The POWER of Pet Therapy

The POWER of Pet Therapy

Carol Mestemacher, Hospice of Southern Illinois’ Volunteer, and her partner, Magnum, Facility Dog at Hospice of Southern Illinois’ Hospice Home, Relais Bonne Eau, visited over 20 seniors at the Millstadt Senior Center on May 4^th to present “The POWER of Pet Therapy".  The shared their knowledge and wonderful experiences in pet therapy.  Trained by CHAMP Assistance Dogs, Magnum brings joy and comfort wherever he goes.  Regardless of a health or age, pet therapy has the power to positively impact people both physically and emotionally.  Carol and Magnum told heartwarming stories about their work with patients, families and the communities they serve.  Finally, they explained their volunteer work for Hospice of Southern Illinois and how pet therapy brings a special element to the end-of-life journey for patients and their family alike. The presentation was held outside on the front porch with an amazing breeze on a beautiful day!

Magnum and Carol are a certified Facility Dog Team and therapy Dog Team with CHAMP Assistance Dogs. They visit patients on a daily basis at the Hospice Home. Magnum and Carol work to promote the mission of Hospice of Southern Illinois: to enhance the quality of life for individuals and their loved ones touched by a terminal illness.

 

 

Hospice of Southern Illinois is your community not-for-profit hospice program serving 27 counties in southern Illinois since 1981. Our commitment at Hospice of Southern Illinois is to be with our patients and their loved ones through the changing needs of the end-of-life process and the grief experience. For more information about Hospice of Southern Illinois or Pet Therapy, visit our website, www.hospice.org, or call, 618-235-1703.

 

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Hospice of Southern Illinois Announces New Medical Director

Hospice of Southern Illinois Announces New Medical Director

 

Hospice of Southern Illinois is pleased to announce the hiring of Ellen Middendorf, M.D. as a full-time, on-staff Medical Director. Please join us in welcoming Dr. Middendorf to our organization. She will play a critical role to ensure the highest quality end-of-life care in the area to patients and families.  

Hospice of Southern Illinois’ President and CEO, Rebecca Wisdom, announces, “Dr. Middendorf will continue to maintain positive relationships with the medical community as well as the mission of Hospice of Southern Illinois. The addition of Dr. Middendorf to our staff confirms our commitment to end-of-life care in our communities.” All hospices are required by the government to have oversight from a Medical Director, or physician who reviews the needs of patients, but a full-time, on-staff Medical Director will play a more integral role for Hospice of Southern Illinois’ patients and families. Dr. Middendorf will be managing symptoms related to the diagnosis, visiting patients, and providing our professional staff with direct access to a doctor for on-the-spot medication and symptom management. Additionally, she will work with other healthcare physicians, advocate the importance of hospice care at the end-of-life, and educate the community on hospice services for their loved ones.

Dr. Ellen Middendorf shared, "I am excited to begin this next chapter in my career as the medical director of Hospice of Southern Illinois. I have always found it my passion to take care of families and their loved ones as they grow and thrive. As the lives of those we care for change, it is imperative to ensure that medical, emotional and spiritual issues continue to remain a priority, even, and particularly, at the end of life. Thus, I am eager to coordinate with Hospice of Southern Illinois to continue to provide this level of care to the families that need it most."

Hospice of Southern Illinois is your community not-for-profit hospice program serving 27 counties in southern Illinois since 1981. Our commitment at Hospice of Southern Illinois is to be with our patients and their loved ones through the changing needs of the end-of-life process and the grief experience. For more information about Hospice of Southern Illinois, visit our website, www.hospice.org, or contact Lisa Phillipson, 618-235-1703 or lphillipson@hospice.org.

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Hospice of Southern Illinois Circle of Care

Hospice care is so complex, but so simple all in the same. All hospices are regulated by Medicare Guidelines to provide a certain level of care.  Yet each hospice provides individualized care based on the patients’ end-of-life wishes. For this reason, there are many components that make up hospice care. These complex components all work together to make hospice care simple. How can that be? Describing hospice care as a full circle helps paint the picture of how it all works.

Medical directors, physicians, registered nurses, hospice aides, social workers, bereavement counselors, and volunteers make up the outer ring of the circle.  The outer ring builds the foundation for the support and care involved with hospice. The simplicity lies in the center of the circle, the hospice patient. All support and care provided is focused around the needs and wants of the patient at the end of life. Surrounding the patient are the family and friends who make the wishes known and supports the patient through the physical, emotional and spiritual needs through the end-of-life journey.

The end-of-life journey can bring changes in the patient’s physical or emotional condition, patient and family concern, changes in medication, changes in emotional or spiritual needs, or need for medical equipment and supplies. These changes are why hospice care is so important. The hospice team works together to meet these needs. Further, hospice care and the hospice team have the expertise about what to expect at the end of life.  Hospice of Southern Illinois’ Team has compassion for an individual’s dignity, and the experience of working with others who are going through the same things. Hospice services are so unique because they can provide all of these benefits with the help of so many, to those who need it when they are ready, patients and families at the end of life. This is why hospice care is complex, but simple all in the same: unique with so many parts, but simply for patients who need the individualized hospice care.

Help us share, educate, and reach out by subscribing to our blog and suggesting it to friends who will spread our message: Hospice of Southern Illinois is here to teach you what hospice is, what we are about, and what we can do for you and your loved ones. No one has to go through the dying process alone. Hospice of Southern Illinois can help.

Live well, laugh often, and love much,

Christine Juehne

Hospice of Southern Illinois

Community Education

1-800-233-1708

www.hospice.org

Hospice of Southern Illinois Staff Heroes

Hospice of Southern Illinois is committed to the We Honor Veterans program. As part of our commitment, we have created the {MY HERO Online Photo Storybook} where we post photos on our social media pages submitted by staff, family, friends, and patients to keep Veteran stories alive. Please enjoy this great recent submission and a past photo we are highlighting! Visit out Pinterest Page for more stories like these. Email cjuehne@hospice.org to submit your photo today.

Bill Crawford (right) served in the 

United States Air Force for 22 years. 

He then worked another 20 years as a civilian at Scott Air Force Base. 

{Submitted by Megan Blackwell, Patient Care Supervisor}

Dale Juehne is photographed (left) to Inchon Korea in 

November of 1950. 

{Submitted by Christine Juehne, Print and Social Media Coordinator (and her father, Todd Juehne)} 

Hospice of Southern Illinois is your community not-for-profit hospice serving 27 counties in southern Illinois since 1981. Visit our website, www.hospice.org, or download our app by scanning the QR code (or searching Hospice of Southern Illinois in your app store) to find out more about us or hospice services.

 

Making Choices About Hospice

Making Choices About Hospice

What is hospice?

Hospice is a special healthcare option for patients and families faced with a terminal illness.

Hospice care is for patients who have a terminal illness with a prognosis of 6 months or less; those who are no longer receiving curative treatment; have a focus on pain and symptom management with the goal of enhancing the quality of life.

Hospice is a team that takes many people to meet the unique needs of each patient, including the patient, the family, physicians, nurses, hospice aides, social workers, counselors, and trained volunteers.

Why choose hospice care?

Hospice specializes in control of pain and other symptoms so patients and families can focus on making the most of the time they have left together. When a person is diagnosed with a terminal illness, family and friends share their illness. Counselors can assist patients and families, with not only the physical pain and symptoms, but emotional and spiritual needs too.

Not all hospices are the same. All hospices have a set of guidelines and regulations to follow, but beyond those each hospice, just like a doctor’s office or pharmacy, have specific services and programs to better assist their patients and families to provide them with the individualized care they deserve.

Who pays for hospice?

Hospice is covered under Medicare, Medicaid, and most private insurance company’s. Some hospices have programs or accept donations or memorials to help provide care regardless of ability to pay.

Where is hospice care provided?

Hospice care is provided in the setting that best meets the need of the patient and family. People often think hospice is a place; actually, hospice is a service that comes to the patient and is provided in the home or home-like setting, including Private Home, Home Care, Nursing Home Care, Assisted Living, Hospice Home (like Relais Bonne Eau), or Inpatient Hospital Care.

When is it time to call hospice?

The best time to learn about hospice is before it is needed. Understanding the healthcare options, the hospice process, and end-of-life journey before it happens can relive lots of anxiety and stress that can be associated with death. Most hospices provide educational presentations or will meet with no obligation to answer any questions individuals have.

Making a referral is appropriate when the patient has a terminal illness with a prognosis of 6 months or less, wants comfort care rather than curative treatment, or curative treatment is no longer the choice or option of the patient. Hospice is a service provided to individuals with many diagnoses. Cancer patients are most known to call hospice, but hospice care can benefit those dealing with all end-stage diseases, including heart disease, lung disease, Alzheimer’s, stroke, AIDS, and others. Referrals to hospice can be made by physicians, social workers, discharge planners, nursing home employees, family members, friends, clergy, and patients.

Too often referrals are not made until the patient has uncontrolled symptoms or is near death. Although hospice can do much to assist at this time, the patient and family can benefit more if hospice is called early in the end-of-life journey. No one has to die alone. Hospice of Southern Illinois can help. Call 1-800-233-1708 to speak with a member of our team to talk about any questions concerning hospice care, our expertise since 1981. 

November is National Hospice Month

Hospice of Southern Illinois Helps Community Learn About Special Care Hospice Provides

November is National Hospice and Palliative Care Month and hospices across the country are reaching out to raise awareness about important care issues for people coping with life-limiting illness. Throughout the month of November, organizations across the nation are hosting activities that focus on celebrating this unique system of support and the benefits provided by the loving care of hospice. Hospice of Southern Illinois is committed to bringing important information to the communities we serve, so we are encouraging everyone to participate in the National Hospice and Palliative Care Organizations’ social media campaign to raise awareness about what hospice is and what hospice is to them. To participate, employees, community leaders, and general public should take a photo of themselves holding a sheet of paper that says, “Hospice is… ________” and fill in the blank with a word that describes what hospice is to them. After taking the photo, post it on their personal Facebook Page and tag Hospice of Southern Illinois in the post or comment section so we can see it on the Hospice of Southern Illinois’ Facebook Page. Don’t forget to use the hash tag #hospicemonth to take part in being a hospice advocate for National Hospice and Palliative Care Month 2013!

“Every year, more than 1.65 million people living with a life-limiting illness receive care from hospice and palliative care providers in this country,” said J. Donald Schumacher, President and CEO of the National Hospice and Palliative Care Organization. “These highly-trained professionals don’t only provide quality medical care. They work to make sure patients and families find dignity, respect, and love during life’s most difficult journey.”

Hospice is more than traditional healthcare. Hospice and palliative care programs provide pain management, symptom control, psychosocial support, and spiritual care to patients and their families when a cure is not possible. Hospice and palliative care combines the highest level of quality medical care with the emotional and spiritual support that families need most when facing the end of life.

“After working at Hospice of Southern Illinois for many years, I figured I knew what hospice was. It was not until I saw Hospice of Southern Illinois’ nurses, volunteers, and social workers in action with my own family that I realized what it really stood for. It brought forward a whole new understanding of end-of-life care. As my supervisor always says, ‘You may remember how smart or how pretty someone is, but you will always remember how kind someone is.’ When I saw the special attention and kindness my own co-workers provided my loved one, I fully understood hospice from that point forward.” said Christine Juehne, Print and Social Media Coordinator at Hospice of Southern Illinois.

Additional information about hospice, palliative care, and advance care planning is available from Hospice of Southern Illinois, your community not-for-profit hospice, at www.hospice.org. NHPCO’s Caring Connections offers information and resources for professionals and consumers at www.caringinfo.org. 

Veteran Story - Eugene Scroggins

Meet Eugene, a patient at Hospice of Southern Illinois.

Hospice of Southern Illinois met Eugene a short time ago when his doctor recommended hospice to help him through his end-of-life journey due to terminal cancer. Eugene is just like many of us. He is full of love for his spouse, family, and dog, Miko. He smiled at little jokes I cracked and give me a hard time when I told him to share his life story in about 30 seconds for the video he was helping us with stating, “I can’t raise up a farm in 30 seconds”. Although Eugene is like us in many ways, he is, however, dealing with what we will all experience someday in life, our end-of-life journey.

I sure hope I can be as strong, positive, and humble as this man. He is also a proud Veteran. Hospice of Southern Illinois hopes Eugene’s story will help other Veterans and individuals with a terminal illness understand that hospice can help people be pain free, relieve some day-to-day stress and anxiety, and keep them in their home or home-like setting through their final days. Learn more about Eugene’s story.

Eugene, also known as Gene, was born and raised on a farm in Bunker Hill. Gene, a proud Veteran, served in the Navy from June 1951 to June 1955. Because he was getting close to the drafting age, he joined following in his brothers’ footsteps. He spent most of his service on the USS Albuquerque PF-7 in Korea. Years after he returned home to family and friends, he met his wife Shirley years later at a local diner.  

Gene had a job hauling milk from the local farmers to the dairy. During his route to the Collinsville dairy he would stop at a drive-in called Pat’s Restaurant, which Shirley’s parents owned. She’d hop into the truck and they would chat over lunch. Their first official date was in “1956… or was 1957” - Gene challenges due to the fact that it was New Year’s Eve. Gene and Shirley have lived a full life full of unexpected moments and wonderful blessings including 4 boys of their own, who are all over the world, and 2 grandchildren, who unfortunately are no longer with them. Today they are settled on a 3-acre home with their Chihuahua, Miko, and enjoy their peaceful property and large garden.

            Gene shared that he feels hospice is keeping him pain free and at home with those closest to him. He wants other Veterans and people to know that Hospice of Southern Illinois “has a lot of love and care for their patients.” He added leaning into Shirley, “and hospice saves a lot of wear and tear on her body and mine too.” They not only turn to hospice for support, but they also rely on their church family. They left us with a quote they live by everyday, “You are not discouraged unless the situation you face seems bigger than the god you serve – how big is your God?” They stressed to always tell those you love that you love them with all your heart, for it could be the last time you see them.

Thank you, Gene, for your service and for sharing your story! Gene’s story will always be remembered and that story will help reassure others that when treatment is no longer a choice or an option, Hospice of Southern Illinois is here to help.

Hospice of Southern Illinois
1-800-233-1708
www.hospice.org

Healthcare Reform 101

Healthcare reform can be a sticky subject, filled with politics, legal jargon, and layers of detail. This can make healthcare reform confusing and unapproachable. Don’t run far now that the topic is in front of you here! Blue-Cross Blue-Shield and Walgreens have teamed up to show their commitment to helping people understand Healthcare Reform, specifically the Affordable Care Act (ACA) which took effect back in 2010. Big changes are to come in 2014, so we are helping Blue-Cross Blue-Shield and Walgreens with their efforts by spreading the word here on our blog.

Instead of going into all the details here, visit www.LearnAboutReform.Com and read up on a short description of what the ACA is, how it affects the insured, uninsured and underinsured, and a very informational FAQ that breaks down the information so you know what action to take and what to hold onto as your little FYI (for your information) notes. For example, one Q & A reads:

“What is the new healthcare law? The Affordable Care Act (ACA) was signed into law in 2010. It was designed to expand access to and improve the quality of healthcare for Americans. Some of the healthcare changes took effect immediately while others are being phased in over time. Large parts of the law will become effective on January 1, 2014. The biggest effect of the ACA is that people who previously couldn't afford or qualify for coverage will now be able to sign up for health insurance.”

While healthcare reform may seem overwhelming, hopefully, this resource and educational tid-bit will ease your mind and help prepare you for the road ahead. Help us share, educate, and reach out by subscribing to our blog and suggesting it to friends who will spread our message: Hospice of Southern Illinois is here to teach you what hospice is, what we are about, and what we can do for you and your loved ones. No one has to go through the dying process alone. Hospice of Southern Illinois can help.

Live well, laugh often, and love much,

Christine Juehne

Hospice of Southern Illinois

Community Education

1-800-233-1708

www.hospice.org

Grow St. Louis - Help Your Community

     Hospice of Southern Illinois has been chosen as a finalist in the Monsanto, Grow St. Louis, grant program. We have the opportunity to recieve up to $20,000 with your help! Vote daily through this Sunday to help us continue our mission to enhance the quality of life for individuals and their loved ones touched by a terminal illness.

     To vote, visit www.facebook.com/growstlouis. At the top right of the Facebook page there is a button that says, “VOTE HERE”. Click that and accept the terms. After accepting terms, search, “Hospice of Southern Illinois,” click vote, and then share with your friends on Facebook. 
     We cannot say thank you enough to the patients and families who have entrusted us with their care. With opportunities like this, we can say thank you by helping more people and educating more individuals on why hospice care is an important and a beautiful step in the end-of-life journey. We appreicate your support and your vote during this new opportunity!
     Help us share, educate, and reach out by subscribing to our blog and suggesting it to friends who will spread our message: Hospice of Southern Illinois is here to teach you what hospice is, what we are about, and what we can do for you and your loved ones. No one has to go through the dying process alone. Hospice of Southern Illinois can help.

Live well, laugh often, and love much,

Christine Juehne

Hospice of Southern Illinois

Community Education

1-800-233-1708

www.hospice.org

 

New Research Validates that Hospice Saves Medicare Dollars

New Research Validates that Hospice Saves Medicare Dollars

NHPCO released an excellent article highlighting a study about the benefits of hospice care and its ability to improve the quality of life. Not only did the article talk about how hospice improves the quality of life, but it also discussed how hospice saves Medicare dollars. Did you know the average person spends about $39,000 on aggressive treatments at the end of life according to CNN Money? Did you know many hospices provide care regardless of a patient’s ability to pay? Sometimes people feel that paying a really high price means they are paying for the best care available when that care may not be what a loved one even wants. How do we decide when aggressive treatment or when quality of life is the route to go?

The NHPCO’s article helps people understand that sometimes less is more in terms of the cost of care. Like previously mentioned, many hospices provide care regardless of patient’s ability to pay and focuses on quality of life rather than length of life. This may strike a question, then how does it save Medicare dollars? Great question! Even when patients are not charged, someone has to cover these services and Medicare is the biggest source of funding for hospice organizations, for-profit and not-for-profits alike. With this said, below are the highlights from the study which can be reviewed in detail, click here.

“Despite its demonstrated potential to both improve quality of care and lower costs, the Medicare hospice benefit has been seen as producing savings only for patients enrolled 53–105 days before death. Using data from the Health and Retirement Study, 2002–08, and individual Medicare claims, and overcoming limitations of previous work, we found $2,561 in savings to Medicare for each patient enrolled in hospice 53–105 days before death, compared to a matched, non hospice control. Even higher savings were seen, however, with more common, shorter enrollment periods: $2,650, $5,040, and $6,430 per patient enrolled 1–7, 8–14, and 15–30 days prior to death, respectively. Within all periods examined, hospice patients also had significantly lower rates of hospital service use and in-hospital death than matched controls. Instead of attempting to limit Medicare hospice participation, the Centers for Medicare and Medicaid Services should focus on ensuring the timely enrollment of qualified patients who desire the benefit." (Health Affairs, 2013)

(NHPCO 2011 Facts & Figures Report)

            What does this all mean? Overall it means to save money and receive the best care available, when desired, patients should enroll at the earliest time possible into hospice care to receive the overall benefit of the best quality of life possible and saving themselves money, as well as saving Medicare dollars. Keep these facts in mind when hospice touches your life. Call 24/7 to get your questions answered, 1-800-233-1708.

Help us share, educate, and reach out by subscribing to our blog and suggesting it to friends who will spread our message: Hospice of Southern Illinois is here to teach you what hospice is, what we are about, and what we can do for you and your loved ones. No one has to go through the dying process alone. Hospice of Southern Illinois can help.

Live well, laugh often, and love much,

Christine Juehne

Hospice of Southern Illinois

Community Education

1-800-233-1708

www.hospice.org



Spirituality

Spirituality

Spirituality is someone’s source of inspiration or orientation in life; this can involve discovering one’s deeper values as well as the meaning by which people live; it can include being connected to a larger reality or being concerned with yielding to a wider understanding of self or joining with other individuals, the human community, nature, or the divine realm.

Spirituality exists whenever we struggle with the issues of how our lives fit into the greater scheme of things. This is especially true when our questions don’t give way to specific answers or give rise to specific practices such as prayer or meditation.

Questions to be considered in dealing with one’s spirituality:

1-What gives you meaning and purpose?

2-What nourishes you; what replenishes you as you give, share, or create?

3-What is your personal understanding (or your patient’s understanding) of simple truths like      trust, suffering, grace, prayer, connections, and success (what does it look like?)

4-What do you choose to do for fun?  What are some new options, some new resources that can offer grace to our clients? 

5-What brings Hope? What takes your hope away? What does it mean to have enough hope for the journey?

6-How do we call forth courage in others?  How do we validate the gifts, the strengths, and the limits (which the world would name as weaknesses?)

We encounter spiritual issues every time we wonder where the universe comes from, why we are here, or what happens when we die. We also become spiritual when we are moved by values such as beauty, love, or creativity that seem to reveal a meaning or power beyond our visible world.

What are spiritual practices that are associated with one’s spirituality?

  Mindfulness: (awareness of what is happening in the present moment) as well as meditation can be helpful resources. 

Prayer: (that is, connecting to one’s higher power) can be done verbally, silently, or contemplatively.  Use of a favorite scripture or quote or word (mantra) can be used as a starting point for prayer. 

Music: can be used to encourage meditation & reflection as well as the use of comfort measure such as a rosary, worry bead, or small stone can be kept in one’s pocket or hand.

An idea or practice is spiritual when it reveals our personal desire to establish a felt-relationship with the deepest meanings or powers governing life. Love or compassion is often described as the mainstay of spiritual development. (Wikipedia definition of Spirituality)

Final thoughts: Sometimes we need to chart a new course; Change is inevitable; Develop a new awareness of all that is going on around us as well as available resources can smooth the transition.

Based on a presentation given by Cathy from our Bereavement Team. 

Help us share, educate, and reach out by subscribing to our blog and suggesting it to friends who will spread our message: Hospice of Southern Illinois is here to teach you what hospice is, what we are about, and what we can do for you and your loved ones. No one has to go through the dying process alone. Hospice of Southern Illinois can help.

Live well, laugh often, and love much,

Christine Juehne

Hospice of Southern Illinois

Community Education

1-800-233-1708

www.hospice.org

Hospice Helps Cardiac Patients

February marks Hearth Month. Hospice of Southern Illinois is advocating for February’s Heart Month to kick off a new initiative to serve our heart patients and their families better now and in the future. This initiative is being led by our Physician Medical Director, Dr. Lynne Nowak, who is available to our nursing and counseling teams 24 hours a day to ensure the best hospice care in the area. Please feel free to learn more about how hospice helps cardiac patients to improve quality of life at the end of life by reviewing the flyer below or calling to speak with someone from our hospice team at 1-800-233-1708.  

 Help us share, educate, and reach out by subscribing to our blog and suggesting it to friends who will spread our message: Hospice of Southern Illinois is here to teach you what hospice is, what we are about, and what we can do for you and your loved ones. No one has to go through the dying process alone. Hospice of Southern Illinois can help.

Live well, laugh often, and love much,

Christine Juehne

Hospice of Southern Illinois

Community Education

1-800-233-1708

www.hospice.org

When to Call Hospice of Southern Illinois

Patients and families can be exhausted emotionally and physically throughout their end of life journey. Hospice of Southern Illinois is here to help ease the stress associated with terminal illnesses. Feeling hesitant or confused about when to call hospice while utilizing hospice services is completely normal and expected. There are many times we have found that patients and families are unsure when to call, so we have provided a list of the most appropriate times to give us a call; furthermore, if you are unsure whether to call hospice versus the doctor, hospital, ambulance or anyone else, call us first. We can then recommend the next step from there.

Please Call Hospice of Southern Illinois Immediately (800-233-1708):

• any change in patient’s condition
• changes or need for changes in medications
•  if the patient has a fall
• changes in spiritual needs
• patient/family concerns
• at time of death
• changes of medical equipment needs

        We have nurses and counseling services available on-call 24/7/365 to assist you and your loved ones with any questions you may have regarding hospice or a loved one’s end-of-life care. If your request is not urgent, our website www.hospice.org is full of valuable resources and information to assist you.

Help us share, educate, and reach out by subscribing to our blog and suggesting it to friends who will spread our message: Hospice of Southern Illinois is here to teach you what hospice is, what we are about, and what we can do for you and your loved ones. No one has to go through the dying process alone. Hospice of Southern Illinois can help.

Live well, laugh often, and love much,

Christine Juehne

Hospice of Southern Illinois

Community Education

1-800-233-1708

www.hospice.org