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Team Support

Hospice Life-Limiting-Illness Care

Hospice care is a team effort. Caregivers work with trained health care professionals who will assist with the care of the patient as they guide the patient and his or her loved ones through the hospice care.

Care One Hospice Interdisciplinary Team

The interdisciplinary team coordinates and supervises all care 7 days a week, 24 hours a day. This team is responsible for making sure that all involved services share information. This may include the inpatient facility, the home care agency, the doctor, and other community professionals, such as pharmacists, clergy, and funeral directors. Patients and their caregivers are encouraged to contact hospice team if they are having a problem, any time of the day or night. There is always someone on call to help you with whatever may arise. Hospice care assures patients and their family that they are not alone and help can be reached at any time.

We create individualized plan of care for each patient and family. The plan is designed and managed by a multidisciplinary health care team, which consists of a physician, a registered nurse, home care aides, social workers, counselors, and volunteers. They provide social, emotional, spiritual, and psychological support, as well as medical care. Care is provided in the home, or nursing home except in special circumstances, where hospital in-patient care may be necessary on a temporary basis.

Regularly scheduled family conferences, often led by the hospice nurse or social worker, keep family members informed about patient’s condition and what to expect. Family conferences also give everyone a chance to share feelings, talk about what to expect and what is needed, and learn about death and the process of dying. Family members can find great support and stress relief through family conferences. Daily conferences may also be held informally as the nurse or nursing assistant talks with you and your caregivers during their routine visits.

 

Our Team

Hospice services are designed to provide support to patients, their families and loved ones where they reside. This can be the home, Long Term Care Facility, Assisted Living, Residential Care Facility, or Hospital. The goal is to maximize quality of life while providing for a peaceful passing. An individual plan of care is developed utilizing team members as follows:

Physicians:

The Hospice physician works in conjunction with the patient’s physician to provide pain and symptom  management. Oversees the plan of care, and provides consultation or primary care when necessary.

Case Managers:

coordinate care by making home visits to monitor the patient, teach caregivers and provide skilled care, comfort and support. Works with health care provider to order medications, medical equipment and supplies.

Social Workers:

offer emotional support to all involved, help the family understand and cope with the related emotional and/or financial stress and provide counseling. Assisting with practical matters such as completing advance directives and providing information about options for final arrangements.

Chaplains/Rabbis:

are on hand to offer spiritual support for patients and their families to explore spiritual or faith-based issues, if requested. Work with patient’s clergy, if appropriate, to make sure spiritual needs are being met. Discusses spiritual questions that may be important to patients and their loved ones.

Volunteers:

provide a variety of care such as companionship, support, running errands and offering temporary relief to the family.

Home Health Aides:

provide for personal care needs such as bathing, taking vital signs, observing condition of the skin, and other daily basic care needs.

Grief and Bereavement Counselors:

work with surviving loved ones to help them through the grieving process. Provide support to survivors through visits, phone calls as well as through support groups.