comes to choosing a hospice provider. Also, speak with friends and neighbors for advice, it is likely they have had the experience you can draw from in making your decision. You are encouraged to interview hospice agencies to choose the one that is best for you and your family.
Consider asking some of the following questions of the hospice agencies before making a decision:
Read more about what Villa St. Francis has to offer you and your loved one during this time.
As we age, simple daily tasks that we once took for granted may become more challenging. For many seniors, getting assistance with these tasks is crucial in maintaining quality of life, independence, and dignity. Here at Senior Helpers Overland Park, our mission is to provide compassionate care and practical help to seniors in need. We will help caretakers better understand and support the daily living activities of seniors, ensuring safety, comfort, and respect. Whether it's bathing, dressing, grooming, or using adaptive equipment, we'll guide you through the best practices to provide the right assistance while promoting independence.The Unique Needs of SeniorsAs individuals age, completing daily tasks independently can become difficult due to physical or cognitive limitations. However, everyone's level of ability and independence varies. By recognizing the personal limits and promoting self-reliance wherever possible, we empower seniors to be active participants in their care.Caregivers have to ensure the safety of seniors during daily tasks, whether it's preventing slips in the bathroom or avoiding hazards during meal prep. In addition, an equally important aspect is comfort. Be mindful of your loved one's physical limitations and emotions, ensuring they feel secure and dignified during these intimate moments.Assisting With Bathing and Personal HygieneBathing strengthens physical health and overall well-being. For seniors who struggle with mobility, careful assistance is essential. Before starting, ensure the bathroom is warm and all necessary supplies are at hand. Maintain their privacy as much as possible, using towels to cover areas not being washed. Remember to communicate throughout the process, ensuring they are comfortable and informed.Assisting With Dressing and GroomingDressing and grooming are personal tasks that seniors may find challenging due to mobility or coordination issues. To help, start by organizing clothes that are easy to put on and remove. While assisting, gently guide seniors through each step, offering help only when needed. In grooming activities like combing hair or shaving, be patient and gentle, always respecting their preferences and comfort.Using Adaptive EquipmentAdaptive equipmentincluding grab bars, shower chairs, and dressing aidsis key to helping seniors maintain independence, especially in their personal care routines. These tools can minimize strain and risk of injury, allowing seniors to perform tasks more easily. Ensure that you familiarize yourself with these devices and are comfortable in using them. Equally importantly, involve your loved ones in the decision-making process when choosing adaptive equipment to meet their specific needs.Maintaining a Respectful ApproachCommunicating effectively and respectfully ensures seniors feel heard and valued. Encourage them to express their feelings, ask for their consent before providing assistance, and respect their decisions. Striking a balance between assisting with daily tasks and enabling independence can be challenging, but it is vital for a senior's self-esteem and overall well-being.Senior Helpers Provides Custom Care ServicesTaking care of seniors involves a delicate balance of providing assistance and promoting independence. Caregivers play an invaluable role in ensuring the safety, comfort, and dignity of their loved ones during their daily activities. At Senior Helpers Overland Park, we're committed to providing high-quality care and support for seniors and their families in Overland Park, Olathe, Leawood, and Prairie Village. Whether you need advice, respite care, or long-term support, our dedicated and experienced team is here to help. Contact us today to learn more about our senior care services!
Being mindful of our dietary choices can result in improved cognitive health and emotional stability. The food we consume significantly contributes to these aspects, helping us to feel better, think clearer, and reduce stress levels. Senior Helpers Overland Park will explore the wonderful world of nutrition and its impact on our brain and emotional health. We've compiled a list of brain-healthy and stress-relieving foods that are beneficial for everyonefrom seniors looking to boost their cognitive abilities to caregivers needing a little help managing stress.Nutrition and Brain HealthCertain nutrients help to enhance memory and cognition and delay brain aging. This is particularly beneficial for seniors, who are often at risk of cognitive decline. Seniors can stimulate brain function and maintain their mental health by incorporating brain-friendly foods in their diet.Nutrition and Stress ManagementJust as foods can boost your brain health, they can also aid in managing stress levels. The body's response to stress can be intensified by inadequate nutrition. A well-balanced diet can promote resilience towards stress and foster feelings of well-being. Caregivers, who often face high stress levels due to their demanding roles, can greatly benefit from this aspect of nutrition.In the same vein, good nutrition can be pivotal in mood regulation. What we eat can impact our brain structure, brain chemistry, and, subsequently, our emotions. Foods rich in certain vitamins, minerals, and fatty acids can help regulate our emotions and reduce the risk of mood disorders. This is significant for everyone, seniors and caregivers alike.Fuel Your Mind and Mood With These FoodsHere are 6 brain-healthy and stress-relieving foods to add to your grocery list:BlueberriesDon't underestimate the power of these tiny fruits! Blueberries are bursting with antioxidants, vitamin C, and fiber. These nutrients work together to delay brain aging, improve memory, and protect your brain cells from damage.Dark ChocolateCraving a sweet treat? Look no further than dark chocolate! This delicious indulgence contains flavonoids, caffeine, and antioxidants. These components not only benefit your brain health but also possess mood-boosting properties, making it a great stress reliever in moderation.BroccoliThis versatile vegetable is a powerhouse of nutrients for your brain. Packed with antioxidants and vitamin K, broccoli is believed to support cognitive function and promote brain health.Pumpkin SeedsThese tiny nutritional powerhouses are a fantastic source of brain-friendly nutrients. Pumpkin seeds are rich in antioxidants, magnesium, iron, zinc, and copper. These minerals are essential for maintaining cognitive function and overall well-being.TurmericThis vibrant spice has gained popularity for its numerous health benefits. The active ingredient in turmeric, curcumin, boasts impressive brain-protective properties. Curcumin can cross the blood-brain barrier and enhance the brain's oxygen intake, keeping you alert and focused.OrangesAs a rich source of vitamin C, oranges are a champion for brain health. Vitamin C plays a vital role in protecting against mental decline and improving overall cognitive function.Adding these brain-boosting and stress-relieving foods to your diet is simple and enjoyable! Explore different ways to incorporate them into your meals and snacks. For instance, sprinkle blueberries and oranges over your morning cereal or yogurt. Enjoy dark chocolate squares in moderation as a delightful treat. Turmeric can be added to soups, stews, or even teas for a subtle flavor boost. Roasted pumpkin seeds are a delicious and healthy snack, and broccoli can be enjoyed in a variety of dishes, from salads to stir-fries. Remember, a balanced diet rich in these power foods nourishes your body, mind, and emotional well-being.Senior Helpers Offers Nutrition Assistance and SupportNutrition is crucial in maintaining our overall health, particularly brain health and emotional stability. By making conscious dietary choices, we can manage our stress levels, enhance cognitive health, and regulate our emotions. Whether you are a senior aiming to boost brain function or a caregiver looking for stress management strategies, incorporating these brain-healthy and stress-relieving foods into your diet can be a game-changer.For those in Overland Park, Olathe, Johnson County, and Prairie Village needing assistance with senior care, a healthy diet, or stress management, contact us at Senior Helpers Overland Park. We proudly provide premium senior care services!
Whether you are just starting out on your caregiving journey or are a ways down the road, its always a good idea to have as many resources at your fingertips as you can.Here are five different ways to gather resources that can support your role as a family caregiver.1. Learn as much as you can about your loved ones condition.Whether its Alzheimers, Parkinsons, cancer, stroke or simply what to expect as someone ages, doing a deep dive into the topic can help you better understand what your loved one is experiencing now and may experience in the future. Tap into resources like the Alzheimers Association, the Parkinsons Foundation, the American Cancer Society, and the American Heart Association, which are all great places to start. 2. Connect to a support group.Caregiving can sometimes be very isolating. You might feel like no one understands what youre going through. And unless someone has been in a similar situation, they probably wont. Learning from and leaning on people in your area who have shared experiences can provide welcomed emotional support and a wealth of knowledge, both of which can help you be the best caregiver you can be.3. Assemble a team.As the person who is probably most knowledgeable about and in closest proximity to your older loved one, you can think of yourself as the captain of the caregiving team. But being the captain doesnt mean you play every position. Key members of the caregiving team include your loved ones primary care physician as well as any specialists like a neurologist or cardiologist, your pharmacist, elder care attorneys, insurance representatives and home care agencies. If other members of the family serve as health care power of attorney or financial power of attorney, they should be recruited to the team as well. 4. Leverage community resources.Until you have a need for a specific type of support, you may not be aware of the many community-based resources there are at your disposal. You can find your local Area Agency on Aging by visiting this website.You can find out about meal delivery services, transportation assistance, nutrition counseling, caregiving and respite programs, and social activities offered in your area.Take advantage of the growing availability of grocery delivery services and prescription delivery services. Lightening your load is key to spending valuable time with your loved one.5. Reference family caregiving guides.SYNERGY HomeCare has a number of great family resource guides available here. Titles include A Memory Care Family Resource Guide, which I wrote for SYNERGY HomeCare, the Family Caregiver Ultimate Guide, Fall Prevention Guide, Returning Home from the Hospital, and Navigating the Cancer Journey. You can also consult my books, A Dementia Caregivers Guide to Care and A Dementia Caregiver Called Action, both available on Amazon.At the end of the day, you have a lot on your plate as a family caregiver. But by taking the time to gather a list of various resources available to you, you can enhance your loved ones quality of life while giving yourself more time to engage with your loved one as a family member, not a caregiver.Dr. Macie P. Smith is a licensed gerontology social worker who is focused on helping families support their aging loved ones through long-term care. Specifically, Dr. Smith educates caregivers on how to care for seniors with dementia. She is an advocate for specialized care and assists others in finding a way to provide a better quality of life for individuals with Alzheimers or dementia. Dr. Smith has dedicated over 22 years of her life working in gerontology and assisting families in finding personalized solutions for dementia care. For more articles by Dr. Macie Smith, go to https://synergyhomecare.com/blog/.___________SYNERGY HomeCare offers no obligation home assessments. Find a location near you or contact us.