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					HOSPICE
             Frankie B. May, M.A.
      St. Joseph Hospice Program
Objectives

•   Introduce residents into mission of Hospice
•   Highlight benefits of Hospice for patients and
    their families
•   Discuss referral recommendations
St. Joseph Hospital Hospice

•   Mission
    – Meet the physical, social, emotional, and spiritual
      needs of patients and families facing terminal illness
    – Extend the work of Christ through healthcare
      services
•   Interdisciplinary team
    – Nurse             Medical director     Dietician
    – Social worker     Grief counselor      Chaplain
    – Physical, occupational, speech therapists
Payment

•   Medicare, Medicaid, and most private
    insurances
•   Community donations
Referral process

•   The Hospice program requires a physician
    referral for admission.
•   Physicians can refer any patient who meets the
    Hospice admission criteria.
Services
•   In-home care
    – Nurse, chaplain, social worker
•   Inpatient
    – Acute medical concern, family respite
•   Bereavement
    – Support group, periodic newsletters, annual
      ceremony
Hospice referral = Death Sentence?
•   Do patients and families consider a referral to
    Hospice as a sign to give up hope for recovery
    (i.e., a death sentence)?
Pain Management
•   How is pain management addressed when
    Hospice personnel and the referring physician
    differ in their opinions of appropriate care?
Declining Hospice services
•   What if a family wants Hospice care and the
    patient declines?
Patient unaware of diagnosis
•   What if a patient is unaware of the terminal
    diagnosis?

				
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posted:9/26/2011
language:English
pages:10