Growing up in Southern Colorado, every summer my grandparents would pick up me and my siblings for a trip to their cabin in Creede. My grandfather is a World War II veteran whose birthday just happens to fall on July 6, so wed celebrate the country he loves and his birthday all in the same week. This year, my grandfather turned 97 years old. He says his years at the cabin are over, although hed like to make one more trip and catch one more trout.
Recently while at work, I received a text message from a neighbor, saying my grandfather had been taken to the emergency room in an ambulance. He had felt dizzy for many days, but that day was worse than ever and as my aunt went over to visit, she decided to call 911. After a day full of tests and no new diagnosis, my grandfather was sent home with a follow-up appointment with his cardiologist. If you knew my grandfather, youd know that his one goal for the last years of life is to stay at home. Thats probably why he chose his oldest granddaughter, who works in hospice, to be his medical durable power of attorney. As grandpas MDPOA, my goals are the same as his - to keep him in the home he loves as long as it is safe for him to be there.
While my grandfather, even at 97, is not sick enough to qualify for hospice care, he benefits from our palliative care team, which visits him at home. Being a disabled veteran, my grandfather qualifies for Veterans Administration benefits that include payment for palliative care services. Each week, his nurse visits him and checks his vitals, fills his medication planner and answers any health questions he has.
The palliative care program has truly helped keep my grandfather independent. At some point, my grandfather will be within the last six months of his life and he can be enrolled in hospice care. At that time, he will have an even larger team of clinicians coming into his home and meeting his needs.\ I am hoping that my grandfather gets his wish and gets to pass away in the home he loves surrounded by his large family who loves him. If he has to be moved to a facility, I am comfortable knowing the same great hospice care he receives at home can follow him to the facility.
Knowing what I do about the end of life, I am very aware that my grandfather is close to needing hospice services. I am familiar with the exceptional level of care he will receive and how much easier things will be for my 95-year-old grandmother, who is his primary caregiver. More than that, I know he will be treated with the dignity at the end of his life which is so important to him.
After seeing firsthand how crucial hospice and palliative care services can be for a person, I encourage everyone to become more familiar with the hospice Medicare benefit. Hospice care is available to anyone who has Medicare part A with zero deductibles or out of pocket expenses, meaning it can benefit everybody, regardless of the ability to pay.
While a trip to the cabin did not happen this July, grandpas birthday was celebrated on my parents back porch with our whole family along to take part in the celebration. As I watched my grandfather celebrate the milestone of his 97th birthday, I saw a boy heading off to war and coming back disabled. I saw a Southeastern Colorado farmer who worked so hard his entire life. I saw a grandpa who taught his grandchildren to fish and so much more.
I also saw an elderly veteran whose options, health, and control are slipping away from him. While there is uncertainty in the end, I am so thankful for the care he is guaranteed through the hospice Medicare benefit.
I will always want the best end-of-life care for my grandpa, and you should settle for nothing less for yours.
Editors Note: Editors Note: This article was submitted by Tarrah Lowry. Tarrah is the President and CEO of Sangre de Cristo Hospice & Palliative Care and may be reached at 719-542-0032 or by email at Tarrah.lowry@socohospice.org
Become a Volunteer with St. Joseph Hospice: Make a Difference Today!Volunteering with St. Joseph Hospice is an opportunity to profoundly impact the lives of individuals and families during some of their most challenging moments. As a hospice volunteer, you will help create an environment of hope, courage, and compassion for patients facing terminal illnesses and their loved ones. By dedicating your time and skills, you can provide invaluable emotional support and companionship that makes a lasting difference.Why Join the St. Joseph Hospice Volunteer Team?Volunteers play a vital role in the mission of St. Joseph Hospice. They enrich the lives of patients by offering comfort, assisting with practical needs, and simply being present. Whether you have a knack for planning activities, offering companionship, or providing administrative assistance, there is a place for you on our team.To ensure our volunteers are well-prepared, we offer a comprehensive Hospice Volunteer Training Program. This training equips you to understand the unique needs of hospice patients and their families, preparing you to bring comfort and a sense of normalcy to their lives.What Can You Do as a Volunteer?St. Joseph Hospice volunteers bring diverse skills to a variety of roles. Depending on your interests and experience, you could engage in: Companionship Visits: Spend time with patients, providing a comforting presence. Activity Planning: Organize recreational activities to brighten patients' days. Office Support: Assist with administrative tasks to ensure smooth operations. Health Fairs and Special Events: Help manage outreach events to promote awareness. Special Projects: Contribute your unique talents to meet the needs of patients and staff. Who Should Apply?We welcome individuals with various backgrounds and experiences. Ideal candidates might have experience in nursing home volunteering, direct-care support, or activity coordination. More importantly, we seek compassionate individuals with a genuine desire to help others.Volunteers must meet a few essential qualifications to ensure theyre ready for this meaningful role: Confidentiality: Respecting patients privacy is critical. Volunteers must commit to maintaining confidentiality and sign an agreement to this effect. Good Health: Assignments are tailored to your physical capabilities to ensure your safety and the well-being of those you support. Transportation: Volunteers must have reliable transportation to and from their assignments. Training Completion: Direct-care volunteers are required to complete the St. Joseph Hospice Volunteer Training Program. Flexibility: Volunteers should be able to accommodate a variety of scheduling needs, including short-notice requests. Ideal candidates have the following experience: Nursing home volunteer Direct-care volunteer Health fair management Entertainment and activity planning Office/administrative assistance Special projectsHow to Get InvolvedBecoming a hospice volunteer is simple. Visit the St. Joseph Hospice website and fill out a Contact Us form to express your interest. You can also explore our locations page to find a branch nearest to you.Volunteering with St. Joseph Hospice is more than just an act of serviceits a chance to bring light and comfort to those who need it most. Join our dedicated team of volunteers and help make a difference, one moment at a time.Contact St. Joseph Hospice at 251-675-7555 or email humanresources@carpenterhealth.net or more information about the volunteer program.
What Are the Four Stages of Congestive Heart Failure? A diagnosis of congestive heart failure can feel overwhelming. If you or a loved one has recently received this diagnosis, you may have many questions. Learning more about congestive heart failure can help you understand what to expect. It can be especially helpful to understand what the four stages of congestive heart failure are, along with your options for care. Understanding Congestive Heart Failure: An Overview Congestive heart failure, also called simply heart failure or CHF, is a chronic health condition caused by weakened heart muscle. If healthy, your heart squeezes with enough force during each heartbeat to pump enough blood for your body to function normally. In congestive heart failure, blood is not pushed out of the heart with enough force, causing other health problems. According to the Centers for Disease Control and Prevention (CDC), more than 6 million adults in the United States have congestive heart failure. People who are smokers, have obesity, coronary artery disease (CAD), valvular heart disease, diabetes or high blood pressure are all at increased risk for CHF. Congestive heart failure can cause many symptoms that lead to poor quality of life. These symptoms include: Shortness of breath Swelling of body tissues due to fluid buildup Chronic coughing and/or wheezing Decreased appetite and nausea Fatigue Elevated heart rate Confusion and problems with thinking Sudden weight changes The Four Stages of Congestive Heart Failure ExplainedCongestive heart failure is a progressive disease, meaning it does not go away or reverse course and gradually worsens over time. The American Heart Association has defined four stages of congestive heart failure, beginning with pre-heart heart failure or stage A, through the final or end-stage of heart failure. Stage A: Pre-Heart Failure People diagnosed with Stage A heart failure dont have a problem with their hearts structure but are at risk for developing the later stages of heart failure. Treatment at this stage is focused on preventing new problems. Patients are educated on healthy lifestyle choices that can help prevent coronary artery disease and sometimes may be prescribed medications that reduce their risk for developing heart problems. Stage B: Asymptomatic Heart Failure In Stage B heart failure, the heart has begun to show signs of structural changes. For example, this can be an enlarged left ventricle (a section of the heart), along with a decreased ejection fraction (EF), which measures how much blood the heart pumps. In Stage B there are not any symptoms of heart failure (and there have not been in the past). Treatment at this stage includes preventing symptoms from beginning and treating with medications called beta blockers and ace inhibitors (or angiotensin-receptor blockers) as appropriate to reduce the rate of heart structure changes, as well as lifestyle changes that will prevent worsening of further structural changes in the heart. Treatment may also include surgery, such as coronary artery bypass grafting (CABG) or valve replacement if it is determined that a blocked coronary artery or defective heart valve is the cause of structural changes in the heart. Stage C: Symptomatic Heart Failure Stage C heart failure results in symptoms of heart failure, either in the past or currently. Treatment at this stage includes reducing or controlling symptoms and improving quality of life. It can also work to control any other health conditions that can worsen heart failure. Medications that reduce extra fluid in the body and other complications of heart failure may be added. In some cases, implanted devices such as a pacemaker or cardioverter defibrillator, may be used to support the heart. Stage D: End-Stage Heart Failure During Stage D, or end-stage heart failure, symptoms are uncomfortable and always present, even during rest. Treatment in this stage includes improving quality of life, reducing symptoms, reducing trips to the hospital and making end-of-life goals and plans. For some, a heart transplant may be an option. Early-Stage Heart Failure: Knowing Your Options For those living with Stage C heart failure, day-to-day care can sometimes feel challenging. Hospitalizations may be a worry, and managing stability and quality of life at home requires lifestyle changes, medications and a good plan of care. Home health support for heart failure can help you learn how to monitor symptoms and manage your condition at home, avoiding hospital stays. Home health care can provide: Education about medications and lifestyle modifications to reduce the risk factors and help promote clinical stability. Proper diet and nutrition information Techniques for improvements in strength and mobility Daily exercise routines Help to monitor vital signs Monitoring heart failure symptoms Weight monitoring and management Tips on what to do if symptoms worsen These supports and resources can help improve your quality of life and reduce symptoms during Stage C heart failure. End-Stage Heart Failure: Knowing Your Options Because heart failure is not reversible, end-stage heart failure can escalate the need for decisions about care and end of life if you havent already had these conversations with your loved ones and care team. People living with end-stage heart failure often have symptoms and problems that can lead to hospitalizations and emergencies.Understanding the four stages of heart failure and discussing your long-term goals and wishes in the early stages can help you avoid unwanted and potentially unnecessary treatments. Palliative Care and Heart Failure Palliative care is a helpful option for those living with heart failure. The focus of palliative care is on quality of life, symptom management and setting goals for care so that your wishes are honored, and your treatment matches what you desire.Palliative care can be started at any stage of a diagnosis. As you progress into the later stages of heart failure, you may meet more often with your palliative care team to discuss symptom management and to plan for possible changes to your health and care. The palliative care team can also help you decide when to begin hospice care during Stage D heart failure. Hospice Care: Compassion During the Final Stage During hospice care, people living with heart failure transition from aggressive forms of treatment to comfort-centered, end-of-life care. An interdisciplinary hospice care team helps patients and their families to manage heart failure at home as best as possible. Specialized hospice care for heart failure can further support those in end-stage heart failure, with evidence-based guidelines and best practices to keep patients as comfortable as possible where they most want to be. During end-stage heart failure, hospice care provides: Pain and symptom management Caregiver support Emotional and spiritual support End-of-life planning (also called advance care planning) Bereavement support 24/7 nurse availability for emergencies Psychosocial support Assistance with activities of daily living Respite care Managing the Four Stages of Congestive Heart Failure with Amedisys If youre not sure where to begin with heart failure care at home, an Amedisys care center near you can help. Whether you enroll in our home health heart failure program, meet with a palliative care team or are considering hospice, contact Amedisys Hospice at 251-343-0989 for more information
It can be tough for older adults to rely on others for help, just as its difficult for family members to watch them decline. At a certain point, assisted living might be the best option for you or your loved one.You may have considered assisted living communities, but when is the right time to move forward? Here are 11 signs it might be time for assisted living. Plus, we added a bonus sign at the end!Signs It Might be Time for Assisted Living1. Memory ChangesMemory loss is normal as we age. For example, your loved one might forget why they entered a room or where they put the keys. But certain signs can raise forgetfulness to a new level.Examples include:Confusion about where they areGetting lostAsking the same question over and overIn these cases, assisted living communities can provide support and care to meet their needs. You can also consider an assisted living community with a memory care facility if needed.2. Cleaning and Household Chores Have Gone DownhillEven younger people have trouble keeping up with household maintenance sometimes, and age can make it harder to bend down, carry a laundry basket, or get on a stepstool to change a lightbulb.Rather than normal chore neglect, look for a clear sign of a lack of household upkeep.Examples include:Consistent dust and dirt around the floorsSmelly or stained clothingDishes repeatedly piled up in the sinkThis sign is even more important if messiness is a change from your loved ones previous habits. An assisted living community can help, as they provide cleaning services and remove the stress of maintaining an entire household.3. Assisted Living Facility Transportation Would HelpAt a certain point, driving might become dangerous if your loved one has cognitive impairments, slow reflexes, or other issues. You may notice signs of driving troubles from the passenger seat, or it might take your loved one getting a ticket or damaging their vehicle (we hope not).Assisted living communities provide transportation that can take your loved one from their home to shopping centers and doctors. Using the facilitys transportation service enables your loved one to still have some alone time, a sense of independence, and even a sense of dignity because they can run their own errandsand they can do it without using their own vehicle. 4. Eating ChangesPay attention to significant weight loss or changes to eating habits.Check for signs like:A reduced appetiteForgetting mealsLacking an adequate amount of fluidsWhile its good to ask a doctor about changes to eating habits to see if theres an underlying physical health problem in your loved one, its also possible that these signs would improve through the nutritious meals and check-ins that an assisted living facility provides.5. Personal Hygiene ConcernsSimilar to your loved one failing to keep up with home cleaning and maintenance, they may also neglect their personal hygiene.Notice signs like:Body odorDirty hairUnclean clothingSome other signs, such as an unclean home and weight loss, can also indicate that older adults neglect self-care. An assisted living community can support your loved one who self-neglects through regular meals, check-ups, and more.6. Spending Too Much Time AloneIts not bad to spend or enjoy time alone. However, it can become problematic if your loved one isolates too much. Many older adults make time for family and friends, join social groups, and head to daily activities at the senior center. However, others may live alone and be cut off from social ties for the most part.Its hard for some people to maintain a social life when they no longer have connections in the workplace and may have lost their spouse, who kept up social connections. Some people are better at being social than others, and some have decreased abilities that keep them from participating.Whatever the reason, isolation can contribute to poor health outcomes. Also, its often connected to other signs like poor hygiene and living conditions. If you notice isolation in your loved one, consider that assisted living communities bring people together for daily activities like meals and offer scheduled social interaction.7. Declining Medical ConditionsIts common for aging adults to have chronic health conditions like high blood pressure. While it is possible to manage health conditions from home, look for signs that your senior loved ones physical health is declining and chronic conditions are worsening. For instance, your loved one may have had multiple hospitalizations.These signs could indicate that your loved one is having difficulty managing the condition. Assisted living professionals could properly care for them and provide services like medication management and disease control. This can help with improved health and overall, well-being.8. Trouble Keeping Up with Daily TasksPart of an older adults failure to manage a health condition could be forgetting or neglecting to take medication. This sign can be included with failing to manage daily tasks.In addition to skipping important medication, your loved one might neglect other responsibilities.Examples include:Not paying billsNeglecting petsSkipping doctors appointmentsThese are signs of a need for extra support. Assisted living facilities can help individuals with these tasks by providing assistance with check-ins, transportation, medication management, and some medical care, including memory care if needed.9. Family Members Dont Give Enough HelpFamily members can be a great support for aging parents, but its not always enough. After all, family members have other responsibilities like work and children to take care of. Many families may not have the time, ability, or energy to care for an aging adult.Even if they can help, there may be gaps when no one is available, and a family member is generally not the same as a trained professional in senior care. Keep this in mind for yourself as an adult child, as you may not be able to fully care for your loved one, or you may have caregiver stress.While assisted living does not provide around-the-clock care like a nursing home, the staff is available to provide assistance when needed, and many of the residents consistent needs, such as meals, are taken care of. Assisted living falls on the spectrum of senior living options between independent living and a nursing home.10. Safety ConcernsSafety is an important concern regarding your senior loved one, especially if your aging parent is living alone. Keep an eye out for signs that your loved one may not be safe in their own home.Examples include:FallsDifficulty using stairs at homeWanderingDriving incidentsAssisted living can provide a secure environment that includes check-ins and various forms of support. It can take away numerous dangerous situations and provide safety features.For instance, assisted living communities offer transportation to replace your loved one driving independently and provide meals, which removes potential cooking hazards.11. Poor Mental HealthIn addition to physical health, its important to consider mental health. You might notice that your loved one has signs of depression or another concern. Or they seem sad or anxious a lot.It is possible that specialized care of assisted living could help; it provides benefits that can support mental wellness.Examples include:Proper nutritionStimulating activitiesA supportive environmentSocial connectionsIn addition, the trained professionals working at an assisted living facility can check on your parents mental health regularly and ensure your loved one is taking their medication if any is needed.11 1/2. Your Loved One Likes the Sound of Assisted Living CommunitiesOur bonus sign is that your loved one may actually want to live in an assisted living community or are at least ready to check some out. This is great news, as it can often be challenging to convince someone to give up their familiar surroundings and move to a senior care facility sometimes, its the hardest battle of all.How CarePatrol Helps You Find Assisted Living Your loved one might recognize that they could use some extra help and may like the idea of being more connected to others. Once you have them on board, it will be much easier to check out assisted living facilities and find the right one.CarePatrol has locations across the nation with local senior care advisors ready to help you with your senior care needs. Finding the right assisted living facility is often time consuming. Our local senior care advisors know the communities inside and out and can direct you to the one that best suits your needs. The best part? Its no cost to aging adults or their families. To get started, find a CarePatrol Local Senior Care Advisor near you and give us call, or request more information online.
Sangre de Cristo Community Care is your local expert in end-of-life care, providing services throughout Southern Colorado. Sangre is a not-for-profit organization, offering care to everyone, regardless of one's ability to pay. Other programs include hospice and palliative care, for individuals with serious illnesses; grief support, available to anyone in the community; caregiver assistance; volunteer; We Honor Veterans program and others. The mission of Sangre de Cristo Community Care is to enhance the quality of life and to maintain the integrity of individuals and their families in need of supportive or end-of-life services by offering them symptom management, support, comfort, and compassion.
Sangre de Cristo Community Care is your local expert in end-of-life care, providing services throughout Southern Colorado. Sangre de Cristo Community Care is a not-for-profit organization, offering care to everyone, regardless of one's ability to pay. Other programs include hospice, palliative care, home health care for individuals with serious illnesses; grief support, available to anyone in the community; caregiver assistance; volunteer; We Honor Veterans program and ,others. The mission of Sangre de Cristo Community Care is to enhance the quality of life and to maintain the integrity of individuals and their families in need of supportive or end-of-life services by offering them symptom management, support, comfort, and compassion.