Hospice Care That Focuses On Quality of Life

The hospice benefit is a multi-disciplinary approach to end of life care. When hospice patients are able to utilize the benefit, in its full capacity, self-fulfillment needs, psychological needs, and basic needs are met. At Nurses in Touch, we seek to meet all levels of needs for each hospice patient in order to maximize their end of life journey and hospice benefit utilization. 180 days on hospice not only allows for better end of life transitions for patients, but allows family members to be family members and our team to become caregivers. Thank you for allowing us to be a part of your journey.

Is COVID-19 the source of your grief?

That nagging feeling in the pit of your stomach. The worry that you just can’t shake. The anxiety that you’re feeling. It’s easy to recognize stress, fear, and worry. But at its core, these feelings of stress, fear, or worry could really be expressions of an even deeper emotion—grief.

During this time of uncertainty with COVID-19, we are grieving a loss of normalcy; a loss of safety; a loss of finances; a loss of health for people we love and care about deeply; a loss of milestone moments for our kids—graduations, proms, sports; a loss of connectivity to our family and friends; and a loss of events and regular activities that bring us together, allow us time to destress, or provide us with an escape from the daily grind. The list goes on and on with the challenges and changes that our new social distancing practices have put in place.

It’s okay to feel these emotions and to recognize your grief. Recognizing your grief does not diminish all that you are thankful for. For example, you can grieve a loss of work but still be thankful for your time with your family—time that you might never would have taken, otherwise. Or you can grieve the expectation that you are now an employee, parent, and teacher all in the same moment while still being thankful that your children are home safe and that you have a job. Grieving one does not lessen your joy of the other.

Seasons of life, even the really difficult ones, are not strictly one-sided or black and white. These moments are Bittersweet and point to the fact that something can be both bitter and sweet at the same time. Much like this, joy can exist, intertwine, and mingle right alongside our grief. We can feel the hurt and the loss, yet look around and find moments of joy, happiness and hope.

This bittersweet feeling is one that our patients and families often describe. A loss of independence, health, and ability to perform tasks that bring joy can cause grief, but periods of togetherness, closure, acceptance, and comfort can provide sweetness and enrichment to the lives of our patients and their families. Our staff feels this complex grief too – grief upon our patients’ passing but also a comfort and peace that our patients and their families found moments of joy during a difficult time.

In an article in the Harvard Business Review, grief expert David Kessler discussed these feelings of grief and how to combat those feelings. To summarize, he said:

  1. “Find balance in the things you’re thinking.” – Don’t just dwell in the worst-case scenarios. As it relates to the Coronavirus—think not just of the people who will be sick but also of all the people who will not because of our efforts to flatten the curve. As it relates to hospice – think not only of the passing of a loved one but also of the joy that your time with that person has added to your life.
  2. “Come into the present.” – In this present moment, your anticipatory thoughts are just that—thoughts, which may or may not come to fruition.
  3. “Let go of what you can’t control.”—Focus on what you can control. As it relates to the Coronavirus – practice social distancing, wash your hands, and don’t touch your face. As it relates to end of life– focus on what you can do, what you can enjoy, and what makes you happy.
  4. “Stock up on compassion.”—Fear and emotion manifest at pivotal times, such as a pandemic or at end of life. Recognize that a behavior may seem magnified out of fear. Give grace to those who behave out of character due to fear or emotion. Recognize them for who they typically are.

For the complete article from the Harvard Business Review, visit the link: https://hbr.org/2020/03/that-discomfort-youre-feeling-is-grief?fbclid=IwAR35_lZ8_xajIcqad-GfMTT6_Hcp_ytepXFah30uvVNMHnbri4RB6GmVPC4

Safe Activities to Enjoy While Social Distancing

Due to COVID-19, more and more Americans are practicing social distancing. While working at home, schooling from home, and sheltering in place, it’s understandable to wish for a simpler time when you could leave the house or interact with others outside of your household without worry. With new recommendations from the White House to continue social distancing through at least April 30, it’s more important than ever add a variety of entertainment to your life to keep yourself from feeling stir crazy. Here is a list of activities to help pass the time at a socially responsible distance:

  1. Utilize social media and video apps to stay connected to friends and family. Skype, FaceTime, Google Hangouts and Zoom are all video options you can use to connect with your long-distance friends.
  2. Walk, jog, hike or bike outdoors (while practicing social distancing from others).
  3. Read your neighborhood forums to see what types of social-distancing activities they have in place. For example, many neighborhoods are participating in bear hunts, where community members place teddy bears in windows so that kids can look for and count bears during their walks.
  4. Take a virtual tour of the Yellowstone National Park: https://www.nps.gov/yell/learn/photosmultimedia/virtualtours.htm. Many parks, aquariums, and zoos are offering free online tours or virtual experiences at this time.
  5. Write letters to your friends, family, nursing homes, and first responders.
  6. Do some spring cleaning.
  7. Play cards, board games or do a puzzle with your immediate family.
  8. Cook dinner – make a pizza from scratch or try a recipe that you’ve never made before because it was time-consuming.
  9. Join an online book club or meet with your friends virtually to discuss a book.
  10. Take a nap.
  11. Watch a movie or your favorite TV series on Netflix.
  12. Dig out your old coloring books. Coloring isn’t just for kids!
  13. Call the elderly people in your life and check on them. This would be a great time to interview your grandparents to learn more about their lives.
  14. Make a photobook online by uploading your favorite pictures from this past year.
  15. Buy gift cards from your favorite local businesses to use after social-distancing ends.

Let’s make the best out of this current situation by staying positive and being responsible. Spread the love, not COVID-19!

A Letter from Our CEO on COVID-19

Our Continued Diligence to Patient Care

  • Abode Healthcare has hired an infectious disease physician as an expert resource to help guide our decisions related to prevention and management of COVID-19.
  • All employees of Abode Healthcare have been re-educated on infection control, proper use of personal protective equipment (PPE), as well as effective handwashing techniques.
  • Abode Healthcare has implemented new policies and procedures related to PPE and all medical equipment to decrease the potential for disease transmission.
  • As a company, we have revised and implemented new ways for communication to take place within the leadership of our company to ensure that any and all important information is distributed, received and acted upon in a timely manner.
  • Abode Healthcare has developed a national two-level screening process for our patients.
    • Level one is a screening tool that is used for ALL of our patients.
    • Level two is an enhanced screening tool that is implemented in areas where there are confirmed cases of COVID-19.
  • Nationwide, Abode has implemented a screening process that takes place daily for our employees to decrease the risk for any transmission of the disease.
  • We have developed and implemented use of the Abode’s Emergency Preparedness and Response Plan, created specifically for our agency based on current recommendations from the CDC and the WHO.
    • This is a dynamic tool that will we will continue to revise and adapt as the situation evolves.
  • Abode Healthcare has secured necessary supplies for infection control practices as we continue to monitor and purchase more to effectively replenish our stocks.
  • Each of our locations has performed a live “mock” training event across every Abode agency with all employees to review our plans, discuss our specific roles, and ensure that every employee feels confident during this time to continue to provide the best care to our patients.
    • Confidence and dedication to patient care is key!
  • For patients being treated in Nursing Facilities with restricted access to outside visitors, we have implemented the following procedures:
    • Abode Healthcare has developed a remote visit for visits other than nursing, that can be done via phone with the patient, the caregiver, and with a representative at the facility that can provide information to us in order to collaborate on their plan of care.
    • Remote visits are available for social worker, chaplain, and music therapy visits.
    • The patients, families, caregivers, and physicians will be updated of any changes to the frequency or type of services we are allowed to provide.

Our dedication to our patients and family members during this time of need is our focus. We are here. Please let us know how we can help assist in any way with any patient in need during this time.

The coronavirus panic: How you can remain calm

The coronavirus, or COVID-19, is here in the United States and more people are getting sick, but the message remains the same: do not panic.  We’re reminded of the safety briefing on a plane “if the oxygen masks drop down and we lose altitude, put your mask on and stay calm.” Not panicking is easier said than done for many of us.  In fact, it is completely normal to panic when there is fear of catching a potentially deadly virus or fear of your plane going down.

Here are some tips and reminders on how to remain calm and help decrease your panic or anxiety:

  1. Start with grounding. Find the present moment by looking around at your surroundings. Exercise your five senses; what do you see, smell, hear, touch, feel?
  2. Listen to the experts. You’re not likely to get the virus, but if you do, you’re very likely to have mild or moderate symptoms. Live life as you normally would. Healthcare experts provide these practical tips for prevention against COVID-19 or other viruses:
    – Wash your hand frequently and thoroughly
    – Maintain a 3-6 foot distance in social situations with anyone who is coughing or sneezing
    – Avoid touching your eyes, nose, and mouth
    – Stay home if you are experiencing a cough, fever, or difficulty breathing, and seek medical care.More advice is available online on the World Health International website: https://www.who.int/emergencies/diseases/novel-coronavirus-2019/advice-for-public
  1. Talk with others.When something is bothering you, talk about it. Tell your friends or spouse or partner “this virus makes me nervous.” Tell them why.  Just talking about it helps.
  2. Be optimistic. Tell yourself, “everything is going to be OK.  Most people are going to be just fine. I’ll be fine, too.”
  3. Use coping statements. “This is a bad virus, but we are going to be OK. This is temporary. I’ve been through bad things before and I can get through this. When the fear comes up, I’m going to acknowledge it and let it roll off my shoulder. I can handle it. I can deal with it. This too shall pass.”
  4. Practice good self-care. Eat healthy. Drink water. Exercise. Engage in your hobbies. Socialize. Nurture your spirit.

 

Shared with permission by First Choice Health EAP.

 

 

The Why, When and How of Handwashing:

According to the Center for Disease Control, handwashing is your best defense against the spread of germs.

The CDC recommends washing your hands before, during, and after prepping food; before eating; before and after caring for a loved one; before and after treating a cut or wound; after using the toilet; after blowing your nose, coughing, or sneezing; after touching an animal or animal waste; after touching garbage; or after changing a diaper or cleaning up after a child.

Also consider washing your hands after touching surfaces in a public space; before and after work; and after using public transportation.

What is the best hand washing technique?

Wash your hands with soap and water for at least 20 seconds – the same amount of time it takes to sing the Happy Birthday song twice.

  1. Wet your hands.
  2. Apply soap and lather well.
  3. Scrub your hands, including the backs of your hands and in between your fingers. If you’re wearing a ring, make sure to scrub underneath it!
  4. Rinse your hands well.
  5. Dry your hands.

If you do not have access to soap and water, consider a hand sanitizer that contains at least 60% alcohol. Cover your hands with the hand sanitizer and rub your hands together until your hands are dry.

Try to avoid touching your eyes, nose, and mouth, but especially with unwashed hands.

For more information on the science behind washing your hands, visit:

https://www.cdc.gov/handwashing/show-me-the-science-handwashing.html

 

The Honest Truth About Grief

The Honest Truth About Grief

Here are three honest truths about grief that everyone should know.

  1. Grief is forever. This is hard to hear, but vital to understand. The sooner you accept this, the sooner you will be able to adapt to and deal with your grief.
  2. It’s ok to not be ok. Grief is harsh, constant and overwhelming – especially at first. Let yourself feel those emotions and don’t be ashamed of it. Recognizing your grief allows you to be one step closer to conquering your journey with grief.
  3. Everyone grieves differently, so don’t be so hard on yourself. There is no one way to go about the grieving process. There are a lot of articles out there offering suggestions and remedies to help your grieving process, but it is important to find what works best for you. Simply because someone found relief in one method doesn’t mean you’ll experience the same result. Know that’s it’s ok to find comfort in things other may not understand.

Although the points discussed above were very raw and honest, here’s the good news: Although grief is tough and may not ever truly go away, it does change over time. Grief becomes a part of you, it mellows and, most importantly, it makes you stronger. Right now, you may think that what you’re feeling will never subside, but you will become genuinely happy again at some point. Life will go on.

Surviving Valentine’s Day with a Broken Heart

Alright. Breathe. Don’t panic. Valentine’s Day is just around the corner, and I know some of you are dreading this day. While this holiday can be tough enough for some of us, those who are grieving this Valentine’s Day may have it worse.

While your intentions may be to spend the day alone and sad, I challenge you to push through and celebrate this day. Okay, hear me out. I understand that grief and Valentine’s Day don’t mix well but try these options for making it through yet another holiday without your loved one.

  1. Light a candle in honor of your loved one. It’s okay to think about them on this day and remember the love you had for each other. Allow yourself to be present in your loved one’s memory and feel all those emotions.
  2. Bring a card or flowers to someone else who is feeling down this Valentine’s Day. Redirecting your grief and trying to connect with those who are also grieving on Valentine’s Day can help you put a positive spin on the holiday.
  3. Invite a group of people over for a casual get together. Trust me, you aren’t the only one who doesn’t want to be alone this Valentine’s Day. Connect with others who are feeling the same way as you or those who may not have someone to be with this holiday.
  4. Have some quiet time. While surrounding yourself with loved ones on this day will be a huge help, it’s also important to take some time to yourself.
  5. Believe that next year will be a little easier. I promise, things will get better and it won’t always be this hard.

Valentine’s Day will never be the same without your loved one, and that’s okay. Planning ahead and incorporating some of these tips throughout the day can help relieve the stress and create a new meaning for this holiday. Just remember – Love never dies.

Celebrating the Holidays when a Loved One is in Hospice

This time of year can be challenging for those who have a terminally ill loved one. If this friend or family member is in hospice, the holiday season may feel “off” or a little less joyous this year.

While there are certainly challenges you will have to face, there are still ways you and your family can celebrate the season with your loved one in hospice. We’re here to provide you with some encouragement to navigate this time of year.

Coordinate with hospice staff.

Those working in hospice are not just there for the patients during this time, they are also there for the families. Hospice staff serve as a crucial resource for trying times like these and are more than willing to assist. They can help coordinate visiting schedules to work around holiday events, offer suggestions for support groups, and make arrangements for any holiday traditions you’d like to celebrate with your loved one. Among many other tasks, hospice staff are there to aid you this holiday season.

Adjust your holiday traditions.

While it may seem difficult to change any holiday traditions you have to better suit your loved one in hospice, just know that it will be wroth it. Including your loved ones in these traditions is what the season is all about, so making certain they are a part of some of the traditions you enjoy the most will bring everyone closer together and create a special meaning this year.

Above all, enjoy time with your loved ones.

We know this may sound hard – maybe even impossible. It’s important to use this time to bring everyone together and create memories while you can. Surrounding yourself with friends and family can serve as a reminder that you are not alone in this process.

We’ll leave you with this question – What’s your reason for this season? Is it to cherish another holiday with your loved one?

5 Tips | Grief & The Holidays

The holiday season is here, which means family get-togethers, gift-giving, and happy times. For some this is the case, but for others, this can be a time filled with grief and sadness. Holidays are for spending time with those we love the most, so how can someone be expected to handle this time when a loved one has died? 

If you are missing a loved one this holiday season, here are some tips to help you take a step back from the grief and survive the holidays.

 

Tip One: Be prepared for grief triggers.

Let’s be honest, triggers are particularly evident during the holidays. Preparing for these triggers and having a plan to cope with them can make the triggers more manageable if you encounter them.

Tip Two: It’s okay to take a break from togetherness. 

Plan to get some space from the holiday chaos if you need it. Being surrounded by family and friends is great, but everything all at once can be emotionally overwhelming and hard to overcome. Don’t feel guilty about your grief. It is important to be conscious of your limits and take some time to collect yourself.

Tip Three: Seek gratitude. 

The holidays are a time to gather together, eat good food, and share what we’re thankful for. If you’ve recently lost a loved one, grief can make it difficult to feel thankful. Although you may be focusing on the loss, try and remember the good things that relationship brought into your life. Search for that gratitude. 

Tip Four: Decide which traditions you want to change or keep.

Acknowledge that things will be different this year. Some holiday traditions will remind you of your lost loved one, but it is okay to limit which of these you allow yourself to practice or not. Take time to determine which traditions will make you happy and which will overwhelm you. 

Tip Five: Say yes to help. 

Although you may typically play host during the holidays, this year may be too much to take on alone after losing your loved one. Accept help when it’s offered. Remember there is no shame in saying yes. Those who love you want to help. 

 

The holidays can be hard for those who have recently lost a loved one. Grief can be especially unavoidable during these times, but it is important to remember that you can still feel joy through the grief. Taking these tips into account can help you prepare for that grief and make your holidays more enjoyable despite your recent loss.