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HOSPICE

   

  

    When patients are facing a terminal illness, they want to live their remaining days as comfortably as possible in their own homes.  The Visiting Nurse Association Hospice philosophy allows the terminally ill person to achieve this goal, while still under professional medical supervision.

Hospice Philosophy... 

  • Hospice addresses the physical, psychological, social and spiritual aspects of care for the patient and family during the individual's terminal phase of illness and after death.
  • The goal of Hospice is not to extend life, but to sustain, nurture and enhance the quality of life.
  • Hospice recognizes the unit of service as the patient and family. The family is involved in both the care and the decision making process.
  • Hospice offers palliative treatments, using the most current methods of pain and symptom control.
  • Hospice care is provided 24 hours a day, seven days a week.

 

Hospice Serves the Following Counties:

Cumberland, Dauphin, Juniata, Lebanon, Northumberland,

Perry, Schuylkill, and York

Hospice Provides... team of dedicated, caring individuals who assist the patient and caregivers with these services:

  • Medical Equipment

v      Items necessary to assure patient safety and comfort in the home. Includes hospital beds, tables, bedside commodes, etc

 

  • Pharmacy Services

v      Provided through Hospice Pharmacea

v      Our nurses have 24 hour immediate access to pharmacists specifically trained in palliative care

v      The Hospice pharmacy can provide Emergency medical kit of medications to allow Hospice nurses to manage some uncontrolled symptoms.

v      Provides for Prescription drugs utilized for pain management and symptom control of the terminally ill patient  

v      Intravenous Therapy in the Home

 

  • Nursing Care and Therapy  Consultations

v       Provides Skilled Nursing Care and is available 24 hours a day

v       Nursing care provided during episodes of medical crisis in the home

v       Therapy Services----Offers physical, occupation and speech therapy to help with comfort and   safety issues for the patient and their caregivers.

v      Dietary Consultation----Provided by a registered dietitian. Assists patient/caregiver with the nutritional needs of the terminally ill patient.

 

  • Respite Care

v      Available services to provide short term relief for the patient and their caregivers.

v      Short-term respite care in an extended care facility

 

  • Certified Home Health Aides--- provide compassionate care in:

v      Assisting with personal care

v      Homemaking chores

v      Meal preparation

v      Providing respite care

 

  • Medical Social Worker Services for Counseling and Planning

v      Assess and provide for the emotional and social needs of the patient and their caregivers.

v      Provides individualized and group support to caregivers with their specific needs and issues.

v      Provide assistance with utilizing appropriate community services and resources.

v      Assess need for long range planning and decision making.

v      Offer financial resource information.

v      Identify eligibility for services and benefits.

v       Assist with ongoing bereavement issues, and helping the grieving loved ones get back on their feet. 

 

  • Bereavement Services and Support Groups which include:

v      Caregiver’s Support Group – a support group for caregivers/family in dealing with issues involving a loved one’s imminent death.

v      Individual and group counseling after the loss of a loved one for up to 13 months or as issues arise after that.

v      Supportive Phone Contacts

v      Quarterly Programs for support and practical advice for getting back on your feet.

v      Program geared to children and teens that have lost a loved one.

v      Community Educational Program and Workshops—Provides speakers for community organizations who wish information on hospice and the bereavement process.

v      Training for Health and Human Services Providers and Clergy

v      Written Information on Bereavement.

v      Books, Videos, and Publications—offering a wide variety of materials to borrow from our lending library. 

 

  • Spiritual Counselor --- We offer the services of a minister if and when a patient wishes to discuss their spiritual concerns.

v      Offers Spiritual Direction and Guidance

v      Trained to Utilize Inter-Faith Model for Spiritual Support.

v      Our spiritual counselors offer in-home religious services at the family’s request.

v      Communion services available.

v      Can Provide Liturgies for the Sick and Dying.

v      Officiate at Funerals and Graveside Services if Patient/Family requests it.

v      Provide liaison services with other clergy within the community, as requested by the patient or their families. 

 

  • Trained and Compassionate Volunteers ---VNA Hospice Volunteers can assist the patient/caregivers by:

v      Providing companionship

v      Assisting with household chores, and meals

v      Shopping for groceries, etc.

v      Providing transportation to appointments, church, social gatherings

v      Providing respite for caregivers

v      Assisting with support groups, and counseling

 

  • Accreditation

v      PA Department of Health

v      Joint Commission Accreditation of healthcare Organizations(JCAHO)

v      Medicare and Medicaid Approved Providers

v      National Association of Home Care

 

 Frequently Asked Questions

  How do I know if it is time for Hospice?

  • Is the patient terminally ill with a life expectancy of six months or less?
  • Is the patient no longer receiving aggressive treatment or responding to current therapy?
  • Have the patient or their family considered Hospice Care?

 

  Primary Diagnoses that should be considered for Hospice Care include:

  • Cancer
  • Alzheimer’s Disease/End Stage Dementia or Senescence
  • ALS/Parkinson’s Disease
  • Neuromuscular Disease such as Multiple Sclerosis, Muscular Dystrophy
  • End Stages of Cardiovascular, liver, lung or renal diseases
  • End Stage Diabetes
  • End Stages AIDS
  • Stroke/Coma
  • Failure to thrive

  What is Hospice Care?

  Under Medicare, hospice is primarily a program of care provided in a person’s home by a Medicare approved   Hospice. Reasonable and necessary medical and support services for the management of pain and illness related symptoms are provided under a Plan of Care established by the patient’s attending physician and the Hospice Team.

  What does the Hospice Team do for the patient?

While the hospice patient’s personal physician remains in charge of the case, our hospice program provides additional care with people specifically trained in our Hospice Philosophy of Care.

How quickly can Hospice Care start?

There will be an Intake Referral called to the Hospice. Once that is done, members of the Hospice Team will come to talk to patient and their families to discuss Hospice and the services provided. The Hospice team must discuss the patient’s needs, and meet our criteria for admission, and makes every attempt to start care as soon as possible.

  What Does Medicare Provide?

  • Physician ‘s services
  • Nursing care (intermittent or 24 hour care
  • Medical supplies
  • Medications for pain and symptom relief.
  • Short term in-patient and respite care
  • Home Health Aide and Homemaker services
  • Physical, Occupational and Speech therapies
  • Counseling
  • Social Worker Services
  • Spiritual care available
  • Volunteer participation
  • Social Worker Services
  • Spiritual care available
  • Volunteer participation

What is not covered by hospice?  

       Any curative treatments and medications ordered by your physician

 

  Who can you call if you questions or complaints?

          We have Nurses are on call 24 hours a day. Our hospice also has patient/caregiver support counselors,

          a medical social worker, and minister on staff to assist you with any concerns you might have.

 

What do we do now?

        With your physician’s referral, we can bring hospice care to you and your family.

 

For more information about our Hospice Services,

You can call us at 1-800-995-8207

 Our phone number locally is 1-717-233-1035

Or


Please feel free to contact us

 


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