Hospice Goals
The primary focus of Eden Hospice is to maintain comfort by supporting as much physical functioning as possible and maintaining quality of life. Efforts to modify and treat the life-limiting disease may also continue. Eden Hospice focuses on comfort by providing the following:
- Treatment of pain, shortness of breath, constipation, nausea, and other symptoms.
- Medication, supplies, and durable medical equipment.
- Care and services at the patient's place of residence (private home, group home, assisted living or skilled nursing facility, etc.)
- Emotional, spiritual, and social support.
- Training and support for caregivers.
- Counseling and grief support.
- Bereavement services for loved ones.
The Eden Hospice Care Team
Eden Hospice uses an Interdisciplinary Team approach. Patients and families are the heart of this team.
Primary Care Physicians (PCP)
PCPs order hospice care, medications, treat the patient, and approve the plan of care.
Medical Director
The Medical Director works with the PCP to guide the plan of care, which is individualized for each patient.
Registered Nurses (RNs)
RNs coordinate the implementation of the plan of care. The role of the nurse is to help prevent or relieve the symptoms of 'Total Pain.' The nurse communicates with the other members of the Interdisciplinary Team to help the patient/caregivers manage symptoms. The nurse makes certain the patient has the appropriate hospice approved medical supplies, durable medical equipment, and medications.
Certified Nursing Assistants (CNAs)
CNAs are available on an intermittent basis. Eden Hospice CNAs provide respectful and compassionate care. CNA visits encompass personal care, light housekeeping, and brief respite. Eden Hospice CNAs are licensed in the state of which they practice and are supervised by an RN. CNA visit days and times may vary to meet your loved one's needs.
Medical Social Workers (MSW)
MSWs help the patient and family with non-medical needs and concerns, including community resources, advanced directives, emotional support, and counseling. Eden Hospice MSWs help with paperwork and a variety of insurance, Durable Power of Attorney, and other legal forms.
Non-Denominational Spiritual Care Coordinators
These coordinators are available to patients and families for spiritual questions and concerns, or coordinating with the patient, family, and/or friends. Eden Hospice Spiritual Care Coordinators support all beliefs, denominations, and religious/non-religious practices. These team members are here for your spiritual strength and support.
Volunteers
Our volunteers are effectively trained and assist with a number of helpful and meaningful activities. They offer companionship and emotional support for patients and caregivers, can assist with light errands, light housekeeping, and meal preparation, and provide respite care to family members and/or caregivers. Volunteers have various ages and come to us from a wide variety of professions and life experiences.
Bereavement Coordinators
These coordinators offer grief support services to help families and caregivers for a minimum of thirteen months after the passing of the patient. Bereavement Coordinators provide emotional, psychosocial, and spiritual support as needed. Bereavement Coordinators also assist the patient's loved ones with the struggle of anticipatory grief issues. Services provided by Bereavement Coordinators include education regarding grief issues, grief support groups, phone calls, and individual visits.
Caregiver Support
Family members and other caregivers may not feel prepared to handle all the changes that come with their loved one's final stage of life.
Talking and Listening
Often, patients who are nearing end of life feel anxious and stressed about the process. Talking about what they are thinking, feeling and needing with regard to how they want to be cared for when the end is near can be very comforting. You may complete the Physicians Orders for Life Sustaining Treatment (POLST) or an advance directive called the "5 Wishes" which is completed by the patient and given to their physician and their Eden Hospice team.
Help with "Letting Go"
As death approaches, you can help your loved one to attend to unfinished business and take care of financial responsibilities. It is important to many patients to decide who will receive their personal possessions and they may want to create or update their will.
Caregiver Care
The final weeks of a loved one's life can be physically and emotionally overwhelming. It is important that you find the time to take care of yourself as well. Challenge yourself to:
- Step outside for fresh air or sit in a quiet place to collect your thoughts.
- Follow a balanced diet.
- Limit stressful situations as much as possible.
- Ask for help, in all aspects of your life.
- Confide in friends, a spiritual counselor or the Eden Hospice team.
How Hospice Works
1. Referral
Anyone can refer a patient to Eden Hospice. Once a referral is made, Eden Hospice completes an "informational visit" with the patient and family to help guide them through the process and obtain a physician's order for care. Eden Hospice then works with the patient's physician to review eligibility. Our clinical team works closely with the patient, family, and physician to make sure your needs are met as soon as possible.
2. Eligibility
The patient's physician and the Eden Hospice Medical Director work together to determine your eligibility for the hospice benefit. Both physicians then sign off on physician orders for hospice care and forward it to the Eden Hospice office.
3. Admission
After receiving the referral, Eden Hospice reviews documentation and sends a Registered Nurse to complete a thorough evaluation of needs and to develop the plan of care. Admission to Eden Hospice is not based on your race, color, creed, sex, age, handicap (mental or physical), communicable disease(s), veteran status/history, or place of national origin.
4. Plan of Care
Eden Hospice uses an interdisciplinary approach to planning your care. This means that a variety of clinical professionals will collaborate with you, your physician, and your family to develop your plan of care. Your plan of care will include:
- Setting-up equipment (such as a hospital bed).
- Training caregivers on giving medication and other care.
- Continuous evaluation of the patient and adjusting medications if needed.
- Providing the patient and family emotional, spiritual, and other support as needed.
A member of our nursing staff is available 24 hours a day, 7 days a week through our on-call service, which is reached by calling our office. If symptoms cannot be managed where the patient lives, they may be cared for at an inpatient facility or hospital.
Hospice also offers respite care. This gives caregivers a break for a period of 5 days or less while the patient is cared for at an inpatient facility or hospital.
Patients can revoke hospice care at any time. Patients can also remain on hospice with an extended prognosis if the hospice team agrees that a patient continues to meet hospice eligibility.
5. When the Time Comes
When a person enters the final stage of life, their physical and emotional needs begin to emerge.
Physically, the body begins to shut down in a variety of ways. This usually does not translate into medical emergencies that require invasive interventions, but rather, the natural, normal way that the body prepares for end of life. During this time, Eden Hospice provides comfort-enhancing care.
Emotionally, your loved one begins to seek release. Spiritual beliefs may come into play. They may need resolution of a troubling issue, or sometimes need to receive permission to let go from their family and/or friends.
When the body is ready, but the mind is not, your loved one may linger, despite discomfort. It is important to support your loved one at this time, encouraging their ability to let go and transition.
Eden Hospice continues to provide services after the patient has passed away. We can:
- Comfort loved ones.
- Give guidance on what should be done with unused medicine.
- Help the family prepare for the funeral home.
- Arrange to remove equipment.
- Provide grief support and bereavement services for up to 13 months following the patient's death.
6. Payment
Eden Hospice accepts a variety of payment options. Our services are reimbursed by Medicare, Medicaid, Commercial Insurance, Veteran's Administration, Managed Care or paid privately. Some insurance providers may require a pre-authorization before we are able to begin services and there may be coverage limits as described by your benefit package. Eden Hospice will discuss payment options with you prior to providing services.
Bringing Connected Care Home
Contact Eden Hospice for additional information. We will be happy to discuss your situation and find the best option for you.