Life-Limiting Illnesses – When to Call Hospice

A life-limiting illness is an incurable chronic disease or condition that no longer respond to curative treatments.

Examples of a life-limiting illness include:

  • Alzheimer’s Disease or Dementia
  • Stroke
  • ALS
  • Parkinson’s Disease
  • Heart Disease
  • Pulmonary Disease
  • Liver Disease
  • End-stage Renal Disease
  • AIDS
  • Cancer

A life limiting illness, coupled with symptoms below, could be indicators of decline and hospice eligibility:

  • Frequent hospitalizations, ER visits, or visits to the physician within the last six months
  • Progressive weight loss (with consideration to weight gain factors such as edema, when applicable)
  • Decreasing appetite
  • Dysphagia or difficulty swallowing
  • Increased weakness or fatigue
  • Decline in cognitive status or functional abilities
  • Increasing assistance needed with Activities of Daily Living (ADLs)
  • Increasing pain or increasing difficulty in controlling pain
  • Increasing dyspnea or shortness of breath
  • Oxygen dependency
  • Reoccurring infections
  • Ascites
  • Increased nausea and/or vomiting that is difficult to control
  • A desire to forgo future hospitalizations
  • A request to discontinue treatment
  • Recurrent or frequent infections
  • Skin breakdown
  • A specific decline in condition

If you or a loved one has a life-limiting illness and are experiencing any of the above symptoms, consider speaking to your physician about hospice services. You can also call Nurses in Touch, and one of our team members can help guide you through the process of requesting hospice through your physician.

The Grief Survival Kit

Let yourself grieve. It’s important to let yourself take this roller coaster ride and feel your emotions rather than suppress them. No matter how hard you try to bury those feelings of grief, they will continue to resurface, and you won’t be able to truly move on. Start the healing process by giving into grief.

Lean on friends and family. Your friends and family expect you to be upset. While they may not always know the right things to do or say, they do want to be there for you even if it’s just to listen or offer affection. Never feel too proud or embarrassed to lean on them in this time of need.

Join a support group – online or offline. Whether you find a group through social media or in person, support groups provide ways to talk and listen to others who are in the same position and truly understand what you are going through.

Focus on the positive aspects of your life. The loss you are experiencing could feel like the worst thing that’s ever happened to you and no one can change your mind. Despite this, what you need to do is reflect on all the good aspects that continue to bless your life and are worth pushing through the grief.

Keep yourself busy. Become more involved, go on a trip, try something new – participate in activities you enjoy and that can keep you focused on something other than your grief. Redirect your energy into doing things you’ve always wanted to do but never prioritized.

Breathe. If ever you find the grief to be too overwhelming, take a few deep breaths. The body’s breathing becomes shallow when we are feeling tense or stressed, resulting in insufficient oxygen to the body. This adds to the stress you are already feeling, so focusing on conscious, deeps breaths helps you relax and breathe normally.

Journaling Through the Grief

Journaling while grieving can help you document and process the feelings of grief you are experiencing. As you begin the healing process and reconnecting with who you once were, you may start thinking about or telling yourself things you would want to record. Putting these thoughts and feelings into words can be very beneficial and help in better working through the grief. This is why it is a great idea to keep a grief journal.

There are many, different ways you can start to fill up your journal. From creative writing and poetry to journaling and writing letters to your deceased loved one, each way provides you with a venue to communicate without fear of being judged. Opening up and disclosing your feelings to others can be difficult, but each of these methods allows you to express what you are feeling in a more personal, therapeutic way.

Research demonstrates that grief journaling after a significant loss has beneficial value. Experts explain that ‘reconstructing your personal self-narrative’ is crucial to the healing process. A grief journal can assist you in recording your experience, recognizing patterns, and establishing growth.

Are you interested in grief journaling but aren’t sure where to start? Here are some writing prompts to get you started:

  • Today, I am really missing…
  • I feel most connected to my loved one when I…
  • If I could talk to you again, I’d tell you…
  • My goal for this week…
  • I know I’m going to be okay because…

Nurses in Touch top-performing home health agency in 2018!

 

Nurses In Touch Recognition from HomeCare Elite the 7th consecutive year
Nurses In Touch Recognition from HomeCare Elite the 7th consecutive year

HomeCare Elite has recognized the Nurses In Touch Floresville team as a top-performing home health agency for 2018. HomeCare Elite is a compilation of U.S. Medicaid-certified home health agencies annually reviewed by ABILITY and DecisionHealth Network. The review is conducted using public information evaluating overall performance in quality outcomes, best practices, consistent improvement, and financial health.

Recognition is given to the top 25% ranking home health agencies and further to highlight the top 100 and 500 agencies. HomeCare Elite is unique in a way that it is the only performance recognition of its kind in the home health industry.

Thanks to the Nurses in Touch Floresville team for their continual hard work and dedication to improving the lives of others. Also, thanks to all the families that entrust Nurses in Touch to provide the care needed for their loved ones. Our team is humbled to be recognized with this prestigious award and hope to continually exceed expectations as the new year arrives.

To find out how our Nurses in Touch team can benefit you or your loved one, please contact us.