Saturday, March 6, 2010

Communication as comfort: multiple ... - Google Books

Insight into a new model of health care communication.

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Ira Byock | Dartmouth-Hitchcock Medical Center | Big Think

In the face of a terminal illness; Spiritual strength or weakness?

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Annie’s Angels go all out again for Hospice of South Shore - Quincy, MA - The Patriot Ledger

Annie  DesRoche spent just two days  under hospice care before she  died and that was more than 11  years ago. But the kindness and  help she and her family received  made a lasting impression. For  the last 10 years, as many as 50   family members and friends  have participated in the annual  fundraising walk for Hospice of  the South Shore ever since.
   On Saturday, Mar. 13, they  will be out there again – this  time, as honorary chair team.

"Hospice is not only for the dying, it is also for the people who are being left behind," her daughter, Laura Anderson said Saturday. "Hospice makes that process a little easier to deal with and they make you feel as if you are not alone.

"If not for hospice, Mom would have been in some hospital surrounded by tubes, machines and strangers. Hospice of the South Shore gave my Mom and her family a true gift, the gift of a peaceful and comforting good-bye.. I will be forever grateful because they were truly angels in our lives at a most difficult time."

   DesRoche was diagnosed  with terminal cancer in April,  1998. She was told she had four  to six weeks to live and partly  because of the shock, she didn’t  want to talk about it too much.
Her daughter, Laura Ander son of Quincy, waited a day and  then approached her mother to  ask about her final wishes.
   “I just want to stay here at  home, no matter what,”  DesRoche said.
   Anderson called Hospice of  the South Shore and a nurse  stopped by four days after the  diagnosis. DesRoche was com fortable with the nurse and be cause she seemed to be doing  well, they talked about many  things together.
But the next day, DesRoche  became ill and when the hospice  nurse came back, she realized  DesRoche was probably near  the end. The nurse helped ev eryone to prepare themselves.   DesRoche died the next day,  with family and friends at her  bedside, at home, as she  wished.
    The hospice nurse stayed to  make sure the family had all the  time they needed with  DesRoche, contacted the funer al home to help the family make  arrangements and kept in touch  with the family for months af terwards to comfort them in  their grieving.
   Anderson was very grateful  for all the caring, most especial ly that her mother had been able  to say her final farewells the  way she wanted.
   The family wanted to give  back in  return, and when the  Hospice of the South Shore an nual fundraiser came up a year  later, they formed a team, called  Annie’s Angels, to raise mon ey.
   The team members include .  Annie’s family, friends and  neighbors. In 10 years, they  have raised thousands of dollars   for the walk.
    Annie’s Angels now number  about 50 people and this year,  they are the Honorary Chair  Team for the Walk.
   It takes place from 7 to 10  a.m. SaturdayMarch 13  at South Shore  Plaza.
   Anderson said her mother’s   spirit will be with them in many  ways. DesRoche loved to go to  the mall to walk and shop.

   To register to walk online,  visit  events.southshorehospital.org  For more information or for  walk papers, call Haley Gilroy  at 781-624-4061 or e-mail: haley_gilroy@sshosp.org.
   Sue Scheible may be reached  at sscheible@ledger.com.

 

Annie's Angels - Join the walk

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Hospice Patient Lives his Dream

From second wind dreams 02-28-2010

Gene Fox at the Cowboy Church in Hayesville, NC on February 28th, 2010

 

Dreams, Trains, Music and Cures

Hayesville, NC - On February 28th Hiawassee resident, Gene Fox, was surrounded by friends and family from all over North Georgia in a little church in Hayesville, NC known as the Cowboy Church.  Gene is the recipient of a Second Wind Dream sponsored by Regency Hospice. 

“Every month I interview one of our patients and find out if they have any unresolved wishes or dreams,” says Linda Tatum, social worker with Regency Hospice.  “I compile the interviews and our Second Wind Dreams board determines how we can make the dream come true.”

Gene’s dream as a boy was to be a train conductor and now in physical decline he expresses only a wish to be a part of 2 things; a cure for cancer and to hear good gospel music.

Gene’s dream of being a conductor was fulfilled as Suzanne Repp, bereavement coordinator with Regency Hospice placed a new conductor’s hat, courtesy of Blue Ridge Scenic Railway out of Blue Ridge, GA  on Gene’s head and announced the offer from the BSR to let him ride free of charge on the train when trips begin in mid-March.  Another gift was a book of train lore and songs.  The audience stood and saluted the smiling conductor.

The church band played a medley of I’ll Fly Away and I Saw the Light to an upbeat tempo that had the whole church tapping toes and clapping hands and finally exploding into a full stance of  celebration of the life of the guest of honor. Gene was smiling and nodding to his wife, Shirley, displaying his contentment with the magical moment

Lori Burks represented the American Cancer Society in accepting a donation made by the Second Wind Dreams Board in Gene’s honor as his contribution to researching a cure for cancer.

To cheers and tears of onlookers a man who currently endures physical weakness, showed the crowd his spiritual strength as he took his place on stage to once again play the guitar with his church band family.

The music flowed from the guitar Gene played as the crowd marveled at his talent.  While waiting for him to come down from the stage, Gene was heard to say, “I think I have one more in me”.  And the band played on.

Julia Vereb, Executive Director at Regency brought the Second Wind Dreams program to Regency Hospice in 2009.  The mission of the program is to grant a dream to those living in eldercare communities or in hospice care. Currently, Regency is the only hospice in Northeast Georgia participating in the SWD program. 

Posted via web from Hospice Volunteer Training Online

Volunteer receives more than she gives

Posted By

Posted 5 hours ago

WHO:Sherry Cicchini

WHERE:Twice a week, Sherry spends her time in the St. Joseph's Hospice of Sarnia Lambton kitchen, baking and cooking for the residents of the hospice and for the caregiver and bereavement support group luncheons She prepares breakfast, lunch and dinner meals and bakes fresh treats for families, clients and residents.

http://www.olayforyou.ca/" target="_blank">
WHAT:St. Joseph's Hospice is a 10-bed residential hospice which provides support for persons who are terminally ill and at the end of their life, as well as support for their loved ones. This support begins at the time of diagnosis and continues throughout their illness. The hospice also offers caregiver support groups, grief and bereavement support groups and children's' support groups, as well as many complimentary services for ill clients and caregivers.

Volunteers offer support in a number of different capacities. They assist with office administration in the residence and the resource centre, assist the nursing and personal support staff with the personal care of the residents and, like Sherry, provide meals on a regular basis. Housekeeping is also needed throughout both the residence and resource centre. Other areas are currently being developed where volunteers can provide additional support, such as being a friendly visitor or by providing assistance in the grief and bereavement support programs.

WHY:Sherry began her experience as a hospice client, attending a grief and bereave-m ent support group after losing her mother and father. She valued the support she received and wanted to return the favour. Tapping into her love of the kitchen and her drive to help others, she was one of the first kitchen volunteers. She values her time there and firmly believes she receives more from her efforts than she gives.

GET INVOLVED:In order to maintain and support the hospice, this non-profit organization needs over 400 volunteers to assist in all areas. Much like a personal home, there are many facets to maintaining the residential home as well as the resource centre. Although there are currently over 300 hospice volunteers, both needs and demands are growing on a daily basis. With spring just around the corner, gardening enthusiasts and volunteers to assist in fundraising efforts and general building maintenance and upkeep will be required.

If you would like to volunteer at the hospice in any capacity, contact Volunteer Coordinator Bernadette Burrowes by calling 519-337-0537 or by e-mailing bburrowes@stjosephshospice.ca.

St. Joseph's Hospice is located at 475 N. Christina St. in Sarnia.

Posted via email from Hospice Volunteer Training Online

My First Blog Post

Dear Robin,

Just wanted to let you know how much the on-line training for Hospice Volunteers has meant to our Organization.  Our Volunteers have been able to take their training at home when they have time available.

I was also so please with the way you customize the site with our Organization’s logo.  Our Volunteers say the site is very informative.

Thank you so much for offering this site for volunteer training.  It has been so helpful to us and our volunteers.  

 

Brenda G. Meeks

Volunteer Coordinator

Eternal Hope Hospice

240 O’Dell Rd., Suite C

Griffin, GA 30224

 

Posted via email from Hospice Volunteer Training Online

HOSPICE VOLUNTEER TRAINING COURSE CONTENTS


Course Contents:

•Hospice History and Philosophy
•Ethics and Confidentiality
•Interdisciplinary Roles
•Communication
•Hospice Eligibility
•Grief and Bereavement
•Infection Control and Safety
•Advanced Directives
•Caregiving
•Death and Dying
•Beyond the Basics

This course is not intended to be all inclusive for patient care volunteers; it provides the core concepts of hospice that are initially reviewed in the first day of orientation for new hospice volunteers. Agencies should be aware that agency specific policies should be addressed along with the criminal background check and application.

Training / course contents for hospice volunteer training online. Agencies may now submit their service agreement online at http://volunteertrainingonline.com/hospices

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Hearts of Hospice Patients Being Needlessly Shocked: MedlinePlus

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Hearts of Hospice Patients Being Needlessly Shocked

Researchers say defibrillators can be turned off on admission
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HealthDay

Thursday, March 4, 2010

HealthDay news imageTHURSDAY, March 4 (HealthDay News) -- Hospices that care for people who are dying often forget to turn off their implanted defibrillators, causing unnecessary discomfort, new research has found.

Only 20 percent of more than 400 hospices that responded to a survey indicated that they had a question on their admitting form that would identify people with defibrillators, and just 10 percent said it was their policy to discuss deactivating the devices, according to a report by physicians at the Mount Sinai School of Medicine in New York City, published March 2 in the Annals of Internal Medicine. The survey found that 97 percent of the hospices, though, had admitted people with implanted defibrillators.

A defibrillator delivers a shock to restore a normal heartbeat in people with rhythm abnormalities. "The purpose is to save a patient's life," said study author Dr. Nathan Goldstein, an assistant professor of geriatrics and palliative medicine at Mount Sinai. "There is a little burden, but mostly benefit. But there is no sense getting a shock when it is not going to fix their underlying condition."

Some hospice patients have compared the shock given by a defibrillator to being kicked or punched in the chest, Goldstein said.

He cited the case of a man who was dying of cancer and was shocked repeatedly by an implanted defibrillator. "That is very painful for the patient and upsetting for the patient and the family," Goldstein said.

A policy statement issued by the National Hospice and Palliative Care Organization said that all people with implanted defibrillators should be identified on admission to a hospice and that the option of deactivation "should be thoroughly explored with patients and their designated caregivers as soon as possible after admission."

The discussion should include an explanation that deactivation "does not constitute euthanasia nor physician-assisted suicide nor is it likely to hasten death," the statement said. If the device also acts as a pacemaker, that function can be maintained, it said.

"We put out this statement in 2008 because we knew that it was becoming an increasingly important issue in dealing with patients at the end of life," said Jon Radulovic, vice president for communications at the National Hospice and Palliative Care Organization. "We recognize that many hospices have a way to go to put a policy in place. The research out of Mount Sinai reminds us of how important this issue is. We now know that a lot of work needs to be done out there in the provider community in meeting the recommendation."

A conversation about turning off a defibrillator because the end of life is near is not easy to begin, Goldstein said, and many hospices "do not have a systematic way of having a conversation about the possibility of turning off defibrillators."

Family members who observe hospice patients being shocked report feelings of fear, worry and helplessness and have been shown to have increased rates of anxiety and depression, he said.

Goldstein's team has developed a model policy for managing implanted defibrillators in hospice settings. It includes an informed-consent discussion with the family and information on handling the device in an emergency.

"What is remarkable about Dr. Goldsteins study is what it uncovered," said Dr. Paul S. Mueller, director of the program in professionalism at the Mayo Clinic, who has done research on defibrillators in the end-of-life setting. "Here you have patients who have been admitted to the hospice program because they have terminal illnesses or will not live six months."

"The defibrillator is a life-preserving device. Is that kind of treatment consistent with a hospice program oriented toward end-of-life care? It would seem to be inconsistent with the goal of hospices," he added.

But one relatively bright point is that hospices that ask about defibrillators on admission are more likely to take steps to deactivate the devices, Mueller said.


SOURCES: Nathan Goldstein, M.D., assistant professor, geriatrics and palliative medicine, Mount Sinai School of Medicine, New York City; Jon Radulovic, vice president, communications, National Hospice and Palliative Care Organization, Alexandria, Va.; Paul S. Mueller, M.D., associate professor, medicine, and director, program in professionalism, Mayo Clinic, Rochester, Minn.; March 2, 2010, Annals of Internal Medicine

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AAHPM Assembly 3/5/2010 « Hospice Physician's Blog

AAHPM Assembly 3/5/2010

March 5, 2010 by hospicephysician

Today is officially day 2 of the conference (this is day 3 for me as I participated in some of the preconference workshops). I appreciated another great day today. In addition to the great speakers and networking with new people, I was able to catch up with old friends and colleagues. For this reason I am sad I was unable to attend the Pallimed/Geri-pal meet and greet. Maybe next year! Listed below are several take home messages I learned today.

1. “Caring for the Patient with ALS: It Takes a Village.” I have taken care of ALS patients and even though I haven’t been practicing long, I’ve probably seen more ALS patients in hospice than most primary care physicians in practice. This is most likely due to the prolonged relationships that patients develop with their primary team of Neurologists and other providers much like cancer patients become very attached and involved with their oncologist and their staff. There was a nice overview of ALS and how a certain hospice program has made ALS a focal point in their care. As they have learned more about ALS, educated their staff and worked within the VA system they have seen their referrals increase. They encouraged hospices to be more involved and if possible work in partnership with the VA system to take care of this unique population. They pointed us to a great website for resources and further information. The ALS Association; http://www.alsa.org.

2. Gail Sheehy, Guest Speaker and author of “Passages in Caregiving: Turning Choas into Confidence.” She talked about her journey with her husband as he battled cancer, over a prolonged period of time, prior to his death. Her story was touching as she told it and explained the role of palliative care in the impact of care not only for her husband but also for herself. She also agreed that many people don’t know what palliative care is, and think that palliative care = hospice (I cringe every time a physician talks about palliative care in regards to End-of-Life Care).

3. Paper Session.
a. There is an increased need for Outpatient Spiritual Care as this paper shows that patients receiving Outpatient Palliative Care want Spiritual Care to be part of their medical care.
b. The significant majority of Outpatient Palliative Care programs are associated with an Inpatient Palliative Care programs. What surprised me is that most Palliative Care programs are associated with smaller hospitals and most are tied to Non-for-Profit Hospitals.

4. “Physician Compensation Models.” Very unique discussion. Still many unanswered questions about how to fairly reimburse physicians in hospice and palliative care. It mostly breaks down into two models, Salaried versus Incentive based. What was unexpected to see, and caught me by surprise, was the number of physicians being salaried by their respective hospices. Also, many more hospices are beginning to employ physicians Full-Time versus part time or as independent contractors. Both types of reimbursements have advantages and disadvantages; however, an argument could be made that a hybrid model may be able to make both parties happy and minimize the disadvantages. This model would include a lower based salary with benefits but a percentage of the physicians compensation would be incentive based. By this, they would be reimbursed a portion of their income based on the number of patients seen per week or month or however it is worked out. There will be much information to follow in the future months and years as more physicians converse about this topic.

Posted in Uncategorized | No Comments Yet

Perhaps the compensation model would be more efficient with clearly defined expectations. Incentives lend themselves to "doing" to get paid not because of need. However, this is the real world and incentives enhance the productivity of the staff. I suppose the work lies in developing appropriate incentives.

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Spirituality in Palliative Care and Other Topics « Hospice Physician's Blog

Spirituality in Palliative Care and Other Topics

March 4, 2010 by hospicephysician

Today at the AAHPM Assembly I attended four educational sessions. The one that made the biggest impact on me was the presentation entitled “None of Your Darn Business! Taking a Spritual History While Preserving Your Professional Boundaries, Your Rapport, and Your Pride,” by Tim Ford, MA MS CT at VCU Massey Cancer Center, Richmond, VA. Before I talk a little bit more about this, I also wanted to list the other educational sessions and what I took from them.

1. “Is it Futile to Discuss Futility? A review of the Medical Literature and Legal Precedent.” Futility is a difficult word to define and means many things to different clinicians. Many advocate because it is so politically charged that we get rid of it. One physician suggested that Futility is the other “F” word. Basically, there is much evidence from previous cases and court rulings that physicians are hardly ever successfully sued for a wrongful death when non-beneficial life sustaining treatments are withdrawn. I contended that many physicians do not want to withdraw care when a family “wants everything done,” due to the fear of litigation. Many physicians would rather practice against their better judgement and subject patients to things they disagree with because this is “what the family wants,” and they do not want to anger the family or make them feel that they are not appropriately taking care of the patient. It’s much easier to continue to “do” things to the patient than to discuss this with the family in an open and honest way. Nadia Tremonti, MD, Wayne State University and Children’s Hospital of Michigan made a good point about this. She stated that as physicians we have a certain obligation to the patient and the profession despite the fear of litigation. We understand as physicians that we have a certain responsibility to the patient and by choosing the easy way out we compromise ourselves and the integrity of medicine. Overall, a great presentation and much discussion afterward.

2. Paper Sessions. I attended the paper sessions covering the Palliative Care in the ICU. The take home message from all three papers is that Palliative Care can be beneficial to patients in the ICU setting. Some crossover points in all three papers are the following. Palliative Care in the ICU:
a. Showed a decreased length of stay in the ICU
b. Increased DNR’s
c. Decreased utilization of more “aggressive” measures
d. Improved relationships between the ICU staff and the Palliative Care team
e. Increased support for the ICU staff by the Palliative Care team
f. Improved physician understanding of the role of Palliative Care in the ICU and increased utilization
g. Increased cost avoidance for the hospital showing that Palliative Care programs are beneficial, self sustaining and enforce the “Mission” of most hospitals
h. Improved patient and family satisfaction scores
i. Other…(mostly stuff I forgot)

3. “Hospice and Nonhospice Models of Palliative Care Delivery.” The bit of information that stood out to me in this session, is that some SNF’s (Skilled Nursing Facilities) are beginning to implement a “Home Grown,” palliative care service on site. Advantages and disadvantages were discussed for this type of model and I had never really thought of this as an option. I heard of the other two models in which outside Palliative Care consultants are called in to do consults or a local hospice providing non-hospice palliative care to nursing home patients, but I was not aware of the “Home Grown” model. Lots of good discussion and it will be very interesting to see how this unfolds in the coming years.

4. Last but not least, “None of Your Darn Business! Taking a Spritual History While Preserving Your Professional Boundaries, Your Rapport, and Your Pride.” This session impacted me the most because as a fellowship trained Palliative Care Physician I had always advocated for spiritual care as an important piece of patient care, but never truly appreciated the spiritual care component until this presentation. I felt like my eyes were opened and I had a deeper understanding of spirituality in palliative care. How can one presentation make such an impact. Well, he presented several points that I had not considered and he also introduced the “Transdisciplinary” (TD) approach to palliative care rather than the more traditional “Interdisciplinary” (ID) approach. In the traditional ID approach each member of the team evaluates the patient within their “nich” of practice and shares that information with the team. By contrast, the TD approach has each member providing care in all 4 domains (physical, psychological, social and spiritual) as a “generalist” but provides “specialist” care in their area of expertise. For example, in the process of doing a full consultation with a patient, I may sit down and listen to their story (presence, connection) and learn what provides “meaning” in their life while obtaining the history of the patient. In fact Tim Ford advocates that much of the spiritual history can be taken from the patient just by listening to their story and in the process of doing the consultation without having go through a checklist. In this way I am a “generalist,” for the “specialist” (chaplain) to follow up after this information is shared with the chaplain. In the same manner he stated that he would not ignore soiled linens if he went to see a patient or ignore their excruciating pain. In fact he stated that he may not be able to address their spiritual pain if the physical pain is not adequately addressed. I have often seen this on my hospice team. I will get an occasional phone call from the chaplain stating a patient he was visiting was having increased pain. He has been trained in basic pain management to a level that he can relay pertinent information that I will use for appropriate follow up care. In this manner he is being the “generalist” and I followup as the “specialist.” I feel that this model engenders the true definition of holistic medicine. And lastly he reinforced the power of “presence.” The power of “just being” present can make a significant impact on a patient or family. I am thankful I attended this session and will take a new found interest and zeal back to my practice in regards to spiritual care.

Posted in Hospice and Palliative Care, ICU, Malpractice, Skille Nursing Facility, Spirituality | 2 Comments

2 Responses

  1. Thank you for explaining and disseminating the role of Futility in medical practice.

    Also for the way you find meaning in your people’s lives.


  2. Thank you for the excellent read!



Review of AAHPM Assembly - Excellent, Excellent, Excellent!

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Johnny Cash: The Hospice Sessions

The writer's awareness of death in the room, the spirit that conquers without thunder, and insight into existentialism is almost hidden but like a treasure is spotted when you understand hospice care. A really good read.

Posted via web from volunteertraining's posterous

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Google News Alert for: hospice

Skilled Healthcare Announces Resignation of Kelly Gill as Executive Vice President
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Mr. Hendrickson continued, "At the same time, we are fortunate to have strong leadership within the operations at both Hallmark and Hospice Care of the West ...
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Raleigh man donates $1 million to Hospice of Wake County
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Raleigh, NC — A Raleigh man gave $1 million Thursday to help the Hospice of Wake County build a 20-bed home on Trinity Road. The gift from Reid S. Towler ...
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Administrator / Executive Director - Hospice Services
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Silverado Hospice, a leading provider of end-of-life care, is presently seeking an experienced and passionate Executive Director to lead our Hospice program ...
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Cedar Valley Hospice takes part in music therapy week
Cedar Valley Daily Times
The history of music therapy at Cedar Valley Hospice dates back to 2004 when a contracted music therapist was in the Hospice Home weekly. ...
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CFCC Citrus to host hospice teleconference
Citrus Daily
Central Florida Community College's Citrus Campus will be host to Hospice Foundation of America's 17th Annual "Living with Grief" teleconference on ...
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Covenant Hospice and National Association of Social Workers celebrate National ...
Santa Rosa Press Gazette
Covenant Hospice, along with the National Association of Social Workers (NASW) proudly celebrates National Social Work Month 2010. ...
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Hospice offers bereavement support group
Idaho Mountain Express and Guide
By :EXPRESS STAFF Each spring and fall, Hospice and Palliative Care of the Wood River Valley conducts bereavement support groups. ...
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59 died under Oregon's Death with Dignity Act in '09
KDRV
Meanwhile, Providence Medford Medical Center is one of a handful of places that offers hospice care in the Rogue Valley. Even though they are a Catholic ...
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Marathon raises money for good cause
WALB-TV
The Willson Hospice House of Albany. The home is under construction and almost complete. It will have 18 beds to allow those with terminal illnesses to end ...
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Hospice of West Alabama to host walk/run Saturday
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TUSCALOOSA | Hospice of West Alabama will host its first Family 5K Walk/Run at 8 am Saturday. Registration begins at 7 am at the McAbee Activity Center, ...
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What hospice are you using, and share your story with me - ALS/MND ...
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My mother is in the ending stages of ALS . We just started hospice today. It was horrible, my mom was so emotional, she said she just wanted to die. I.
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AAHPM Assembly 3/5/2010 « Hospice Physician's Blog
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I have taken care of ALS patients and even though I haven't been practicing long, I've probably seen more ALS patients in hospice than most primary care physicians in practice. This is most likely due to the prolonged relationships that ...
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Hearts of Hospice Patients Being Needlessly Shocked: MedlinePlus
Some hospice patients have compared the shock given by a defibrillator to being kicked ... Family members who observe hospice patients being shocked report ...
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Raleigh man donates $1 million to Hospice of Wake County :: WRAL.com

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Raleigh man donates $1 million to Hospice of Wake County

Posted: 1:15 p.m. yesterday

Raleigh, N.C. — A Raleigh man gave $1 million Thursday to help the Hospice of Wake County build a 20-bed home on Trinity Road.

The gift from Reid S. Towler was the largest in the organization's history, said Mike Blanchard, the hospice's vice president of development.

“It seems like every time I read obituaries in the newspaper, there is always someone I know who has passed away, and they praise the services of hospice," Towler said in a statement. "I see how Hospice of Wake County takes care of people, and I wanted to help in any way I could.”

Blanchard said that the new hospice home will be named the Reid S. Towler Campus. The $14.5 million campus will also house an administrative center, the Horizons Grief Center and a 50-seat sanctuary.

A former student of Broughton High School, Towler served in the Navy in the Pacific during World War II, graduated from the University of North Carolina at Chapel Hill and had a career with an insurance company, New England Mutual of Boston.

Copyright 2010 by Capitol Broadcasting Company. All rights reserved. This material may not be published, broadcast, rewritten or redistributed.


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$1 million donated to hospice - how many lives will be comforted? More than he will every know.

Posted via web from volunteertraining's posterous

Hospice Volunteer Training

After several speaking engagements this week, I realized that the smiles on the faces in the audience were reflecting a comfort with hospice that I could help nourish....or they were making fun of me. Either way this was a great week for getting the word out about comfort care. I found the humor in the video to be a great inspiration and somehow reminded me of Truvy in Steel Magnolias discussing laughter through tears.

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Hospice Volunteer Training - Can online course benefit agencies?

Over the past year, the agencies who have signed up for training on their own personalized site have expressed their amazement at the cost effectiveness of the training.  The most important benefit has been seeing volunteers train at their own convenience and discovering if volunteering is right for them.  The initial training of most every volunteer training course done within an agency consists of the basic information required by the Medicare Conditions of Participation.  This course outlines and defines those basic guidelines.  The agency is then free to work individually on the gfts the volunteer offers. 

Is this an administrative volunteer?  The course supplies more than most admin volunteers will ever learn on the job.  It may be the influencer for patient care volunteerism.

How about youth groups and faith groups?  Use the tool to educate the community and entice youth groups to provide the tasks that will help the agency meet the 5% requirement for patient time.

Once you consider paying hosting fees for your own site, paying a designer to develop the course, pay someone to monitor the technical issues you have paid for your course site.  Add in the costs of losing a volunteer because the training times weren't convenient, or the cost of gathering the volunteers (and usually feeding them) and the salary and time of staff educators and you know that you have just saved your agency money by using the online tool.

The cost is $10 per volunteer per year.  In return, the agency receives

   * A free personalized training site which includes company logo, link to agency home page, and volunteer contact information.   

   * 11 Module Course - Meets Medicare Conditions of Participation

    * Editing - Use default questions, or let us customize with your true/false, multiple choice, or essay questions

    * Add additional training courses - No set up fee

    * Certificate of Completion for volunteer trainee and ability for hospice volunteer coordinator to view and print

    * Hospice Agency Control - Monitor training progress and approve, add or delete users

    * Free personalized forum and blog

    * Free calendar of events
    * Free technical support
I don't know of any other way to personally affect the use of hospice and the understanding of comfort care.  It is my legacy to leave the world better educated about how to care for those with a life limiting illness.  Be cautious and wary if you like.  Then call me and discuss how this training can benefit your agency.  You will find that hospice is my heart and my hope is to expand the boundaries of understanding of hospice care.
Contact info may be found at http://volunteertrainingonline.com/hospices

Posted via web from volunteertraining's posterous