Отель The Plaza – Нью-Йорк, США #motel #hotel

#plaza hotel


The Plaza

Этот всемирно известный манхэттенский отель расположен рядом с Центральным парком и 5 авеню, в нескольких шагах от таких известных магазинов, как Bergdorf Goodman, Louis Vuitton, Chanel и Saks Fifth Avenue. В роскошных и просторных номерах отеля

Этот всемирно известный манхэттенский отель расположен рядом с Центральным парком и 5 авеню, в нескольких шагах от таких известных магазинов, как Bergdorf Goodman, Louis Vuitton, Chanel и Saks Fifth Avenue.

В роскошных и просторных номерах отеля The Plaza имеются планшетный компьютер iPad и современная ванная комната с отдельным тропическим душем и фурнитурой, покрытой 24-каратным золотом.

В отеле The Plaza работают рестораны и бары мирового класса, в том числе элегантный бар шампанского, знаменитый клуб Rose, ресторан The Plaza Food Hall с изысканной интернациональной кухней и ресторан The Palm Court, который является одним из лучших мест Нью-Йорка для послеобеденного чаепития.

В распоряжении гостей отеля The Plaza торговый центр Shops at The Plaza с эксклюзивными бутиками и превосходными продовольственными магазинами, а также оздоровительный центр и велнес-услуги, среди которых спа-салон Caudalie Vinothérapie®, салон Warren-Tricomi и тренажерный зал By La Palestra.

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End-of-life care for cancer patients varies widely at Boston-area hospitals – The

#beth israel hospice


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Study says many patients enter hospice care too late

By Deborah Kotz Globe Staff September 05, 2013

Slightly more patients with terminal cancer are getting hospice care during the end of their lives, but they are still entering hospice care too late within days of death finds a new national analysis of Medicare patients conducted by Dartmouth researchers. And many are still dying in hospitals, often hooked to ventilators in an intensive care unit, despite studies showing that most cancer patients prefer to die at home.

The percentage of end-stage cancer patients who died in the hospital decreased from 29 percent on average to 25 percent from 2003 to 2010, but there are huge variations among hospitals: In Massachusetts in 2010, about 13 percent of terminally ill cancer patients treated at North Shore Medical Center in Salem died there compared with 41 percent of those treated at MetroWest Medical Center in Framingham, according to the analysis released Wednesday from the Dartmouth Atlas Project .

The project researchers receive funding from nonprofit groups to determine how medical resources are distributed and used in the United States. In the analysis, they also found that the percentage of cancer patients receiving hospice care rose nationwide from an average of 55 percent to 61 percent.

These trends can be called encouraging, but most of the hospice care received was within the last three days of life, said Dr. David Goodman, lead author of the report. What s more, the average number of days patients spent in the intensive care unit during the last month of life increased by 21 percent, which Goodman said could be driven by hospitals looking for more generous insurance payments for expensive services.

Massachusetts hospitals also had large differences in their utilization of ICU services during a patient s last month of life: A patient treated at Cape Cod Hospital spent two to three hours on average in the ICU compared with two to three days for someone treated at Lahey Clinic.

Graphic: Hospital outcomes for terminal cancer patients

There is no evidence anywhere that these variations are due to patients at these different hospitals having different preferences for their end-of-life care, said Dr. Lachlan Forrow, director of the ethics and palliative care programs at Beth Israel Deaconess Medical Center.

Even among teaching hospitals differences existed in the approach to caring for terminally ill patients, with fewer than 20 percent of patients dying in hospitals such as Maine Medical Center and Dartmouth-Hitchcock, while more than 30 percent died in Boston Medical Center and Beth Israel Deaconess.

I d like to think we do better than most places, Forrow said of Beth Israel Deaconess, but we don t do remotely as well as we should.

His institution is beginning a program to ask all patients about their end-of-life preferences and to insert that information into their electronic health record so it s easily accessible to any physician treating them.

Dr. Susan Block, chairwoman of psychosocial oncology and palliative care at Dana-Farber Cancer Institute, said it s vital for doctors to have such conversations with patients preferably when initially diagnosed with a terminal illness.

Patient goals should be the biggest determiner of care and these goals should be set early enough in the illness process that patients can have the kind of ending that they want, she said.

Far too often, doctors do not bring up the delicate issue of dying until patients are entering their last week or two of life, Block added, sometimes after they ve been hospitalized repeatedly or given aggressive chemotherapy for incurable cancers.

Dana-Farber had 29 percent of its terminal patients dying in the hospital in 2010, which was above the national average.

Nearly 60 percent of its patients were admitted to the hospital during the last month of life, and 24 percent wound up in the ICU.

About 56 percent of terminal patients at Dana-Farber were enrolled in hospice care, spending an average of nine days there.

To improve those statistics, the cancer center has been testing a communication checklist that oncologists can use to have end-of-life care conversations with patients.

We re trying to measure whether these checklists will have an impact on providing patients with the kind of care they want at the end of their lives, Block said.

Much of the success will probably depend on doctors having more truthful conversations about just how effective or ineffective aggressive treatments are for metastatic cancer.

In a study published last year in the New England Journal of Medicine. Dana-Farber researchers found that 70 percent of patients with end-stage lung cancer in a national sample and 80 percent of those with terminal colorectal cancer did not report understanding that the chemotherapy they were receiving was unlikely to be curative.

We re not doing as good a job as we should be in helping patients make informed choices, Forrow said.

Caring for Terminally ill Patients – The New Indian Express #last #minute

#care of terminally ill patient


Caring for Terminally ill Patients

BENGALURU: When a person is diagnosed with a terminal illness, family members, friends and caregivers should be willing to listen to their concerns, say doctors.

Dr L Srinivasamurthy, medical director, Nightingales Home Care Service, says that in order to take care of patients with cancer and other life-threatening conditions such as liver and kidney failure, AIDS, old age senility and other mental illnesses during their terminally ill condition, a broad, multidisciplinary approach should be followed. In order to give effective palliative care family members should be supportive and make use of available community resources. This care can be successfully implemented even if resources are limited. Palliative care can be provided in tertiary care facilities, in community health centres and even in people’s homes and for this, family members should listen or understand the needs of patients.

Palliative care improves the quality of life of terminally ill patients and their families by providing pain and symptomatic relief as well. It also provides spiritual and psychosocial support from the time of diagnosis to the end of patient’s life, he says.

What to expect from palliative care?

  • Provides relief from pain and other distressing symptoms;
  • Affirms life and regards death as a normal process.
  • Intends neither to hasten nor postpone death.
  • Integrates the psychological and spiritual aspects of patient care.
  • Offers a support system to help patients live as actively as possible until their death.
  • Offers a support system to help the family members cope during the patient’s illness and in their own bereavement.
  • Uses a team approach to address the needs of patients and their families.

In most parts of the world, a majority of cancer patients are in advanced stages of cancer when they first seek medical help. For such patients, the only realistic treatment option is pain relief and palliative care. Effective approaches to palliative care are available to improve the quality of life for cancer patients. The WHO 3-step ladder for cancer pain is a relatively inexpensive yet effective method for relieving cancer pain in about 90 percent of the patients, says Dr Srinivasmurthy.

In the final stages of life-limiting illness, even the best possible care cannot extend life beyond a point, and hence the focus shifts to making the patient as comfortable as possible.

Depending on the nature of the illness and the patient’s circumstances, this final stage period may last from a matter of weeks or months to several years. During this time, palliative care measures can provide the patient with medication and treatments to control pain and other symptoms, such as constipation, nausea, or shortness of breath, says Dr Shoba Naidu, critical care consultant, Sagar Hospital

When to initiate palliative care on your loved ones:

  • The patient wishes to remain at home, rather than spend time in the hospital.
  • He/she stops receiving treatment for the disease.
  • The patient has made multiple trips to the emergency room, the condition has been stabilized, but the illness continues to progress significantly, affecting their quality of life.
  • If a patient has been admitted to the hospital several times within the last year with the same or worsening symptoms.

When caregivers, family members and loved ones are clear about the patient’s preferences for treatment in the final stages of their life, they’re free to devote their energy to care and compassion. To ensure that everyone in the family understands the patient’s wishes, it’s important for anyone diagnosed with a life-limiting illness to discuss their feelings with their near and dear ones before a medical crisis strikes, says Dr Shoba Naidu.

Experts also suggest that it is important to seek financial and legal advice while the terminally ill patient can still participate. Legal documents such as a living will, power of attorney, or advance directives can set forth a patient’s wishes for future healthcare so that the family members are all clear about his or her preferences.

Lion Hospice Inc, Bedford, TX – The Care Centers #hospice #rules #and

#lion hospice


Lion Hospice Inc State Licensed Facility

Lion Hospice Inc in Bedford, TX provides Assisted Living services.

The staff at Lion Hospice Inc provide personalized services designed to meet the needs of every patient. The dedicated health professionals offer the assistance you need while respecting your independence.

Lion Hospice Inc is a licensed care provider with the State of Texas. The Texas Department of Aging and Disablity Services provides a list of registered care providers in Texas.

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Hospice – The Community Connection #fashion #shop

#lion hospice


Lion Hospice recognizes that the dying process is a normal part of living and focuses on enhancing the quality of remaining life. Hospice affirms life and neither hastens nor postpones death. Lion Hospice provides comfort and support to persons in the last phases of an incurable disease so that they may live as comfortably and fully as possible. The goal of hospice care is to improve the quality of a patient’s last months by offering comfort, dignity and care in a familiar setting.

Strength for Today
Courage for the Journey
Peace at the End of a Life Fully Lived

Lion Hospice
Hours of Operation: Monday – Friday 8:00 am – 5:00 pm
Location: 1208 Airport Freeway
Suite 180
Bedford, Texas 76021
Phone Number: 817-268-2145
Web Site:www.lionhospice.com
Volunteer Coordinator: Tiffany Marshall

Volunteer Opportunities include:

  • Visiting patients to just be with them and/or to do activities
  • Light cleaning and yard work for patients
  • Clerical assistance
  • Creating written material or slide shows for patients
  • Doing crafts for patients and delivering them

To volunteer, contact Tiffany Marshall. Training will be provided.

The Community Connection

Hospice of the Valley – Bereavement Grief Support Care Compassion Illness Death

#hospice of the valley phoenix


The Community Bereavement Center

Hospice of the Valley’s Community Bereavement Center exists to offer practical support for those grieving the loss of a loved one. As a hospice benefit, the Center provides ongoing bereavement support. As a community goodwill service, we offer educational resources, short term grief counseling sessions, and ongoing support groups to anyone in need. We offer peer support groups for children, adolescents, and adults. Bereavement support is also available for schools, businesses, churches, and other organizations struggling with unexpected or traumatic loss. For more information, contact This email address is being protected from spambots. You need JavaScript enabled to view it. at (256) 350-5585. Brad holds a Master in Divinity degree.

Hospice Bereavement Care

Bereavement services are provided to help patients, families and caregivers cope with the grief that occurs during the illness and eventual death of the patient. Bereavement services are provided through Hospice of the Valley’s Bereavement Center and include individual grief counseling, support groups and other services.

Wish List

There is never a charge for bereavement services, therefore we are always appreciative of donated items. Monetary donations for memory making supplies and resources is also a way of supporting The Community Bereavement Center programs.


  • Soft drinks juice boxes (individual cans/pouches only)
  • Pretzels, chips, crackers, etc.

General Supplies:

  • Blank journals
  • Stickers
  • Board games
  • Sculpting clay Play Dough
  • Jewelry art supplies
  • Stamp pads – washable
  • Unused/old phone books
  • Crayola crayons, colored pencils, markers
  • Sand art
  • Acrylic paints
  • Paint brushes

The Community Bereavement Center

Spectrum Health Hospice, Grand Rapids, MI – The Care Centers #online #booking

#spectrum health hospice


Spectrum Health Hospice

Spectrum Health Hospice in Grand Rapids, MI provides Nursing Homes, Hospice care services.

The staff at Spectrum Health Hospice provide personalized services designed to meet the needs of every patient. The dedicated health professionals offer the assistance you need while respecting your independence.

The Michigan Department of Health and Human Services provides a list of registered care providers in Michigan.

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The right to die #hospice #ireland

#what is terminally ill


Doctors should be allowed to help the suffering and terminally ill to die when they choose

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Facing the final stage of life #drake #hotel

#final stages of death hospice


Facing the final stage of life

Some people have cancer that no longer responds to treatment and must face the fact that they will soon die. This is scary for the person who is sick and for those around them. The person with cancer may be in pain, may be bedridden, may be able to walk only a few steps, or may be confused. It s hard to watch someone you love go through this process of decline.

Being there

No matter how hard it may be, it s still important to try to be there for the person with cancer. They may feel lonely even if there are people around. This is because the people nearby may not be really in tune with what s going on with the person. You can be the one who is in sync with your loved one every step of the way. Just by staying close and listening with a smile or gentle touch, you show you are there. It takes courage and extra energy to do this.

Sometimes the person with advanced cancer may pull away from people and seem to be withdrawing as death nears. This is natural and is one way of disconnecting from life. This process and what you might expect at this time is described in our information called Nearing the End of Life . The best thing you can do at this time is take the person s cue simply stay in the background and be available. Try not to take this withdrawal personally or feel hurt when the person pulls away. It likely has nothing to do with you.

Talking about death and dying

Many people worry about what to say when a person talks about dying. But this is a common topic when facing cancer. Some people want to talk about the dying process they want to know what to expect. Some want to make sure that their wishes are followed when it comes to death they want to be sure that machines are not used to keep them alive. Some want to know how they will die, and ask, What will happen when I m actually dying? For answers to these questions and concerns, it helps to find experts in hospice care or care of the terminally ill. If you don t know the answers to specific questions, you can say, I don t know, but we can call some people who can help us with those answers. These professionals can guide you and the person with cancer by helping figure out things like living wills and advance directives and explaining the things that might happen as death gets closer.

Hospice staff members are used to answering these questions, and they are skilled in doing it in a supportive, caring way. Hospice gives expert, compassionate care for people with advanced disease. If you would like to read more about end-of-life issues or hospice care, please see our documents called Nearing the End of Life and Hospice Care . We also have information on living wills. advanced cancer. and caring for the cancer patient at home. (See the To learn more section.)

You may be asked, Why is this happening to me? It s very hard to hear this question because there is no answer. And it s heart wrenching to feel the pain that lies within questions like this. In most cases, the simple answer is I don t know. Holding your loved one s hand and letting them cry or talk about their sadness and regrets is the best you can do. Allowing a person to do this is a true help because many people avoid the subject of dying and won t allow themselves to share this pain.

Some people who know they re going to die feel the need to get some things off their chests. They may want to talk about some of the things they did in their life that they re not proud of or that they regret. They may want to apologize for these things. They may want to give you advice about the lessons they learned or instructions about what to do for them in the future. Respectfully listening and, of course, offering forgiveness and a loving attitude are often all that s necessary. There are no magic words for the dying person, but often your presence is all that s needed, and having an open heart is priceless.

Last Medical Review: 06/09/2014
Last Revised: 02/05/2015

Royal visit at new in patient centre at St Luke’s Hospice in

#st lukes hospice sheffield


Royal visit at new in patient centre at St Luke s Hospice in Sheffield

A new inpatient unit at St Luke s Hospice – paid for in part thanks to The Star – has been given the Royal seal of approval.

Prince Richard, The Duke of Gloucester, toured the new extended and refurbished £5.5 million In Patient Centre at the hospice in Whirlow.

The Duke Gloucester has visited St Luke’s Hospice in Little Common Lane, Sheffield, to open the new In Patient Centre. Our picture shows the Duke signing the visitors book, watched by chief executive Peter Hartland.

The Star has so far raised more than half of the £100,000 it pledged for one of the single rooms in the new unit, with £50,000 alone coming from our Great Pie and Peas Up campaign.

Hundreds of pie and pea suppers were hosted by readers, residents, businesses, schools and community groups, with proceeds going towards St Luke’s fundraising target.

The Queen’s cousin looked around the hospice before meeting patients and staff, unveiling a commemorative plaque, and signing the guest book.

He praised fundraisers and staff for their hard work, and the architects for their design.

Harry Gration together with patient Jean Watt unveil the plaque at St Luke’s new inpatient wing

* Todays’s other top stories:

The new unit, which aims to allow patients to carry on as normal a life as possible, accommodates 20 patients in 14 single rooms and two three-bedded rooms.

The Duke said: “I congratulate those who have played a part in developing St Luke’s over the decade and, in particular, this new wing which you have clearly designed with great care and attention and which is already full of your patients who feel extremely comfortable and well looked after.”

Following the Duke’s visit, BBC television presenter Harry Gration took part in a dedication ceremony with patients.

Gaynor Boon, aged 52, from Woodhouse, has ovarian cancer and has been staying in the unit for a week while her pain relief is managed.

The former curator at Sheffield Museums said: “This is my first visit. It’s amazing really. Coming in you feel like you are walking into a hotel environment and are treated like a hotel guest.

“You have got state-of-the-art nursing and pain management, but on top of that there is the hospitality side.

“You’ve got a lovely room with a balcony, a menu which offers three-course lunches and dinners, and a restaurant service.

“My dog Hunney, a long haired golden retriever, is also allowed to visit! She comes most days which makes it feel like a home from home.”

Una Moran, director of fundraising at St Luke’s Hospice, described the unit as ‘a gift by the people of Sheffield, for the people of Sheffield’.

She said: “Everyone who has contributed should be proud of the part they have played in creating this gift for the people of Sheffield, which will be here for many years to come.”

She added: “It never ceases to amaze me the ways people think of to raise money, and the generosity people find to stretch themselves to support this hospice, which supports about 6,000 people across Sheffield every single year, including patients and loved ones.”

Hospice and How It Can Help the COPD Patient AND Caregiver –

#end stage copd hospice


Hospice and How It Can Help the COPD Patient AND Caregiver

Hospice can be an invaluable resource for people with end-stage COPD and their overworked, overwhelmed caregivers. But before I get into that, let me apologize. I’m writing 3 posts today, and they’re all a bit on the depressing side, because they deal with death.

I don’t mean to remove all hope for people fairly new to COPD as they read these posts. There are many opportunities for hope and a certain quality of life, even after a diagnosis of COPD. But it’s also a fact that COPD is a chronic, progressive illness for which there is no cure. Eventually, death does become a reality. It can take years, but it will happen at some point. So, while it’s important to live life to the fullest as long as you can, it’s also important for both patient and caregiver to prepare for what is coming in the future.

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So, this post is about how hospice can help, and the sooner it is initiated once the end is approaching, the better. Unfortunately, many people do not get referred to hospice (or are not ready to accept it) until far too late. And at that point, there may not be time for hospice staff to do what they are so good at. easing the way to a dignified, peaceful death.

My mom was referred to hospice during a recent hospitalization. and it turned out to be far too late. Although I have said that she was “dying for the last 2 years” more than once, in the end, she deteriorated so rapidly that we weren’t even thinking hospice before she went into the hospital. And then it was too late for her (or us) to reap the benefits, for the most part.

Hospice is a concept of care that provides comfort and support (on several levels) to patients and caregivers when traditional medical care can no longer prevent death from coming on, usually within a few weeks or a few months.

Hospice is a team-oriented approach that neither prolongs life nor hastens death. According to the Hospice Foundation of America, “the goal of hospice care is to improve the quality of a patient’s last days by offering comfort and dignity.”

Hospice care is not just about providing physical care, though that is certainly included. It’s also about the emotional, social, and spiritual impact of the disease and of the dying process.

Hospice does not usually refer to a place. 80 percent of hospice care is provided in the patient’s home. The emphasis is on enhancing comfort and reducing any pain or distress.

When the doctor says that nothing more can be done to improve or even maintain respiratory function, and that death is likely within the next one to six months, then hospice should certainly be considered. Hospice doesn’t mean giving up. it means making a conscious choice to focus on the quality of your life in your last days and then to go out on your own terms!

When you accept hospice, though, you are accepting that you will no longer be accepting life-sustaining or invasive treatments, except in the case of an emergency. It also entails acknowledging “Do Not Resuscitate” (DNR) status. In other words, if your heart or lungs stop working, you do NOT want emergency personnel to initiate treatment that would get things going again.

However, if you were to fall and hit your head or if you broke a bone, then emergency treatment for those would be acceptable, even if you are on hospice.

Once you go on hospice, you are not a prisoner. You CAN change your mind and go off of it. But you can only do that once or twice. So do not take the decision about hospice lightly. Make sure you are ready.

What Does Hospice Offer?

As I’ve already stated, hospice can be beneficial both to the patient and to the caregiver. I have been a COPD caregiver for more than 4 years, and it takes a toll. So, even if patients are willing to “go it alone”, keep in mind how helpful hospice can be to your caregivers.

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Most people who have hospice have Medicare health insurance, but both Medicaid and private insurance also often will cover hospice care in qualified people. Here are the hospice services typically covered by Medicare:

  • Nursing care and case management
  • Physician oversight sometimes home visits
  • Home health aide bath services
  • Medical appliances, medication, and supplies
  • Spiritual, dietary, and other counseling
  • Trained volunteers for patient companionship caregiver respite
  • Social work services
  • 24/7 on-call availability

Most people think of hospice in relation to cancer patients, but it can also be helpful to a respiratory patient. As death approaches in someone with COPD, breathing gets harder and harder and air hunger, fear and stress can develop.

Hospice nurses can help tweak oxygen levels and delivery methods, along with morphine and other medicines to control this air hunger and emotional stress. How much will that contribute to a more peaceful, gentler COPD death?

How to Learn More About Hospice

The Hospice Foundation of America website has lots of information about hospice, such as their Myths and Facts About Hospice page and their Hospice Stories section.

You can also talk with your doctor about hospice, and/or talk with the staff at one of the local hospices in your area. You should be able to find them listed on the Web or in the yellow pages of a phone book. Local hospitals may have their own hospices or be able to refer you to one as well.

My Personal Hospice Experience

My mom was diagnosed with COPD back in December 2005. Although she went on oxygen, for a couple of years, she still seemed pretty healthy. Then, in February of 2007, she developed pneumonia and was hospitalized. At that time, her doctor suddenly referred her to hospice, telling us it was not just for dying patients (which is not really true).

At that point in time, neither mom or I was prepared to think of her as imminently terminal, but we accepted hospice and they initiated services that seemed more like traditional homecare than anything else. Unfortunately, about 6 weeks later, mom’s femur broke and hospice was cancelled so she could have the leg surgically repaired.

2007 was a rough year, with 5 hospitalizations in total. On the 4th one, we thought we were going to lose Mom, but by 2008, she was on the mend and over the next year got better and better, often not really even needing her oxygen. Hospice was a distant memory.

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Towards the end of 2009, Mom’s breathing started to gradually worsen and I started wondering how much longer she could go on. But she soldiered on, adapting to every little change. Her current doctor talked about hospice when Mom started to ask questions about what the end would be like, but it still didn’t seem like time.

Then, in early November of 2011, Mom just suddenly decompensated, breathing-wise, and had to be hospitalized. Within a week, the doctors decided her lung deterioration was so far advanced, there was nothing more to be done, and started to prepare her to come home to die, which is what Mom wanted so badly.

A hospice referral was initiated, and they helped us with the whirlwind of preparation to bring Mom home on 12 LPM of oxygen (2 concentrators!), a CPAP machine, and kinds of other equipment and medication. It felt like we were setting up an at-home hospital room.

Mom came home on her birthday, and it was a joyful day for her, though also exhausting and with a few scary moments for both her and me. The hospice nurse spent 4 hours with us, getting us situated and setting up support services for the future. I was grabbing that lifeline, as the thought of being chained to my home 24/7 (Mom couldn’t be left alone) was pretty overwhelming and terrifying.

We thought we had at least 3 months to prepare and deal with the dying process. But Mom had other ideas. She passed away early the next morning. In the end, all that the hospice team was able to do for us was set things up and then to come out and pronounce her so that we didn’t have to call the police or coroner. Those things were great, but there is so much more hospice could have done for us, had there been more time.

So, our experience was that first we got hospice way too early and then in the end, way too late.

If you are starting to sense that your life is coming to a close, at least start thinking about hospice and what it can do for you and yours. Don’t wait until the end is right there before you take action!

Published On: December 08, 2011

Health Insurance Compare – The UK s Leading Independent Health Insurance Specialist

#about health insurance


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*2 Months free is an introductory offer available to clients who switch to an Aviva PMI Policy and have not held such a policy with Aviva Health in the last 12 months.

All No Claims Discounts (NCD) shown are introductory offers available if you have never held a private health insurance policy before. NCD’s offered by insurers vary and other terms and conditions may apply.

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The National Institute For Jewish Hospice #motel #s

#jewish hospice


National Institute For Jewish Hospice

NIJH was established in 1985 to help alleviate suffering in serious and terminal illness. Its 52,000 members are comprised of business and professional leaders, and a consortium of endowing foundations.

NIJH serves as a resource and educational center for hospices, hospitals, family service, medical organizations and all health-care agencies, educating them to the issues and challenges of serving the Jewish terminally ill.

24 hour toll-free number

A 24-hour toll-free number counsels families, patients and care-givers, and provides locations of hospices, hospitals, health professionals and clergy of all faiths. Toll-Free, 24-Hour Contact 1-800-446-4448.

NIJH Accredited Hospices

NIJH has accredited and reaccredited 225 Jewish hospice programs in the United States. We have assisted facilities in planning conferences, training staff and designing appropriate workshops to better serve the Jewish terminally ill.

The Jewish Hospice Accreditation Conferences

NIJH provides hospice training and accreditation through the annual national conference, which takes place in November.

This conference brings together people from hospices across the country in related fields, including administrators, chaplains of all faiths, psychologists, nurses, bereavement counselor and social workers. It is an intensive day of sessions, presenting the best minds in the field to lecture and discuss all aspects of hospice and the Jewish terminally ill. For more information, click here.

Publications Information

NIJH produces reliable resources for both the public and professionals. These include books, manuals, CD sets, booklets and other publications. They will be of interest and benefit to hospice professionals, volunteers, patients and family members alike. Click here for more information.

NIJH also publishes articles and reprints of material that is of interest to the hospice community.

Tampa Hospice care- The Care Centers #motel #in #san #francisco

#hospice tampa


Hospice care in Tampa, FL

Tampa, FL has 1 top rated Hospice care facilities among a total of 12 available. Hospice care is necessary when seniors are faced with the inevitable outcome of a terminal illness or other irreversible conditions, and require the special attention to help them be as comfortable as possible. The average monthly cost for Hospice care in Tampa, FL is $6852 compared to the national average of $6559. Use The Care Centers listings to find the best Hospice care option that suits you and your family’s needs.

  • 12

Senior Care Facilities

Showing 1-12 of 12 providers
Brighton Gardens Of Tampa Top Rated

16702 North Dale Mabry Hwy, Tampa, FL, 33618

Ranked as one of the Best Care Centers in Hillsborough county, FL.

Brighton Gardens Of Tampa in Tampa, FL provides care services.

The staff at Brighton Gardens Of Tampa provide personalized services designed to meet the needs of every patient. The dedicated.

1513 W Fletcher Ave, Tampa, FL, 33612

Belvedere Commons Of Tampa in Tampa, FL provides care services.

The staff at Belvedere Commons Of Tampa provide personalized services designed to meet the needs of every patient. The dedicated.

215 E. Palm Avenue Baptist Tower, Tampa, FL, 33602

Palm Ave Baptist Tower in Tampa, FL provides care services.

The staff at Palm Ave Baptist Tower provide personalized services designed to meet the needs of every patient. The dedicated health.

907 CLANTON AVENUE, Tampa, FL, 33603

Wellswood Care Center in Tampa, FL provides care services.

The staff at Wellswood Care Center provide personalized services designed to meet the needs of every patient. The dedicated health.

211 N. ALBANY AVENUE, Tampa, FL, 33606

Albany Avenue Aclf, Inc. in Tampa, FL provides care services.

The staff at Albany Avenue Aclf, Inc. provide personalized services designed to meet the needs of every patient. The dedicated.

3213 WEST CASS STREET, Tampa, FL, 33609

Gloria’S Alf Of Tampa, Inc in Tampa, FL provides care services.

The staff at Gloria’S Alf Of Tampa, Inc provide personalized services designed to meet the needs of every patient. The dedicated.

503 N. MATANZAS, Tampa, FL, 33609

Aguila Adult Care Center in Tampa, FL provides care services.

The staff at Aguila Adult Care Center provide personalized services designed to meet the needs of every patient. The dedicated.

4902 Bayshore Blvd Ofc Ofc, Tampa, FL, 33611

Brookdale Bayshore in Tampa, FL provides care services.

The staff at Brookdale Bayshore provide personalized services designed to meet the needs of every patient. The dedicated health.

5813 Lake Bend Ave, Tampa, FL, 33614

Buena Vida Residence Inc. in Tampa, FL provides care services.

The staff at Buena Vida Residence Inc. provide personalized services designed to meet the needs of every patient. The dedicated.

3010 W AZEELE ST, Tampa, FL, 33609

Lifepath Hospice in Tampa, FL provides care services.

The staff at Lifepath Hospice provide personalized services designed to meet the needs of every patient. The dedicated health professionals.

6015 N HIMES AVE, Tampa, FL, 33614

Loving Hearts Alf in Tampa, FL provides care services.

The staff at Loving Hearts Alf provide personalized services designed to meet the needs of every patient. The dedicated health.

3211 W SITKA STREET, Tampa, FL, 33614

Maria’S Alf in Tampa, FL provides care services.

The staff at Maria’S Alf provide personalized services designed to meet the needs of every patient. The dedicated health professionals offer the.

The Lodge on Route 66 – Grand Canyon Hotel, Williams, Arizona –

#motel 66


The Lodge on Route 66 is a grand canyon motel, centrally located and luxuriously updated to provide a relaxing and memorable time for your visit to the many exciting activities and attractions of northern Arizona.

Recently renovated, The Lodge has redefined the standard of luxury accommodations in the Grand Canyon area. Wood and travertine flooring, solid wood furniture, top of the line pillow top mattresses and luxurious cotton linens are among the amenities incorporated to provide an exceptional stay. Consisting of nine single rooms, nine suites, and a covered central cabana, the Lodge provides an intimate setting, perfect for your stay in northern Arizona.

The Lodge is located in Williams, Arizona the gateway to the Grand Canyon . Local activities include The Grand Canyon Railroad, Elephant Rock Golf Course, the historic turn of the century downtown district, seven area lakes, and Bill Williams Mountain. Some of the many activities include hiking, biking, skiing, shopping and sight seeing. Williams Arizona provides a convenient central location for visiting Northern Arizona s world renowned sites including the beautiful red rocks of Sedona, the indescribable Grand Canyon, the mysterious Grand Canyon Caverns, the unique and curious artist town of Jerome, Meteor Canyon and endless other areas to explore.

Come stay with us soon.

We look forward to serving you.

Make a Reservation

Come See Us, 200 East Route 66, Williams, AZ 86046, (877) Lodge 66 or (877-563-4366)
All Site Content Copyright The Lodge on Route 66

Hospice Peterborough Building for the Future – McColl Turner LLP Chartered Accountant

#hospice peterborough


Hospice Peterborough Building for the Future

The mission of Hospice Peterborough is to enhance the comfort, dignity and quality of life of individuals and families living with or affected by life-threatening illness or grief

Over 25 Years of Caring for Our Community

Since 1988, Hospice Peterborough has provided hospice palliative care outreach and support services to those living in Peterborough City and County.
Hospice Peterborough, along with our community partners at the Peterborough Regional Health Centre (PRHC) Palliative Care Unit, case managers from the Central East Community Care Access Centre (CCAC), palliative care physicians and community nurses, have long recognized the gap in service for people living with life-threatening illnesses. To address these concerns, we have been working diligently towards expanding our community programming and establishing a 10 bed hospice care centre.

Last year our referrals increased by 22% and it became apparent that we can no longer continue to expand to meet our community’s needs at our current location. At the same time, we know it is time to move ahead with our plans to build a client-centred facility. In response to this unprecedented growth, we purchased a property at 325 London Street at Reid. This location will be transformed into our Hospice Peterborough Care Centre.

At a symbolic level a hospice is a home, a place of safe refuge; at a functional level it is a home, a care facility, a community meeting space, and a workplace.

Hospice Peterborough counts on the generous support of our donors to help run our existing programs. Building and operating the hospice care centre will require enthusiastic community support to enable us to continue our current programs while making the dream of a hospice care centre a reality for our community.

We support the city and county of Peterborough including all its townships of: Asphodel-Norwood, Cavan Monaghan, Douro Dummer, Havelock-Belmont-Methuen, North Kawartha, Otonabee-South Monaghan, Selwyn Lakefield, Trent Lakes.

No Professional referrals are required for community programs. If you or someone you know might benefit from our services, we are a phone call away and a trained volunteer will refer you to the appropriate staff member.

Thanks to our funding partners and the generosity of our community we are able to provide our programs at no cost to our clients and their families.
McColl Turner has been auditors of Hospice Peterborough since 2009 and is a proud sponsor of Hike with Hospice.

We support the City and County of Peterborough including all its townships of: Asphodel-Norwood, Cavan Monaghan, Douro Dummer, Havelock-Belmont-Methuen, North Kawartha, Otonabee-South Monaghan, Selwyn Lakefield, and Trent Lakes.

No professional referrals are required for community programs. If you or someone you know might benefit from our services, we are a phone call away and a trained volunteer will refer you to the appropriate staff member.

Thanks to our funding partners and the generosity of our community, we are able to provide our programs at no cost to our clients and their families.

Lehigh Valley Hospital hospice nurse takes caring to the next level #motels

#lehigh valley hospice


Lehigh Valley Hospital hospice nurse takes caring to the next level

Jeanne Vogt, director of hospice care at Lehigh Valley Hospital. tells her new hires nursing goes beyond what you learn in school.

“What we look for is the heart in nurses for hospice care,” Vogt said.

Consider Lisa Bickel.

A hospice nurse for 28 years, Bickel was nominated by Vogt for an excellence in nursing award for the way she handled a patient’s final moments about a year ago at the 17th Street Allentown facility.

The Berks County woman was caring for a terminally ill woman who had three young children and very little time left.

“(The children) were on the unit, but we didn’t want them in the room when she actually died,” Bickel said.

Instead, Bickel and the patient’s sister picked out three stuffed teddy bears. Before giving them to the young children as gifts, Bickel placed the three bears in the arms of their mother, who would pass away that night.

“I kept the teddy bears as close to her heart as I could and told the kids that they were close to her heart all night, and that she’d always be a part of them,” Bickel said. “It’s something they could have the rest of their lives.”

It was the sort of caring gesture Vogt had come to expect from Bickel in their three years of working together. It’s what helped her win the Lehigh Valley Health Network’s Dr. Fred Fister Award for Excellence in Hospice Nursing. She received the award at a ceremony last month.

“Lisa works night shifts and usually when you have night-shift nurses they don’t get to be as much of a part of the team,” Vogt said. “But she’s just so phenomenal because she has created such an incredible team spirit.”

Vogt said her nomination for Bickel went beyond her gesture for the patient’s children and was meant to also acknowledge the “little things” Bickel does for the hospice.

“We’ve had employees go through hardships, and Lisa is the one who puts out emails to get everyone together, make them aware and (organize help),” Vogt said.

Bickel also regularly places inspirational messages in the break room for her co-workers to read during the day, Vogt said.

For Bickel, the award reflects a belief she’s developed in her three decades of work.

“Our society looks at death as something feared and something awful, but it really can be quite peaceful and be another passage,” Bickel said.

Bickel said she and her team look to make patients and their loved ones as comfortable as possible and to give them the opportunity to have special moments near the end of loved ones’ lives.

Bickel’s award reflects her compassion.

“What nurses will find out is that it’s truly a gift to be able to be at the bedside with a patient and their family,” Vogt said. “It’s a true expression for the labor of love and the emotion it creates. Lisa embodies that emotion.”

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Active Discussions

Hospice Care Aides Job Description, Career as a Hospice Care Aides, Salary,

#hospice aide job description


Hospice Care Aides Job Description, Career as a Hospice Care Aides, Salary, Employment – Definition and Nature of the Work, Education and Training Requirements, Getting the Job

Training/Educational Requirements: High school diploma preferred

Median Salary: $9.34 per hour

Job Prospects: Excellent

Job Description

A hospice care aide helps individuals unable of helping themselves. These aides travel to the patient s home and help them perform activities required for daily life. Hospice care aides are often associated with the elderly or disabled who are unable to take care of themselves, so they perform all required functions specific to the patient.

Most of the time, a hospice aide is the first position an individual may take at the beginning of their career. Alternatively, an individual may seek such a career if they are interested in the nursing field, but do not have the required education or training. Most functions performed are rather fundamental in nature, and do not require much training.

Hospice aides usually work within a hospice environment or travel to the patient s home. They help the individual eat, get up out of bed, or help them with the bathroom or a bedpan. The number of duties involved depends on the nature and the status of the patient, since they are expected to help the patient function as normally as possible. If working within a hospice environment, they work with individual patients to make their final days as comfortable as possible. If working in a home environment, they spend time sitting with or caring for an elderly or disabled patient who requires extra care.

Many times, families of patients in either a home or hospice environment can t commit to 24 hour care, so they hire a hospice aide to help during the times they are absent. Hospice aides travel to the home and work in shifts providing round the clock supervision and care. They aren t usually a registered nurse or hold a license and cannot usually administer medication, so the responsibilities are typically fundamental.

Training/Educational Requirements

There is no educational or training requirement for this position. A hospice aide learns from on-the-job training with a registered nurse or a nurse s aide. They learn the proper way to do things such as help a patient out of bed or assist with a bedpan by observing other nurses and by practicing. Oftentimes the family of the patient has a particular way they want things done, so the best training comes from working directly on the job.

The National Association for Home Care and Hospice ( NAHC ) offers certification for personal and home care aides throughout the country. This certification is not mandatory although individuals may opt to gain it to demonstrate they have met established industry standards. It can be a simple certification and lend way to further development within this role. Those individuals wishing to gain their certification must complete a 75-hour course, observe and document work in up to 17 different skills signed off by a registered nurse. In addition, they must successfully pass a final exam. Although this isn t a requirement, it can certainly lend way to more opportunities for advancement.

There are some high school courses that prepare for this role. At the early stages, an individual can do a co-op job to better prepare themselves for becoming a hospice aide. There are some standalone classes an individual can take in patient care which prepares them for the real thing. Individuals interested in a career as a hospice aide receive basic training from the company they work for before they are sent to a patient s home.

When working in a hospice environment, the facility will provide some training not only in how to care for a patient but also in how to make them comfortable as they prepare for death. There are certain personality traits such as patience and compassion that are required for such a role since most patients are elderly, disabled, or dying.

How to Get Hired

Most individuals wishing to get a job as a hospice aide look for employment with a home health care services company. This is usually the best way to get hired because the patients and their families go to such a company to hire this type of individual. It helps to take training classes or work through a high school co-op to prepare for this role. In turn, this also helps to get hired much faster.

For the hospice aide wishing to get hired into a hospice environment, it helps to apply to the facility directly. Usually these facilities are looking for background and experience since patients who come in here require a certain type of personality. It is also helpful to have experience working with a dying patient.

Although there is no specific educational requirement for this position, experience helps to get hired. It is especially true for families who are hiring someone to come to their home and care for their loved one.

Job Prospects, Employment Outlook, and Career Development

There is expected to be a better than average increase in the hiring of hospice aides. This role is expected to grow as families continue to look for individuals to care for their loved ones in a home or hospice environment. Since this is an entry-level position, the requirements for hiring are much lower. Therefore, it appeals to those who may not have a college education. There is a high potential for growth since people oftentimes don t want to work within an entry-level role.

As more hospice centers become a popular environment, the need for hospice aides will increase. So, too, will the need to keep aging or disabled family members in their home rather than sending them to a nursing home. This means there will be an increased need for individuals in this role, and within the home health care services business.

Working Environment

Depending on the type of facility a hospice aide wishes to work within, the environment may be slightly different. If focused within home health care, the individual will often travel to patient s homes. The assignment may last for a short time or may become a regular job. Individuals in this role care for more than one patient in their home or sometimes travel between a variety of different patient s homes. It all depends on the patients, the workload and the hours required. However, if focused within the home health care niche, hospice aides can expect the working environment to be an actual home. If focused within the hospice niche, it is expected to work within such a facility or institution. These facilities strive to create a cozy environment for their patients so they can be comfortable before they die. This work environment is more like an actual medical facility, but feels cozier.

Salary and Benefits

As of 2006, the average earnings for a hospice aide was about $9.34 an hour. The range averaged anywhere from $7.99 all the way up to $13 per hour depending on the facility. In some instances, a home health care company pays slightly higher depending on the environment and patient s needs. The more experience an individual has, the more they can expect to earn per hour.

Since these are hourly positions, most of the time hospice aides work without any true benefits. Any travel expenses incurred are the individuals responsibility and are often not reimbursed. Instead, a flat hourly rate is given to hospice aides. For those working within a hospice environment, they can expect some benefits if they are hired by the facility directly.

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Taking Hospice Care to the Next Level in 2012 #motels #in #denver

#solari hospice


As I look back on the milestones we reached in 2011 and forward to the possibilities poised to unfold in 2012, I feel tremendous pride in the strides our Solari Hospice Care family has taken and will continue to take together to position our company as the hospice provider of choice in the Houston and Las Vegas communities we serve.

I believe our one-of-a-kind recipe for hospice care is so successful because we all share a passion for providing the highest quality, most compassionate care to our patients and families. And, by mixing just the right ingredients into our hospice care “soup,” we will continue to demonstrate our ability to serve unparalleled end-of-life care.

Strong Leadership. I truly believe that hiring and empowering proven and passionate leaders is one of the most proactive steps possible for achieving stellar hospice care — a key ingredient. I feel very lucky to have established long-term Professional Intimate Relationships with some of the most intelligent and passionate hospice professionals in the field — leaders who represent Solari with great integrity in their work to deepen existing relationships and to build new ones.

Solari’s consistently successful leadership team in Las Vegas led that program to its best year ever in 2011. In Houston last year, we welcomed several highly qualified and enthusiastic healthcare professionals into our hospice family to guide that program’s growth in tandem with the opening of our new Houston Inpatient Home. In both locations, our medical team leaders demonstrate their dedication to excellence through continuing education and training to obtain valuable hospice and palliative care certifications. These leadership teams, in addition to the incredible group of leaders who help keep things cooking from our Central Office in Arizona, show no signs of slowing down in 2012.

They say the proof’s in the pudding … Well, the fantastic Average Daily Census (ADC) in both cities over the past year demonstrates the skill and commitment of our company’s leaders. On the cusp of its 10th anniversary in 2012, our Las Vegas program celebrated another milestone — its highest monthly ADC ever at nearly 230 patients. That’s amazing! And it simply accentuates the need for another Solari Hospice Care Inpatient Home to serve Las Vegas’ growing end-of-life care needs. I’m excited to announce that we are in the process of finalizing the purchase of land to build our next Inpatient Home in Northwest Las Vegas, with the expectation of opening our newest “vortex of love” in late 2013. As our growth momentum builds, we also envision opening a third Inpatient Home in Southeast-Central Las Vegas the following year.

Visionary Inpatient Care. I always call our Inpatient Homes “vortexes of love” because that’s just what they are…high-energy centers for the most compassionate, highest quality palliative care and support for our patients and families when they need it the most. Designed and built from the ground up to meet the special needs of hospice patients and families, our Inpatient Homes truly differentiate us in the marketplace. With state-of-the-art medical equipment housed in a warm and inviting setting with myriad home-like amenities and no visitation restrictions, our Inpatient Homes help keep our patients out of the cold and impersonal hospital environment. And what takes place within the walls of our IPUs is magical … teams of top-notch hospice professionals taking an integrative approach to individualized patient and family care.

I couldn’t be happier that we are now able to offer this incredible service in the greater Houston community. 2011 saw the opening of Houston Solari Hospice care’s first Inpatient Home, which earned acclaimed accreditation by the Joint Commission in December. To achieve this huge goal, our Houston program underwent a complete leadership and operational transformation last year. With the Houston IPU accepting patients and new leaders and systems in place, 2012 promises to be an exciting growth year in Houston!

New Technologies. Forward-thinking companies embrace new technologies because such innovation enables businesses to work smarter. As we prepare this year to implement a 100-percent electronic medical records system companywide, I look forward to working even more efficiently so we can offer the next level of service to our patients, families and professional healthcare partners. Going paperless will enable us to continue speeding up patient care response, in addition to improving communication among team members. With less paperwork to fill out, our Solari “angels” will have more time to spend face-to-face with patients and family members, allowing for increased eye-to-hand patient observation and documentation.

Giving Back. In addition to offering the highest caliber of hospice care to our patients and families, it has always been my vision to give back to the communities we serve and beyond through the Solari Hospice Foundation. I have never been more committed to the nonprofit Foundation’s mission to help children and families through Camp Solari, and to educate the public about hospice care. With this mission in mind, we just began working with a fund development expert to help us evolve into a national resource for hospice education and bereavement support.

To take our camp programs in Las Vegas and Houston to the next level in 2012, we recently recruited locally based professional counseling teams in both cities. Leveraging their expertise and their established relationships in their prospective communities, these counseling teams will help the Foundation realize its vision for a greater number of bereavement camps — potentially nationwide — to give children and families the tools they need to work through their grief and live the most joyful lives possible.

Building Buzz. Thanks to the efforts of a talented Communications Media Relations team that came together in 2011, Solari Hospice Care’s and Solari Hospice Foundation’s hard work in Houston and Las Vegas is gaining broader recognition. It feels great to open a magazine or newspaper, turn on the TV, or log onto a website and see our company showcased in one way or another for the awesome service we provide to terminally ill patients and their loved ones! Beyond that satisfaction, however, lies that fact that our media coverage helps spread the word about Solari Hospice Care to both patients/families and potential referral sources. Whether they see our beautiful new commercial while watching the local news, read an article about Solari while waiting at a doctor’s office, or check out a Solari story or video clip while surfing the Web, media coverage in all forms is a valuable tool. I’m thankful for all the Solari family members who are making it happen! I have no doubt that the media buzz about our company will continue to build throughout 2012.

All in all, I feel utterly confident that we’ve added the right ingredients to our recipe for stellar hospice care. As we continue to stir, sample, tweak and occasionally, turn up the fire in 2012, we’re sure to create a soup that’s even better than we dreamed it would be.

Macmillan Caring Locally- Helping the local community #what #is #terminal #illness

#macmillan hospice




(Please note that the telephone number to use to enquire about a patient on the ward is 01202 705291)

The Macmillan Unit is situated at Christchurch Hospital, and is part of the specialist palliative care service at The Royal Bournemouth and Christchurch Hospitals NHS Foundation Trust. The service offers specialist palliative care to patients with any advanced, progressive, incurable illness with difficult symptoms or problems. The Macmillan Unit is an NHS Unit; the NHS funds core services but a significant proportion of the funding comes from Macmillan Caring Locally, thanks to the generosity of the local community. In 2013/14 Macmillan Caring Locally will provide more than £1 million to support the provision of the service.

The specialist palliative care service is made up of an inpatient unit (a ward at the Macmillan Unit) with 16 beds and a dedicated team of inpatient nurses, a team of specialist palliative care community nurses who visit patients at home and in nursing or residential care, a team of doctors, a day centre at the Macmillan Unit which offers some complementary therapies, a team of physiotherapists and occupational therapists, a family support team, and a hospital palliative care team which sees patients in the Royal Bournemouth Hospital. The specialist palliative care team works closely with the Royal Bournemouth Hospital and Poole General Hospital, with GP services, and with community based generalist palliative care teams in some areas.

Patients are admitted to the Macmillan Unit for treatment of complex or difficult to manage symptoms, or to receive care when they are approaching the end of their life. It is not a long stay unit. Many patients are discharged from the Macmillan Unit ward with ongoing support from the specialist palliative care service, either to their own home, or to nursing or residential care, once their symptoms have been controlled.

Patients can be referred by their GP, or hospital consultant. Referrals are taken from doctors, nurses or other health and social care professionals; self-referrals from patients are also accepted. Patients will be offered an initial assessment, which is carried out either by a specialist palliative care community nurse, or by a doctor, or jointly – by a senior nurse and doctor together, usually at an outpatient appointment or on a domiciliary visit at home. Follow up is usually by a specialist palliative care community nurse who liaises with the rest of the specialist palliative care team. Patients who no longer need the support of the specialist palliative care service are discharged to their primary care team or their hospital team. Patients can be referred back to the service as and when appropriate, for instance if their condition deteriorates.


There are no visiting time rules at the Macmillan Unit. However we do ask visitors to refrain from visiting just after meals as we would like our Patients to rest a while.

The Macmillan Unit has a well appointed visitor’s lounge with wide screen television a children’s area comprising a computer, an Xbox 360 and craft kits. Visitors can make a hot drink in the beverage area and relax in comfort, or wander around the landscaped garden, aviary and Koi pond.


In 2009 the Macmillan Unit was awarded Practice Development Unit Status, making it a Centre of Excellence. This was based on two years of work, where the Staff developed new innovative ways to improve patient care. The Macmillan Unit also has a Teaching Wing, where these specialist skills are passed on to local Healthcare Professionals. Macmillan Caring Locally is committed to invest in training programmes to ensure that as many patients as possible will benefit from advanced palliative care.


The Day Centre is open Monday to Thursday from 9.30 a.m. until 3.30 p.m.

The aim of the Macmillan Day Centre is to improve the quality of the Patient’s life by offering much needed mutual support and understanding from the staff who acknowledge the importance of helping Patients to cope with their illness and the effects of treatment.

The nurses also endeavour to help them deal with any concerns they may have about the future and assist them to live as normal a life as possible, maintaining their independence.

The Day Centre Support Group provides a wide variety of diversional therapy activities. Many talents are revealed and developed giving a real sense of achievement and fulfillment. The group functions for the Patients’ well being and to enable them to participate in activities and benefit from therapies such as Relaxation, Aromatherapy, Physiotherapy and Self Expression.


Suffering from cancer is a stressful and difficult journey. Watching a loved one going through it is emotionally and mentally challenging, which can often be overlooked. The Macmillan Family Support Team (based at the Macmillan Unit) offer comfort and support to the Families of our Patients.

At a very difficult time, it can be hard to focus on leading a normal life, when all around seems to be falling apart. The Family Support Team provide valuable advice and will talk through any problems or issues whenever needed.

The care is available from the time that a Patient is referred to the Macmillan Unit, through to bereavement and at any time in the future that there is a need. The Team provides emotional and mental support, and offers advice on any financial support that may be available. This care is offered to all members of the Family including children.


‘Macmillan Caring Locally’ built the Chapel at Christchurch Hospital in partnership with Christchurch Hospital League of Friends and the Bournemouth Free Church Council.

Adjacent to the Macmillan Unit, the Chapel provides a haven of peace within the Hospital for all denominations, races and creeds.


The Macmillan Unit has a beautiful landscaped garden, which is the envy of all the wards at Christchurch Hospital. It is funded by Macmillan and includes an aviary and a well stocked fish pond with waterfall.

The gentle lapping of the water tumbling over the waterfall, added to chirping sound of tropical birds, helps to make this stunning garden a refuge of tranquility for our Patients and Visitors.


The pioneering Macmillan Unit was built in 1974. Macmillan Caring Locally have set aside funds to rebuild the Macmillan Unit in 2017. The vision for the new Macmillan Unit is for it to be the benchmark by which future palliative care wards will be based.

The Real Issues of End-of-Life Care #hospice #reviews

#end of life care issues


The Real Issues of End-of-Life Care

The health-care-reform bill the U.S. House of Representatives will debate when it returns from recess next month contains a provision that would have Medicare reimburse doctors for counseling patients on end-of-life care every five years. Opponents of health-care reform have latched onto the provision, claiming it would lead to forced euthanasia or “death panels” to decide whether lifesaving care for the elderly is cost-effective despite the fact that the bill says nothing about either of these frightening issues. In fact, geriatricians doctors trained specifically to care for the elderly support the provision, arguing that it will encourage patients to express their own preferences rather than leave doctors and family members to guess what they want once they’re no longer able to say so themselves. There are only about 7,500 geriatricians in the U.S. and one of them is Dr. Laurie Jacobs, vice chairman of the Department of Medicine at Albert Einstein College of Medicine and Montefiore Medical Center in New York City. Jacobs, who has been a practicing geriatrician since 1988, talked to TIME about why end-of-life counseling is important, when it should start and how to talk to patients and families about planning for death. (Read “If a Health-Care Bill Passes, Nurse Practitioners Could Be Key.”)

Does this House provision for funding end-of-life counseling concern you?
This provision says that people should talk about what their goals of care are and what they want at the end of life. That could be anything. This is an opportunity for patients and physicians to share information with each other and come up with a plan. It is one of the special things about being a physician. You get to know your patient and what matters to them, and their inner thoughts, and their lives, and that’s a very special role that most physicians value and that patients appreciate.

How important is Medicare reimbursement for doctors counseling patients about end-of-life care?
For some people one conversation is enough, and you get the whole picture and they tell you exactly what they want. For other people, 10 conversations in 10 weeks won’t suffice. Coverage for this is expensive, but I think offering it is a wonderful first step in highlighting the importance of it by paying for it.

What kind of end-of-life-care counseling do you provide to your patients? How does it work?
Many patients have chronic illness and some disability or medical issue, and part of providing care is to speak with them about what to expect with their illness, what alternatives exist, and to have a conversation about what their preferences are. This shouldn’t just happen at the end of life. You should get to know people and have these conversations throughout providing care. I like to talk individually with the patient if they are comfortable with that. If they are more comfortable with having family members there at the time, then I do it with the group. What I need to know from the patients is how they view their illness in the context of their life. Did they know somebody else with the same condition and therefore they have some preconceived idea about this? What are their values? How to they want to live their life? I also talk to them about whether there is someone who could make decisions for them if they are unable in the future.

How often do you provide end-of-life counseling?
It comes up very frequently in our practice, either with new patients who present very ill, or patients we have known for a very long time that have encountered a new serious condition that may be life-threatening. Death is not an option. Everyone is going to die at some point.

How important is for you to talk with people about options like hospice or do-not-resuscitate orders? This must be really stressful for patients and their families.
That’s why it’s so important to talk about values and preferences long before you are at the moment of having to do an intervention. If I have a patient who has early dementia, they still may be able to participate in a conversation about what matters to them, how they want to live their life, who they want to make decisions, and it may be 10 years before the point at which an illness happens and an intervention may be required. So, it enables me to get a sense of who they are and what’s important to them. When you talk to family members when a patient cannot participate in the conversation, it’s even more difficult. If it was for themselves, they might say, “Gee, I don’t want to go through that,” but they are afraid to limit options for family members, and I can understand that. If a proxy knows that the patient always said, “This is how I want to live my life, this is how I want my life to end,” they feel very much more comfortable in making those decisions. So I think the fact that there is some national conversation about this is good in that it starts people talking to their friends and family about what is important to them.

How often does money come up with families or patients when you are talking about end-of-life care?
This is a question that medical students often ask. Health-care finance and social issues regarding health-care expenditures nationally are policy issues, and they are never to be decided at the bedside.

Vacancies – The Shakespeare Hospice #motels #in #london

#hospice job vacancies



Interim Shop Manager

Our Alcester Shop is one of our most successful stores. We are looking to recruit an Interim Manager of 37.5 hours per week to work effectively and efficiently with a team to maximise income for the Hospice. The role will focus on sales, merchandising, and will include collections and deliveries, stock rotation and excellent customer service. You will lead a cohesive team to raise funds and promote the work of The Shakespeare Hospice within the local community.

Based in the lovely market town of Alcester, it is one of seven Hospice shops. The store stocks a wide range of bric a brac, children s items, soft furnishings, and ladies and gents clothes. The successful candidate will be able to manage the manual handling aspect of the role, and have excellent customer service and communication skills.

Retail management experience is essential for this role. Full clean driving licence would be desirable. A Disclosure and Barring Service check will be required for this position.

This position is a full time, interim role of at least nine months with a competitive salary.

Closing date: 1st September 2016

Retail Manager

Do you want to make a difference for your local community?

The Shakespeare Hospice provides supportive and palliative care for our community in South Warwickshire and the North Cotswolds and need to raise over 2 million each year.

Our seven shops deliver a significant contribution to our income each year and we need an experienced Retail Manager to support the retail team to deliver this. Reporting to the Head of Income Generation, you will focus on meeting sales targets, developing on-line sales and delivering retail events to maximise income.

Experience in retail management and leading a team to deliver targets is essential.

Salary range 22,705 to 27,088 per annum dependent upon experience. Interim position 6 month temporary contract (initially).

A Disclosure and Barring Service check will be required for this position.

Closing date: 1st September 2016

Casual Retail Assistants

In order to provide this care and innovate further we need 2 million a year, our seven shops across the county help us to achieve this.

We are looking for people who enjoy the social aspect of working in a retail environment. You will have excellent communication skills, be able to problem solve and like making sales to help us reach our targets.

As a Bank Retail Assistant the hours are varied, and if you are flexible about locations, you can enjoy working with our teams across our seven shops including two furniture shops, two boutiques, a bookshop and traditional charity shops who sell a huge range of goods. If you have a preference to a particular shop we would also be interested in hearing from you.

Competitive rates of pay.

Family Support

Our Family Support Services include Children and Family Support Service, Bereavement Support, Counselling, Chaplaincy and Social Work Service.

For the families we support, we can offer volunteers to stay at home with a patient while the carer attends the Hospice or other appointments.

How to Get Involved

The Shakespeare Hospice is keen to forge links with our local business community.

Hospice care and palliative care: What – s the difference? #benefits #of

#palliative care versus hospice


Hospice care and palliative care: What s the difference?

I’ve talked to hundreds of people about the health care options and decisions they face at the end of life. It’s a challenging time and understandably many have little knowledge, while others have misconceptions, and some have bitter disagreements.

Here’s a basic primer for two common approaches: hospice and palliative care.

Two myths about hospice care are prevalent. First, many people believe hospice is provided in a place like a hospital. While it’s true many hospices have residential facilities, hospice care is usually given at home.

Second, people often believe that with hospice, there is no treatment but pain control. That’s not the case at all. Medical care will continue as before, except that further attempts to cure the major disease will stop. If a person gets a bladder infection, or pneumonia, for example, regular treatment will be available. If the person chooses to not go to a hospital for treatment of something like pneumonia, treatment at home will be offered. And if a breakthrough cure of the primary disease occurs, it will not be denied to the hospice patient.

Often I am the first one to bring up hospice care with the patient or their family. As geriatricians, my colleagues and I see many people with incurable and late stage disease. (It’s important to know that hospice care is available for all ages, though.) For patients and families, electing hospice care means extra help for the family, and occasionally the provision of helpful equipment. We bring up hospice care when we believe the patient or family will benefit from these extra services.

Sometimes it’s a touchy subject. I’ve been angrily yelled at by family who want the patient to keep trying for cure, to keep taking chemotherapy, to try more radiation, to go for more surgery or to some other country for some unproven therapy. We frequently think these family members are either uninformed or in denial. We sometimes wish they could feel their loved one’s nausea, weakness and confusion from hopeless chemotherapy, or their desperate struggle for air in advanced lung disease.

Sometimes the cost of hospice is a concern. Medicare and most insurance companies cover hospice care. Hospice is covered under Medicare Part A. There is no deductible, and copayments are very low. The restriction is that care must be coordinated by the hospice team.

Hospice care is defined fairly clearly by Medicare and other insurers. “Palliative care” seems more ambiguous – there is no standard definition – and is often less understood than hospice care. Palliative care is focused on making patients as comfortable as possible with an emphasis on maximizing the quality of daily life. It is provided in different ways. In our Palliative Care Consult Service, we provide suggestions to the regular treating physician and to the family, usually about pain and other symptoms. Our consult service often includes a social worker and a faith community representative.

Bitter disagreements about end of life care come not only from family members but also from providers. About 15 years ago, when I was with the National Institute on Aging, I had a discussion with an oncologist who represented a professional society. He argued that there should be no limit on chemotherapy, up to the point of death. We discussed a new therapy that would add one month of life expectancy to a geriatric patient. His position was that regardless of the intense side effects it caused, it should be prescribed and encouraged. My position was it should be discussed with the patient, and if it is declined, that decision should be respected. Now years later, that controversy persists, not just among oncologists. Terminal care is also provided by pulmonologists, cardiologists, and generalists, for example, some of whom advocate intensive care to the end, while others respect the patient’s request for limited care.

This basic primer is like a map. “There is North America, and there is Europe.” They are separated by an ocean, yet they have much in common. North America is like hospice, with clear boundaries. Palliative care may be more like Europe, which merges into Asia (which may be like “usual care”). Where one stops and the other begins is mostly a political decision, just like the separation of palliative vs. usual care.

End of life care can be challenging, and the options may seem murky. In order to find their way, patients, family members and physicians might benefit from “GPS” systems, including helpful road side assistance to help them navigate these complex health care decisions. Definitions and primers are just the start of customizing this final journey.

James Cooper is Clinical Professor of Medicine, Division of Geriatrics and Palliative Care, George Washington University. He blogs on the Prepared Patient Forum .

I apologize, but I m still a bit confused about the difference. Are the two types of care mutually exclusive? Or would hospices provide palliative care in addition to other services? If the latter, what additional services would a hospice provide?

Or, if palliative care is just focused on alleviating symptoms, is it appropriate for people not facing the end of their lives?

There are differences in the benefits you get with hospice vs palliative care. With hospice, the patient can receive help with home care (shopping, cleaning, laundry, etc.) without a skilled nursing need. With palliative care, that s not available unless there s a skilled nursing need (wound care, dressing changes, osteomy care, PT, OT, etc.) With hospice a physician must certify that in his/her opinion the life expectancy likely won t exceed 6 months (though there can be extensions). So, yes, hospice care does provide palliative care in addition to other services. The hospice approach is holistic and team based (as is palliative care). And home hospice refers to all of these services provided in the patient s home.

Do you think that hospice care has resulted from the futility of certain medical treatments? do you believe that hospice care offers a non- medicalized dying process? Under what conditions would hospice care merge with paliative care? Do you think that the crucial factor would be the state of disease of the patient? What if the person is merely physically disabled?

After almost 40 years as a respiratory therapist it has been my experience and those of many of my coworkers that the vast majority of family members are acting because of their own needs-frequently guilt or money. They think about how they feel, not how the patient feels. Even what the patient has specifically filled out a DNR order their family overrides it and the patient is subjected to days, weeks and sometimes even months of painful procedures that does not prolong life, it only prolongs death. Whoever wrote Americans think death is optional was so right

Leslie, I believe fear is the biggest factor as many people want to do something to help and change the situation or turn the clock back. The hospice team can help to manage the difficulties that families have. While many make decisions that are in line with what they want, we can t fault them for the suffering that they are enduring while witnessing the decline and loss of someone in their lives. The navigating of the dynamics that help the loved ones are the true skills of the hospice team in addition to the relief of suffering through good pain and symptom management.

I agree that people don t want this situation. I also agree that hospice people are wonderful and incredibly strong to do the stressful work that they do every day. I had hospice for my mother. I think that the physicians need to be more proactive in suggesting hospice. I think they need to eliminate the ideas that keeping a patient a full code will change the outcome. I m not saying that it is not difficult. I m saying that frequently it is difficult for the wrong reasons.

Connecticut’s Place in the History of Hospice #motels #in #the #bronx

#connecticut hospice


Connecticut’s Place in the History of Hospice

Hospice serves more than a million patients each year through some 5,800 programs across the country. This vital component to the modern healthcare system has its roots in the Middle Ages, but was introduced into the United States when a visiting physician came to Connecticut’s Yale University and convinced the school’s nurses of its merit.

“Hospice” comes from the same root word as hospitality and goes back to medieval times when the term referred to a place of shelter for those travelling upon a journey. In the Middle Ages, religious orders often set up hospices along routes to famous shrines where people were going to seek miracle cures for illness. Many of them died while on their pilgrimages and the shelters afforded comfort during their last days.

By the 19 th century, hospice was more formally associated with care of the terminally ill and dying. It wasn’t until physician, nurse, and hospice advocate Dame Cicely Saunders founded St. Christopher’s House in London that the role of hospice in patient treatment was ensured. This facility established care for dying patients in a way that managed their pain and helped them prepare for death. St. Christopher’s was the first hospice “linking expert pain and symptom control, compassionate care, teaching and clinical research.” 1

When Saunders spoke to Yale’s nursing students in 1963, she inspired them to bring hospice to America. In 1974, a Connecticut hospice nurse and accompanying volunteer made the first hospice home visit in the U.S. creating Connecticut Hospice. The Connecticut Hospice was officially established in 1980, becoming the first licensed hospital in the U.S. with the primary purpose of providing hospice care.

Hospice programs provide emotional, social, and spiritual support to terminally ill and dying patients as well as their families. Hospice focuses on addressing issues of pain, as well as patient quality of life. Today it is considered an invaluable service for those approaching end-of-life and is a nationally guaranteed health benefit. The trained hospice professionals who come to the bedsides of dying patients are kind and compassionate patient advocates who find their work challenging, yet rewarding. If you’ve ever considered a hospice career, training as a practical nurse could help you attain the skills you need to work in hospice.

Porter and Chester Institute offers practical nursing training at all five of our Connecticut campuses. If you’d like to learn more about where a career in practical nursing might lead you, contact us today for a school tour!

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Why Porter and Chester Institute?

PCI has been providing career training in New England since 1946

We have 9 campuses located throughout Connecticut and Massachusetts

PCI holds accreditation through ACCSC, a recognized accrediting agency by the US Dept. of Education

PCI Watertown has been recognized by ACCSC as a 2012 School of Excellence

Make today s efforts pay off tomorrow. That s what Porter and Chester did for me. They opened the door to an awesome career and a great future.

The teachers are great! I learned hands on about every part of the car. The computer education is the best. I m ready for a fantastic career in automotive.

I really enjoyed my total educational package at Porter and Chester Institute. I started working in the Architectural field before I graduated because of the school s awesome externship program.

Read more success stories

Hospice Admission Criteria for Dementia Patients – Neurology Center: Medical Information on

#hospice criteria for dementia


TUESDAY, Nov. 2 (HealthDay News) — Many people with advanced dementia aren’t getting much-needed hospice care because the admission criteria is flawed, researchers say.

“Dementia is a leading cause of death in the U.S. and hospice care can benefit patients with dementia. The main hindrance to getting palliative [comfort] care is guidelines that try to guide practitioners to wait until an estimated life expectancy of six months,” said Dr. Susan L. Mitchell, a senior scientist at the Institute for Aging Research at Hebrew SeniorLife in Boston, and lead author of a new study.

Such end-of-life predictions are difficult to make with certainty in dementia cases. Instead of using life expectancy as the requirement for admission, hospice care for dementia patients should be offered based on the patient’s and family’s desire for comfort care, suggest Mitchell and colleagues in the study published in the Nov. 3 issue of the Journal of the American Medical Association .

Hospice, or palliative, care is most often associated with cancer patients. The goal is to provide comfort and support to patients and their families, instead of life-prolonging treatments.

For people with cancer, the decision to switch to palliative care is more clear-cut. It generally occurs when someone decides to forgo traditional cancer treatments, such as chemotherapy or radiation, that don’t seem to be working anymore, and instead receive comfort care, which includes better pain management and discussions about important end-of-life care decisions.

For people with dementia, the decision process is murkier. Most people with advanced dementia are already in nursing homes, receiving around-the-clock care, but palliative care can provide families with additional support and help families make difficult decisions, such as whether or not to treat infections with antibiotics or to use a feeding tube to deliver nutrition. Palliative care may also provide better pain management and symptom relief, said Mitchell.

To improve the likelihood of dementia patients getting palliative care, Mitchell and her co-authors tried to come up with a better tool to assess their potential life expectancy.

This new method, dubbed the Advanced Dementia Prognostic Tool (ADEPT), includes 12 items, such as body mass index, ability to perform tasks of daily living like self-feeding, bowel incontinence, shortness of breath and oral food intake.

The researchers compared their assessment tool with the standard Medicare hospice eligibility guidelines on 606 residents in 21 nursing homes.

Their tool accurately predicted a life expectancy of fewer than six months 67% of the time, versus 55% for the Medicare guidelines, said Mitchell.

“While ADEPT was better than the Medicare criteria, its predictive ability isn’t perfect,” said Mitchell. “The delivery of palliative care should be guided by a preference of comfort care rather than by life expectancy,” she added.

A 2009 study by Mitchell and her colleagues was the first to label dementia a terminal illness like cancer and other incurable diseases.

Dr. Joseph Shega, an associate professor in the section of geriatrics and palliative medicine at the University of Chicago Medical Center, said he agrees that the issue of comfort care for dementia patients deserves attention.

“It’s important to recognize that we’re not really good at figuring out how long someone with dementia might live, and I agree with these authors that we should focus more on the goals of care and stop spending resources on trying to figure out how long someone might live,” said Shega.

“Hospice provides more support for nursing home staff, better support for the family, and can help better educate the family on the natural process of dementia so they know what’s going on,” he explained.

Hospice also helps manage symptoms, like discomfort or agitation, Shega added, while making sure that care plans and treatment goals agree with the values and wishes of the patients and their families.

SOURCES: Susan L. Mitchell, M.D. M.P.H. senior scientist, Institute for Aging Research at Hebrew SeniorLife, Boston; Joseph Shega, M.D. associate professor, section of geriatrics and palliative medicine, University of Chicago Medical Center; Nov. 3, 2010, Journal of the American Medical Association

VNAA – The Visiting Nurse Associations of America #key #west #motels

#hospice policy and procedure manual


VNAA Clinical Procedure Manual

The Only Clinical Manual Your Agency Needs.

The 19th edition of VNAA s Clinical Procedure Manual features over 300 procedures common to home health, hospice and palliative care providers. Learn more about what s new in the 19th edition by visiting the CPM FAQ.

By drawing on the knowledge and expertise of registered nurses, intravenous certified nurses, wound and ostomy specialists, certified diabetes educators, physical and occupational therapists, physicians and dietitians from top agencies around the country, the CPM eliminates any need for your agency to produce a clinical manual of its own. Browse some of the procedures included in this edition using the links below, and find out why 97 percent of past CPM purchasers say they would recommend it to their colleagues in home health and hospice.

Licensing Packages Tailored to Fit Every Agency Size.

VNAA is now accepting orders for the 19th edition of the Clinical Procedure Manual, released in November 2014.


The Prince – Princess of Wales Hospice #capital #hospice

#prince of wales hospice


The Prince Princess of Wales Hospice

’The Feeling of Home’

Strangely familiar yet surprisingly new:

NORD’s response to the brief for The Prince Princess of Wales Hospice is to turn to the familiar image of ‘the home’ for clues as to how we might consider an appropriate but inspiring piece of architecture for the Hospice.

This new purpose built hospice is placed within a site at the edge of Glasgow’s Bellahouston Park set against a backdrop of historically significant traditional villas and Arts and Crafts cottages. This privileged placement realises a building with civic and public presence whose form mediates between the city it serves and its parkland landscape setting.

Architecture often forgets that one of its primary goals is to trigger an emotion. This may be comfort, protection or memories. The building carries a weight of seriousness due to the circumstances of the people who arrive. However, a balance of dealing with these serious aspects and necessary care provision alongside the social, spiritual and emotional needs of the patients has been discussed at length and addressed throughout the design process. Through a comprehensive consultation process with staff, volunteers, patients and families the building has evolved into a unique solution to a challenging brief.

To negate the potential sprawl of the complex brief and room relationships, the programme has been reduced to four interconnected ‘villas’ that reduce the overall perception of scale and minimise the building footprint. This is further reinforced where the ‘villas’ floorplates have been ‘stacked’ to work in conjunction with the existing site topography and create vertical relationships. The form of this massing is derived from ‘Greek’ Thomsons ‘Double Villa’ which is located nearby the site. Here, the ‘villas’ are duplicates but turned to face in opposite directions to take advantage of extensive views and enable them to derive equal benefit from the sun. The articulation of each clock establishes a close harmony with the planned landscape setting in the round. The geometry and overlapping of the villas arrangement create a central, top-lit space that is a focal point for the Prince Princess of Wales Hospice integral art therapy and public circulation. Carved at the heart of each ‘villa’ is a social space which provide orientation with natural opportunities for informal meetings, conversations and quiet reflection.

The protective nature of the building is realised in a loggia, or verandah, that runs around the whole building providing a transition zone between the interior spaces and the surrounding landscape. This is an integral domestic scaled space for patient use and inhabitation. The inhabited perimeter contains a series of ‘familiar elements’ –, terraces, alcoves for private reflection or discussion, stairs to access the gardens. The robust quality of the perimeter breaks down outwith the overhanging roof elements where the traditional notion of a bay window appears to allow a more direct exposure and interaction with the landscape. Whether windowed, screened, or open-air, the loggia is realised as the critical mediating space between the formality of a consulting room or bedroom and the informality of the outdoors. It becomes an integral part of the Hospice design, rather than a tacked-on element. A place to linger, a place to pause or savour a cherished view.

NORD have turned to natural slate for the external skin of the building, which reinforces the protective nature of the building envelope. Internally timber linings create warmth and the prevailing aura is hushed and conducive to thoughtful, concentrated spaces. One senses the physical weight of the building on the outside at the same time as the ethereal quality of the light filled, warm, interior spaces. These protective elements differ in density and permeability depending on the interior functions, sunlight and the site conditions. The backdrop of this protective zone is a brickwork construction that relates to the existing ‘garden walls’ within Bellahouston Park whilst also reinforcing a familiar domestic construction method.

Our proposal might look slightly familiar, almost normal, but has something unexpected, surprising and memorable about it. Familiar, because it’s basic components are archetypes of traditional buildings; it will be a family of simple spaces with carefully placed windows allowing visual access to the outside at all times, it will have domestic scale doors, party walls, articulated pitched roof, chimneys, window seats and alcoves. This will be a piece of architecture, which feels comfortably like home, humble and dignified, unobtrusive and private when required.

Breaking new ground for the Prince and Princess of Wales Hospice (From

#prince of wales hospice


Breaking new ground for the Prince and Princess of Wales Hospice

IN a special appearance in Glasgow, Laura Fraser, the star of hit television series Breaking Bad, encouraged people to put their heart into the Prince Princess of Wales Hospice.

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The Hollywood actress, who grew up in Glasgow, is the newest patron of the hospice and put the first spade in the ground at the site of the state-of-the-art facility to be built at Bellahouston Park.

She also helped to launch the Foundation Appeal, the push to raise the remaining £333,000 of the £1 million needed to lay the groundwork.

“Message hearts have already begun pouring in from all over the city. They will be placed in a large chest and sunk into the foundations under the front door of the new hospice,” she said.

“These messages are incredibly touching and you can clearly see from the sentiments expressed, just how much the hospice means to the people of Glasgow.”

Friends, volunteers, dignitaries and supporters of the existing Carlton Place hospice gathered at the south side park where the new building will go up, due to open its doors in 2018.

Lord Provost Sadie Docherty said more than 36,000 people had been treated at the hospice since it opened 30 years ago.

“This is an emotional day for many of us,” she added. “We are witnessing the dawn of a new era for the care of the terminally ill.”

Jamie Hepburn, Minister for Sport, Health Improvement and Mental Health, praised the effort of the fundraising carried out to build the facility. In total it will take £21m to build the hospice on a hilltop site in the park, with £6.5m still to raise.

“The dedicated hospice staff play such an important role, and I would also to recognise the work of the many volunteers, fundraisers and supporters throughout the hospice movement,” he said.

“This new facility will bring world-class hospice care to the people of Glasgow, offering privacy and compassionate care to the people who need it.”

This will be the first hospice in the UK to implement the Sengetun model of care – a Scandinavian model that puts patients and family at the centre of its focus alongside optimal operational efficiency.

It will also provide hotel style comfort with 16 en-suite bedrooms with private terraces, soft seated areas and domestic style, open plan kitchens. The accommodation will allow patients and families the opportunity to eat together. The aim is to provide more space, independence and privacy to allow greater opportunity for normal family activity.

The new hospice’s commitment to the palliative care of young people aged 15 and over will also include specialised accommodation to meet their particular needs. This will include family bedrooms, family lounges, social areas, complementary therapy rooms, spa bathrooms, a hydrotherapy pool, sanctuary, sensory room, young people’s lounge and training rooms.

Donate online at www.ppwh.org.uk/donate

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The power of poetry in hospice care #motels #in #the #bronx

#hospice poems


The power of poetry in hospice care

Phil Isherwood, pictured, right, with a patient at Bolton Hospice, where he is a volunteer poet,discusses the potential for poetry to boost patients psychological wellbeing in hospice settings. Phil is alsoa research student at the University of Bolton, writing a thesis on Numinous Connections: Poetry in the Hospice .

There is a tension between the advance of medical science, that pursues its ability to fix and treat, and an acceptance of the natural order of death and how that may be experienced. Atul Gawande, a surgeon and health researcher, has recently reignited this debate with his book Being Mortal (and also in presenting the 2014 Reith Lectures on BBC Radio). He writes: As people become aware of the finitude of their life, they do not ask for much. They do not seek more riches. They do not seek more power. They only ask to be permitted, insofar as possible, to keep shaping the story of their life in the world to make choices and sustain connections to others according to their own priorities. He puts forward strong arguments for medicine, and society, to review its approach to end of life care.

Gawande s Reith Lectures in December were widely acclaimed. As 2015 begins, however, the press have been less encouraging about Dr Richard Smith s blog on the BMJ website: Dying of cancer is the best death . His romantic view was rather insensitive, but he was, however clumsily, arguing for a reformed dialogue and the good death in the face of over-enthusiastic treatment options. The best result from his clumsiness came on the morning of Sunday 4 January on BBC Radio 4 s Broadcasting House programme. Two Sue Ryder hospice workers (Carol Howard and Louisa Nicoll) were interviewed by Paddy O Connell, who referenced Dylan Thomas s poetry to question society s approach to death in the light of Richard Smith s blundering attempt. Our hospice workers reaffirmed that the best hospice care enables us to talk about death, not to rage against it but to seek to go gentle into that good night .

I have been a volunteer poet at Bolton Hospice for over four years now. I don t take any lead from Dylan Thomas, or the many others, to write poems about death. I write about lives, about creativity, about the wonder and detail of simply being. When I read Atul Gawande s book it immediately affirmed my belief that my role was indeed helping patients to keep shaping the story of their life . It is a privilege for me to work with patients and to be at Bolton Hospice where there is a great commitment, not just to excellent medical care but also to the value of creative therapies: the hospice employs an art therapist, whose work includes supporting and encouraging poetry (a painting by a hospice patient can be seen below, right).

I hope in this blog – my first ever! – to give some insight into my approach with a view to inspiring other poets to work in end of life care, not just in short, awareness-raising projects, but as long-term writing opportunities, integral to hospice care. Art and poetry in the hospice helps patients to be aware of their own creative significance. I am inspired to write poetry based upon each individual s story, or their own art or craft work. I think I can express my approach most clearly through a beachcomber analogy, to take the idea of a walk with a patient along a conversational or creative beach area. A work of art, a found poem, can be assembled from whatever we come across together. The value of the walk and the quality of the art are both equally important and the two are, in fact, inseparable. As I discover and create the poem I am simultaneously helping the patient to (re)discover something amazing about themselves and, potentially, about the legacy of art – which is able to signify a life as other , a presence in time and space not restricted to a medical history or a curriculum vitae.

The writer Virginia Woolf talks about life being in the luminous halo of a journey. Keats advocates negative capability – to be at peace with uncertainties, mysteries and doubts. Coleridge asks for a willing suspension of disbelief to be able enjoy art. Ted Hughes speaks of the momentary as the vital signature of a human being. James Joyce finds wonder in the everyday and ordinary. My particular inspiration from talking to hospice patients has been to capture the sudden lightning flashes of significance that celebrate life. The numinous connection is to dwell, to practice being with patients among the mysterious flickerings when meaning and understanding prove inadequate.

End of life care services have formed an approach to good death. I simply argue for poetry, and other creative activity, to be fully included. I have produced a 1,500 word Guidance Framework for Poets in End of Life Care and the following is an extract.

A poem may take a single phrase or idea or a topic discussed. It may be a longer linear narrative of a life, or a particular experience in work or war or a childhood tale.

A poem may form a series of snapshots or an abstract reflection of a story. It may contain no direct personal reference and yet capture an individual s lifelong passion for place or hobby. You may write as to accompany a patient s own art, a picture or piece of craft work. A simple guide is to allow yourself, through conversation, to be inspired by the patient. Explain this to the patient the first time you meet them and why you have a pad and pen and will scribble notes as they speak. Every day in the hospice I learn many things new a word, a story, a piece of history, a way of seeing something and I thank the patient every time. Such things are inspiration, occurrences which themselves declare something needs to be written about this . The poem is not an evaluation or a narrative or biography. It is not a eulogy. It is art.

Poetry can be in the smallest thoughts, the remembered flickerings represented by the three-line Haiku-type poems. I ll finish this blog with a number of longer poems for you to dwell upon not explained or elaborated upon. Like patients, they just are; they may have been read at funerals, framed or placed in a memory box, but poems are also being with .

Some places you never really leave.
Part of me still sits on the terrace or strolls
the edge of Jakobs Dam. The pure air is insistent.
A union in a needle-leaved, boreal landscape.

This silence remains. I am never sure if my
ears or my eyes hear the easy soaring of
the eagles wings. There are no songs.

I am enchanted and you are with me.
We gaze to the southwest horizons, to
Skrim and Telemark, sanctioned by the wilds of
tree and snow. Those far granite hands fix and
crack the sky, cradle the cloud and the mist.

I am enchanted and you are with me. Here.
We never needed to talk about returning.

Phil Isherwood 2014

My granddad taught me
to build a bike, to make each
wheel run true and then
set out, enjoy the ride.

I travelled, I built, I worked
it out. A lot of trial and error.
Study it. Tackle anything.
That s the way of an engineer.

Lights and sounds and electronics.
Leaf springs and shock absorbers.
Memories in models; the best
you can buy are Tamiya. Spot on.

A trans-continental Road Train.
A Globe Liner. A Wrecker Truck.
HMS Matabele and a Supply Vessel,
both built, balanced, but yet to sail.

There was a real Zephyr Mk. 2
that I left in Australia with a note.
The keys are inside, yours to take
if you want it. I was going home.

Phil Isherwood 2014

Another evening
in the silence of a place
becoming something new.

Unformed histories, a
murmuration, seconds of
existence, insequent,innumerate.
A chaos to hold the signature of art
then let it go.

The silence of a place
that is devoid of fear. Everything
settles amongst the reeds.

Phil Isherwood 2014


Hear Phil reading the poems above, plus one not published here: listen now

Midnight Walk – St Peter s Hospice – About the Walk #royal

#st peters hospice


St Peter’s Hospice

About the Walk

Get together with friends and family, and join us for Bristol s biggest and most colourful girls night out of the year.

  • Choose from a 5 or 10 mile circular route
  • Both routes start at 10.30pm from Bristol s Ashton Gate Stadium
  • See many of Bristol s famous landmarks, including: the Clifton Suspension Bridge, the Downs, Bristol Zoo and the SS Great Britain
  • Enjoy a carnival inspired pre-walk warm up to get the party started!
  • Fancy dress strongly encouraged!

You can view the two routes here:

Raise Vital Sponsorship for a Vital Bristol Cause

The Midnight Walk is a sponsored fundraising event. We do not ask for a minimum amount of sponsorship, but please remember, every pound you raise will go towards supporting patient care at Bristol s St Peter s Hospice.

  • All of our care is provided free of charge
  • It costs 19,000 per day to provide our care
  • The NHS contributes 5,000
  • We have to raise the remaining 14,000
  • To do this we rely on fundraising and events like The Midnight Walk

Advanced Certification: Hospice Palliative Chaplain Certification – The National Association of Catholic

#hospice chaplain certification


Advanced Certification:
Hospice Palliative Chaplain Certification

About Advanced Certification of Hospice Palliative Chaplaincy (ACHPC)

Palliative Medicine is a discipline that cultivates in each practitioner (nurse, physician, chaplain, social worker etc.) a servant’s heart and a sage’s mind. One’s effectiveness in this specialty can never be adequately assessed within a set of competencies and/or prescribed guidelines but rather in the human crucible of an integrated, interdisciplinary practice that draws equally from each one’s soulfulness as well as from each one’s skill and life experiences.

This specialty certification IS NOT about acquiring greater power or prestige, or mastering a particular set of skills/competencies or securing additional letters after one’s name, or delivering a stellar performance at the time of the interview.

This certification IS a special invitation for an individual candidate to go more deeply in one’s own spiritual life and to learn the way of the wounded healer – the way of authenticity, compassion, forgiveness, and healing. This disposition of mind and heart is cultivated from the inside out and flourishes in an environment where honesty, humility, and courage are in ample supply.

This certification process invites the candidate to befriend the blessing of paradox and begin to weave a tapestry of harmony within oneself (in solitude) and with others (in community). This process builds upon the foundational belief that “the patient and I are essentially the same” and in this actual ministering of one to the other (patient, family, staff, team members etc.) blest and broken, we become sacrament for each other and a living sign of God’s healing redemptive love in our world. Facilitation of this part of the certification assessment process will invite each candidate to draw from a living palette that evokes a blend of head and heart and is reflective of the human experience – both of the candidate and of those he/she serves.

The interview team will be interdisciplinary and will be specifically assessing the candidate for indications of ones’ personal integration and ongoing formation, as demonstrated by:

  • Major loss integration
  • Self-awareness understanding
  • Human to human availability
  • Understanding of relevant concepts
  • Team collaboration, leadership and education contributions

The interview team will discern together each applicant’s desire and capability to be a leader/innovator in recognizing and fostering an Interdisciplinary Team’s (IDT) continuing development in the areas of team respect, openness to new ideas and perspectives, and compassion for all involved in the palliative care/hospice arena. At the completion of the interview, the Interview Team votes to recommend or not to recommend the Applicant to the Certification Commission for certification. It is the decision of the Certification Commission to certify or not to certify.


  • You must be a full member in good standing with the NACC.
  • You must be Board Certified as an NACC Chaplain or Supervisor.
  • You must have at least 500 hours of documented direct spiritual care ministry dedicated to palliative care or hospice (e.g. patient and family visits, ethics consultations, family conferences, medical record documentation).
  • You must have completed extensive education in the field of palliative care, hospice philosophy and/or thanatology.
  • You must have ten hours (not in succession) of direct clinical supervision or professional consultation regarding one’s personal and professional growth in palliative care or hospice ministry (conducted by the CPE supervisor or other member of the interdisciplinary team that provides supervision).

Upon contacting the office for you will receive:

  • The application for Advanced Certification as a Hospice Palliative Chaplain
  • The Checklist for Supportive Materials required for Advanced Certification as a Hospice Palliative Chaplain
  • NACC Certification Procedures Manual for Advanced Certification as Hospice Palliative Chaplain

The National Association of Catholic Chaplains advocates for the profession of spiritual care and educates, certifies, and supports chaplains, clinical pastoral educators, and all members who continue the healing ministry of Jesus in the name of the Church.

The elizabeth hospice #hotellit

#the elizabeth hospice


Welcome to St. Elizabeth Hospice Care, Inc.

St. Elizabeth Hospice Care, Inc. will provide a special kind of comprehensive care and understanding for terminally ill patients and their families. We believe that the quality of patient s life is as important as the duration of patient s life.

Once there is no hope of a medical cure and the burden of standard medical treatment becomes unbearable, hospice care provides a humane and holistic alternative to the more harsh conditions of a standard medical treatment environment.

If you know someone who could use the compassionate care that is sensitive to the needs of the terminally-ill patient, turn to St. Elizabeth Hospice Care, Inc. We would love the opportunity to have a personal consultation with you. Request for a schedule by calling us at 213-739-9244 .

Stories from Clients

Some patients and families would like to share their experiences with. St. Elizabeth Hospice Care, Inc. is grateful for their recommendations.


The Roach Motel #hotels #edinburgh

#roach motel


Manchild Media. The Foundation Of The New Industry

The Roach Motel

The Roach Motel

The Roach Motel Cartoon

Ray, Roscoe, and Rico are your typical young roaches from the neighborhood that like to eat, drink, smoke, party, and chase girls. Even though it is dangerous and frowned upon, they constantly leave the comfort of the walls they live behind and enter the human world to grab some “munchies” and hang. On the other side of the walls these roaches call home, is an old run down motel in a seedy part of Atlanta, GA. The motel provides the roaches with access to all of the food, drugs and alcohol they love. However, because they are roaches, it is always a dangerous adventure to get to their favorite things because the human world is huge and full of trouble.

In the insect community, big trouble comes in the form of a giant rat named The Rat Bully who lives in the attic of the motel. He controls all of the food and currency in the community. Whatever the bugs find to eat, they have to give him a percentage. It’s like having a business in a mafia town. If you pay your percentage, you will have protection . If you don’t, you get beat up and stolen from by his henchmen Big Rocky and Lil Reggie.

Outside of the motel walls are humans who are all dangerous but the roaches constantly come across two main threats. The first is the “custodial engineer” Mac Man Stan who lives in the motel. His job is to keep the place clean and in order and he will do whatever it takes to get rid of the roaches even though he isn’t that good at it. The second is the terrifying Exterminator who is a thing of legend in the bug community. Not many bugs have lived to tell the story of seeing this deadly giant in person.

The Roach Motel, is the story of these roaches trying to find a way to eat and party while trying to survive living in the walls of a run down motel frequented by dangerous humans. Follow these rapping and scheming roaches on their journey into a world full of fun, danger, adventure, and of course, laughs.

The Roach Motel Pilot

Roach Clips

The Roach Motel Cartoon


The Roach Motel HIP HOP CYPHER

Our Skills

We Are. The Roach Motel

The Roach Motel Store

$30 per shirt

$30 per shirt

$30 per shirt

$30 per shirt

Rich Graham

Rich Graham has been drawing for as long as he can remember. From the time he could write he was already trying to draw is favorite characters and bring them to life. His favorite classes in school were always Art and English. There was never a question of what he wanted to do with his life. After graduating high school he attended the Art Institute of Philadelphia where he majored in Computer Animation. After 2 years there he decided to transfer to The Art Institute of Atlanta where he felt he would have more opportunities to network and grow. One day he was given a homework assignment to create a storyboard for an original cartoon. This was the day The Roach Motel was born.

At this time Rich was living with his 3 best friends in an apartment on the west side of Atlanta. The apartment was very typical for 4 young urban college guys. Anytime you walked in you would always see girls, alcohol, and snacks. Another thing you would always see were roaches. No matter how many times they cleaned the roaches would never go away. This gave Rich an idea. What if these roaches never left because they wanted to be like us? What if that was the reason they were always around? What if they liked to drink, party, rap, and chase girls like him and his friends? This became his idea for his homework assignment. When the assignment was presented to his teacher the teacher told him that it was one of the coolest ideas he had seen and told Rich to continue to build on it, so he did.

After graduating college Rich spent years and years developing and financing his animated presentation the show. In 2013 Rich entered into The Miami Animation Festival Pitch To The Industry competition. The winner would be awarded a trip to L.A. to pitch their idea to real animation networks and studios. He was chosen as one of 7 finalists out of over 80 submissions. This was his chance. Rich ended up going to Miami and winning the competition. He earned his trip to L.A. where he got to pitch his idea and gain priceless knowledge from industry producers and creators. He came back to Atlanta and redeveloped his cartoon. During this time he taught himself a new animation program that would allow him to create his animations on his own without having to spend all of his money on a staff.

During this time Rich became the head of RockLan One Vision, the media branch of the entertainment company RockLan One. After seeing his drive, talent, and passion, the CEO of RockLan ONe actually created this position for him to create, distribute, and find creative content to release through his production company ManChild media to be promoted, marketed, and facilitated by RockLan One.

Keep in Touch

404 457 2974

Hospice of the red river valley #hotels #in #belfast

#hospice of the red river valley


Your comfort and care are our priority.

For nearly 35 years, Hospice of the Red River Valley has been a nonprofit, community based health care agency dedicated to providing expert physical, emotional and spiritual support to patients and families through the stages of serious illness. Under the direction of our medical director, our team of clinicians offers a special kind of caring that encompasses the medical, social, emotional, and spiritual aspects of treatment, and bereavement support for family members and friends.

Hospice of the Red River Valley is available 24 hours a day, 7 days a week for you, your family and caregivers. We provide care and support to help our patients live as comfortably and meaningfully as possible. Hospice can provide comfort to your loved one, skilled care, and nursing visits. It can even help your family with things like supplies, equipment and hospice medications.

Learn more about Hospice of the Red River Valley or contact us today.
Call us (800) 237-4629
Send an email

Follow Hospice of the Red River Valley on Social Media

Forbes Hospice event held at the Fairmont – Pittsburgh Post-Gazette #lyrath #hotel

#forbes hospice


Forbes Hospice event held at the Fairmont

May 26, 2014 12:00 AM

By Natalie Bencivenga / Pittsburgh Post-Gazette

When and Where: Wednesday at the Fairmont, Downtown.

Why: Forbes is the oldest nonprofit hospice and palliative care program in the Pittsburgh region, according to Keri Harmicar, community relations manager. This anniversary celebration honored founder Rose Ferraro, 94. An award has been established in her name to give to one of Forbes first volunteers, Jean Robinson, who has been volunteering for 35 years.

Fun tidbit: Interior designer Jonathan Rondinelli (wearing a #SEENBowtie. check out his picture online) designed the In Patient Unit Family Room (for free!) at Forbes Hospice after meeting Ms. Harmicar. “It was such a no-brainer. How could you say no after learning about this organization? Plus, Keri’s charisma pulls everyone in who knows her!”

#SEEN among the roughly 200 guests: David Seman, Braden Barker, Charles Christen, David Bennett, Kate Colligan, Marc Giosi, Nick Stupakis, Eileen French, Carl Macino, Charlene Campbell, Amy Scanlon, Bob Strauss and Peter Kope.

Vitas Concert Reviews from the USA and Canada #motels #in #phoenix #az

#vitas hospice reviews


Vitas 2011 USA and Canada Concert Reviews

Vitas voice live. there is no comparison. His voice is so clear and so strong, his tone so perfect. sounds cd quality. but better, because he is actually in front of you singing and dancing. It was better than I could have ever dreamed! Sometimes I still can t believe it. In person up close you would think his glow, his mystique would diminish, as it becomes clearer he is actually human. But he remained as divine as ever. I could not have asked for a better night. ) Thank you Vitas and Mr. Pudovkin! Amy

His voice was amazing! So mesmerizing, and he gave so many mischievous smiles the whole time. I loved every minute of it. His band rocked as usual. I was beside myself that night! My voice is hoarse, hands stinging from clapping excessively but its definitely worth it. Afiffa

Vitas was sooo amazing as expected, and he really sings so beautifully that it is just as good or better than his cd s. He did pull the mic away to prove he was live and it was so cool to hear him sing without the mic, because we were so close up. He is so fun and flirty with the audience. Diva, the band also were so very good between costume changes, that Alexander G. can really rock out! I think, even though it was a very small auditorium that we were able to make him feel our LOVE, lots of clapping and screaming. And it looked to be sold out, all seats filled! Yay!It was great! I hope Vitas and his band were surprised by our enthusiasm,lol. So they should come back every year. Pam

Vitas you are an angel! You sing as an angel and you act as one I fell so blessed. My mom, my friends and I had a great time last night. Thank you Vitas and please come back to Miami soon. but last night the theater was packed so next time you would need Miami Arena to contain all your fans here. Emma

It was incredible. Thank you, thank you VITAS and the band and whole crew. It was wonderful, so glad we got to see him so close. He is so talented, I was so moved during The Star I couldn t hold back my tears! I am so happy. Caitlin

Never before have I been so touched by an artist like Vitas, His voice touched the very center of my soul. It one thing to watch him on the internet, but to see and hear him in person, I know there could be no other to compare to this master of music and voice, he truly has been sent from above.And Diva what an amazing performance they gave us WOW!Thanks to all for bringing our angel to the USA.I have never met a more awesome bunch of artist. I will be there next year. Wanda

t Today s concert was great. love him so much Bravo. Bravo. Sharon

Great concert. hope he will be back to Vancouver again. powerful voice. ) Wanley

The chicago concert was sooo fun i had a blast. Jessica

The concert was amazing. Vitas is sooooooo fantastic. Holly

A n absolutely stunning performer. awesome concert! Come back to LA every day 🙂 Reem

The Vitas concert in Richmond, BC was great. He got so many standing ovations. Jozephina

I was fortunate enough to attend 4 concerts. It could have been 40 and I would never tire of it. The music was great, Vitas voice amazing. So clear and strong that it is hard to believe it is humanly possible – But indeed it is. – We sat close enough to hear his voice clearly with no microphone. He is truly the Diamond Voice of the world. Add to that his incredible charm and engaging performance and it makes for the best concert ever. I will fly high on the positive emotions from it for weeks. maybe months. Diane

I am hooked on Vitas and DIVA. Vitas runs in my veins, DIVA is my heart beat. Vitas music is the air that I breathe and I cannot get enough.
My trip to Chicago was fun, I sat in the middle front and yelled and clapped as loud as I could. A sore throat and sore hands were the least of my worries. It is incredible how such a strong voice in so many octaves can come out of one person. Vitas is definitely one of God s greatest creations! I pray there is a 2012 Concert series here in the USA, so I can get my Vitas/DIVA fix. Thank you to Sergey and Dmitry for putting the Sleepless Night series together, for allowing us two or three hours time with your Russian Superstars! It was unforgettable, unregrettable and definitely the best night of my life! Spacibo. Also a big thank you to those who helped make my night special, you know who you are. Jean

. It was time for the concert to start and I held my breath, this was it! The curtains opened and there stood Vitas larger than life and I screamed and clapped, the exhilaration I felt was almost overwhelming. As I watched him on stage, I was mesmerized by his presence. He was every bit as genuine as I had imagined and the most wonderful performer. He was entertaining and he knew how to take command of his audience and keep them enrapt(ured). During one of Vitas costume changes, the band played Phantom of the Opera , oh my goodness I fell in love with Alexander. He was fabulous. The whole band was great but Alexander got out in front and kicked butt! I love Phantom of the Opera, and so this was an added indulgence for me. To explain what I felt is difficult but I know those who have been to his concerts know what I mean. I felt a huge range of emotions, I think gratitude was one of the major emotions. Debi

This is the FIRST EVER concert that Vitas has performed in Vancouver, Canada at the River Rock Show Theatre in Richmond, BC on February 03, 2011. Vitas sang in different languages: Italian (Nessun Dorma, O Sole Mio, La Donna Mobile, Ave Maria), Chinese (The Tibetan Plateau) and, of course, Russian where the singer is from. The concert is a brand new production named Sleepless Nights and Vitas is being branded as an ‘Artist Who You Have Been Waiting For.’

The high octave operatic style of music has that unique Vitas showmanship coupled with a genuine desire to please the audience which made him such an international star who has sold more than 100 million CDs worldwide. In his official Russian web site, Vitas is known as an author/composer/actor.

His North American tour include 7 cities in both the U.S. and Canada. 01/28 in New York, 01/29 in Toronto, 01/30 in Chicago, 02/01 in Miami, Feb 03 in Vancouver, 02/04 in LA and 02/05 in San Francisco. The concert ‘Sleepless Nights’ is a medley of Italian, Chinese and Russian songs.
Ray www.vacouver21.com

Vitas s voice is gorgeous live at LA! What you hear in videos is what you hear in concert even better. I am amazed. J iayuan

С благодарностью из Чикаго.
30 января 2011 – выступление Витаса в Чикаго было просто потрясающее.
Какой голос, какое великолепие, сплошное очарование и море, нет океан :-)захватывающих дух эмоций.
Спасибо Витасу за его необыкновенный талант.
Спасибо ДИВЕ – рябята были на высоте(как всегда).
Спасибо Сергею Николаевичу Пудовкину и всей команде Витаса!
Спасибо – спасибо – спасибо за этот неповторимый подарок в Чикаго под названием \ БЕССОННАЯ НОЧЬ\ !
Ждём возвращения с новыми программами.

Withgratitudefrom Chicago!

January 30, 2011 – Vitas performance in Chicago was just amazing! What a voice, a splendor, sheer beauty and the sea, no – the ocean 🙂 of the thrilling emotions!
Thanks to Vitas for his extraordinary talent!
Thanks to DIVA – the guys were on top (as always)!
Thanks to Sergey Nikolayevich Pudovkin and entire team of Vitas!
Thank you – thank you – thank you for this gift unique gift in Chicago under the name \ Sleepless Night !
Can not wait till you be back with the new programs!

He was absolutely amazing. Jennifer

My daughter and I saw Vitas in Chicago. The clarity and beauty of his voice truly surpassed any recordings, so much so that it all seemed a little sureal. The evening went way too quickly, but I feel lucky to be able to experience it over and over again via the internet! Jeannine

Department of the Medical Examiner #breaffy #house #hotel

#san diego hospice


Department of the Medical Examiner

Welcome to the web pages of the San Diego County Medical Examiner. The Medical Examiner Office is centrally located in Kearny Mesa in the County Operations Center. We are a full service agency, performing all of our investigations, toxicology, and forensic pathology in house. In the following pages, we hope you will find useful information about the services, education and research efforts of the Medical Examiner’s Office as well as collected data on our cases and important links.

Check out our annual reports, which include statistics for 2000 – 2014 as well as insight into the day-to-day work of our office, from the initial investigation and examination, to our contributions to research, assistance with organ and tissue donation, and our collaboration with various multiagency groups trying to reduce sudden and unexpected deaths in San Diego County.

Find out what to expect if you’ve experienced the loss of a loved one and our office has become involved.

Learn the steps necessary to obtain copies of the death certificate and reports from our office. Also, information regarding pending causes of death can be found here.

View an actively updated list of selected cases in the County

Our Bereavement Center can offer help for families in the difficult times following the loss of a loved one.

A map and address for our Department

The Palliative Care Program #best #deal #hotels

#palliative care at home


Interim HealthCare Palliative Care

Hospice care is meant for people in the final months of life. Non-hospice palliative care, on the other hand, is available at any time during your illness. Unlike hospice, you can also receive palliative care at the same time as you re receiving treatments to cure you.

Here s what you can expect from palliative care. The Interim HealthCare Palliative Care team will assist you in managing your condition and your treatments so that you can experience improved:

  • Relief from symptoms including pain, shortness of breath, fatigue, constipation, nausea, loss of appetite, numbness and problems with sleep
  • Strength to carry on with your daily life
  • Ability to tolerate medical treatments
  • Understanding of your condition and your choices for medical care

Palliative Care Makes All the Difference

The Hospice Palliative Care team includes physicians, nurses, social workers and spiritual counselors. Together with your own doctor, they make sure you receive:

  • Expert treatment of your pain and symptoms
  • Close communication about your illness and treatment choices
  • Coordination of your care among all of your healthcare providers
  • Emotional support for you and your family
  • Referral and coordination of home care and hospice services
  • 24-hour support

You Can Begin Palliative Care Early

Palliative care can occur at the same time as all other treatments for your illness. It does not depend upon your prognosis so there is no reason you need to wait for services to begin. Pain and other symptoms affect your quality of life, and the stress associated with them can have a big impact on your family. The palliative care team can help.

Your Insurance Will Likely Cover the Cost of Palliative Care

Most insurance plans, including Medicare and Medicaid, cover palliative care services. These services are handled like other medical services, such as oncology or cardiology.

Getting Palliative Care is Easy. Just Ask For It.

You may already have been referred to a palliative care team, but if not, it s important to ask your doctor for a referral. Interim HealthCare Palliative Care teams work together with primary physicians, so individuals do not have to give up their own doctors.

Research Validates the Benefits of Hospice #marylebone #hotel

#benefits of hospice


Research Validates the Benefits of Hospice

For Immediate Release:
November 17, 2014

More Research Validates the Benefits of Hospice; What Will It Take to Change End-of-Life Care in America?

New study in the Journal of the American Medical Association shows cancer patients in hospice care experience fewer hospitalizations, fewer costly and invasive procedures, and are more likely to die at home.

(Alexandria, Va) – New research published in the Journal of the American Medical Association reinforces the benefits of hospice care for patients with cancer facing a poor prognosis. The study, led by Dr. Ziad Obermeyer, a physician at Brigham and Women’s Hospital in Boston, found cancer patients in hospice are less likely to be hospitalized, to be admitted to the intensive care unit, or undergo invasive procedures. The study included data from nearly 40,000 Medicare patients with cancer who died in 2011.

The study also concludes that healthcare costs in the last year of life were about $9,000 lower per hospice patient. Furthermore, nearly 75% of non- hospice patients in this study died in hospitals or nursing homes, compared to 14% of hospice patients. The study authors say their findings highlight the need for frank discussions between physicians and patients about realistic expectations for care at the end of life.

“There is a lot of evidence that a lot of people don’t have these conversations,” says Dr. Obermeyer, “So they get sucked into this intense care option without even talking about it.”

The National Hospice and Palliative Care Organization has long supported reimbursement to physicians for facilitating advanced planning discussions, which is also a key recommendation from the Institute of Medicine in its report “Dying in America”.

NHPCO also advocates for concurrent care, a model of healthcare delivery that would not require patients to forgo all curative treatment to access hospice services.

“We know that many people access hospice care too late to fully take advantage of all this team-based, patient and family-focused model of care can offer,” says J. Donald Schumacher, PsyD, President and CEO of NHPCO. “While patients with cancer still make up more than a third of all those cared for by hospice providers, their lengths of stay in hospice are among the shortest. This points to the desperate need for clinicians treating cancer to have conversations about palliative care and hospice.”

The publication of this new research in JAMA follows on the heels of the Institute of Medicine (IOM) report, “Dying in America” and recommendations from the American Medical Association (AMA) to the Centers for Medicare and Medicaid Services (CMS) regarding the activation of reimbursement codes to allow Medicare to pay for such conversations. In recent weeks, CMS indicated that the agency intends to solicit additional comments from the public. In the meantime, advance care planning discussions are only reimbursable during the initial ‘Welcome to Medicare’ preventive visit but not for any subsequent annual visit.

“The hospice community continues to be disappointed in Medicare’s lack of leadership in this area,” says Schumacher. “The medical consensus tells us clearly that these end-of-life care conversations are necessary in order for patient wishes to be expressed and honored. Yet, CMS will only reimburse for them when a patient first joins Medicare, typically the healthiest he or she will be as a beneficiary. It defies reason that reimbursement is not available for physicians to take the time for these vital and delicate discussions later on.”

According to the National Council on Aging, 10,000 baby boomers will become Medicare eligible every day this year. The time has come for the federal government to take action on concurrent care and advance care planning and meet the needs of Americans as they approach the end of life.

Anita Brikman
Senior Vice President, Communications
Ph: 703-837-3154

The Final Journey – Hospice Stories #hospice #of #michigan #jobs

#hospice stories


The Final Journey
copyright 2000 Susan Peticolas Lahti

A collection of stories about death and dyin g

My mother died of cancer. She had been told of the cancer about 7 months before her death. During that time we called in hospice and I read every book or pamphlet that I was given to prepare myself for what lay ahead. I believed if one tried hard enough any death could be peaceful. Hospice could control pain and our job as a family was to meet her needs. But I wasn’t prepared. There was so much that no one ever told me. And because there were components of her death that were not peaceful I was left feeling as if I could have done better.

When my mother’s death was at hand, things happened not described in any of the materials I had been given to read. The experience was not peaceful. She didn’t see people who had already died or talk of feeling ready. We did not have that one last wonderful talk. Instead she was agitated, restless, anxious, and spoke of nightmares.

One evening I located a support group on the internet for people who were going to lose or had lost a loved one. Groping to make sense of my mother’s suffering I told the group of my mother’s death. They shared their experiences with me. I can’t tell you why or when my healing began but only that hearing others’ stories did this for me.

I came to believe that my mother’s sudden fight to live was a defense mechanism that we all are programmed to have. We are programmed to survive. If you throw a person who can not swim into a pool they struggle to stay afloat. If you put a pillow over a person’s head they struggle to take it off. Even if the person was terminally ill they would struggle. So even though my mother was ready to die, she struggled in the end. It was her last ditch effort to survive.

I remember several months before my mother’s death she said she had been thinking that birth and death were similar in some ways. She said she bet if you asked any unborn child if they would like to leave where they were and be born into a new world they would all choose to stay right where they were. Perfectly happy with life in utero. She said that she did have some fear about death but thought it was natural fear of the unknown.

Birth and death have some similarities. They both are monumental occurrences that change your life forever. Megan Cooper, an acquaintance I met when trying to make sense of this experience, mentioned if we talked about birth like we talk about death we’d say something like: There is a baby inside you. It will come out. The way it comes out is different for everyone. We wouldn’t talk about long labor, pain, cesarean section, episiotomies, aspirating meconium, circumcision. But of course we do talk of these things and that way the family is better prepared to deal with the event and a crisis should one occur. It is time we start talking about death. We need to hear about pain control, agitation, delirium, hallucinations, and restlessness. That way if one of those arise when you experience a death you will be better prepared.

I started collecting stories of people’s experience with death. I wanted to know what actually happened at the time of death so that I could see if my mothers experience was typical. What I found is the more I heard these stories the more my mother’s death seemed less traumatic. It seemed more like a part of the way we live and die. I have come to believe that witnessing my mother’s death allowed me to experience something holy and that reading about other family�s deaths have brought me peace. Because of that, I wanted to put together some of these stories in hopes that you will be better prepared for your own death or the death of a loved one. All of the stories have been written by the authors. I have combined and edited letters they wrote to make a complete story but the words are theirs. Some have been changed considerably to respect the privacy of the families who shared their stories. I hope that all of them help you prepare for death. And I hope that you too experience the holiness, and find the peace of death.

QAPI – What does QAPI stand for? The Free Dictionary #hatta #fort

#qapi hospice


References in periodicals archive ?

The facility was recently awarded with QAPI Accreditation which requires the facility to be successful in three of these four categories: Comprehensive, Continuous, Coverage and Corrective QAPI .

Clear, complete and accurate nursing documentation communicates important information to others, allows for continuity of quality care, facilitates QAPI initiatives, and bolsters risk management.

Getting to the root of the problem is an essential part of QAPI .

The Centers for Medicare Medicaid Services (CMS) is responsible for both promulgating the QAPI regulation and providing technical assistance to NHs.

At the end of its section on QAPI. CMS states: “We believe these requirements are the single most important provision in this proposed rule to fulfill the congressional mandate for process performance measures based on empirical evidence of organ donor potential and other related factors in OPO service areas.

We believe that QAPI is regarded by the health care community as the most efficient and effective method for improving quality and performance of health care providers,” CMS stated.

QAPI at a Glance is the Centers for Medicare Medicaid Services’ implementation guidebook.

Engage the QAPI or Quality Assurance committee and compliance committee (both committees, being required, should be in place).

Quality Assessment Performance Improvement – IFMC will complete seven QAPI projects each year.

This analogy spotlights the fifth step of the 12 Quality Assurance Performance Improvement ( QAPI ) implementation steps–Develop Your QAPI Plan.

The third of the 12 QAPI implementation steps is “Take your QAPI ‘Pulse’ with a Self-Assessment.

QAPI is a comprehensive approach to ensuring high-quality, proactive, patient-centered care using evidence-based practices to increase knowledge for planning, implementing and sustaining measurable improvement.

Hospice Care and Palliative Care servicing the Inland Empire #motels #cheap

#arbor hospice


For inquiries, call us now:

Restoring Comfort, Dignity

Hospice Level



We Serve the Areas of:

  • Alhambra
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  • City of Industry
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  • East Los Angeles
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  • Pages

    Welcome to Arbor Vitae Hospice Care, Inc.

    Our Mission Statement

    Arbor Vitae Hospice Care, Inc. is guided by a tradition of personal, clinical and technological excellence. We believe that serving patients in the community setting is the most important activity of the organization.
    We are dedicated to providing the highest quality of patient care with compassion and respect for each person.

    Non Discrimination Policy

    Pursuant to Title VI of the Civil Right Act of 1964, Section 504 of the Rehabilitation Act of 1973, and Age Discrimination Act of 1975, and their implementing regulations Arbor Vitae Hospice Care, Inc. does not discriminate in the provision of services and employment because of race, color, creed, religion, sex, sexual preferences, national origin, disability, and age.

    Pain Management and Symptom Control – The Connecticut Hospice Inc #santa #cruz

    #hospice pain management


    Pain Management and Symptom Control

    The spirit of The Connecticut Hospice, Inc. is to encourage quality of existence for patients and families. Because of this abiding philosophy, pain and symptom control lie at the very heart of the Hospice program of care. Medical and pharmacological therapies control a range of debilities that, if untreated, sap a patient’s strength, will, and even human dignity.

    Professional expertise and an individualized care plan make possible a control of pain rarely achieved in other health care settings. Nowhere is this more evident than in the work of the hospice physician, nurse, and pharmacist. The physician, nurse, and pharmacist are important team members in evaluating pain and treating it pharmacologically. Artists, social workers, clergy, nurses, and professional and lay volunteers work with psychological and spiritual pain. As a team, they review the patient’s status daily. In addition, consultants in several fields of health care complement the efforts of the medical and nursing staffs.

    Prior to admitting a patient to the Hospice program, the Hospice physician confers with the family’s physician. They retain open lines of communication. In the home care program, the family’s physician acts as the primary physician. The role of the Hospice physician varies from case to case. In the inpatient unit the Hospice physician assumes the primary physician role. In both programs, medical direction is available twenty-four hours a day.

    The care plan must be creative, innovative, and flexible to respond to the constantly changing challenges of irreversible illness. Some symptoms can be relieved by simple measures such as repositioning, massage, relaxation techniques, and distraction through arts and other activities. Yet medications are often crucial in alleviating physical discomfort.

    In treating the patient, the Hospice physician and pharmacist are guided by repeated assessments, with adjustments in medications, and times of administration so that the patient will be as comfortable as possible.

    An important principle in The Connecticut Hospice approach is that drug doses are carefully adjusted to each patient’s physical make-up. This assures pain relief without loss of alertness. The Connecticut Hospice goal is to control symptoms while maintaining optimum functioning.

    At Hospice, the patient’s needs dictate the medication level. Medications are administered on a regular schedule, to eliminate not only pain, but also the fear of pain. Ease of administering is a key consideration also. Patients ar

    When a medication is not available commercially in the exact dosage needed, the Connecticut Hospice pharmacist is able to meet individual needs. An active participant in patient care, the pharmacist attends morning rounds and weekly team meetings, serving as a source for current drug information and a consultant for changing drug regiments. Both the Hospice pharmacist and physician strive to educate others on the goals and parameters of hospice caregiving. Advances in symptom control present diversified and constant challenges. As Hospice physicians and pharmacists discharge their demanding duties, they are in the forefront of palliative care. Hospice remains identified by its excellence of symptom management and support. e spared injections whenever possible to make their lives more comfortable. Over 90 percent of the medications at Hospice are taken orally. Because of this, it is often possible for patients to be cared for at home.

    The Role of Psychology in End-of-Life Decisions and Quality of Care #palliative

    #end of life issues


    The Role of Psychology in End-of-Life Decisions and Quality of Care

    Psychologists can contribute to end-of-life care before illness strikes, after illness is diagnosed and treatments begin, during advanced illness and the dying process, and after the death of the patient, with bereaved survivors.


    Medical doctors, nurses, social workers, and the clergy have traditionally been the main players in helping care for people near death, but psychologists are increasingly using their expertise to help people have a so-called “good death” or perhaps the more accurate “least worst death.” End-of-life – defined as the period when health care providers would not be surprised if death occurred within about six months – is a time when psychologists can treat depression and anxiety associated with pending death, offer grief counseling, help people understand confusing medical terms, and help provide compassionate care for the dying and their loved ones.

    Several factors are shaping the expanding role of psychological practice in end-of-life care, according to psychologist William E. Haley, PhD of the University of South Florida. Psychologists are already trained and involved in the mental health treatment of major chronic illnesses such as heart disease, cancer, AIDS, dementia and chronic pain. Psychological intervention with these people includes psychotherapy for depression and anxiety, stress and pain management, relaxation training and family and group psychotherapy. Also, a broad-based movement to improve the final moments of life has led to research identifying major failures in hospital care of the seriously ill. This research finds that many patients are dying following prolonged hospitalization or intensive care in which their final days involve unrelieved pain and their preferences concerning life-sustaining treatments are not fully discussed, documented or followed. These findings have led to the rapid expansion of the end-of-life field, allowing for expanding contributions of psychologists.

    Dr. Haley and other members of the American Psychological Association’s (APA) Ad-Hoc Committee on End-of-Life Issues, identify four time periods when psychologists can contribute to end-of-life care:

    Before illness strikes;

    After illness is diagnosed and treatments begin;

    During advanced illness and the dying process; and

    After the death of the patient, with bereaved survivors.

    As psychologist Phillip M. Kleespies, PhD, notes in his 2004 book, Life and Death Decisions: Psychological and Ethical Considerations in End-of-life Care, it is difficult to think of a more intensely emotional and psychological time than when a patient is facing his or her decline and eventual death. “Working with professionals from other health fields, psychologists have much to offer dying patients, their families, and those who bear the burden of caregiving,” according to Dr. Kleespies.

    The role of psychologists in helping people with HIV and AIDS offers a powerful example of how psychological interventions can make a difference in coping with and adapting to loss and advanced illness across time, from prevention (see Understanding How People Change Is First Step in Changing Unhealthy Behavior ) to helping people who have contracted the life-threatening disease (see APA Office on AIDS-HOPE Program).


    The U.S. Supreme Court says Americans should expect palliative care, which combines active and compassionate therapies to comfort and support people and their families nearing the end of life. Psychologists can make significant contributions to improve the quality of end-of-life care and decision-making.

    Practical Application

    Psychologists are increasingly taking a more active role in end-of-life issues. The American Psychological Association identifies the following four main roles that psychologists play in this area:

    Clinical Roles – Psychologists treat clinical depression if and when it arises in end-of-life matters, as well as other mental health problems associated with pending death. Psychologists also help caregivers and family members with facilitating emotional expression and how to effectively be good listeners for people who are dying. Properly trained psychologists also work effectively with issues of mourning and loss, traumatic stress, and serve as advocates for good medical care. The participation of psychologists in hospital ethics committees, palliative care, and other multidisciplinary teams is equally important.

    Education and Training Roles – Psychologists are teaching people to understand loss, grief, and mourning and to understand the differences between normal sadness and clinical depression at the end of life. They are also providing information about advance care planning and decisions (including “living wills”) and teach coping mechanisms. In 2004, APA received a grant from the National Institutes of Health Small Business Innovation Research program to develop an Internet-based program for educating psychologists and other mental health providers about helping those near the end-of-life and their loved ones. APA is working with a small business in Seattle to develop the program. Psychologists, such as Dale Larson, PhD, of Santa Clara University, were also major players in the Finding Our Way: Living With Dying in America community education project which reached millions of Americans through newspaper articles and website.

    Research Roles – Psychologists have played key roles in conducting research on major issues relevant to the end-of-life such as death anxiety; decision making at the end-of-life; family caregiving; psychological aspects of pain and symptom management; and grief and bereavement. For example, psychological research has increasingly demonstrated that most individuals who experience bereavement are more resilient than was conventionally thought to be the case. This research has demonstrated that individuals who do not experience intense grief symptoms after a loss are not at high risk for subsequent pathological grief reactions.

    Policy Roles – There are numerous opportunities and the federal, state and local levels for psychologists to advance the quality of care at the end of life. Many times dying people and their families are not fully aware of various end-of-life care options or not fully apprised of the probable benefits and burdens of these various options. Psychologists can work with other health care professions in advocating for the development of policies to ensure that people know what types of interventions and services are available to them. Other policy issues that psychologists can address include advocating for systemic changes in legal and organizational obstacles to quality care, advocate for ongoing discussion of death and dying issues in the media, the community, and in professional meetings to overcome society’s reluctance to address these issues that many consider a taboo subject, and to advocate for more equitable end-of-life care for people with disabilities.

    Cited Research

    Brown, R. Freeman, W. Brown, R. Belar, C. Hersch, L. Hornyak, L. et al. (2002). The role of psychology in health care delivery. Professional Psychology: Research and Practice, Vol. 33, No. 6, pp. 536-545.

    Haley, W. Larson, D. Kasl-Godley, J. Neimeyer, R. Kwilosz, D. (2003). Roles for Psychologists in End-of-Life Care: Emerging Models of Practice. Professional Psychology: Research and Practice, Vol. 34, No. 6, pp. 626-633.

    Kleespies, P. (2004). Life and death decisions: Psychological and ethical considerations in end-of-life care. Washington, DC: American Psychological Association.

    End-of-Life Issues and Care: The Role of Psychology in End-of-Life Decisions and Quality of Care Issues

    American Psychological Association, May 3, 2005

    Terminal Agitation in the Dying #cheap #motels #and #hotels

    #terminal care


    Terminal Agitation: A Major Distressful Symptom in the Dying

    Many families may be surprised when a terminally ill (and usually calm) family member becomes restless or even agitated. The depth of such restlessness or agitation varies from patient to patient. When moods change or personalities seem to change, family members may be completely bewildered and feel helpless: not knowing what to do. It is common knowledge that individuals who are experiencing even minor illnesses may demonstrate mood changes such as irritability, anger, depression and avoid communication with others. When a terminal illness not only initially strikes, but is now nearing the end, patients may experience profound mood changes. Such mood changes are often difficult for family members to handle. Causes and treatments for restlessness and agitation are well-known among the palliative care professionals who work with the dying on a regular basis.

    What is Terminal Restlessness or Agitation?

    Those who work with the dying know this type of restlessness or agitation almost immediately. However, the public and patient’s family may have no idea what is going on and often become quite alarmed at their loved one’s condition. What does it look like? Although it varies somewhat in each patient, there are common themes that are seen over and over again.

    Patients may be too weak to walk or stand, but they insist on getting up from the bed to the chair, or from the chair back to the bed. Whatever position they are in, they complain they are not comfortable and demand to change positions, even if pain is well managed. They may yell out using uncharacteristic language, sometimes angrily accusing others around them. They appear extremely agitated and may not be objective about their own condition. They may be hallucinating, having psychotic episodes and be totally out of control. At these times, the patient’s safety is seriously threatened.

    Some patients may demand to go to the hospital emergency room, even though there is nothing that can be done for them there. Some patients may insist that the police be called. that someone unseen is trying to harm them. Some patients may not recognize those around them, confusing them with other people. They may act as if they were living in the past, confronting an old enemy.

    Need to Eliminate Other Obvious Causes of Distress

    Just as in all symptoms, other causes must first be ruled out or eliminated. Nurses must make sure that the physician’s orders are being followed, that if any other symptoms are not well managed, the physician is contacted or adjustments are made in order to relieve those symptoms. Physicians and nurses must continually re-assess the patient’s total overall condition, monitoring every body system’s function. Checking vital signs including pain levels is a first step. Is the patient breathing effectively? Is oxygen being given if appropriate for the patient’s disease condition? Carefully evaluating, recording and reporting all outward signs must be habitual with those caring for the dying. Any changes must be understood, evaluated and responded to if appropriate.

    For example, patients experiencing intense pain may become agitated. The initial thought to use sedatives immediately might make sense if one is not thinking clearly: . the patient is agitated, I’ll use a sedative. However, that may be a very short-sighted and uneducated approach. Why? Because sedating the patient is not the first action to take. One must first determine what other causes might exist. When pain is severe, sedatives will not eliminate agitation! However, relieving the pain eliminates the agitation. On a more basic level, removing a hard object such as a syringe or catheter tubing that may have drifted underneath the patient may be all it takes to relieve the agitation. Common sense must first be applied!

    Questions to be asked

    The following are examples of questions that nurses and physicians ask themselves as they approach this problem:

    • Is there anything physically interfering with the patient’s comfort?
    • Does the patient have pain that is not being well-managed? Observing outward facial expressions and body posture are important to evaluate.
    • If the patient has a urinary catheter, is it patent (meaning open) and is urine flowing freely through it? If it is plugged, that could cause extreme pain from pressure in the bladder.
    • Is the patient having regular bowel movements? When was the last bowel movement and what consistency did it have? Could the patient be impacted (blocked)?
    • Is there some other sudden change in function that may be causing distress to the patient?
    • Is there an infection causing the agitation?
    • Is the infection an expected effect of the disease, such as brain cancer?
    • Is the patient going through obvious psychological and emotional distress? Has a counselor or minister’s services been offered to the patient and family? Is the restlessness purely psychological or is it metabolically based?
    • Has a new medication been added? Has a medication dosage been recently increased or decreased? Is this a side-effect from a medication?
    • Has the patient entered the pre-active phase of dying?

    Universal Metabolic Changes May Cause Restlessness and Agitation

    As the terminally ill near death, body organs and systems begin to fail to a greater and greater degree. Kidneys stop producing as much urine and function poorly, the liver and other organs also start to shut down. Waste products from the cells and tissues of the body begin to build up in the tissue spaces and blood stream. Biological and chemical balance is lost. The pH in the blood and other areas may change dramatically. In many patients, these changes alone may account for restlessness and agitation that may be quite severe.

    Medications for Terminal Restlessness and Agitation

    If, and only if, other obvious causes of restlessness and agitation have already been eliminated, then the physician may directly order medications to reduce the restlessness and agitation. In almost all cases, the physician will have written standing orders for certain medications to be given for these conditions. Such medications include anti-anxiety medications such as Lorazepam (Ativan) and Diazepam (Valium) and anti-psychotic medications such as Haloperidol (Haldol), Chlorpromazine HCl (Thorazine) and others.

    The nurse and physician must be extremely careful not to give a medication that might be contraindicated for the patient’s condition. It is not appropriate to give all patients Ativan and Morphine, for example, if they become agitated. It they are in pain, then pain medication is appropriate. If their pain is well-managed and they are still agitated, then the other medications may be applied. Certain disease conditions respond well to these medications while others have an opposite or no effect.

    Palliative care professionals need to be reading the latest journal articles and research in order to understand when and when not to use these medications. Any nurse or physician who always uses these medications with all patients who are agitated has more to learn about handling these situations.

    Palliative care varies according to the patient, the disease, the stage of the disease and the exact situation being encountered. Some believe that palliative care is less demanding than say, acute care in the hospital or intensive care. However, that is not the case. Excellent palliative care requires the same degree of professionalism as in other specialties in health care. Constant patient assessment and re-assessment are necessary.

    Knowledge of the latest treatment modalities and options is a sign of the very best palliative care has to offer. Knowledgeable palliative care professionals will be most effective in managing crisis situations such as terminal agitation. If crisis symptoms are not being well handled by staff at the bedside, it is paramount that the physician be consulted about the best course of action to comfort the patient and relieve his or her distress. Terminal agitation is a hospice crisis and meets the criteria for starting the continuous nursing care level of care. (See Continuous Nursing Care in Hospice ).

    Practical Nursing Program – Practical Nursing – College of the Rockies, Cranbrook


    Practical Nursing

    The two-year Practical Nursing (PN) diploma program helps prepare graduates to give qualified professional care to individuals and families in a variety of settings.

    As of September 2012, the diploma program will deliver an expanded curriculum over four semesters, with a training break in the May to August period between Year 1 and Year 2. (Previously, the certificate program was delivered as a one-year program with 50 weeks of instruction).

    The new program covers new nursing competencies, puts more emphasis on critical thinking, and supports increased levels of autonomy and leadership.

    Graduates are eligible to write the CPNRE exams in September of their graduating year for licensure as a Practical Nurse.

    Loan Forgiveness for Practical Nursing student graduates staying in BC and working in an under serviced community: Graduates from eligible schools in nursing (including practical nursing, nurse practitioners, registered psychiatric nurses and registered nurses) will have all outstanding BC Student Loan debt forgiven at a rate of 20 percent per year of practice in an underserved community. They must agree to fill a vacancy at a publicly funded facility in a full-time, part-time or casual-on-call capacity.

    Students in Nursing programs are eligible for up to a $2,000 bursary if they apply for a BC student loan. They will automatically be assessed when they apply. This is based on financial need.

    For more information on loan forgiveness they can go to the StudentAid BC website at www.studentaidbc.ca

    Located in the Kootenay Rocky Mountains of southeastern BC, College of the Rockies offers students lifestyle and learning opportunities to match our spectacular surroundings.

    College of the Rockies

    • 2700 College Way, Box 8500,
      Cranbrook B.C. V1C 5L7
    • Ph. (250) 489-2751
    • Fax (250) 489-1790
    • TOLL FREE: 1-877-489-2687

    Orange coast college swap meet #allis #chalmers #allis-chalmers #orange #spectacular #upper #midwest



    2017 Allis-Chalmers Shows


    Our Club Services

    ***Merchandise Vendor Space Still available***

    ***Volunteer to sell raffle tickets at the show***

    Please mail tickets and money for raffle tickets to Darrell Grams Sr

    34420 State Highway 25

    Green Isle, MN 55338

    April 28 – It was a pleasure being your Webmaster – Randy Larson

    April 23 –The Upper Midwest A-C Club would like to invite everyone to stop in at our stand at the Pioneer Power Swap Meet on Friday, Saturday, or Sunday. Raffle tractor will be on site and raffle tickets available.

    April 8 – Today at our Membership meeting, elections were held for the Upper Midwest A-C Club. Results are Incumbent Tom Foss, Incumbent Joe Graunke, Scott Overgaard and Joan Paulson. For Board of Director appointed seats: Craig Buss, president; Joe Graunke, vice president; Terry Nowak, secretary; and Darrell Grams, Sr. treasurer.

    We wish to express our thankfulness to Matt Wosmek for his years of service as board of director and his dedicated time to being the treasurer for the club. Thanks Matt, your hard work has been appreciated!

    We wish to thank Darrell Grams, Sr. for his time of service as president of the Upper Midwest A-C Club. Being president can be a stressful job, but with board members willing to help, the job gets done with assistants. Thank you Darrell for your time and service as president of the Upper Midwest A-C Club.

    Due to election results, the Upper Midwest A-C Club is looking for a Children’s Activity Coordinator. If you are willing to take over this important position, please contact Craig Buss as soon as possible. The Children Activities are an important part of the Orange Spectacular! We thank Rita (Everhart) Wosmek for her dedicated time to making much fun for all of the children who have attended the past Orange Spectaculars since 2012. Rita, it was a lot of work and much patience you took with our future attendees and your time and talent has been appreciated!

    March 25 – As spring is arriving slowly and field work starts-up, safety really needs to be our #1 goal to follow so we can come home to our family every night.Pleasetake six (6) minutes to view this video. Stay aware how fast an accident can happen. I hear a lot of people tell me, that sure was obvious that accident was going to happen. Next thing I hear is, there was an accident in our industry. Come to find out. the person oblivious to what was going to happen.

    February 24 – Do you have a family member which is going into college? Then you need to check out our Scholarship page. we have had no applicants yet! Any degree / major will be reviewed for the potential being awarded a $500.00 scholarship.

    February 24 – If you have not had a chance to see this year’s Toy. Look below.IT IS DIE CAST.

    January 17 – The Upper Midwest A-C Club has the DVD produced at the 25th Orange Spectacular in July of this year.

    This DVD is now available! 25th Annual Orange Spectacular has hit the shelves and ready to ship!

    This all Orange Power show was shot at the 25th Annual Orange Spectacular extravaganza in Hutchinson MN a few short months ago and its ready for your viewing. Presented by the Upper Midwest A-C Club and held on the McLeod County Fairgrounds, we showcase classic farm machinery from garden tractors to the D21 and more. Relive the sights and sounds of this fantastic event, including the dyno test and interviews with owners and attendees. A must-have for any A-C collectors library. 75 minutes

    The DVD is $28.00 plus $5.00 shipping.

    Please make out your check to the Upper Midwest AC Club with the correct amount. Send your check to Darrell Grams, 34420 State Hwy 25, Green Isle MN 55338.

    Please allow a seven (7) to ten (10) days for delivery, they will be shipped in an approve USPS mailer.

    * Vincent Tims will be demonstrating the adjustment of the front axle of a D series tractor during the 2017 Orange Spectacular

    It’s been cold, then warm, then cold out, and it’s to get warmer this coming week, but look at it as the Orange Spectacular will be here before you know it. the days are getting longer. summer is coming.

    Sept. 11 – I got this emailed to me. I have an Allis Chalmers Model 66 All-Crop Harvester. We have used it the last 6 years or so to harvest our small grain crops of a few acres. This machine works and runs well. We are moving out of the country and cannot take this with us. I need to sell this machine and it would be a travesty if some scrap iron guy purchased this as scrap. I am hoping that I can find a good home for this. I would consider any reasonable offer.

    If you are able to spread the word to find a good buyer and home, it would be greatly appreciated. Anyone interested can email or call me at home (leave message). I am located near Glenwood MN.

    Richard Olsen 320/634-4750

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    2017 Biggest Colleges in the United States #largest #college #in #the #usa


    Biggest Colleges in the U.S.

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    Studying at a large university comes with many pros and cons. Consider the following if you re still trying to decide whether attending a big college is the right path for you

    • Class Size: It goes without saying that larger universities have more students than smaller colleges. This presents the opportunity for students to network with more people who come from diverse backgrounds and cultures. However, it also requires students to be accustomed to attending lectures with hundreds of students in a classroom. Because lectures are so big and generally do not allow for students to ask questions and engage, many big institutions also have discussion sessions to go with lectures where classes are essentially broken down into smaller groups to encourage student participation.
    • Faculty: Teachers and staff are often experts in their fields at big universities. However, with class sizes being overwhelmingly big, it may be a challenge for students to have a more one-on-one learning experience with their professors unless they set aside time outside of class to ask questions.
    • Extracurricular Activities: Big colleges offer a vast variety of activities to choose from, whether it be sports, Greek life, academic societies, etc. With a larger student body involved in each activity, it can be more difficult to break into each activity than at a smaller college.
    • Courses: If you re looking to explore your options and dabble in multiple academic programs, a large university may be right for you. Big colleges offer more curriculum than you could imagine, and you ll definitely have the opportunity to try out a variety of majors, minors, and concentrations. This expansive learning environment allows students to really explore their interests and abilities before determining which field(s) is best for them.
    • Social Life: For those who socialize best in big groups or crowds and enjoy meeting new people all the time, attending a large university will allow just that. There are also more academic groups to join to connect with other students studying the same things or sharing the same interests.

    Tips for Succeeding at the Biggest Colleges

    With very little hand-holding from professors and faculty, it can be really easy to get lost in a swarm of students at the biggest colleges, so it s important to plan ahead for your success if you plan to study at one. Here are some pointers to get you started:

    • Don t procrastinate.
      • While it might be the natural state of most college students, procrastination often causes unnecessary stress, especially if things don t go as planned at the very last minute. Getting started on assignments early gives students the time to ask peers or their professors questions before turning it in if needed, for example. Finishing an assignment early allows for reviewing and fine-tuning if desired, and the ease of mind that it s done!
    • Eat well, and be well.
      • It s easy to get caught up and stressed over piles of reading and other assignments. We get it. However, without good health, there will be no good grades! Believe it or not, your overall well-being directly affects how you perform as a student, whether it be in the classroom, library, or your own room. Ditch the instant noodles and soda, and try a quinoa bowl, some fruits, and green juice instead.
      • In addition to eating well, being well is crucial, too. This means setting aside at least 30 minutes a day for physical activity, whether it be going out for a walk, lifting weights at the gym, or doing yoga in your living room. Working out helps to relax muscles that may tense up during study sessions, too.
    • Network.
      • You may have heard the saying, It s not always about what you know, but rather, who you know. A big perk of studying at a large university is the vast number of individuals in the same boat attending the same college, studying the same field, interested in similar things, etc. With this advantage, it is important for students to put in time and effort into networking with other students. The benefits of networking will not only bring you a long way during your college years, but in the years to come, for potentially the rest of your life and career, too!
    • Ask questions.
      • Don t be afraid to ask questions early on if you re not understanding a concept, or are curious about how something works that isn t explained in the textbook or lectures. If you never ask, you ll never know! Larger universities offer a multitude of learning resources, and it is ultimately up to the student to take full advantage of it.
    • Participate in class whenever possible.
      • Participation not only gets teachers to know and remember you, it s also a great way to get feedback on what you know and where you can improve. It is essentially a form of active learning, and can take the form of engaging on a topic of discussion in a study group, or answering a question that a professor asks in class, for example.