Round-the-Clock Hospice Care Keeps Patients and Families at Home— And out of the Hospital

Posted on

May 05, 2020

Share This
Family members who provide hospice care to a loved one at home can experience emotions and encounters that range from immensely satisfying to intensely scary.
When a hospice patient takes a turn for the worse at homestruggles to breathe, experiences sudden pain, loses consciousness, becomes agitated, or battles chronic nausea, vomiting or diarrheaVITAS Healthcare offers an additional level of care that brings a nurse or aide directly to the bedside, when medically necessary, for temporary shifts of care up to 24 hours a day until symptoms resolve.
Continuous care, or what VITAS refers to as Intensive Comfort Care (ICC), is one of the four levels of hospice care mandated by the Medicare hospice benefit. ICC makes it possible for appropriate patients to receive around-the-clock hospice care at home, where ICC teams manage symptoms, relieve pain and keep hospice patients out of hospitals and emergency rooms.
ICC supports hospices focus on quality of life
ICC is rooted in VITAS commitment to honor hospice patients wishes to remain at home, surrounded by familiar places and their families. This level of care also extends to patients who have complex conditions or challenging diagnoses.
Sometimes, ICC patients have been diagnosed with more than one disease (e.g., heart disease and diabetes; chronic lung disease and end-stage kidney disease). These high-acuity patients often require special levels of care that other hospice programs are not equipped or able to provide.
Hospice care begins after curative treatments stop or are no longer effective. But some modalities can support quality of life for hospice patients with complex needs, even if they do not treat the underlying terminal disease. For example, intravenous hydration or antibiotics can help manage the pain of an underlying disease, while respiratory/ventilation support can ease breathing discomfort or anxiety in patients with advanced lung disease.

For complex patients, ICC and complex modalities keep care focused on the hospice philosophy: compassionate care that supports quality of life at the end of life. The good news is that ICC can be provided wherever the patient calls home: private residence, nursing home or assisted living facility.

For more information about end-of-life care services, call VITAS Healthcare at 866.759.6695 or visit VITAS.com.
By Rikki Muro, RN, MSN
General Manager for VITAS Healthcare in Chicago

Other Articles You May Like

Cherishing Our Seniors: Exploring the Heart of Senior Care

As we age, it's essential to prioritize the well-being and comfort of our seniors. At A Call to Order Professional Organizer, we believe in cherishing our seniors and providing them with the care and support they deserve. In this blog post, we'll delve into the heart of senior care, exploring the ways in which we can honor and uplift our elders.Understanding the Importance of Senior CareSenior care encompasses a wide range of services and support designed to enhance the quality of life for older adults. From assisting with daily tasks to providing companionship and emotional support, senior care plays a vital role in ensuring that seniors can age with dignity and independence.The Heart of Senior CareCompanionship and Connection: One of the most significant aspects of senior care is providing companionship and fostering meaningful connections. Many seniors experience feelings of loneliness and isolation, especially if they live alone or have limited social interactions. Caregivers and family members can offer companionship by spending time with seniors, engaging in conversations, and participating in activities together.Promoting Independence: While it's essential to offer support to seniors when needed, it's equally important to promote their independence and autonomy. Encourage seniors to maintain as much independence as possible by involving them in decision-making processes and respecting their preferences and choices. Simple tasks like meal preparation, household chores, and personal care activities can help seniors feel empowered and capable.Ensuring Safety and Comfort: Creating a safe and comfortable environment is paramount in senior care. Evaluate the senior's living space for potential hazards and make necessary modifications to enhance safety, such as installing grab bars, improving lighting, and removing tripping hazards. Additionally, ensure that the home is comfortable and conducive to the senior's needs, considering factors like temperature control, seating options, and accessibility.Health and Wellness: Prioritizing seniors' health and wellness is fundamental to their overall well-being. Encourage regular medical check-ups and screenings to monitor their health status and address any concerns promptly. Promote healthy lifestyle habits, including nutritious eating, regular exercise, and adequate sleep. Additionally, consider incorporating holistic wellness practices such as meditation, yoga, or tai chi to promote physical and mental wellness.Supporting Emotional Well-being: Seniors may face various emotional challenges as they age, including grief, loss, and anxiety. It's essential to provide emotional support and create a nurturing environment where seniors feel valued and understood. Listen actively to their concerns, validate their feelings, and offer reassurance and encouragement. Encourage participation in social activities and hobbies that bring joy and fulfillment.Planning for the Future: As seniors age, it's crucial to plan for the future and make arrangements for their care and well-being. Discuss topics such as advanced care directives, estate planning, and long-term care options to ensure that their wishes are honored and their needs are met. Involve seniors in decision-making processes and provide them with the necessary support and resources to plan for the future with confidence.At A Call to Order Professional Organizer, we believe in cherishing our seniors and providing them with the care and support they deserve. Our team is dedicated to promoting the well-being and independence of seniors through compassionate care and personalized support. With our heart-centered approach to senior care, we strive to create meaningful connections, ensure safety and comfort, and empower seniors to live their best lives. Let us be your partner in cherishing and honoring the seniors in your life.

From Chaos to Calm: The Power of Professional Organizers for Seniors

Transitioning into the senior years can sometimes feel overwhelming, especially when faced with the challenges of clutter and disorganization. At A Call to Order Professional Organizer, we understand the importance of bringing calm and order to seniors' lives. In this blog post, we'll explore how professional organizers can transform chaos into calm for seniors, providing practical tips and guidance along the way.Understanding the Impact of Chaos on SeniorsFor many seniors, maintaining a clutter-free and organized living space becomes increasingly challenging as they age. Clutter can contribute to stress, anxiety, and even safety hazards, impacting both physical and mental well-being. Understanding the impact of chaos on seniors is crucial in recognizing the need for professional organizing services.The Power of Professional Organizers for SeniorsCompassionate Guidance: Professional organizers specializing in senior care offer compassionate guidance and support throughout the organizing process. They understand the unique needs and challenges seniors face and provide non-judgmental assistance in decluttering and organizing their living spaces.Customized Solutions: Every senior's situation is unique, which is why professional organizers tailor their services to meet individual needs. They assess the client's living environment, preferences, and mobility considerations to develop customized organizing solutions that promote functionality and independence.Decluttering Expertise: Seniors may accumulate belongings over the years, leading to clutter and disorganization. Professional organizers have the expertise to help seniors declutter their homes efficiently and effectively. They assist in sorting through possessions, identifying items to keep, donate, or discard, and implementing practical storage solutions.Safety and Accessibility: Safety is paramount, especially for seniors living independently. Professional organizers prioritize safety by creating clutter-free and accessible living spaces. They address potential hazards, such as tripping risks and blocked pathways, and implement safety measures such as installing grab bars and improving lighting.Emotional Support: Sorting through belongings can evoke strong emotions for seniors, particularly when parting with sentimental items. Professional organizers offer emotional support and encouragement throughout the process, helping seniors make decisions that align with their goals and values while respecting their emotional attachment to certain belongings.Long-Term Solutions: Professional organizing is not just about tidying up; it's about establishing sustainable systems that promote long-term organization and well-being. Organizers teach seniors practical strategies for maintaining order in their homes, empowering them to stay organized and clutter-free in the future.At A Call to Order Professional Organizer, we recognize the transformative power of bringing order to seniors' lives. Our team of experienced organizers is dedicated to helping seniors transition from chaos to calm, providing compassionate guidance, customized solutions, and ongoing support every step of the way. With our expertise in decluttering, organizing, and promoting safety, we create harmonious living environments where seniors can thrive independently. Let us be your partner in reclaiming peace, order, and tranquility in your home.

Why Catholic Hospice Matters

An interview with Dick McCormick, former CEO of US West and founding contributor to Emmaus Catholic Hospice.My brother, Fr. Jim, died in 2013. He was a Catholic priest for 51 years. He was battling cancer and came to Denver to live with us. That way, family could surround him, and we could give him personal support. He had excellent care, and for a while, we thought maybe he was on the verge of beating it. But then he took a turn for the worse.LAY MINISTER PRAYING OVER A PRIESTWe had priests come by the house in the last month of his life and give him Last Rites, including Archbishop Aquila of Denver and Bishop Hannifen from Colorado Springs. So, he had plenty of people visit him and pray with him!In the last week or so, we called in hospice services. The irony is that when he did die, a lay minister from the hospice came. It was appropriate, but it was ironic, too: Here was a priest of 51 years who had given his life to the Churchand an unordained layperson was praying over him a few hours after he died.And I just thought, It would have been nice if he had been surrounded by a hospice team rooted in the Catholic faith, taking care of him and taking care of those final needs.We thanked the hospice people profusely, but it was a fairly impersonal experience.I believe that had we been with Emmaus Catholic Hospice, if it had existed then, there would have been a greater quality and a more personal quality of care.THE UPSIDE OF A MISCONCEPTIONA misconception I had when I first heard the word hospice in the mid-eighties, and for many years, was I thought it was more of a 24/7, hands-on service.We were left with the medications, and they instructed us how to administer them. But there wasnt necessarily going to be a staff of nurses there every moment. Maybe everybody knows that, but I didnt realize it.They told us that their objective was to make Jim pain-free. They showed us how to do that, and they didnt need to be there 24/7.It was nice not to have outsiders always there, just Jim and his family and close friends.A BEAUTIFUL DEATH IN ALL RESPECTSTo their credit, the hospice staff were able to predict within a day or so when Jim was going to pass away. They knew the vital signs, the blood pressure, the breathing changes, the colorall the indicators. They called it very well, and they had us well prepared for the time.Our daughter Meg sat with him all night that last night because we knew that was probably going to be it. He passed away in our living room, surrounded by family.It was a beautiful death in all respects and one that I felt was appropriate for the life that he lived and the contributions he made. More than 20 of his 51 years as a priest were spent doing missionary work in Tanzania, India, and the Philippines.Jim had a beautiful funeral back in our hometown in Iowa. He had recruited 25 African and Indian nuns to work in Catholic nursing homes in Iowa.  Also, through Jims efforts, three priests from India are now pastors in Northwest Iowa.  All of them were at his funeral. We had African singing; we had Indian singing; we had the church choir singing. I mean, he went out in style!SUPPORTING EMMAUS CATHOLIC HOSPICEMy wife, Mary Pat, and I support Emmaus Catholic Hospice because it aligns with the values and tenets of the Catholic church. Thats important to us.We are strong Right to Life people and very much against assisted suicide. I will not be associated with any organization that condones or conducts that.Mary Pat and I will probably need this service ourselves in the next ten years. So, were interested from that standpoint, too.Im hoping that Emmaus Catholic Hospice gets off the ground in a big waythat it becomes the source for anybody Catholic who needs hospice services.We must communicate to the Catholic community that this is now available and needs our support.as told to Katie Morroni, Communications Manager of Emmaus Catholic Hospice. Interview edited for length and clarity. To learn more and support the mission of Emmaus Catholic Hospice, please visit EmmausCatholicHospice.org