Hospice mid-northland #motels #in #billings #mt

#hospice nz

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Welcome to Hospice Mid-Northland

Approximately 12 months ago, Roy Maddox of SolarKing approached Hospice Mid-Northland with a plan to place solar power on our office roof in order to reduce power costs. The system was to be funded by donations from the public and Hospice supporters as well as a significant contribution towards the cost of panels and free installation from SolarKing.

We are excited to announce that one year on we have reached Stage 1 and we now have a 20 panel, 5 KW system installed and we are already reaping the benefits of power savings of around $2,500 per year.

To celebrate, our new solar power system was ‘switched on’ by the Northland MP, the Rt. Hon. Winston Peters on Thursday July 16 th at 11.30 am.

‘Power Up’ Hospice Stage 2

Having achieved this first milestone, Mr Peters together with Mr Maddox will also launch Stage 2 of Hospice Mid-Northland solar power campaign. “Power Up Hospice Mid-Northland” invites local residents, supporters and businesses to donate towards the funding of a second 5KW system for our patient cottage. This would increase the annual savings to $5,000 plus, at no cost to Hospice.

The total system costs for stage 2 is $15,000 and SolarKing will continue to donate $100 from every system sale in Northland towards the system. The value of this kind of long-term ongoing reduction in running costs cannot be overstated as it allows us to redirect power savings to patient care. It’s easy, you can donate online or just call the main office on ph: 09 407 7799. Very soon we will have a dedicated page where teams, clubs, schools and sports groups can jump on board this fundraising effort as every dollar counts!





Job vacancies – Severn Hospice #motel #manhattan

#hospice vacancies

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Current vacancies below:

Bank Catering Assistant

£7.68 per hour (excluding shift premia)

We are looking to recruit some additional casual staff to supplement our existing kitchen team

You will be called upon when there is a shortfall in staff. The role involves assisting in the preparation and service of meals as required. You will also wash up all used utensils, crockery and cutlery both manually and using the dishwasher.

You will need to have a current basic food hygiene certificate. Previous experience in a similar role would be an advantage

Job description available here: Catering Assistant

15 hours per week (2.5 days)

£7.45 per hour (weekend enhancements payable)

We are looking to recruit some additional staff to supplement our existing laundry team

You will assist the existing team to ensure that the Hospice s laundry service functions in an efficient manner and that there is always an adequate supply of clean linen available for immediate use, maintaining a high standard of cleanliness of both the linen and the facility at all times.

Closing date for completed applications is 19th September

Assistant Manager Llanidloes Shop

3 days (22.5 hours) per week including weekends

The postholder will work with the Shop Manager to achieve income expenditure budgets and generate maximum profits through the effective management of the shop and its team. They will ensure that the shop acts as a ‘community hub’ – source for hospice information (care, volunteers and appeals etc).

Closing date for completed applications 9th September. Interviews scheduled for 16th September

Hospice at Home Healthcare Assistant (fixed term contract to 31st May 2019)

£8.12 £9.71 per hour depending on experience

Nightshift, weekend and mileage allowances also payable

The Hospice at Home Service deploys nurses to spells of care throughout the day and night to patients who are deteriorating or experiencing a crisis in their illness where additional nursing care in the patient’s home could prevent hospital / hospice admission.

As we expand the service in Shropshire, we are looking for Healthcare Assistants who can demonstrate the ability to work alone and as part of a multi-disciplinary team. They will ensure effective liaison and communication with both the Hospice at Home Sister and key professionals involved in the patient’s care.

Individuals will need to be flexible both in terms of their approach to the variety of tasks they will need to undertake and in terms of working hours.

Excellent interpersonal and communication skills are essential in these roles.

Closing date for completed applications is 12th September

Catering Assistant 3 month fixed term contract, Shrewsbury site

25 hours per week (5 days)

The role involves assisting in the preparation and service of meals as required. You will also wash up all used utensils, crockery and cutlery both manually and using the dishwasher.

You will need to have a current basic food hygiene certificate. Previous experience in a similar role would be an advantage

Closing date for completed applications is 5th September 2016

Qualified RGN Level 1, Telford site

22 ½ hours per week (6 month contract)

£11.07 £14.30 per hour depending on experience

Working as part of a nursing team, you will play a key role in maintaining a high standard of patient care including support for the patients’ relatives. You will assist in the assessment of care needs as well as the provision and evaluation of individualised care programmes aimed at maximising patient comfort, safety and dignity while they are at the Hospice.

Excellent interpersonal and communication skills are essential in this role. A DBS Check will be required for these posts.

NHS pension continuity is available for current members

Closing date for completed applications is 10 th September

Bank Staff Nurse wards (Shrewsbury and Telford)

£12.29 per hour (excluding shift premia)

Bank Hours are worked by mutual agreement when the Hospice has a shortfall in the service.

Working alongside our experienced nursing staff, you will provide a key role in ensuring the holistic (physical, psychological, emotional, spiritual and social) needs of patients, their families and carers are met. You will assess patient needs, implementing and evaluating programmes of care to ensure the highest standards of care are maintained.

Hospice at Home Healthcare Assistants and Staff Nurses (bank)

The provision of nursing care will:-

  • Enable patients to remain at home when home is their preferred place of care/death.
  • Support the avoidance of unnecessary and unwanted admissions to hospital or hospice, particularly in the last few days of life.
  • Be an addition to other statutory and voluntary services, and any other groups or individuals involved in the care of the patient.

The Healthcare Assistants and Staff Nurses form part of a team, providing care and support to the patient within the home environment. They will ensure effective liaison and communication with both the Hospice at Home Coordinator and key professionals involved in the patient’s care.





Brian House Children – s Hospice – Trinity Hospice #monthly #motel #rates

#brain hospice

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Brian House Children s Hospice

Brian House is our specialist unit within Trinity Hospice specialising in palliative care for children. It is a fully equipped children’s hospice, not a holiday centre, and caters entirely for children who live on Fylde Coast. As one of only a handful of local children’s hospices in the UK it currently supports over 80 families.

We opened Brian House in December 1996 to provide a specialist children’s service under the umbrella of Trinity. We provide care and a ‘home from home’ environment for children and young adults from within the Blackpool, Fylde and Wyre areas who have life threatening and/or life limiting conditions.

Brian House meets complex needs, providing support for the family and care for children who will not be cured of their illness. Our respite care, which we provide at regular intervals, gives families the opportunity to experience times of relief and normality. When a child’s life is limited it puts enormous pressure on every member of the family as they try to cope with the emotional, practical and financial implications. It can be really hard for brothers and sisters too, so for all the family, Brian House is a support mechanism.

It s an amazing place. The kitchen is a hive of activity and with its sweet shop colour theme and giant marshmallow decorations looks good enough to eat! Each of our four bedrooms has a theme, with one specially designed for our teenagers. The lounge areas are spacious enough for group music therapy, and for informal play and relaxation.

Our sensory room and corridor are an adventure of colour, light and sounds. Enter the craft room at your own risk: you’ll probably leave covered in paint and glitter!

Brian House is here when families need us most, and sometimes relationships develop over many years, enabling us to take huge delight in watching our children grow.

Care is provided free of charge to children who need it, but it costs over £1 million a year to run Brian House and we get only a small amount of money from the Government. That’s why the generosity of people on the Fylde Coast is vital. Without voluntary donations Brian House could not be here for the families who need us, and without Brian House, where would they turn?

Brian House Children s Hospice

Brian House provides care for children and young people from the Fylde Coast who are unlikely to reach adulthood and gives wide-ranging support to their families.Learn More

  • Whether you are an individual, company or a community group there are many ways you can support our ongoing work. If you think you can help, get involved!Learn More

  • Our Outreach Team helps sick children, young people and their families who need support at home.Learn More

  • Some answers to commonly asked questions about Brian House and the work we do here.Learn More

  • Brian House was specially designed and planned to create a child friendly environment, and provides a home from home for your child and you.Learn More





  • The painful truth of hospice care #niagara #falls #motel

    #average cost of hospice care

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    And a New York mother watches in horror as her dying boy suffers seizures. The young, inexperienced hospice nurse witnessing her first death doesn’t give the boy a drug to stop the convulsions. The mother is told later that the understaffed hospice took her son’s case for the “memorials” the charitable cash donations that often follow a death.

    Hospice care traditionally has been viewed as a charitable service offered by professionals whose aim is to ease the suffering of the dying. And while that’s still true to a point, big changes in health care have had an impact, and hospice care has become big business.

    As a result, hospice care, like the rest of health care, has become prone to mistakes, as the needs of patients are balanced against the financial bottom line.

    “Hospice used to be a volunteer service that was done out of great dedication and love,” says Ron Panzer of the Michigan-based Hospice Patients Alliance. “Medical ethics has turned a corner so we’re not trying to do everything for the patient, but we’re trying to save money.”

    It’s easy to abuse the system. The patient always dies, and no one can complain that a hospice program should have saved the life. But some families are beginning to come forward and charge that care was negligent, that pain was not eased, that suffering if not inflicted was at least allowed to continue needlessly.

    The families want more oversight of the nation’s hospice programs. And they are not alone. The Institute of Medicine (IOM) is urging the medical community to take a closer look. A report from the prestigious arm of the National Academies, which gathers independent scientists to advise federal policy-makers on matters of science, called in June for sweeping efforts to improve end-of-life care for those “who are dying nameless and faceless without a priority.”

    Among the recommendations: studies to show exactly how hospice care is being delivered in the USA.

    “We are in the throes of social change, and we don’t have much measurement,” says Joanne Lynn, who was on the panel and also serves as director of the RAND Center to Improve Care of the Dying, based in Arlington, Va. “We should do a random sampling of hospice care and learn what we are doing.”

    The business of dying

    For a hospice, death means money.

    Most people think of hospice care the way it began in the late 1960s and early 1970s, as a charitable service.

    But a major shift came in the 1980s when Medicare started paying for such care. The number of for-profit hospices soared, and by 1998, hospice care had become the fastest-growing benefit in the Medicare program.

    From 1992 to 1998, the number of Medicare beneficiaries who used hospice care more than doubled, from 143,000 in 1992 to 360,000 in 1998, according to a General Accounting Office analysis. As the federal tax dollars flooded into what had been largely a volunteer segment of health care, fraud sometimes followed.

    The government focused on hospice fraud as part of its Operation Restore Trust, a Clinton administration program aimed at stopping Medicare fraud.

    The stakes were raised. Suddenly, any hospice that took Medicare money, non-profit or for-profit, faced audits.

    “The regulations pile as high as our heads,” says Esther Goodrich, CEO of Genesee County Hospice of Batavia, N.Y. a non-profit hospice that is facing a lawsuit from family members angry over the care given to their dying son. “If you fill out a form incorrectly, and if you do it intentionally, you can end up in jail. Hospices have been taking a beating.”

    Length of hospice care declining

    A major challenge in hospice care is helping people cross the rugged terrain that lies between hope for a medical miracle and the acceptance of death. Crossing that mountain of denial takes time. But time with the dying and their families is something that hospice lacks these days.

    One of the areas under constant federal scrutiny is the length of time that patients stay in a hospice before they die. Hospices must be able to prove to regulators that the end was near for each patient.

    When hospices began, workers often entered a home months before a death with plenty of time to help the family prepare emotionally for the death.

    But the average length of stay in a hospice fell from an average of 90 days in 1990 to 48 days in 1999, according to the IOM. Half of Medicare hospice users received care for 19 days or less, the General Ac-

    counting Office found in a review last year. A week or less was common.

    Today’s shorter hospice stays don’t give some families enough time to prepare for the death. And the tighter time frame costs a hospice money.

    Medicare pays a flat fee for hospice care about $100 a day. The first days and the final days require the most time from hospice workers. In the first days, a hospice must get up to speed with the patient, the family, the doctor and anyone else involved in the care. In the patient’s last days, hospice workers may be at the bedside 24 hours a day. In between are days when the hospice may only send a worker by the house to offer support and make small adjustments to care that is provided by the family.

    When it works, it’s medical magic. Experienced hospice nurses know how to ease a patient and a family toward death.

    “There are times when hospice is the best care you can get,” Lynn says. “Where else in the system can you call and a nurse will show up with your medical record?”

    But she says that trying to get a patient and a family ready for death fast is difficult and prone to error.

    “I call it brink-of-death care,” says Lynn, a former hospice medical director who is now president of Americans for Better Care of the Dying, a Washington-based patient advocacy group. “This is a very difficult time of life. People are terribly sick. There are nursing shortages and financial shortages. Everything is weighted in a system that has no give.”

    “These cases are just the tip of the iceberg in a big iceberg field,” says Panzer, the former Michigan hospice nurse who quit to become a patient advocate in 1997. His Web site, hospicepatients.org, has become an unofficial clearinghouse for hospice information. “The reality is that hospice is no different than any other part of health care; it’s just not being reported.”

    Goodrich says that mistakes sometimes are made. But she says that hospice care is an emotional, heavily regulated business. Sometimes hospices become the target of the intense anger that comes with a family’s grief, she says. She sees such complaints as part of a job that is fraught with emotional risks.

    “You are stepping into the middle of somebody’s anguish. You are dealing with grief in action,” Goodrich says. “What you don’t see is that grief is a process. One way that grief takes its toll is it finds a place for blame.” It is not uncommon, she says, for hospice workers to become the target of that intense emotion.

    “That’s OK,” Goodrich says. “You have to look at that and say that is a need. They need to be able to do this, and we need to be big enough to let that happen.”

    More attention on end-of-life care

    The National Hospice and Palliative Care Organization, a Virginia-based non-profit group that represents hospice programs, has begun a two-year study aimed at measuring pain control and respiratory care and assessing whether the 1,800 patients in the study died with dignity and without unnecessary pain.

    The $750,000 study of 15 hospices, funded by the Robert Wood Johnson Foundation, is just one of several underway. The IOM wants much more.

    In its June report, “Improving Palliative Care for Cancer,” the IOM called for more of the nation’s annual $3.3 billion war on cancer to go to research on improving end-of-life care.

    With 550,000 cancer deaths each year and about one in four of all deaths occurring while in hospice care, improving the quality of palliative care is a huge issue.

    “Not a lot of research has been done,” says Stephen Conner, who is heading the national hospice study. “We have neglected the whole field of palliative care in favor of delivering new cures for disease and high-tech treatments.”





    Just a quick word about the Brain Hospice timeline – Brain Tumors

    #brain hospice

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    Thread: Just a quick word about the Brain Hospice timeline

    Just a quick word about the Brain Hospice timeline

    So, I’ve recommended the brainhospice dot com symptom timeline as a reference point to others in the past. I’m not finding it very accurate as we wind down.

    At this time it is about six weeks since my sister fulfilled the timeline’s descriptors for 2 to 5 days left, and for roughly two weeks she’s fulfilled the descriptors for just hours .

    I knew the top of that timeline was kind of iffy but now I’m finding the bottom is too.

    Thank you all for your good thoughts and kind wishes. I send ’em back atcha.

    Top User Join Date Jan 2013 Location Central Wyoming Posts 720

    This process must just be so heartbreaking for you. God bless you, pal. God bless your sister.

    64 yrs old
    March 6, 2012: Diagnosed Anaplastic Large (T-) Cell Lymphoma, Stage 1 (ALK-)
    3 rounds of CHOP unsuccessful.
    Beginning mid-June, 2012, received 6 cycles of Brentuximab at Huntsman Cancer Institute, University of Utah. Pet scans after 4th and 6th cycles showed no evidence of lymphoma.
    Autologous bone marrow transplant in November of 2012.
    17 radiation treatments for consolidation purposes between Dec. 26 and Jan.17.
    100 day post BMT check-up (2/26/13): NED. Pet scan on 7/10/13: Still NED.
    One year post transplant check-up: Still fine; NED.
    18month post-translant scans, etc. All fine, save a bit of arthritis.
    11/14/14: 24 month post transplant check-up–still NED. Scanziety still sucks.
    5/15/15: No NED this time; reactive nodes in groin; scheduling biopsy.
    Relapse confirmed/ started every 3 week brentuximab
    Allo transplant in Feb 2016.
    100 day post transplant scans in June 2016 fine.

    Sib we are going through the same thing here. I’ve been searching for a better lung cancer death timeline. Jody

    May The Odds Be Ever In Your Favour. Born 1960. Diagnosed 4/2011 with one tumor, LUL, NSCLC. Tumor size 1.1 inches. Thoracic surgery 6/1/2011. No action taken. Eight weeks of radiation and chemo. Carbo and Taxol. Follow up with four rounds of Carbo and Alimta.
    December 2011 CT scan shows all clear.
    April 2012 CT scan shows all clear. July 2012 had several x-rays taken at the chiropractor for shoulder pain. Took them to the onc and nothing suspicious noted. See them again in Oct.
    October didn’t work out. Pain in the left shoulder continued to worsen and lymph nodes in the supraclavical swelled so I called the onc and they bumped the regular scan up to September 19 and we went for the results on the 24th. The tumor is back and the spread is extensive. Option 1: Try targeting chemos that may work and then on to clinical trials. These would give me about a year or so if the cancer responds. Option 2: Do no treatment and let nature take its course. This will give me six months give or take. As good as I feel right now, I�m going for door #2 and will continue to live well and enjoy myself until I don�t. I�ll keep you posted. Live it up everyone!

    7 months into hospice and palliative care. It has been a very good relationship with the organization as a whole with a minor glitch. April 2013 spent the night at hospice facility, PICC line inserted for morphine drip. I said I wouldn�t but, had a hospital bed delivered. Started 10 rounds of palliative radiation to shrink the neck tumor. Busy month for me!

    I’ve taken a couple of nasty falls this last week. (first of mid-May) Right on the cancer shoulder. So I have a life alert necklace on me now. I wish I could get my hands on a small scooter!

    There is another node swelling on the other side of my neck. Still small.

    April51’s (Jody) daughter posted that her Mother’s journey in this world had ended on July 8th 2013.You touched so very many lives. Soar high Jody!

    Senior User Join Date Feb 2013 Posts 291

    dear sibling maybe its yours sisters age and young heart that keeps her alive. i havent read the timeline (out of fear ) and i cant imagine what she is feeling these moments. do you think she can hear you if you whisper something? i suppose it can relief her in some way

    Moderator Top User Join Date May 2011 Location Illinois Posts 717

    Sorry you are going through this (yet again). She sure is lucky to have you in her corner.





    Pet friendly holiday accommodation in France, Spain, Portugal and Italy #last #min

    #pet friendly motel chains

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    Welcome to Paws Abroad

    Your guide to pet friendly holiday
    accommodation in France, Spain and Italy

    Here you will find plenty of useful information
    about travelling abroad with your dogs,
    plus a selection of dog friendly places
    to stay in some of the loveliest
    regions of Austria. France,
    Spain and Italy .

    We advertise only pet
    friendly accommodation
    so you are sure to find
    something suitable where your pets are welcome.

    Click the links on the left to see what our private owner-advertisers have to offer in each area for pet friendly holidays in Austria, France, Spain, Portugal and Italy.
    We advertise property on the behalf of the property owners, all enquiries and negotiations should be with the owner.

    More and more pet owners are taking advantage of the Pet Passport Scheme to share their holidays abroad with their dogs. The scheme has become a lot simpler to manage and fit into a holiday schedule as a result of the most recent changes by the UK authorities. Don’t leave your pets behind when you go away.

    And while we’re on the subject, why not read Paws Abroad advertiser
    John and Mary Jack’s cautionary tale of what can happen if you are not 100 per cent sure about your pet’s microchip.





    Frequently Asked Hospice Questions – All Care VNA #paris #hotel

    #hospice qualifications

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    FREQUENTLY ASKED HOSPICE QUESTIONS

    How does someone qualify for Hospice?

    Patients must meet two qualifications for Hospice:

    1. Two physicians, the attending physician and the hospice medical director, must certify the patient is terminally ill, with a six-month or less life expectancy if the disease takes its normal course.
    2. The patient and/or family must be aware of the prognosis and elect palliative or comfort care, rather than active curative measures.

    Where is hospice care provided?

    Hospice services are available wherever the patient resides: the patient s own home, family members home, assisted living facility, skilled nursing and long term care facilities, or hospital.

    Who is on the Hospice Team?

    • Your physician
    • Hospice-trained nurses
    • Hospice Medical Director
    • Social workers
    • Chaplains
    • Grief counselors
    • Home health aides
    • Volunteers

    Patients keep their own physician who works closely with the All Care Hospice Medical Director to plan and carry out care.

    Do patients only receive hospice care for a limited amount of time?

    The Medicare benefit, and most private insurance companies, pays for hospice care as long as the patient continues to meet the criteria necessary. Patients may come on and off hospice care, and re-enroll in hospice care, as needed.

    Does hospice mean that the patient will die soon?

    Receiving hospice care does not mean giving up hope or that death is imminent. The earlier an individual receives hospice care, the more opportunity there is to stabilize a patient s medical condition and address other needs. Some patients can improve and may be discharged from hospice care.

    Is hospice just for the patient?

    Hospice focuses on comfort, dignity, and emotional support. The quality of life for the patient, but also family members and others, who are caregivers, is top priority.

    What bereavement services are available through All Care Hospice?

    All Care s bereavement counselor meets with family members and friends to provide support for up to thirteen months after experiencing a loss.





    Vitas Innovative Hospice Care Opens at Silver Cross Campus – New Lenox,

    #vitas innovative hospice care

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    Vitas Innovative Hospice Care Opens at Silver Cross Campus

    Vitas Innovative Hospice Care. an end-of-life care provider, has opened an office in New Lenox.

    A provider for adults and pediatric patients with life-limiting illness, Vitas Innovative Hospice Care is planning an open house from 4:30-7 p.m. Sept. 26 at its newest location, Silver Cross Hospital Campus. 1890 Silver Cross Boulevard.

    The meet and greet is planned for the Silver Cross Hospital Pavilion A in the Conference Room on the lower level. Attendees are asked to call 815-729-9352 to RSVP by Sept. 25.

    Spokesperson Michelle Bacon said VITAS Innovative Hospice Care provides end-of-life care for adult and pediatric patients with life-limiting illnesses. We work with patients and families to provide comfort and preserve dignity in the face of terminal illness, according to the website.

    About 90 percent of all hospice care takes place in the home, she said. Vitas assists families with that undertaking.

    While business hours in New Lenox are from 8 a.m.-5 p.m. Monday-Friday, Vitas is available 24 hours a day. Clients need only call 815-729-9352 for immediate assistance.

    For more information about Vitas, check the organization s website.

    Get news alerts and Facebook updates from these Lincoln-Way Patch sites:

    Get free real-time news alerts from the New Lenox Patch.

    Flashing Lights to be Installed near L-W Central

    How Much Does It Really Cost to Have Your Home Professionally Cleaned?

    Frankfort Distillery Tops Competition at Blind Taste Test





    Hospice Location Services #motels #in #san #antonio

    #beacon hospice

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    Beacon Hospice continues to expand its service area throughout New England, with offices in Massachusetts, Maine, New Hampshire, Rhode Island and Connecticut.

    Locations

    Corporate Office
    529 Main Street, Suite 101
    Boston, MA 02129
    Phone: (617) 242-4872
    Toll Free: (800) 840-0668
    Corp. Fax: (617) 241-5784

    Auburn Office
    245 Center Street, Suite 10A
    Auburn, ME 04210
    Phone: (207) 784-4242
    Toll Free: (800) 981-4635
    Fax: (207) 784-4233

    Augusta Office
    45 Commerce Drive suite 12
    Augusta, ME 04330
    Phone: (207) 621-1212
    Toll Free: (877) 621-1217
    Fax: (207) 621-1215

    Bangor Office
    289 State Street
    Bangor, ME 04401
    Phone: (207) 942-2920
    Fax: (207) 942-3026

    Beverly Office
    100 Cummings Center, Suite 222C
    Beverly, MA 01915
    Phone: (978) 524-9510
    Toll Free: (800) 981-4743
    Fax: (978) 524-9514

    Boston North Office
    529 Main Street, Suite 126
    Boston, MA 02129
    Phone: (617) 242-8370
    Toll Free: (877) 242-8394
    Fax: (617) 241-2880

    East Hartford Office
    111 Founders Plaza, Suite 102
    East Hartford, CT 06108
    Phone: (860) 282-0527
    Fax: (860) 282-4692

    East Providence Office
    1 Catamore Blvd
    East Providence, RI 02914
    Phone: (401) 438-0008
    Toll Free: (800) 981-8791
    Fax: (401) 438-2252

    Fall River Office
    182 North Main Street
    Fall River, MA 02720
    Phone: (508) 324-1900
    Toll Free (800) 981-4631
    Fax: (508) 324-4672
    QAPI fax: (508)673-1608

    Hyannis Office
    68 Center Street, Unit 19
    Hyannis, MA 02601
    Phone: (508)778-1622
    Toll Free: (800) 981-8794
    Fax: (508) 778-1625

    Leominster Office
    36 William Street
    Leominster, MA 01453
    Phone: (978) 466-7890
    Fax: (978) 466-7893

    Methuen Office
    13 Branch Street, Suite 106
    Methuen MA 01844
    Phone: (978) 837-3333
    Toll Free: (800) 981-4805
    Fax: (978) 837-3330

    Mystic Office
    12 Roosevelt Avenue
    Mystic, CT 06355
    Phone: (860) 536-5601
    Toll Free: (866) 442-5601
    Fax: (860) 536-5620

    North Kingstown Office
    Meadows Professional Office Park
    1130 Ten Rod Road, Suite C104
    North Kingstown, RI 02852
    Phone: (401) 294-6204
    Toll Free: (800) 981-4807
    Fax: (401) 294-6452

    Plymouth Office
    32 Resnik Road, Suite 3
    Plymouth, MA 02360
    Phone: (508) 747-7222
    Toll Free (800) 981-4643
    Fax: (508) 747-7252
    After Hours Care
    Fax: (617) 395-2629
    Per Diem/Cont. Care
    Fax: (617) 848-0643

    Portland Office
    54 Atlantic Place, Foden Road
    South Portland, ME 04106
    Phone (207) 772-0929
    Toll Free: (800) 981-4770
    Fax: (207) 772-7779

    Portsmouth Office
    95 Brewery Lane, Unit 10
    Portsmouth, NH 03801
    Phone: (603) 433-2480
    Fax: (603) 433 -4185

    Springfield Office
    815 Worcester Street
    Springfield, MA 01151
    Phone: (413) 543-3133
    Fax: (413) 543-3137

    BEACON NEWS

    Is Hospice the Answer? Take our QUIZ to find out if your patient may be eligible for hospice.
    click here to read more

    BEACON EVENTS

    Caring for Mind, Body, and Spirit at the End of Life
    click here to read more

    Volunteer Training
    click here to read more

    BEACON OPPORTUNITIES

    We are constantly updating job opportunities. Click here to read about opportunities in our different locations.





    Careers & Employment #hotel #reservation #sites

    #hospice employment

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    Careers Employment

    Then please join us. Hope Hospice is a dynamic healthcare organization that makes a unique contribution to the lives of individuals, their families, and their circles of care.

    We are always seeking caring, skilled individuals with compassionate hearts to join us in our mission to serve others, to inspire our patients, and to be part of our professional team environment. Hope Hospice is more than just a place to work; it s a place where people come together to improve the quality of life and care for individuals at their end-of-life. Our organization embraces a culture of compassion, service and expertise.

    Hope Hospice offers a competitive compensation and benefits package. If you share our vision to inspire patients and enhance their quality of life, please check our current job openings to see if a position meets your particular qualifications and desires.

    Current Job Opportunities
    After Hours RN, part-time
    Home Hospice Aide, per diem
    Home Hospice Aide, full-time

    Let Hope Hospice Help

    Phone: (925) 829-8770
    1 (510) 439-4917
    1 (800) HOSPICE

    Welcome

    The caring team of professionals at Hope Hospice provides a comprehensive comfort care program designed to achieve the best quality of life for everyone involved – patients in the last stages of their illness, their families, and their caregivers. Our special kind of healthcare offers a circle of support that focuses on the physical, the emotional, and the spiritual needs of patient, enabling them to make the most of each day.

    We serve hospice care patients and families in Alamo, Blackhawk, Castro Valley, Concord, Danville, Diablo, Dublin, Fremont, Hayward, Lafayette, Livermore, Martinez, Moraga, Newark, Orinda, Pleasant Hill, Pleasanton, San Leandro, San Lorenzo, San Ramon, Sunol, Union City, Walnut Creek and the surrounding communities in the East Bay of San Francisco. Hospice care is covered by Medicare, Medi-Cal and most insurance plans.

    Hope Hospice is a 501(c)(3) non-profit organization based in the San Francisco Bay Area and funded by its local community. IRS Tax ID# 94-2576059. Donations are tax deductible to the extend allowed by the law. Call us today at (925) 829-8770, (510) 439-4918 or 1 (800) HOSPICE.

    Hope Hospice

    6377 Clark Avenue
    Suite 100
    Dublin, CA 94568-3024
    Phone: (925) 829-8770
    1 (510) 439-4917
    1 (800) HOSPICE

    CAREERS AND EMPLOYMENT

    Quick Links





    Caseworker Home Care Job In, Jobs In VITAS Innovative Hospice Care #ocean

    #vitas innovative hospice care

    #

    Caseworker Home Care Job Details

    Overview: Why VITAS Healthcare and What Do They Offer Me?
    VITAS Healthcare is the nation’s leading provider of end of life care. We provide our employees opportunities for professional growth, advancement and competitive benefits.

    The Caseworker is that member of patient care operations whose primary function is to assist in providing direct casework services to the patient and family within the hospice program of care.

    • Provides assistance to the Corporate Patient Accounting Department in collection of claims with regards to their particular programs.
    • Evaluates all patients considered for admission as Medicaid pending through completing a financial assessment.
    • Takes a proactive role in the application process which includes submitting application, providing periodic updates with agency workers, gathering information and following up with the patient/family regarding their responsibilities and participation throughout this process.
    • Actively works with the Admissions Department during the intake process to aid in establishing the correct payor source.

    Benefits Include

    • Competitive compensation
    • Health, dental, vision, life and disability insurance
    • Pre-tax healthcare and dependent care flexible spending accounts
    • Life insurance
    • 401(k) plan with numerous investment options and generous company match
    • Cancer and/or critical illness benefit
    • Tuition Reimbursement
    • Paid Time Off
    • Employee Assistance Program
    • Legal Insurance
    • Affinity Program

    Qualifications:

    • Minimum of two (2) years experience in a health-care environment in which the primary job function was community resources utilization which included patient contact.
    • Reliable transportation with adequate insurance coverage for driver and passenger.
    • Fiedl experience in working with community clients.
    • Good oral and written communication skills.
    • Good organizational skills.
    • Extensive knowledge of community resources within the specific community in which the hospice is located.
    • Knowledge of local, county, applicable state and federal assistance programs.
    • Capacity to work with minimal supervision.
    • Ability to become proficient in company software programs.

    Education:

    • Bachelor’s Degree in Social Work or a related Social Science field from an accredited school.

    Special Instructions to Candidates: EOE/AA
    M/F/D/V

    Apply for this job online Apply
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    Connect With Us. Join our VITAS Talent community to receive immediate notifications about open jobs, exclusive invitations to events, career tips and resources and company updates.





    South Canterbury Hospice #pediatric #hospice

    #hospice nz

    #

    We provide specialized palliative care to the palliative patients within South Canterbury. Hospice is available to all patients in a palliative or terminal phase of their illness. The aim of Hospice palliative care is to maximize the quality of a person’s life. This is achieved by coordinating and delivering a range of services & choices in response to the individual needs of the person being cared for, the caregiver, family & whanau. Read More

    This enables family and carers to have time out when the need arises and our staff can provide assessment and supportive care for the patient during the day.
    Day is an evolving part of our service. Watch this space for updates during 2013 or contact us for further information.

    Open Tuesday to Saturday 10 am to 4pm

    72 Orbell Street, Timaru, New Zealand

    The Hospice Shop is staffed by volunteers and has a wide range of women’s and men’s clothing, costume jewellery, china, glass, silverware and small items of furniture.





    MOTEL CLOTHING: MOTEL – 5 STAR HOTEL IN MAURITIUS #find #a #hotel

    #motel clothing uk

    #

    Motel clothing. Victoria hotel uk. Vier jahreszeiten hotel hamburg

    Motel Clothing

  • (clothes) apparel: clothing in general; “she was refined in her choice of apparel”; “he always bought his clothes at the same store”; “fastidious about his dress”
  • a covering designed to be worn on a person’s body
  • A feature of all modern human societies is the wearing of clothing, a category encompassing a wide variety of materials that cover the body. The primary purpose of clothing is functional, as a protection from the elements.
  • A roadside hotel designed primarily for motorists, typically having the rooms arranged in a low building with parking directly outside
  • Motel is the debut album by the Mexican soul-rock band, of the same name. The album was released in March 28, 2006, in Mexico, their homeland. And later, after four months, the album was released in countries like Guatemala, Venezuela, Chile, and the United States.
  • A motel is a hotel designed for motorists, and usually has a parking area for motor vehicles. They are common in the United States.
  • motel clothing – Kuala Lumpur

    Kuala Lumpur Finest LAMINATED Print Pascal Cessou 18×14

    Title: Kuala Lumpur. Artist: Pascal Cessou. Image Size: 17.01in. x 13.34in. Paper Size: 17.75in. x 14.25in. Finest LAMINATED Print
    The process of creating a laminate is lamination, which in common parlance refers to the placing of something between layers of plastic and applying heat or cold and/or pressure, usually with an adhesive. Proper laminating can prevent fading from sunlight or other bright lights, destructive Ultra-Violet rays, fingerprints and smudging from simple handling, pollutants, and even the vapors from smoke, cleaning solutions, and other harmful atmospheric elements. If you truly care about a piece of artwork, and choose not to frame it, the only real way to ensure its safety is to laminate the image.

    87% ( 6 )
    Motel One

    Okay, I had to get a panoramic of this room. The room in and of itself is not too unique. However, do you notice anything missing? Say, perchance, some drawers? Now, I don’t mind living out of my suitcase at all, but I was surprised to find that in their attempt to make the furniture more “modern,” they’d leave out someplace to put your clothing.

    Alicia Motel, Las Vegas, NV

    Alicia Motel, 1200 Fremont Street, Las Vegas, Nevada. Formerly the Star View Motel. Love the cloud-like shape. You can get a room, a pack of cigarettes, and you’re all set for an evening of fun and relaxation!

    For a fresh and fun look, check out this 3-piece outfit from Rocawear. Soft materials provide extra comfort for the little guy. Includes: Button-Down Shirt: plaid design, chest flap pockets, logo embroidery, sleeve stays. (100% Cotton) T-Shirt: easy-change snaps in back, ribbed collar and cuffs, logo medley graphic. (60% Cotton, 40% Polyester) Jeans: raw-style denim, elastic waistband, vertical logo embroidery on front, “R” kicker logo embroidery on back pocket, plaid cuffs. (100% Cotton) Machine Wash Cold, Inside Out Made in China





    Hospice employment #carpenter #hospice

    #hospice employment

    #

    Compassion. Integrity. Excellence.

    Compassus is dedicated to clinical excellence, compassionate care, and providing comfort and support to patients and their families facing end-of-life issues. Focusing on the quality of life remaining, Compassus provides effective symptom control and care that focuses on the whole individual – addressing physical, psychological, social and spiritual needs.

    At Compassus, our mission is to provide hospice care to terminally ill patients and their families with Compassion, Integrity, and Excellence. The Colleagues of Compassus are committed to keeping The Hospice Promise by delivering the highest quality of care, serving the needs of patients and families and spreading the stories of hospice to those whom they come into contact. Our goal is to provide the greatest possible comfort and care for those who experience one of life’s most intimate and challenging moments.

    Compassus also provides palliative care to improve quality of life for patients and families who may also be seeking aggressive treatment for their serious illness. Compassus palliative care services can offer relief from symptoms and pain and a care plan based on your values and needs.

    Families

    Every patient is a unique story.
    Read more.


  • Healthcare Professionals

    We support our referring physicians.
    Find out how.


  • Volunteers and donors

    Make a difference in someone s life.
    Become a volunteer today.
    Learn how.





  • Hospice of the Sacred Heart – You – re Not Alone #homecare

    #sacred heart hospice

    #

    Welcome to Hospice of the Sacred Heart

    Hospice affirms life, but never denies death. Recognizes dying as a natural process of life. Honors wishes. Offers choices. Brings commitment and compassion. Strengthens families. Is about comfort, care, hope, and choice.

    Hospice of the Sacred Heart is here to help you in any way we can, so that your involvement in the hospice experience will be as uncomplicated and fulfilling as possible.

    This website has a comprehensive list of information and resources that can help you make a more informed healthcare decision regarding hospice care.

    Our highly experienced staff is dedicated to providing the most compassionate and highest quality hospice care for your loved one and you. Each of our staff members shares a passionate belief in the hospice concept and the benefits it provides to our patients. Each has been intimately involved with hospice care for many years. Each has been privileged to share first hand the unique lessons, life experiences and gifts that hospice brings to its patients and their families. Please spend as much time as you like here to review subjects of interest in more detail. Also, please return often to learn more about:

    • The hospice philosophy of care
    • How hospice can be a beneficial solution to the situation you face
    • The many ways that we at Hospice of the Sacred Heart can help you





    Sacred Heart Hospice – Home Health Care – 2025 Chicago Ave Ste

    #sacred heart hospice

    #

    Sacred Heart Hospice

    I live in Michigan and my Aunt and Uncle live in California. He got sick and they kept in daily contact with us. After his passing..they… Read More

    I live in Michigan and my Aunt and Uncle live in California. He got sick and they kept in daily contact with us. After his passing..they even helped coordinate the cremation. They were also concerned with my aging Aunt and made several visits out to see her since we are not local. I had to contact them again a year after my uncles passing since my Aunt has dementia. and they really helped me out with her this time. Sent us a wonderful MSW and Dr. and they both came right to the house. Highly recommend!

    As a nurse practitioner for 10 years, I am mortified that this agency stays in business. Their intake representative, Happy, said all of the… Read More

    As a nurse practitioner for 10 years, I am mortified that this agency stays in business. Their intake representative, Happy, said all of the right things. only nothing was delivered! My brother-in-law deserved more. I am only glad that my family and I were there so worse things did not happen to him. Incompetent assessment of a patient in their last days of life. even the family members with no medical training could see that he was near death. Please do not use this agency under any circumstances.

    See all 4 reviews in the app!

    Anaís L.

    This company is not organized at all.
    One of its case manager nurse was so negligent. She was not compassionate and caring.
    She didn t check the patient.

    Early X.

    I live in Michigan and my Aunt and Uncle live in California. He got sick and they kept in daily contact with us. After his passing..they even helped coordinate the cremation. They were also concerned with my aging Aunt and made several visits out to see her since we are not local. I had to contact them again a year after my uncles passing since my Aunt has dementia. and they really helped me out with her this time. Sent us a wonderful MSW and Dr. and they both came right to the house. Highly recommend!

    Darlene S.

    As a nurse practitioner for 10 years, I am mortified that this agency stays in business. Their intake representative, Happy, said all of the right things. only nothing was delivered! My brother-in-law deserved more. I am only glad that my family and I were there so worse things did not happen to him. Incompetent assessment of a patient in their last days of life. even the family members with no medical training could see that he was near death. Please do not use this agency under any circumstances.

    Aww, your browser has JavaScript turned off!

    Example: There are a few times in life when a meal is so expertly crafted and planned that it is nothing short of genius. Last night, I had one of those meals – the Mahi Mahi.

    The dish was excellently prepared. Grilled, juicy, and fresh without a hint of fishiness. A glaze of tangerine sauce brought a hint of tart sweetness. The fish was placed on a mound of sweet plantain rice. The combination of the fish and rice alone was to die for!

    However, as only expert chefs can achieve, additional garnishes provided even bolder, beautiful tastes. Pickled onions topping the fish made for an even finer taste experience, while green beans hidden under the fish added freshness and completed each bite

    Download the app

    Get those thumbs ready to leave a review using the Yelp Mobile App!

    Sacred Heart Hospice

    More Business Info

    Is this your business? Claim your business page to respond to reviews and customer messages.





    Hospice: Volunteering at the End of Life #formula #one #motel

    #hospice volunteering

    #

    Hospice: Volunteering at the End of Life

    If I can stop one heart from breaking,
    I shall not live in vain;
    If I can ease one life the aching,
    Or cool one pain,
    Or help one fainting robin
    Unto his nest again,
    I shall not live in vain.
    — Emily Dickinson, “Complete Poems”

    Hospice volunteer Linda Harris spent many a recent hour typing up poems and, in the process, learning about life and death, love and family, honesty and what it takes to make a difference. Written over time, some in the final months of life, the poems are the legacy of a remarkable 80-something woman Linda calls “The Poetry Madame.”

    Linda met the Poetry Madame on Christmas Eve, when she first visited her at home as a hospice volunteer. The following week, New Year’s Eve, Linda began what would become a tradition, helping her new acquaintance “get gussied up” and giving her a haircut — a service she provides regularly to other hospice patients as well. (“I’m the best price in town,” she says of her free service.)

    Hospice care is an end-of-life-care model that focuses on enhancing quality of life when time is short. It involves an inter-disciplinary team — including doctors, nurses, social workers, bereavement counselors and nutritionists — working together addressing the medical, physical, social, emotional and spiritual needs of the patient, as well as providing bereavement support to the family. In keeping with hospice’s deeply humane and community-service roots (the word stems from the same root as “hospitality”), the team also includes volunteers like Linda — more than 460,000 other hospice volunteers across the country.

    “Volunteers are an integral and valued part of the team,” says Taren Sterry. manager of volunteer services for the Visiting Nurse Service of New York Hospice Care. “They provide that extra level of care and comfort that neighbors used to provide for free, without thinking about it.”

    In fact, volunteers are mandated by law. Organizations that receive hospice Medicare benefits from the government must have 5 percent of their direct services come from volunteers. Volunteers provide nonprofessional services but are required to undergo intensive training, including interviews and background checks. Our organization asks volunteers to commit to at least one year of service, visiting with one patient one hour per week in the home. Volunteers who visit patients in a residential facility have a small “caseload” per week.

    Volunteer services can be as varied as those of any personal relationship and can include:

    • Support for patients





    Motels in Price from $41 #windsor #hotel

    #motel search

    #

    Price Motels

    Prices are either the average per night price per room or first night of stay. You can select to display the prices with or without our estimate of taxes & fees (which may not appear on provider’s booking page but will be charged at hotel checkout). Before you complete your reservation, verify the total cost on the provider’s site. Prices and availability are not guaranteed .

    We’re not the seller.
    At KAYAK we don’t set the prices, so it’s not possible for us to guarantee what other companies are selling.

    We compile tonnes of data for you
    Our service lets you quickly and easily compare results from hundreds of travel sites at once. In this sense, KAYAK is a search engine and we can t guarantee prices we find.

    Why aren’t prices accurate 100% of the time?
    Prices on airline seats, hotel rooms and car rentals can change frequently. Several people may also be trying to buy the same travel option simultaneously. As a result, you may find, on occasion, that certain prices are no longer available.

    If you have more questions or if you have a bad price to report to us,
    please send us an email and someone from our team will get back to you promptly.

    “Est total” is an estimated total which includes our estimate of the taxes and fees which may be charged by the provider. Please verify the total cost on the provider’s site before you complete your reservation.

    “Est total” is an estimated total which includes our estimate of the taxes and fees which may be charged by the provider. Please verify the total cost on the provider’s site before you complete your reservation.

    “Total” includes taxes and fees charged by the provider per room per night.

    Total cost for all nights including taxes and fees.

    “Est total” is an estimated total which includes our estimate of the taxes and fees which may be charged by the provider. Please verify the total cost on the provider’s site before you complete your reservation.

    “Est total” is an estimated total which includes our estimate of the taxes and fees which may be charged by the provider. Please verify the total cost on the provider’s site before you complete your reservation.

    “Total” includes taxes and fees charged by the provider per room per night.

    Total cost for all nights including taxes and fees.

    Unless noted below, prices include all taxes & fees (which may not appear on provider’s booking page but will appear at hotel checkout).

    Unless noted below, prices include all taxes & fees (which may not appear on provider’s booking page but will appear at hotel checkout).





    Certified Home Health Care Agencies #luxury #hotel #deals

    #home care agencies

    #

    Certified Home Health Care Agencies

    • Certified Home Health Agencies (CHHAs) provide part-time, intermittent health care and support services to individuals who need intermediate and skilled health care.
    • CHHAs can also provide long-term nursing and home health aide services, can help patients determine the level of services they need, and can either provide or arrange for other services including physical, occupational, and speech therapy, medical supplies and equipment, and social worker and nutrition services.

    Who is eligible?

    Services provided by CHHAs may be reimbursed by Medicare, Medicaid, private payment, and some health insurers.

    How do I find home health care services?

    Referrals to CHHAs may come from sources including physicians or hospital discharge planners, or the patient can look for visiting nurse providers in the phone book.

    There are many CHHAs in New York State, with at least one in each county. NYS Department of Health regulations ensure that staff are appropriately qualified, trained, and supervised. In addition, unannounced surveys assess CHHAs’ compliance with federal standards governing the quality and scope of services.





    About – The Connecticut Hospice Inc #help #the #hospice

    #beacon hospice

    #

    About

    The Connecticut Hospice, Inc. Difference:

    • Answers to any questions you may have whenever they arise. At The Connecticut Hospice, a nurse is always available to speak personally with you, any minute of any day. Call us.
    • Our extraordinary palliative treatment focuses on relieving symptoms and stress while providing comfort and quality of life. (see “Services”)
    • Comprehensive attention to patients and their families’ needs; from diagnosis through active treatment and beyond.
    • An expert medical team with a 98% satisfaction rating from patients and families; including more specialty nurses offering more care hours.
    • Innovative services statewide for home care including optional palliative hospital visits (should you need more aggressive symptom control) and returning you home again.
    • Resources and services to help, even if your illness has taken a financial toll. We care for patients with little or no insurance.
    • Providing optimum quality of life for patients and families, through the Hospice team approach.

    About the Connecticut Hospice

    The Connecticut Hospice inaugurated hospice care in America in 1974. Since then, it has been the beacon and teacher of the growing hospice movement throughout the nation, and beyond.

    The Connecticut Hospice addresses physical, spiritual, social, and emotional needs of patients with advanced irreversible illness, and their families. Such care is provided regardless of diagnosis and as long as the Hospice level of care is needed by the patients.

    Hospice care is provided in the home, or inpatient setting by a medically directed, nurse-coordinated, interdisciplinary team, and continues throughout the period of bereavement.

    Hospice does not take a narrow view of complexities of the needs of patients with an irreversible illness and their families. While the control of physical pain and other physical symptoms is the central and primary concern for caregivers, it is not the only priority. The patient with an irreversible illness suffers from an array of emotional, spiritual, social and financial problems. The rationale for Hospice caregiving is that it is impossible for any one discipline to provide the range of services required. Through the team approach, Hospice helps patients and families attain optimum quality of life.

    When You Need It Where You Want it!

    • First in America
    • Qualified charitable organization
    • Revolution 1974 / Evolution 2014
    • Ever changing, ever constant
    • 98.6% of every philanthropic donation goes to patient/family care
    • Bedside nursing at its finest
    • On-site medication adjustment, continually when needed
    • Stroll in bed down the Norma F. Pfriem Promenade
    • Midnight admissions, if necessary from home care
    • To-ing and fro-ing get stabilized and we can take you home
    • Physician house calls
    • Pet therapy




    About – Motel Clothes #motel #london

    #motel clothing uk

    #

    Motel Clothes is your guide to one of the best hottest independent fashion brands in the UK. Taking inspiration from vintage clothing Motel release four collections a year that include dresses, tops, skirts, knitwear, and t-shirts.

    Motel is easily recognised for its super flattering dresses and modish feel creating a range of iconic stand-out pieces that stand-out from all the other High Street brands.

    They are best known for their figure-flaunting dresses in cult prints, and their unique styles have travelled on to amazing crop tops, statement knits and sell-out denim.

    Make sure to read all the clothing and dresses reviews at Motel Clothes, and with shipping to the UK, EU Countries, USA, Australia and China.

    This blog carries content that is monetised by affiliate marketing for further details visit Paid For Advertising .

    Motel Clothes is part of Style Now Media Ltd .
    Style Now Media Ltd. is registered in England and Wales with Company No. 07048613

    Motel Clothes Shop

    Use the links below to visit our shop now:





    Hospice conditions of participation 2016 #final #stages #of #death #hospice

    #hospice conditions of participation

    #

    hospice conditions of participation 2016

    hospice conditions of participation 2016

    Jun 28, 2015 HHPPS 2015 and 2016 rules. Face to Face rule. Proposed CoPs. New
    Medicare CoP sanctions. Program Integrity/Claims Reviews.

    Apr 19, 2015 Conditions of Participation/licensure. . Provider enrollment Allegation of
    unallowable hospice care, . 10505/medicare-program-fy-2015-hospice-wage-
    index- . The data collection period for the CY 2016 APU includes.

    Jun 16, 2015 RE: CMS-1629-P: Medicare Program; FY 2016 Hospice Wage index and .
    services required under the Hospice Conditions of Participation,

    Jun 26, 2015 FY 2016 Hospice Wage Index and Payment Rate Update and Hospice . Clearly
    . the conditions of participation call for hospice to discharge

    Jun 29, 2015 FY 2016 Hospice Wage Index and Payment Rate Update and Hospice Quality
    2 NHPCO Comment Letter on CMS-1629-P June 29, 2015 . Conditions of
    Participation, which require that hospices providing care to SNF/NF.

    Jun 29, 2015 The proposed rule was subsequently published in the May 5, 2015 (1.3
    percent) in Medicare payments to hospices during FY 2016. plan of care as
    stated in the Conditions of Participation to recognize the conditions that

    Work Plan for fiscal year (FY) 2015 summarizes new and ongoing reviews and .
    We reported FY 2014 exclusions of 4,017 individuals and entities from
    participation in . Review of hospital wage data used to calculate Medicare
    payments (new). of nursing home residents for manageable and preventable
    conditions .

    Sep 3, 2015 FY 2015. Payment. Rate. Hospice. Pmt Update. %. Final FY. 2016 Pmt. Rate. 651
    . Diagnosis of the terminal condition of the patient. Other health Participation
    will continue and be required to meet FY 2018 and 2019

    June 29, 2015. Centers for comments on the CMS FY2016 Hospice Wage
    Index Proposed Rule. In preparing these comments we where a patient resides
    seems prejudicial given the Medicare conditions of participation that require the

    Jun 28, 2015 Medicare Hospice Conditions of Participation, nor does it replace 2015,
    compliance determinations in 2016, and payment impact for the FY

    Dec 11, 2014 Recognize examples of measureable hospice documentation as required for
    hospice levels of address Medicare conditions of participation for hospices. (42
    ). CFR Part 418). . Financial Penalty for Not Participating (2% market basket
    penalty payment year 2016) CAHPS-Hospice Survey January 2015

    end medical underwriting and pre-existing condition exclusions. vary only by
    family structure, geography, actuarial value, tobacco use, participation in a health
    or paying a penalty of $95 in 2014, $495 in 2015 and $750 in 2016, or up .
    hospitals, and hospice providers will participate quality measure reporting
    starting

    Participation (CoPs). This means responsibilities, the hospice conditions of
    payment, and the anti-kickback statute. In this session, the Hospice growth has
    led to increased scrutiny and rapid, ongoing regulatory change. Prepare to meet
    the 2016 and identify what you may be able to wave good bye as we motor
    into

    Nov 6, 2014 abuse is $2 billion for 2015 nearly $700 million more than in 2014 . related to
    the terminal illness and related conditions. Physicians must

    Sep 22, 2014 FY2016, the BNAF will no longer be used in the hospice wage index calculation.
    . Hospice Self-Reporting the Aggregate Cap March 31, 2015.

    Aug 22, 2014 The capital expenditure associated with this 16-beds hospice care 2015.
    Under this timeline, calendar year 2016 would be the first full Medicare
    program, with the applicable conditions of participation related to those.

    National Hospice and Palliative Care Organization, 2015. All rights reserved. 4 .
    beginning October 1, 2016). Example of Conditions of Participation (CoPs).

    Southern Illinois University Carbondale 2015-2016. Page 2. This is a brief .
    treatment facility for mental disorders and substance abuse, hospice care;.
    Inpatient mental . Treatment for an emergency medical condition. Obstetric
    and Expense incurred as a result of injury due to participation in a riot.
    Participati

    Revised Common Program Requirements effective: July 1, 2015. Revised
    Common A fellowship program in hospice and palliative medicine must consist
    of 12 months of . conditions and children with palliative care needs who may
    recover. . (a) participation in additional clinical or research training in the
    specialty or

    Oct 15, 2015 dollar limit in demonstration year 10 (2015-2016) will be $1 billion the
    Medicare conditions of participation for a hospital or nursing facility;

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    Hospice of the Sacred Heart – Hospice Eligibility #online #hotel #reservations

    #sacred heart hospice

    #

    Hospice Eligibility

    A common misconception about hospice is that it is a service provided only to cancer patients. The fact is that we provide care to patients with any end stage diagnosis. These may include, but are not limited to:

    • Metastatic Malignancies
    • Heart Disease
    • Kidney Disease
    • Liver Disease
    • Lung Disease
    • Stroke and/or Coma
    • AIDS
    • Neurological Diseases (Alzheimer s, Parkinson s, Dementia, etc.)
    • Lou Gehrig s Disease (ALS)
    • Failure of Multiple Organ Systems
    • Failure to Thrive
    • Debility and Decline

    Is it true that you must have only six months to live to be eligible for the Medicare Hospice Benefit?
    Another common, and unfortunate, misconception about hospice is that the use of hospice care somehow guarantees the patient has less than six months to live. Medicare defines the hospice standards that are used by Medicare hospice providers, Pennsylvania hospice providers and most private insurance companies. Medicare has provided the following explanation and clarification regarding the hospice benefit eligibility guidelines.

    Generally speaking, the hospice benefit is intended primarily for use by patients whose prognosis is terminal, with six months or less life expectancy. [However], the Medicare program recognizes that terminal illnesses do not have entirely predictable courses.

    Recognizing that prognoses can be unpredictable and may change, Medicare s benefit is not limited in terms of time. Hospice care is available as long as the patient s prognosis meets the law s six month test. This test is a general one based on the [attending] physician s and/or Medical Director s clinical judgment regarding the normal course of the individual s illness. Medicare recognizes that making medical prognostications of life expectancy is not always an exact science.

    Under this philosophy, Medicare has specified a procedure for certification and periodic recertification of the patient s eligibility for care under the Medicare Hospice Benefit. This procedure provides two 90-day eligibility certification periods followed by an UNLIMITED number of 60-day eligibility certification periods. As long as the patient, in the judgment of the primary physician and hospice Medical Director, continues to meet the six month criteria during each certification period, the patient can continue to receive care under the Medicare Hospice Benefit.

    When does hospice care become appropriate?
    Hospice care becomes appropriate when an individual has a life-limiting illness or condition. The patient s primary physician and the Hospice of the Sacred Heart Medical Director will work together to make this medical determination. The patient and family then determine whether the patient wishes to enter the hospice care program.

    The following guidelines are used to assist the physician and hospice Medical Director in making a judgment regarding an individual s eligibility for hospice care.

    The patient has a declining functional status as determined by either:

    • A Karnofsky Performance Status of 50% or less (The Karnofsky Performance Status is an evaluation that assesses a person s ability to function independently)
    • Dependence in 3 out of 6 Activities of Daily Living
    • Frequent hospitalizations
    • Frequent trips to the Emergency Room
    • Weight loss of 10% or more in the last 4 to 6 months
    • Serum Albumin less than 2.5 gm / dl (Albumin is a component of protein and makes up one half of plasma protein)
    • Patient and family have elected comfort care rather than curative treatment

    Informal Hospice Eligibility Questionnaire
    We have also prepared the following brief questionnaire that can help you determine whether hospice care is right for you or your loved one.

    You or your loved one may be eligible for hospice care if you check 4 or more statements. However, your primary physician and our Medical Director will make the final decision regarding eligibility.

    Please review the following statements as they apply to you or your loved one to see if hospice care may be appropriate.

    • I have started feeling more tired and weak
    • I experience shortness of breath, even when resting
    • I spend most of the day in bed or in a chair
    • I have noticed an increased weight loss in the past six months
    • I make frequent phone calls to my physician
    • I take medications to lessen physical pain
    • I have fallen several times in the past six months
    • I have made frequent trips to the emergency room in the past six months
    • I need help from others with important daily activities (bathing, dressing, eating, cooking, walking, getting out of bed)
    • My doctor has told me my life expectancy is limited

    If you have checked 4 or more items on the questionnaire, you may want to begin your research into hospice care by seeking the opinion and advice of your (or the affected individual s) primary physician. If you do not have a primary physician, we will be happy to refer you to our Medical Director, who is a Doctor of Internal Medicine.





    Forced to Choose: Nursing Home vs #motels #in #fargo #nd

    #hospice nursing home

    #

    The New York Times

    Forced to Choose: Nursing Home vs. Hospice

    November 30, 2012

    An older person, someone who will die within six months, leaves a hospital. Where does she go?

    Almost a third of the time, according to a recent study from the University of California, San Francisco, records show she takes advantage of Medicare’s skilled-nursing facility benefit and enters a nursing home. But is that the best place for end-of-life care?

    In terms of monitoring her vital signs and handling IVs — the round-the-clock nursing care that the skilled-nursing facility benefit is designed to provide — maybe so. But for treating end-of-life symptoms like pain and shortness of breath, for providing spiritual support for her and her family, for palliative care that helps her through the ultimate transition – hospice is the acknowledged expert.

    She could receive hospice care, also covered by Medicare, while in the nursing home. But since Medicare only rarely reimburses for both hospice and the skilled-nursing facility benefit at the same time, this hypothetical patient and her family face a financial bind. If she opts for the hospice benefit, which does not include room and board at the nursing home, then she will be on the hook for hundreds of dollars a day to remain in the facility.

    She could use the hospice benefit at home, of course. But, “we know these patients are medically complex,” said Katherine Aragon, lead author of the study in The Archives of Internal Medicine. and now a palliative care specialist at Lawrence General Hospital in Massachusetts. “And we know that taking care of someone near the end of life can be very demanding, hard for families to manage at home.” And that assumes the patient has a family or a home.

    For some patients, a nursing home, though possibly dreaded, is the only place that can provide 24/7 care.

    But if she uses the skilled-nursing facility benefit to pay for room and board in a facility, she probably has to forgo hospice. (The exception: if she was hospitalized for something unrelated to her hospice diagnosis. If she has cancer, then trips and breaks a hip, she can have both nursing home coverage and hospice. If cancer itself caused the bone to fracture, no dice.)

    Let’s acknowledge that these are lousy choices.

    The study, using data from the National Health and Retirement Study from 1994 through 2007, looked at more than 5,000 people who initially lived in the community – that is, not in a facility. About 30 percent used the skilled-nursing facility benefit during the final six months of life; those people were likely to be over 85 and family members said, after their deaths, that they had expected them to die soon. (The benefit is commonly referred to as S.N.F. which people in the field pronounce as “sniff”).

    The choice to use S.N.F. had ongoing repercussions. Almost 43 percent of those who used it died in a nursing home and almost 40 percent in a hospital. Just 11 percent died at home, though that is where most people prefer to die, studies repeatedly show.

    Among those who didn’t use the S.N.F. benefit, more than 40 percent died at home.

    In effect, nursing homes were providing end-of-life care, expensively and probably not so well, for almost a third of the elderly population.

    The skilled-nursing facility benefit, Dr. Aragon pointed out in an interview, is meant to provide rehabilitation. “The hope is that someone will get stronger and go home,” she said.

    Sometimes, of course, that is what happens.

    “What we may be missing is that this patient is on an end-of-life trajectory,” she continued. “Maybe they can’t get stronger.”

    Moreover, Dr. Aragon pointed out, nursing homes often have financial incentives to keep re-hospitalizing patients. After three days in a hospital, the skilled-nursing facility benefit starts anew, and it reimburses at a higher level than Medicaid, which pays for most nursing home care.

    Because this unhappy choice between hospice care and nursing home reimbursement reflects federal policy, there may be little that individual families can do. If physicians are willing to honestly discuss their patients’ prognosis, to assess whether a nursing home stay will lead to rehabilitation or whether it is where a patient will likely die, sooner rather than later, families may have some personal options.

    If they knew that death was likely within a few months, they might try to provide care at home with hospice help for that limited time, difficult as that is. Or they might be able to muster enough money to pay for a few months in a nursing home, so that their parent can be a resident and still receive hospice care.

    But these are still lousy choices. “Palliative care should be part of nursing home care,” said Alexander K. Smith, the study’s senior author and a palliative care specialist at the University of California, San Francisco. “And that regulation that prevents concurrent use of the S.N.F. benefit and hospice isn’t in the interest of patients and families.”

    Coming up in a future post: Experimenting with a concurrent-coverage option.

    Paula Span is the author of “When the Time Comes: Families With Aging Parents Share Their Struggles and Solutions.”

    We’re interested in your feedback on this page. Tell us what you think.





    The Most Surprising Thing I Learned Working In Hospice Care #hospice #care

    #working for hospice

    #

    The Most Surprising Thing I Learned Working In Hospice Care

    In retrospect, hospice work isn’t so outrageous a field for me to enter.

    I hadn’t thought about what kind of kid I was until beginning my second-year clinical internship this year at an inpatient hospice in Philadelphia. I asked about death early, and I asked a lot of questions. Here and there, memories emerge of conversations I had early on while sitting in the backseat, listening to NPR. I remember a story about palliative care, and remember asking why it was controversial (this was more than a few years ago).

    Even so, I was scared to begin my internship. I was scared to hold people’s grief and anguish, scared of all the myriad ways that countertransference seeps out of our interactions with death and dying, scared to be considered weird and different for my interesting in working in thanatology.

    But I forged ahead. I took the internship, still slightly frightened and unsure, and gave myself permission to find a new placement if I couldn’t handle working in hospice.

    I could not be more pleased that I did just that. Working in hospice feels like it suits my soul, something at the very nature and essence of my being. People always ask me about what I do, and I grit my teeth before telling them, knowing that the reaction is a bit of morbid shock and awe, some fear, some respect hiding in the background.

    And I feel all those things, every single day, every interaction I have with a patient or their family. I am honored to participate in this process, to provide comfort, reassurance, and stability.

    Something I have realized during my work in hospice is that to have an interest in death and dying does not imply a morbid fascination with the end of life. To me, it suggests a deep reverence for the life we are all lucky to live, even if only for a short time.

    In assisting individuals and families through the dying process, we are also showing them how to continue living. To provide comfort to patients and their families and to do so with dignity, to lead by example in living a life that is affected by death but not overshadowed by it lets families know that they can do the same.

    To a certain extent, I believe that hospice work is the kind of work you do if you can. There is something of a moral obligation to respond to the calling, or inclination, or interest–whatever you want to call it. The nurses, social workers, doctors and volunteers I have been fortunate enough to work with this past year are such immensely dedicated, compassionate, strong individuals, who perform their work with strength, pride, but above all, tenderness.

    I feel blessed to be a part of a team that gives themselves to their work, that respects their patients and families, and that above all, honors life.

    More:





    Hospice conditions of participation crosswalk #noosa #motels

    #hospice conditions of participation

    #

    hospice conditions of participation crosswalk

    hospice conditions of participation crosswalk

    The CMS Compliance Crosswalk, 2015 Edition is published by HCPro, a division
    of BLR. . delivery system consisting of 16 hospitals, a statewide home health
    and hospice ments outlined by CMS called Conditions of Participation (CoP).

    May 21, 2010 Fiscal Year 2015 . Impact of Nursing Shortage on Hospice Care . Crosswalk
    Guide to the Organ Procurement and Transplant Network (OPTN) and Critical
    Access Hospital Conditions of Participation CMS-3244-F .

    4/25/2015. 1. CMS HOSPITAL . The discharge planning CoPs have been
    reorganized. A number . Like home health, hospice, RT, rehab, nutritional
    consult,.

    Mar 27, 2015 Our Form 8-K, dated March 27, 2015 to which the following supplemental slides
    are attached as. Exhibit 99.1, provides . Encompass Home Health Hospice
    ICD-10-CM cross walk from ICD-9-CM (effective no earlier than. October 1
    hospitals, including Medicare hospital conditions of participation.

    April 24, 2015. Michele Walton. CMS. Survey Certification Group CMS
    transplant CoPs serve as the minimum requirements for providing safe and
    appropriate care for . Survey Protocol, Crosswalk, ABO templates . Hospice
    Agencies.

    Jun 30, 2014 Part 1 of 4: A Detailed Review of the Final CMS FY 2014 IPPS Rule. 1
    Conditions. Reduction Previous Rulings for FY 2015 Payment Determination.
    CMS . Patients enrolled in Medicare Hospice Program any time in 12 months
    . ICD-9 to ICD-10 crosswalks for measure specifications available for.

    Fiscal Year 2014 Proposed Rule for Medicare Hospice. Wage Index reductions
    scheduled for 2015 and 2016, the entire BNAF will be eliminated. This .
    condition is also reiterated. CMS that crosswalk from ICD-9 to ICD-10 codes.
    CMS . three quarters of the continuous monthly participation (April 1, 2015
    December.

    A. Crosswalk of Definitions by Provider Type. . For promoting participation in
    the surveys, the authors thank Teresa Johnson Medicare Medicaid Services
    on home health agencies, hospices, and nursing homes. . chronic illness; injury
    ; physical, cognitive, or mental disability; or other health-related conditions (HHS,.

    Adoption and Use in Home Health and Hospice. NCHS Data Brief . June 2011
    . Medicare Program; Conditions of Participation (CoPs) for Community Mental.

    Sep 16, 2014 Number of Medicare Certified Hospices by type between. 1986 and 2012 .
    Section J: Health Conditions (Pain and Dyspnea). Section N:

    Participation in Medicare Plans. . inpatient hospital, skilled nursing facilities (
    SNF), hospice, and home health. Medicare Part B Only those conditions
    supported by 2015. Optum will include the ICD-9-CM to ICD-10-CM crosswalk
    in.

    Nov 11, 2014 Identify 2015 changes to Medicare delivery and Home Health/Hospice MACs (
    HH MACs) . *CMS Crosswalk may be incorrect/suggested correct code (RW) .
    (IV) The services are furnished to treat a type of medical condition. . ALJ
    Hearings starting October 27, 2014 Participation in cases involving:.

    Aug 1, 2014 hospice, social support services, and others based on community needs. 2.
    Recognize needed to determine how to meet Medicare Conditions of
    Participation or to propose a new Complete crosswalk between military
    training and civilian licensure requirements could be sought in the 2015
    session.

    Dec 14, 2012 Doug Goggin-Callahan, Medicare Rights Center Melissa Seeley, Centers for
    Medicare and Medicaid. Katherine Marlay, Office . CY2015. CY2016. (A) MA
    penetration for Demonstration population in county. 25% and medical
    conditions to predict costs . Dual Eligible Participation in Managed Care.

    Oct 23, 2014 would love to have you participate in the planning for the 2015 Annual.
    Conference. decisions about the problems confronting hospices.

    goers and solicited participation in a brief research . of home health care
    provided under Medicare if they had at least research team to develop a
    crosswalk of the key . conducted, and whether 2010, 2015, and 2020
    conditions, and 14 activities of daily living (range . and by the time the hospice
    option is discussed,.

    On July 6, 2012, CMS issued the 2013 Medicare physician fee one or more
    prevalent chronic conditions or episodes of care for one or more major
    procedures. . are receiving payment for home health or hospice care plan
    oversight RVU crosswalk. . A new administrative claims reporting option for
    the 2015 and 2016

    May 5, 2014 Year (CY) 2014 Medicare Physician Fee Schedule (RHHIs), Home Health and
    Hospices (HHHs), and Durable Medical Equipment Medicare.





    New Hospice Conditions of Participation #motels #in #montreal

    #hospice conditions of participation

    #

    Health Regulation Information Bulletins

    Health Regulation – Facilities and Professions

    Related Sites

    Information Bulletin 09-01
    Hospice-26

    New Hospice Conditions of Participation

    Purpose:
    The purpose of this bulletin is to provide information on implementation of new Medicare Hospice Conditions of Participation (COPs), related joint training being sponsored by, Centers for Medicare and Medicaid (CMS) and the Minnesota Department of Health (MDH), and implementation date by MDH.

    CMS Training
    Joint training will take place via three (3) CMS sponsored satellite training sessions which are archived at the CMS website.

    Information on the CMS satellite training is available at:

    CMS will host 4 satellite broadcasts scheduled from 12:00 noon � 1:30 pm Central Standard Time (CST) on Thursday, January 22, 2009; Thursday, February 19, 2009; Friday, March 13, 2009 and Wednesday, April 22, 2009. Broadcasts can be viewed by members of the public by satellite coordinates provided on the CMS website approximately 2 weeks prior to the broadcast.

    Archived broadcasts can be accessed at the website by clicking on the �Archived Webcasts� at the top of the CMS link.

    Participants should print out any handouts provided by CMS on the satellite broadcast website and information from CMS S
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    Hotels for Sale, Motels for Sale, Property, and Other Investment Opportunities by

    #motels for sale by owner

    #

    35 unit Beachside Resort Portfolio

    $2,625,000 or $75,000 per unit.

    These high occupancy Properties are located directly across from the Atlantic Ocean in Southeast Florida with the exception of the one property which is located directly across from the Intracoastal

    � The first property is a single story building with 2 one-bedroom, one-bath units and 2 two-bedroom, one-bath units for a total of 2325 square feet.

    � The structure is concrete block construction with a pitched single roof; no utilities are included in the rent.

    � The second property is a two story building with 1 one-bedroom, one-bath unit and 3 two-bedroom, one-bath units for a total of 2808 square feet.

    � The structure is concrete block construction on the first floor and wood studs and sheeting on the second floor with a pitched single roof. The building features central air-conditioning. All utilities are the responsibility of the tenant.

    � The third property is a two story building with 2 two-bedroom, one-bath units, 1 one-bedroom, two-bath unit, 3 one-bedroom, one-bath units and 6 studios for a total of 5569 square feet.

    � The structure is concrete block construction on the first and second floors with a pitched single roof. All utilities are part of the rent including cable with HBO and free Wi-Fi.

    � The fourth property, 411 S Ocean is a two story Motel with 6 studios, 4 one bedroom one baths units and 1 two bedroom, one bath unit located directly a cross from the Ocean. The structure is of concrete block construction and features a pitched asphalt shingle roof.

    � The fifth property is a single story building with one two-bedroom, one-bath unit, and three one-bedroom, one-bath units for a total of 2499 square feet. The structure is concrete block construction and features a gable single roof, central air-conditioning and a pool. All utilities are included in the rent except cable.

    Gross rents are as follows:





    PPT – Hospice Conditions of Participation PowerPoint presentation #motel #rocks #sale

    #hospice conditions of participation

    #

    Hospice Conditions of Participation – PowerPoint PPT Presentation

    Transcript and Presenter’s Notes

    Title: Hospice Conditions of Participation

    1
    Hospice Conditions of Participation

    • Presented by
    • Kim Roche, RN, BSN, RNC, CCS-P
    • CMSO/SCG
    • The Centers for Medicare Medicare Services
    • January 22, 2009

    2
    Medicare Hospice Conditions of Participation

    • Published May 27, 2008
    • Effective December 2, 2008
    • Performance Improvement Projects begin 02/02/09

    3

    • www.cms.hhs.gov/center/hospice.asp

    4
    Secretarys Advisory Committee on Regulatory
    Reform

    • Clarified relationship between NHs, ICF/MRs and
      hospices
    • Changed respite care nursing requirements
    • Allowed qualified nurses to provide dietary
      counseling

    5
    BBA 97 changes

    • Medical director/physicians may be under contract
      (418.64 and 418.102)
    • Waiver available to provide PT, OT, SLP, and
      dietary counseling on 24-hour basis (418.74 )

    6
    BBA 97 changes (Cont)

    • Waiver available for providing dietary counseling
      directly (418.74)

    7
    MMA 2003

    • Hospices may contract with another hospice to
      provide core hospice services
    • Hospices may contract with RN for highly
      specialized services

    8
    Hospices Responsibility

    9
    Patients Rights

    Effective Pain Medication Respect for Property
    Person Choose Attending

    Confidential Clinical Records Symptom
    Management Voice Grievances without reprisal

    10
    Patients Rights (Cont)

    Exercise Rights Refuse Care or
    Treatment Receive information about hospice

    Freedom from Mistreatment, Neglect/
    abuse Involvement with Care

    11
    Initial Assessment

    • Completes within 48 hours of effective date of
      election
    • Patient or Physician may request earlier
      assessment.
    • Gathers key information to treat patient
    • Registered
    • Nurse

    12
    Comprehensive Assessment
    13
    Comprehensive Assessment (Cont)
    14
    Assessment Timeframes (example)
    15
    IDG
    Meets Physical, Medical, Psychosocial, Emotional,
    and Spiritual Needs of Pt/family
    Includes MD or DO, SW, RN Counselor
    Provides Education/ Training to Pt/Family
    Consults with Attending Physician
    16
    Plan of Care
    17
    Plan of Care (Cont)
    18
    Performance improvement activities

    • Focus on high risk, high volume, or
      problem-prone areas
    • Track adverse patient events analyze causes
    • Affect palliative outcomes, patient safety,
      and quality of care

    19
    Performance Improvement Activities (Cont)

    • Consider incidence, prevalence, and severity
      of problems
    • Take actions aimed at PI measure success
    • Track PI actions to assure improvements are
      sustained

    20
    Performance Improvement Projects

    • Starts February 2, 2009
    • Reflect scope, complexity past performance
      of hospices services operations.

    21
    Performance Improvement Projects (Cont)

    • Document the quality
    • improvement projects conducted
    • Document reasons for conducting the projects
      and measurable progress achieved

    22
    Infection Control

    • Accepted standards of practice
    • Prevents and Controls Infections Diseases
    • Part of QAPI
    • Educates/Protects, Patients, Staff and others

    23
    Infection Control

    • Agency wide program for surveillance,
      identification, prevention, control and
      investigation
    • Identifies Infectious and Communicable
      Diseases and Implements Appropriate Actions

    24
    Licensed Professional Services

    • Services must be authorized, delivered, and
      supervised by qualified personnel
    • Professionals participate in coordinating all
      patient care
    • Professionals participate in the hospices QAPI
      and in-service training programs

    25
    Hospice Core Services

    • Physician Services (direct or under contract)
    • Nursing Services
    • Medical Social Services

    26
    Hospice Core Services (Cont)

    • Counseling Services
    • Bereavement
    • Dietary
    • Spiritual

    27
    Hospice Aide Qualifications

    • Training competency evaluation OR
    • Competency evaluation OR
    • Nurse aide training and competency evaluation OR
    • State licensure program

    28
    Hospice Aide Supervision

    • RN supervises aide onsite once annually if no
      problems noted.
    • RN visits patient q. 14 days to assess aide
      services (aide does not have to be present)
    • If concerns, RN revisits to observe aide
    • If concerns remain, aide completes competency
      evaluation

    29
    Volunteer Hours Level of ActivityExample
    30
    Recruit, Train, Supervise

    • Hospice must
    • Document active volunteer recruitment
    • Document retention plans
    • Provide orientation training for its
      volunteersconsistent with hospice industry
      standards
    • Volunteer program must be supervised by a
      designated hospice employee

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    Family hospice care #la #hotels

    #family hospice care

    #

    Welcome to Curo Health Services

    Hospice Family Care is an affiliate of Curo Health Services and offers compassionate Hospice Care, with clinical experience, to thousands of special patients and families in locations listed on our website.

    Our goal is to enrich the quality of life as life s journey nears its completion. Through supportive, loving, comfort care we offer patients and their families comfort for body, mind and spirit.

    Our Mission

    The mission of Curo Health Services, and its hospice affiliates, is to honor life and offer compassion to individuals, and their families, when facing a life-limiting illness.

    Our Core Values

    • Choose the right attitude, message and priority.
    • Be accountable for all thoughts, words, and actions.
    • Embrace and drive change. Pursue growth and learning.
    • Demonstrate humility and servant leadership.
    • Select great people, treat them with respect, help them, and communicate effectively.
    • Celebrate small successes on our journey to greater success.
    • We are here for our patients and each other. Be passionate about what we do. Be innovative and efficient in everything we do.

    Find a Location Near You





    Pathways hospice #kingsway #hall #hotel

    #pathways hospice

    #

    Pathways Hospice Palliative Care

    Pathways Hospice and Palliative Care provides patients the opportunity to spend the remaining months of life s final journey in familiar surroundings (alert and free of pain) among the people and things they love. We are dedicated to making this possible.

    We service the care needs of residents in Chesterfield, O Fallon, St. Charles, Wentzville, St. Louis and surrounding areas.

    Care

    Pathways Hospice and Palliative care provides patients in long term care and home setting with symptom management and pain control for the chronically and terminally ill.

    Hospice – The decision to seek hospice care is an important one. Hospice focuses on “caring,” not curing, with the fundamental principle that each of us has the right to live each day with comfort and dignity. Hospice is a concept of care that includes a team of professionals and volunteers who are experts in the field of end of life care. The purpose of hospice care is to enable patients to live as fully as possible by addressing the physical, emotional, social and spiritual needs of the patient and their loved ones.

    Pathways is one of the most experienced hospice programs in the greater Metropolitan St. Louis, Missouri area.

    Palliative Care – Pathways palliative care specializes in the relief of pain, symptoms and stress brought on by chronic life limiting illness. Palliative care offers the patient and family the best quality of life possible while preventing and alleviating suffering.

    Many people confuse palliative care with hospice care. Palliative care can be offered at any point of a disease. A patient can receive palliative care while still receiving or seeking curative treatments. Pain associated with cancer, COPD, Alzheimer’s or other types of end stage dementia, ALS, advanced cardiac disease, kidney or liver disease and many more can be alleviated with palliative care services.

    Threshold Choir – Research shows that music can provide peace and comfort during times of anxiety and restlessness. The Pathways Comfort Singers are a group of specially trained women volunteers who offer the gift of peace and comfort through song at the patient’s bedside at the threshold of life and death. Pathways is proud to be the first Threshold Choir in Missouri.

    Memorial Services – Pathways invites all family and friends of their patients that have passed to an annual memorial service. This tribute is hosted and presented by Pathways to celebrate the lives of loved ones through music, singing, candle lighting and photographs.

    Experience – Established in 1996, Pathways is one of the the most esteemed Hospice companies in the country. Proud member of National Hospice and Palliative Care Organization; Missouri Hospice and Palliative Care Association; Greater St. Louis Hospice Organization; National Institute for Jewish Hospice.

    Who We Serve – The hospice journey is not meant to be traveled alone. Our hospice team has walked the path with thousands of patients and families of every race, religion, and gender.

    My father received excellent care from the hospice teams….I appreciated all the information and many visits from the teams in checking on him. He and the family received compassion and comfort during his last few days. Your services are greatly appreciated.

    You were very patient….We lost my brother-in-law three years ago from lung cancer (out of state). I am not sure which hospice company his was but there was no comparison. You were far superior and we are very grateful.

    I thought hospice was wonderful for Steve. Everyone was very pleasant, caring and professional. I thought Jackie did a great job managing Steve’s pain and in preparing me upon each visit for what to expect next. Steve loved the ladies of Hospice who sang to him. I cannot thank them enough for coming out that morning. Steve died with great dignity how he would have wanted. He died in my arms with me holding his hands. His death was beautiful in my eyes and I will love him forever. Thank you all for taking good care of Steve.

    Nurse Nikki was wonderful. I feel very fortunate to have known Nikki. Nurse Aide Keisha was terrific. Her humor and excellent care for Patti was wonderful. Patti and I were very fortunate to have very caring and understanding people in Patti’s trying times. Thank you again.

    Yvonne was a wonderful nurse for my mother. She did a great job caring for her. She was also kind to me. I appreciated her services given. Christine was an awesome aide to my mom. My mom enjoyed her visits. She was gentle and kind. So glad we had her. I would recommend Yvonne and Christine for any member of my family. They did a wonderful job.

    This Hospice group has helped my family through 3 deaths. Each time they have made the end of life more comfortable and prepared. Once death came there was a peace due to the care they were given to a pair free ending. Everyone was very supportive and caring. Thanks to all as you don’t know how much it has touched my life to have a great group of support and prayers.

    You should be quite proud of your nurses, social workers and chaplains. Each of them acted as though mother was their sole concern. We were kept informed (not left in the dark as so many medical professional seem to do). They treated her and us as though we were family. We cannot thank Pathways enough!

    The team was wonderful both with mother and all family members. I would like to thank Court for his help and understanding. He really helped me through all of this. Mother’s care was so much better after Hospice came. Thank you!

    I want to let you know how impressed we were with your services. You recently took care of my Mother-In-Law Alice R. and you could not have done any more than you did. Your services were excellent. I would definitely refer anyone to your services. Your staff was so caring and helpful. We couldn’t ask for anything more. Thank you so much for being there for me and my family.





    Caring for You as You Care for Family and Friends #hong #kong

    #caregivers

    #

    About Us

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    Midwest – Nebraska – LINCOLN #volunteer #for #hospice

    #pathways hospice

    #

    Midwest Nebraska LINCOLN

    Pathways to Compassion Hospice cares for patients primarily in their home. Home is defined by the patient and therefore can mean an individual’s house or apartment, a long-term care facility, assisted living or independent living facility.

    It is our goal to control patients’ symptoms while keeping them in their home, where they are most comfortable, surrounded by the people and things that are most familiar and meaningful to them.

    Pathways to Compassion honors Veterans with our We Honor Veteran’s Program. This program collaborates with the Department of Veterans Affairs and the National Hospice and Palliative Care Organization. We are committed to recognizing the needs of America’s veterans and their families.

    We offer supplemental services for residents in long-term care facilities, including:

    • Admission response within 24 hours of referral.
    • In-home evaluation to determine hospice eligibility.
    • After-hours and weekend admissions.
    • Nurses available for evening and/or night visits.
    • Inpatient Hospice for symptom control, family breakdown or respite care.
    • Licensed Practical Nurses or Certified Home Health Aides to assist with personal care and to provide wound care.
    • Continuous Care during crisis.

    phone: (402) 474-0020 | toll-free: (855) 436-0020 | fax: (402) 742-3109 | email: Program Director

    What’s New at PTC?

    What Others Say About Us

    We’re Here To Help You





    Performance Scales: Karnofsky – ECOG Scores Practice tools #hospice #of #the #valley

    #palliative performance scale

    #

    ESMO members: the recent ESMO Handbooks are available for browsing online to allow you to easily access the sections most relevant to you.

    Essentials for Clinicians

    A simplified yet comprehensive overview on oncological malignancies, their biology, diagnosis, staging, treatment and follow-up, which are necessary for basic patient treatment

    Glossary of Molecular Biology

    ESMO members: Browse through the ESMO Glossary in Molecular Biology of Cancer and Molecular Techniques online

    User’s Manual for Oncology Clinicians

    Discover the User’s Manual for Oncology Clinicians: “Clinician’s notes” for each of the 16 chapters of the patient guide.

    Cancer in Medical Journals

    Collection of links to the latest cancer related articles in top medical journals: Annals of Oncology. The Lancet. JAMA. NEJM. BMJ and Nature Medicine

    Links to Cancer Journals

    Here, ESMO members can gain direct access to journals available to them for free (Annals of Oncology. Nature Reviews Cancer. Nature Reviews Clinical Oncology. and British Journal of Cancer ). You can also find links to interesting journals in the fields of Medical Oncology, Haematology and Biomarkers.

    Performance Scales: Karnofsky ECOG Scores





    Medicare hospice regulations #what #is #terminally #ill

    #medicare hospice regulations

    #

    Hospice

    A public agency or private organization or unit of either providing to persons terminally ill and to their families, regardless of ability to pay, a centrally administered and autonomous continuum of palliative and supportive care, directed and coordinated by the hospice care team primarily in the patient’s home but may also be on an outpatient and short-term inpatient basis.

    Am I in the right place?
    • Will your facility have a medical director? If Yes. continue; If No Click here .
    • Will your facility be providing care to those patients who have a diagnosis indicating that they are terminally ill? ( terminally ill designated as 6 months to live). If Yes. continue; If No Click here .
    • Will you be providing regularly scheduled care consisting of medical, nursing, social, spiritual, and volunteer and bereavement services? If Yes. continue; If No Click here .
    • Will the care being provided be under a written care plan established and periodically reviewed by the patient’s attending physician or the medical director of the hospice? If Yes. continue; If No Click here .
    • Will you have an inpatient (acute or short-term care on a 24 hours basis) or residential (non-acute palliative care on 24 hours basis) hospice facility? If Yes. continue; If No Click here .
    Next Steps

    Continue this process by reading the Rules Regulations;
    Rules and Regulations for Hospice
    . Chapter 111-8-62, et seq. Revised December 9, 2009
    Enforcement of Licensing Requirements, Chapter 290-1-6, et seq. Effective August 16, 1993

    Complete the Application Packet – In order to process your application, ALL of the documents included in the application packet must be submitted; and

    Sign and return the Application Checklist with the entire Application Packet.





    Alzheimer s Association – Facts and Figures #bloomsbury #hotel

    #caregivers

    #

    ALZHEIMER’S FACTS AND FIGURES

    Prevalence

    The number of Americans living with Alzheimer’s disease is growing – and growing fast. An estimated 5.4 million Americans of all ages have Alzheimer’s disease in 2016.

    • Of the 5.4 million Americans with Alzheimer’s, an estimated 5.2 million people are age 65 and older, and approximately 200,000 individuals are under age 65 (younger-onset Alzheimer’s).
    • One in nine people age 65 and older has Alzheimer’s disease.
    • By mid-century, someone in the United States will develop the disease every 33 seconds.

    These numbers will escalate rapidly in coming years, as the baby boom generation has begun to reach age 65 and beyond, the age range of greatest risk of Alzheimer’s. By 2050, the number of people age 65 and older with Alzheimer’s disease may nearly triple, from 5.2 million to a projected 13.8 million, barring the development of medical breakthroughs to prevent or cure the disease. Previous estimates based on high range projections of population growth provided by the U.S. Census suggest that this number may be as high as 16 million.

    Mortality

    Among people age 70, 61 percent of those with Alzheimer’s are expected to die before the age of 80 compared with 30 percent of people without Alzheimer’s – a rate twice as high.

    Alzheimer’s disease is officially listed as the sixth-leading cause of death in the United States. It is the fifth-leading cause of death for people age 65 and older. As the population of the United States ages, Alzheimer’s is becoming a more common cause of death. Although deaths from other major causes have decreased significantly in the last decade, deaths from Alzheimer’s disease have increased significantly – 71 percent. In 2013, over 84,000 Americans died from Alzheimer’s according to official death certificates; however, in 2016, an estimated 700,000 people with Alzheimer’s will die, and the disease likely will contribute to many of those deaths.

    Alzheimer’s is the only disease among the top 10 causes of death in America that cannot be prevented, cured or even slowed.

    Invest in a world without Alzheimer’s.
    Donate

    Caregivers

    In 2015, 15.9 million family and friends provided 18.1 billion hours of unpaid care to those with Alzheimer’s and other dementias. That care had an estimated economic value of $221.3 billion. This is approximately 47 percent of the net value of Walmart sales in 2014 and eight times the total revenue of McDonald’s in 2014.

    • Approximately two-thirds of caregivers are women, and 34 percent are age 65 or older.
    • 41 percent of caregivers have a household income of $50,000 or less.
    • On average, care contributors lose over $15,000 in annual income as a result of reducing or quitting work to meet the demands of caregiving.

    Alzheimer’s takes a devastating toll on caregivers. Nearly 60 percent of Alzheimer’s and dementia caregivers rate the emotional stress of caregiving as high or very high; about 40 percent suffer from depression. One in five care contributors cut back on their own doctor visits because of their care responsibilities. And, among caregivers, 74 percent report they are “somewhat” to “very” concerned about maintaining their own health since becoming a caregiver.

    Cost to nation

    Alzheimer’s disease is one of the costliest chronic diseases to society. The growing Alzheimer’s crisis is helping to bankrupt Medicare.

    • In 2016, total payments for health care, long-term care and hospice are estimated to be $236 billion for people with Alzheimer’s and other dementias, with just under half of the costs borne by Medicare.
    • Medicare and Medicaid are expected to cover $160 billion, or 68 percent, of the total health care and long-term care payments for people with Alzheimer’s disease and other dementias.
    • Nearly one in every five Medicare dollars is spent on people with Alzheimer’s and other dementias. In 2050, it will be one in every three dollars.

    Unless something is done, in 2050, Alzheimer’s is projected to cost more than $1 trillion (in 2016 dollars). Costs to Medicare will increase 360 percent. This dramatic rise includes a nearly five-fold increase in government spending under Medicare and Medicaid and a nearly five-fold increase in out-of pocket spending.

    Financial impact on families

    Alzheimer’s takes a devastating toll – not just on those with the disease, but on entire families.

    How much of their own money do families spend to provide for the needs of the person with Alzheimer’s? Are families prepared to handle the financial impact of Alzheimer’s disease? Because studies on this important topic are scarce, the Alzheimer’s Association commissioned a nationwide scientific survey of more than 3,500 Americans who were asked these questions and more.

    Alarmingly, the survey revealed that many care contributors had to cut back on basic necessities – such as food and medical care – for themselves and their families. They are 28 percent more likely than other adults to eat less or go hungry because they cannot afford to pay for food. At the same time, many survey respondents had misconceptions about what expenses Medicare and Medicaid cover, leaving them unprepared to handle the tremendous costs associated with the disease. Taken together, the results of the survey point to the significant financial burden placed on families because their friend or family member with Alzheimer’s disease or another dementia can no longer afford to take care of themselves.

    Put financial and legal plans in place.
    PLAN AHEAD

    Alzheimer’s Disease Facts in Each State

    The 2016 Alzheimer’s Disease Facts and Figures report contains data on the impact of this disease in every state across the nation. Click below to see the effect that Alzheimer’s is having in your state.





    Caregivers #coastal #hospice

    #caregivers

    #

    Caregiver

    This list of Caregiver Rights will help you re-focus some time and energy on caring for yourself and let you know that it’s not unusual to feel under-appreciated, frustrated, left out and even angry.

    As a caregiver, you may think your first responsibility is to your loved one, but it’s really to yourself. To do the best, you must be in the best possible health yourself.

    One of the most important things you can do for yourself and your loved one is to carve out time and space for yourself. This has to be a conscious action that you take every day.

    Physical activity is proven to improve both mental and physical health. It tackles anxiety, depression and anger. Read more about how you can rejuvenate yourself.

    Maintaining good nutrition habits is tough for anyone, but it’s especially difficult for a caregiver. Often your loved one is on a special diet or has a particularly selective appetite, but your diet is also important.

    When your communication is clear, assertive and constructive, you’re more likely to be heard and get the response you need. Get specific guidance on communicating with family, friends, healthcare professionals, and more.

    These resources will help you better care for someone who has heart disease or who has had a heart attack, heart surgery or a stroke.

    Caregiver

    SEARCH

    Sharing is Caring

    LOCAL EVENTS

    CONTACT US





    Signs of Approaching Death a Few Days Before Death #how #to #start

    #hospice signs of dying

    #

    What signs of approaching death can we expect
    a few days before death?

    Read about the signs of approaching death a few days before death occurs by following Emma’s Story Part 4.

    Our journey into dying is moving closer to its final destination. There are more signs of approaching death. We are down to a few days.

    Just a few more days to be in this particular body at this particular time. Nothing more to do. Just letting go. Just letting go.

    Emma’s Story Part 4: A Few Days Before Death

    One afternoon close to sunset Emma woke up out her slumber. First she looked at Arthur with her big blue eyes. Then she looked out of the window of her living room.

    She asked whether Arthur would help her go outside. She wanted to sit on her lovely deck, look out at her back yard and enjoy the warm summer breeze. It was June and all her pots were in bloom.

    Emma and Arthur sat out there for while. Not saying much.

    Arthur told her about the friends who had brought over her favorite pot roast dinner. And some home grown raspberries. Freshly picked that morning.

    Small things. Things that are part of the fabric of life between two married people. Married for a long time.

    After about an hour Emma was ready to go back to bed.

    That was the last time Emma left the house and her bed.

    I am available as an inspirational speaker
    about all aspects of death
    including the luminous side of dying
    for both US and international events.
    Click here to find out more about my talks
    and click here to contact me
    .

    A few weeks before death one day might be very different. Different in terms of all the other days. It will stand out, for sure. It has a definite place among the signs of approaching death.

    When we are dying we might be deeply lost in our inner world. Not wanting to see anyone. Or talk to anyone. Not even to our closest friends or family members.

    All days are the same. Look the same. Not much happening.

    One day is different.

    We might want to go for drive to see the colorful fall leaves. We might ask for some food from our favorite restaurant. A whole meal. We might want to take a roll in our wheel chair through the neighborhood.

    This different day is called a Golden Day or Golden Moment.

    As if our life force flares up one more time. In brilliant colors. In a spectacular display of one more day of life. One more hour of life. One more moment of life.

    Just one more time.

    And then – time to go now. Time to let the body do its thing. Time to move a step closer to death. We passed another sign of approaching death.

    Emma’s Story Part 4: A Few Days Before Death Continued

    After Emma’s one more Golden Afternoon with Arthur she went back to bed and back to sleeping. Her sleep was getting deeper. She was harder to rouse. She would not talk anymore. Even if we asked her a question. There was no response.

    By that time she was neither eating nor drinking anymore. She was not moving her body on her own anymore. She just lay there in her bed. Her head raised up. Resting peacefully. On her way home.

    A Few Physical Signs of Approaching Death

    At this point most of the signs that death is getting close, are physical signs. These are signs of our bodies shutting down dying. Just shutting down. Slowly but surely for some. Rapidly and all at once for others.

    My friend Allison was caring for an 85 year old gentleman, called Bill. She had been with him for 2 years. A few days ago he had been admitted to hospice as he was going down fast.

    It was a Sunday afternoon. Bill was dozing in his favorite chair. Allison had just turned around to put away some towels.

    When she looked back at Bill he had died. Just like that. No build up. No waiting for him to take his last breath. He just died.

    The following changes in our bodies can be clearly observed when we look closely. When we allow ourselves to get close to this loved one dying. Our loved one dying.

    Here are a few typical symptoms of our bodies shutting down while dying:

    • Our bodies are too weak to stand up or even sit up anymore.
  • We may be sweating more.

  • Our body temperature can be lower by a degree or more.

  • Our pulse may become irregular and may either slow down or speed up.

  • Our blood pressure can be lower.

  • We are unable to swallow fluids anymore. Even those muscles are too weak.

  • Our stomachs cannot digest food anymore. Not enough stomach acid is being produced.

  • No more bowel movements without suppositories. Our bowels have stopped moving food along.

  • Very little to no urine output. As there is no liquid going in, there is very little or no liquid coming out.

  • Our skin color may change as circulation becomes diminished.
  • As you can see from this list, a number of processes in our bodies are slowing down or stop altogether. As preparation for our dying.

    Just another miraculous thing our bodies know how to do without us telling them.

    Dying is so much part of being human. As much a part as living is. As much a part as being born is.

    Emma’s Story Part 4: A Few Days Before Death Continued

    By the next morning Emma was not looking so peaceful anymore. There was a frown on her face. Especially between her eyebrows.

    Ever so often she was moving her head back and forth. She was even moaning a bit.

    Emma was definitely not feeling comfortable. Something was irritating her. This was hard to watch.

    Sometimes we can feel uncomfortable when our bodies are breaking down. It can be like one big irritation.

    One of the signs of approaching death is called “terminal agitation”. It is most visible in our faces. But we can feel it all over our bodies.

    We might have a frown between our eyebrows. We might moan and groan. We might move our heads back and forth.

    This phase can be intense for the one dying as we are not used to seeing a body breaking down. A body stopping all its normal functions. At this point in our journey modern pain medication definitely can make a difference.

    Imagine being in a body where you cannot move your limbs anymore. You are too weak. You cannot say anything. Your mouth is too dry. You are only half awake. But you are feeling very uncomfortable.

    To me this would be hell. Feeling in pain and not being able to do anything about it. Or even say anything about it.

    When this happens, it really helps to have been admitted to hospice (at least in the USA). Or to get admitted. Even at that late stage.

    By being on hospice a trained nurse will stop by daily to prescribe and often deliver any pain medication that would be helpful. The hospice nurse is also able to help us decipher some of the signs of approaching death. Plus a nurse is on call 24/7 in case additional help or medication is needed.

    A Word About Knowing When Death Might Occur

    Caregivers, nurses and doctors are often asked: “How much longer till my loved one will die?”. To be honest, no one can accurately predict, when our loved ones will actually die. There are too many factors involved which determine the time of death.

    Jerrye Wright, the director of Ashland Hospice, shared with me an interesting observation: What we can do, when we are around someone who is dying, is to simply watch for any changes occurring.

    If the changes occur every few weeks, we or our loved ones have weeks to live. Changes like loss of appetite or emotional releases.

    If the changes occur within days, we or our loved ones have days to live. Changes like being unable to swallow fluids.

    If the changes occur within hours, we or our loved ones have hours to live. Changes like terminal agitation.

    I liked this way of looking at dying as it empowers us to watch for these changes and then make our own rough estimates.

    Click here to read Emma’s Story Part 5: A Few Hours Before Death

    Return from Signs of Approaching Death to Emma’s Story Part 1

    Return from Signs of Approaching Death to A Good Dying Home

    In loving and celebrating our letting go into death’s arms
    We are graced with being birthed breathtakingly into more living

    I give permission to copy and redistribute this content as long as full credit is given and it is distributed freely. © 2013 A-Good-Dying.com
    Home | About | Contact





    Levels of Hospice Care: Routine, General Inpatient (GIP), Respite and Continuous #benefits

    #hospice respite care

    #

    Levels of Hospice Care

    There are four levels of hospice care. The level of care provided is based upon you or your loved one’s individual needs in the setting that is most appropriate and comfortable.

    Routine Care
    This level of care is provided in the patient’s place of residence — in your private home, an assisted living community, a skilled nursing or long-term care facility, or another residential setting. Under routine care, you receive regular visits from members of your care team, based upon your specific needs. As your needs change, team members adjust their visits to accommodate these changes and ensure optimal care.

    General Inpatient Care (GIP)
    If you experience acute symptoms that cannot be safely managed in your home or other residential setting, you may require a higher level of care called General Inpatient (or GIP) care. GIP care is provided in a skilled nursing facility, a hospital, or a hospice inpatient unit such as our McCarthy Care Center in Sandwich. Once symptoms are under control, you may return to your home under the routine level of care.

    Respite Care
    Many patients have their own caregivers. If your caregiver needs a rest from their care giving responsibilities, respite care may be available. Under respite care, you may stay in a hospital, other inpatient center or nursing home for up to five days.

    Continuous Care
    Sometimes a medical crisis occurs that needs close attention. When this happens, skilled care may be brought into your home for up to 24 hours to possibly avert the need for a hospital visit. When the crisis is over, you can return to routine care.





    OnPointe At Home #paris #motel

    #hospice advantage

    #

    Call us First 505-828-0232

    Five generations of care

    OnPointe at Home is a full-service home care company that provides a broad range of services to its customers. From tasks as simple as washing your dishes or just chatting to more complicated matters like assisting with medication or rehab from surgery, our nurses, therapists and support staff are there to foster the independence you have come to expect. Truthfully, for five generations, our focus has been you, and we are better than ever.
    We are located at 6121 Indian School Road NE suite 122 Albuquerque NM 87110

    Home Health Care

    Our skilled home health services can provide a wide range of health care programs in your home. Home health is a skilled service that can encompass

    Hospice

    Our hospice care centers around compassion and respect. We take the utmost care to preserve the dignity and fullness of life throughout the dying process.

    Personal Care

    Our personalized services are geared to meet your needs and are trained by nurses, physical and occupational therapists to assist





    The Nathan Adelson Hospice in Las Vegas, NV 89119 #long #term #hospice

    #nathan adelson hospice

    #

    The Nathan Adelson Hospice

    Dennis S.

    over a year ago

    Dear Staff at the Nathan Adelson Hospice,

    Many people do not like talking about this everyday occurrance, which happens to all of us. Yes, I am talking about death. We are all destined to die which is just part of life. Why not make it as comfortable as you possibly can for a loved one. That is exactly what Nathan Adelson Hospice has done for my mom. The staff at Nathan Adelson Hospice showed so much love, care, dignity and respect towards my mom, just as though she was part of their own family. The staff even cried when they found out she died on my birthday, which was on 1 January 1213.

    The care and love the staff have for people who need comfort is a blessing and a gift from God, and their gift really shines through. Thank You all. Dennis

    over a year ago

    Not a Angel I had to take my wife to Nathan Adelson because of here pain she was having due to cancer. I had head so many good things about this facility; I was convinced that it would be good place for here to receive effective pain management treated with dignity.

    Upon my first visit after spending a good portion of the night with her. My wife was very upset; I ask what was the matter. She said that the doctor and staff was very mean to here. Knowing her, I know that she was of a good mind. After going through all the pain of her Cancer needless to say I was very upset. I went and spoke to the head RN and complained. Two day later she passed away.

    She was not treated with dignity or respect. wail at this facility. I am so sorry I took here there.

    Na Mele Ohana

    over a year ago

    Angels Aloha,

    Kealoha and I are full time providers for my father 24-7, we have been blessed having this opportunity to care for him. Dr. Toppo inquired about fathers care while in the hospital (outside) being that he is a heart patient, his body is too weak. He was having mini strokes with too much activity.(PT). Seeing how worn out we were and that dads health was declining, Dr. Toppo asked What is our Goal for Dad? replied that he remain comfortable. The transferring from bed to wheel chair to automobile was a great strain for all 3 of us. Hospice has come in since and so lovingly has cared for father everyday. It is heartwarming to see others care for father. I wish I could do more for those caring for him. the nurses after hours counciling me and making me comfortable in decisions needing to be made. remarkable. I salute, Dr. Toppo, CNA’s, RN’s Social Workers, and TEAM HOSPICE. You helped in ways that cannot be all mentioned. The program at Swenson is another added treat for Kealoha and I, we can go see a brother that has been diagnosed with Cancer and not be too concerned about fathers care. Thank you! Mahalo Nui Loa!

    STEPHANIE FRANCO

    over a year ago

    compassion and caring I will always remember the kindness and the care that was given to both my husband and I. My husband lived his last week of life at adelson hospice, and without even knowing the facility i chose adelson. its a decision i will never regret.To know that you will someday lose the love of your life is not easy, and i am so grateful for everthing the nurses did for him, me and my family .I never wanted hospice as an option but sometimes we forget about the ones who are sick and only think of own selfish reasons. my husband was painfree. I would not of had it any other way. Thank You So Much.

    patient Kenneth Mark Franco





    Side Effects of Chemotherapy #hotel #offers

    #palliative chemotherapy

    #

    Chemotherapy treats many types of cancer effectively. But like other treatments, it often causes side effects. These are different for each person. They depend on the type of cancer, location, drugs and dose, and your general health.

    Why does chemotherapy cause side effects?

    Chemotherapy works on active cells. Active cells are cells that are growing and dividing into more of the same type of cell. Cancer cells are active, but so are some healthy cells. These include cells in your blood, mouth, digestive system, and hair follicles. Side effects happen when chemotherapy damages these healthy cells.

    Can side effects be treated?

    Yes. Your health care team can help you prevent or treat many side effects. Today, many more medications are available for side effects than in the past. Preventing and treating side effects is now an important part of cancer treatment. It is part of a type of care called palliative care.

    Also, doctors and scientists work constantly to develop drugs, drug combinations, and ways of giving treatment with fewer side effects. Many types of chemotherapy are easier to tolerate than they were a few years ago.

    Common side effects

    Different drugs cause different side effects. Certain types of chemotherapy often have specific side effects. But, each person’s experience is different.

    Tell your doctor about all the side effects you notice. For most types of chemotherapy, side effects do not show how well treatment is working. But they can for some types of drugs called targeted therapies. Learn more about targeted therapy.

    Below is a list of common side effects of traditional chemotherapy.

    Fatigue. Fatigue is feeling tired or exhausted almost all the time. It is the most common side effect of chemotherapy. Learn more about how to cope with fatigue.

    Pain. Chemotherapy sometimes causes pain. This can include:

    • Headaches
    • Muscle pain
    • Stomach pain
    • Pain from nerve damage, such as burning, numbness, or shooting pains, usually in the fingers and toes

    Pain usually gets less with time. However, some people have permanent nerve damage. This can cause symptoms for months or years after treatment.

    Doctors can treat pain by:

    • Treating the source of the pain
    • Giving pain-relieving medications
    • Blocking pain signals from the nerves to the brain with spinal treatments or nerve blocks

    Mouth and throat sores. Chemotherapy can damage the cells inside the mouth and throat. This causes painful sores in these areas, a condition called mucositis.

    Mouth sores usually happen 5 to 14 days after a treatment. The sores can get infected. Eating a healthy diet and keeping your mouth and teeth clean can lower your risk of mouth sores. Mouth sores usually go away completely when treatment ends. Learn more about managing mucositis and oral health during cancer treatment .

    Diarrhea. Some chemotherapy causes loose or watery bowel movements. Preventing diarrhea or treating it early helps keep you from getting dehydrated (losing too much body fluid). It also helps prevent other health problems. Learn more about managing diarrhea .

    Nausea and vomiting. Chemotherapy can cause nausea (feeling sick to your stomach) and vomiting (throwing up). Whether you have these side effects, and how much, depends on the specific drugs and dose. The right medications given before and after each dose of chemotherapy can usually prevent nausea and vomiting. Learn more about nausea and vomiting. Read ASCO’s guideline for preventing these side effects .

    Constipation. Chemotherapy can cause constipation. This means not having a bowel movement often enough or having difficult bowel movements. Other medications, such as pain medication, can also cause constipation. Drinking enough fluids, eating balanced meals, and getting enough exercise can lower your risk of constipation. Learn more about managing constipation.

    Blood disorders. Your bone marrow is the spongy tissue inside your bones. It makes new blood cells. Chemotherapy affects this process, so you might have side effects from having too few blood cells.

    Your health care team uses the following tests to check for blood disorders:

    • Complete blood count (CBC) – This test shows the levels of red blood cells (RBCs) and white blood cells (WBCs) in your blood.
      • Not enough RBCs causes a condition called anemia. Symptoms include fatigue, dizziness, and shortness of breath.
      • Not enough WBCs causes a condition called leukopenia. This raises your risk of getting infections. Getting one when your WBCs are low can be serious. If you get an infection, you need antibiotics as soon as possible.
      • Platelet count – This test measures the number of platelets in your blood. Platelets are cells that stop bleeding. They do this by plugging damaged blood vessels and helping blood form clots.
        • Not having enough platelets causes a condition called thrombocytopenia. You can bleed and bruise more easily than normal.

    Medications can treat all these blood disorders, and prevent leukopenia for patients with a high risk. The medications help your bone marrow make more blood cells. Learn more about managing anemia. infection. and thrombocytopenia .

    Nervous system effects. Some drugs cause nerve damage. This can cause the following nerve or muscle symptoms:

    • Tingling
    • Burning
    • Weakness or numbness in the hands, feet, or both
    • Weak, sore, tired, or achy muscles
    • Loss of balance
    • Shaking or trembling

    You might also have a stiff neck, headache, or problems seeing, hearing, or walking normally. You might feel clumsy. These symptoms usually get better with a lower chemotherapy dose or after treatment. But damage is sometimes permanent. Learn more about managing nervous system side effects .

    Changes in thinking and memory. Some people have trouble thinking clearly and concentrating after chemotherapy. Cancer survivors often call this chemo brain. Your doctor might call it cognitive changes or cognitive dysfunction.

    Sexual and reproductive issues. Chemotherapy can affect your fertility. For women, this is the ability to get pregnant and carry a pregnancy. For men, fertility is the ability to make a woman pregnant. Being tired or feeling sick from cancer or treatment can also affect your ability to enjoy sex. Talk with your doctor about these possible side effects before treatment starts. Learn more about managing sexual and reproductive side effects .

    Chemotherapy can harm a fetus (unborn baby). This is especially true in the first 3 months of pregnancy, when the organs are still developing. If you could get pregnant during treatment, use effective birth control. If you do get pregnant, tell your doctor right away. Learn more about pregnancy and cancer.

    Appetite loss. You might eat less than usual, not feel hungry at all, or feel full after eating a small amount. If this lasts through treatment, you may lose weight and not get the nutrition you need. You may also lose muscle mass and strength. All these things lower your ability to recover from chemotherapy. Learn more about managing appetite loss .

    Hair loss. Some types of chemotherapy cause hair loss from all over your body. It may come out a little at a time or in large clumps. Hair loss usually starts after the first several weeks of chemotherapy. It tends to increase 1 to 2 months into treatment. Your doctor can predict the risk of hair loss based on the drugs and doses you are receiving. Learn more about managing hair loss .

    Long-term side effects. Most side effects go away after treatment. But some continue, come back, or develop later. For example, some types of chemotherapy may cause permanent damage to the heart, lung, liver, kidneys, or reproductive system. And some people have trouble with thinking, concentrating, and memory for months or years after treatment.

    Nervous system changes can develop after treatment. Children who had chemotherapy may develop side effects that happen months or years after treatment. These are called late effects. Cancer survivors also have a higher risk of second cancers later in life.

    Care after cancer treatment is important

    Getting care after treatment ends is important. Your health care team can help you treat long-term side effects and watch for late effects. This care is called follow-up care. Your follow-up care might include regular physical examinations, medical tests, or both.

    ASCO has cancer treatment summary forms. The forms help you keep track of the cancer treatment you received and develop a survivorship plan after treatment.

    More Information





    Hospice Advantage – Hospice – 100 Crescent Centre Pkwy, Tucker, GA –

    #hospice advantage

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    Hospice Advantage

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    100 Crescent Centre Pkwy
    Tucker. GA 30084

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    Novotel Hamilton Tainui – Hamilton CBD Hotel Accommodation #airport #motel

    #motel hamilton

    #

    Novotel Hamilton Tainui hotel

    Novotel Hamilton Tainui – hotel description

    Hotel code: 2159

    Make yourself at home in 4-star comfort at Novotel Hamilton Tainui hotel in the city centre. Start your day fresh with breakfast from the buffet in the light-filled restaurant or on the terrace adjacent to the Waikato River. Contemporary decor and natural light will make your room a haven whether you’re working or holidaying at Novotel.

    Extras of this hotel

    Under services and leisure facilities sub-heading: ‘safety equipment/installations’, please remove the bullet point that states “complies with Htl Safety Act 1990” This is referring to a USA Hotel Fire Safety Act 1990 not relevant to New Zealand.

    Message from the hotel manager

    Mr Dick BREUKINK, the manager of the Novotel Hamilton Tainui hotel, would like to welcome you.

    Destination overview

    The perfect base for your Waikato holiday, Novotel Hamilton Tainui is just 20-minutes from Hamilton Airport. Located on the banks of the Waikato River, it’s an easy stroll to attractions and activities such as SkyCity Hamilton casino and Waikato Stadium.Explore dining and shopping options in the heart of Hamilton city nearby, or travel a little further afield to experience the wonder of the region’s Waitomo Glowworm Caves and Hobbiton movie set village.

    Work in this hotel

    1. Best price guarantee Lowest prices found over the following seven days.
    These prices may be based on different room types. Depending on the country, these prices may not include taxes, may include VAT only or may include all taxes (VAT and city tax). When prices do not include all taxes, the relevant taxes (VAT and/or city tax) will be stated in the following stages of the reservation process. The price is only guaranteed at the time of reservation.
    2. Paying

    Hotel classifications (1 to 5 stars for France) correspond to criteria laid down by local regulations.





    CareGivers Home Care #hotels #san #francisco

    #caregivers

    #

    There s no place like home. And no care like CareGivers.

    At CareGivers Home Care we provide the peace of mind that comes with high-quality health care, along with the intangible sense of contentment that comes from being at home. Since 1967, our high standards, skilled and compassionate staff, and wide range of services have made us the home health care provider of choice for Upstate New York and Western Pennsylvania. Nobody cares for its clients, and employees, like CareGivers.

    CareGivers has the right staff to meet your home care needs, including nurses (RNs LPNs), home health aides, personal care aides, companions/homemakers, and housekeepers. We offer a free home care assessment, and we will customize our services to meet your needs, or the needs of your loved ones. Services can include med setup and reminders, bed/bath assistance, shopping errands, taking vital signs, meal preparation, light housekeeping, laundry services, and more.

    Testimonials

    “Thank you for putting the “human” back into human services. Kindness, compassion and consideration to others. In 30 years of human service work your agency is the first I’ve ever encountered that cares enough to send a birthday card, to listen to their staff and to work so hard to cover hours. You guys are a rarity and certainly a bright spot.”

    Join Our Team

    We are always looking for positive and skilled professionals to join our team. If you have a passion for helping others and want to make a difference, please check out our current openings.

    Find a Location Near You

    We have various locations throughout New York and a location in Erie, PA. Please use our locator to find a branch near you.

    Contact Us

    We’re all about communication at CareGivers. Please call us or fill out our online form, and we’ll be happy to answer any questions you might have.

    Company Insights

    Home health care has a 36-50% savings rate over hospitalization or nursing home confinement.

    99% of our customers say they would recommend our services to their family, friends and neighbors.





    Long Term Care Costs – Cost of Care in 2016 #montreal #hotels

    #long term care

    #

    Compare Long Term Care Costs Across the United States

    Home Health Care Home Health Care

    Homemaker Services make it possible for people to live in their own homes or return to their homes by helping them complete household tasks that they can’t manage alone. Homemaker services aides may clean houses, cook meals or run errands.

    Home Health Aides help those who live in their own homes instead of residential care facilities. Home health aides may offer care to people who need more extensive personal care than family or friends are able to or have the time or resources to provide.

    Assisted Living Facility 2 Assisted Living Facility

    These facilities are living arrangements that provide personal care and health services for people who may need assistance with Activities of Daily Living (ADLs). The level of care provided is not as extensive as that which may be provided in a nursing home. Assisted living is not an alternative to a nursing home, but an intermediate level of long term care. (Referred to as Residential Care Facilities in California)

    Assisted Living Facility 2

    5-yr Annual Growth 3

    Nursing Home Care Nursing Home Care

    Nursing Home Care is for people who may need a higher level of supervision and care than in an assisted living facility. They offer residents personal care, room and board, supervision, medication, therapies and rehabilitation, as well as skilled nursing care 24 hours a day.

    Semi-Private Room 1

    5-yr Annual Growth 3

    5-yr Annual Growth 3

    Monthly Costs:

    National Median (2016)

    Home Health Care

    Homemaker Services 2

    Home Health Aide 2

    Adult Day Health Care

    Adult Day Health Care 1

    Assisted Living Facility

    Private, One Bedroom 4

    Nursing Home Care

    Semi – Private Room 5

    National Median (2016)

    Home Health Care

    Homemaker Services 2

    Home Health Aide 2

    Adult Day Health Care

    Adult Day Health Care 1

    Assisted Living Facility

    Private, One Bedroom 4

    Nursing Home Care

    Semi – Private Room 5

    Invalid selection

    Please select a state or location within the United States.

    Obtain an at-a-glance view of costs by category of long term care and an analysis of emerging trends as well as methodology.

    National and State Data Tables

    Easily access, view, and download the 2016 Cost of Care national and state median rates for home care and facilities.

    The Beyond Dollars Research reveals 5 key insights on the true impact of long term care. Download the Executive Summary to learn more or view the Beyond Dollars Infographic .

    It is sometimes hard to start a conversation about long term care. Genworth Let’s Talk provides tips, tools and questions to help
    you get started. Start the conversation .

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    Our financial products are offered/underwritten by one or more of the following:
    Genworth Life and Annuity Insurance Company; Genworth Life Insurance Company; Genworth Life Insurance Company of New York (only Genworth Life Insurance Company of New York is admitted in and conducts business in New York); Genworth Mortgage Insurance Corporation; Genworth Financial Mortgage Insurance Pty Limited; Genworth Financial Mortgage Insurance Limited; Genworth Residential Mortgage Insurance Corporation of NC; Genworth Financial Assurance Corporation.





    Hospice Brazos Valley: Contact Us: Careers #palative #care

    #hospice of the valley jobs

    #

    Contact Us

    Career Opportunities

    Our policy is to provide equal employment opportunities to all applicants and employees in all aspects of employment without regard to race, color, religion, sex, age, national origin, ancestry, nationality, creed, citizenship, alienage, marital or domestic partnership or civil union status, affectional or sexual orientation, disability, veteran status, liability for military service, whistleblower status, gender identity and/or expression, atypical cellular or blood trait, genetic information (including the refusal to submit to genetic testing), or any other characteristic protected under federal, state, or local law and to affirmatively seek to advance the principles of equal employment opportunity.

    Mike Roth, HR Generalist

    Comfort is our Specialty. Trust is our Promise.

    Hospice Brazos Valley is an equal opportunity employer.

    **APPLICATION MUST BE DOWNLOADED FIRST AND OPENED IN ADOBE READER TO WORK PROPERLY**

    **OPENING FORM IN WEB BROWSER WILL NOT ALLOW PROPER SAVING OF FORM**

    Please use this link to download the most up to date Adobe Reader: https://get.adobe.com/reader/

    Full Time CNA (home care) – La Grange

    PRN RN – Inpatient Facility – Bryan

    Full Time Social Worker – Brenham

    Part Time Weekend RN – Bryan

    Full Time RN (home care) – Brenham

    Part Time RN Admissions – Bryan





    Long Term Care Insurance #embracing #hospice

    #long term care

    #

    Last Updated August 11, 2016

    Welcome to LTC Tree, the number one site for Long Term Care Insurance comparisons of all the top blue-chip LTC companies. We provide Long Term Care Insurance quotes, rates, reviews, ratings, company comparisons and other cost information that will help you save money with your Long Term Care Insurance purchasing decision.

    We start with the foundational concept that Long Term Care Insurance is like any insurance, you may buy the coverage and never even use it. Thus, finding that balance between too much insurance and too little is what we help our clients drill down to achieve.

    Questions?
    1.800.800.6139

    Long Term Care Insurance

    Long Term Care Insurance is more than just ordinary retirement planning. It removes the worry of having to earmark your nest egg for the uncertainty of needing care, so you can enjoy doing the things that make you happy.

    • Harvard Magazine says that women are living an average of 81.4 years and men are living an average of 76.8 years. Advancements in medicine increase the chance that a person will need long term health care. More LTC statistics.
    • New England Journal of Medicine reports that about 51% of people 65 years and older will eventually need these services.
    • The Wall Street Journal states that a staggering 55% of seniors 85 and older have Alzheimer’s or some other form of dementia, the number one reason for needing assistance. WSJ also reports that even children are buying policies for their parents to protect their inheritance.

    Longevity Increases Need.

    Modern health technology is helping the average United States citizen live a longer life. This extended longevity is increasing the likelihood a person will need Long Term Care services at some point during their life. In addition to Alzheimer s and dementia, there are other degenerative diseases such as obesity, diabetes, stroke, heart problems, cancer, Parkinson s disease as well as accidents and injuries resulting in things like bone fractures which may also create the need for services. Long Term Care Insurance can help pay for the cost of caring for those conditions so you will have peace of mind knowing you are protected if it were to happen to you.

    What Does Long Term Care Insurance Pay For?

    Your Long Term Care Insurance benefits can be used to pay for Home Health Care, Assisted Living Facilities, Adult Day Care and Nursing Homes. In fact, 72% of all LTC claims are paid for Home Health Care. This service is where an aide comes into your home to help with with your Activities of Daily Living and also provide help with cooking and cleaning. Long Term Care Insurance will help ensure you will be able to stay in your own home to receive care.

    The problem: The high cost of needing Long Term Care could drain your life savings.

    When planning, consider the high average annual cost of receiving Long Term Care:

    • Nursing Home $86,525
    • Assisted Living Facility $46,880
    • Home Care $42,215

    The solution: Plan ahead with Long Term Care Insurance.

    The high cost of receiving Long Term Care can erode your nest egg that you have worked so hard to save. The average stay in a nursing home is now 3.3 years. That length of time adds up to an average cost of $285,532 per person or $571,065 for a married couple. That high expense is figured at today s costs and inflation will likely triple that cost in the next 30 years. The plan will have inflation protection so your benefits do not lose purchasing power over time.

    What if you could protect yourself from the greatest financial risk you will face in your retirement? Having Long Term Care Insurance coverage can save your nest egg and your retirement. Imagine how relaxed you ll feel knowing that you planned ahead and now you and your family are protected.

    LTC Tree s assistance was invaluable in helping us decide which Long Term Care Insurance policy was best for us, while saving us money and providing peace of mind. -Kelly W. More Testimonials

    Get your free quotes below.

    Long Term Care Insurance will help to:

    Maintain your independence. It allows you receive Home Health Care in the comfort of your own home.

    Protect your Nest Egg (IRA s, 401K, CD’s, Stocks). It will help you avoid depleting your investments, losing your home, and then receiving substandard care from a Medicaid-welfare nursing home.

    Avoid being a burden on your family. Purchasing a plan will prevent you from ever having to ask your kids or family to take care of you.





    Motel Six Quality Budget Hamilton Accommodation #what #is #terminal #illness

    #motel hamilton

    #

    Welcome to Motel Six Hamilton, Rest for Less

    Quality budget motel accommodation, a stone s throw from Hamilton’s rugby stadium. Self contained units with full kitchen facilities, Sky TV, FREE WiFi and more. Although we are a budget motel we pride ourselves on providing clean and quiet rooms (double glazing). Motel Six is close to Waikato Stadium, home of the Waikato Chiefs, close to Claudeland Event Centre, Waikato Hospital, Waikato river, Hamilton lake, seddon park, city central, skycity, supermarket restaurants bars. Hamilton s Founders Theatre and the Hamilton Gardens are also popular things to visit whilst in Hamilton. Waterworld and Miniput are close by for families looking for something to keep the kids busy, not to forget Hamilton Zoo with it s impressive bird avery.

    Cheap rates are available for RSA members, Corporate and long term rates are available upon request.

    Book Motel Six now on our website or give us a call for personalised service





    Palliative chemotherapy: harms and benefits weighed in new study – Medical News

    #palliative chemotherapy

    #

    Palliative chemotherapy: harms and benefits weighed in new study

    Palliative chemotherapy is treatment designed for terminal cancer patients to prolong survival and ease symptoms but not cure disease. Now, researchers have found that the therapy comes with certain harms, which they say need to be addressed.

    The researchers, from the Weill Cornell Medical College, Dana-Farber Cancer Institute and Harvard Medical School, have published their results in the BMJ.

    They say their findings uncover a discrepancy between what type of care cancer patients want and what they actually receive.

    Overall, the team found that terminal cancer patients who receive chemotherapy during the last months of their lives are less likely to die where they wish and are more likely to undergo invasive medical procedures – including CPR and mechanical ventilation – than patients who did not receive the therapy.

    Dr. Holly Prigerson, of Weill Cornell Medical College, says that the reasons for the link are complicated, but they may originate in misunderstanding of the purpose and consequences of palliative chemotherapy.

    For the study, investigators assessed data from 386 patients in a federally funded study, called Coping with Cancer.

    This 6-year study followed terminally ill people and their caregivers until the patients died, and the researchers looked at how psychosocial factors influenced patient care.

    After asking the caregivers to rate their patient’s care, quality of life and where the patient would have wanted to die, the researchers reviewed patient medical charts to determine the type of care they actually received during their last week.

    Chemotherapy patients less likely to die where they want

    The researchers found that patients receiving palliative chemotherapy were less likely to talk to their oncologists about the type of care they wanted to receive, to complete Do-Not-Resuscitate orders or to even acknowledge they were terminally ill.

    The findings reveal that 68% of patients receiving palliative chemotherapy died where they wanted, compared with 80% of those not receiving the therapy.

    In detail, 47% of patients who received the therapy died at home, compared with 66% of patients who did not receive the palliative care. Additionally, 11% of patients receiving the chemotherapy died in an intensive care unit, versus only 2% of patients not receiving the therapy.

    Dr. Prigerson says:

    “It’s hard to see in these data much of a silver lining to palliative chemotherapy for patients in the terminal stage of their cancer. Until now, there hasn’t been evidence of harmful effects of palliative chemotherapy in the last few months of life.”

    “This study is a first step in proving evidence that specifically demonstrates what negative outcomes may result,” she adds.

    The team also found that patients receiving palliative chemotherapy were more likely to be referred to hospice care much later than those not receiving the therapy.

    Hospice care is a place that provides comfort and emotional support for terminal patients, and 54% of the patients receiving chemotherapy were referred to hospice late, compared with 37% of the patients not receiving the drugs.

    ‘Potential need for oncology practice changes’

    The team notes that 56% of the patients from the study were receiving palliative chemotherapy in their final months, and they say this majority of use emphasizes the potential need for changes in oncology practice at academic medical centers.

    Dr. Alexi Wright, assistant professor and medical oncologist at Dana-Farber, says:

    “We often wait until patients stop chemotherapy before asking them about where and how they want to die, but this study shows we need to ask patients about their preferences while they are receiving chemotherapy to ensure they receive the kind of care they want near death.”

    But Dr. Wright adds that their findings should not be interpreted that patients should be denied or not offered palliative chemotherapy:

    “The vast majority of patients in this study wanted palliative chemotherapy if it might increase their survival by as little as a week. This study is a step towards understanding some of the human costs and benefits of palliative chemotherapy.”

    “Additional studies are needed to confirm these troubling findings,” concludes Dr. Prigerson.