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Did you ever consider how complex hospice care is? Since we are open 24 hours a day, every day, we have Gentiva Hospice staff available for those who have needs during the evening.

These concerns are addressed as they occur by our nurses, social workers, and chaplains. Morning comes and the home health aides begin their rounds.

A patient may need a bath, assistance with breakfast, help with getting dressed, or reminders when it is time to take medications. Granted, some of them make later visits since some patients prefer to sleep in and have a visit around lunch time.

Also early in the day, the Gentiva Hospice team listens to voice mail messages so we are all aware of changes with patients.

Since I manage the Volunteer Program, I listen to determine if there have been any changes with patients who have volunteers. It could be anything from a trip to the hospital after a fall to a patient death.

Keeping each other informed is crucial to making a trying time a little easier for the patient and loved ones. The Bereavement Coordinator listens too so that families who have lost a loved one can be contacted to offer support and comfort during the grieving process.

This is a complete team meeting with some of us in the office and the rest calling in to attend by conference call.

We discuss pending admissions, admissions from the previous day, discharges, status of paperwork, staff assignments, ways to enhance patient care, and other necessary topics.

Chaplains and social workers collaborate with other team members so that their visits are spread out to allow ample time to address patient needs and concerns.

Every two weeks we have a meeting to discuss individual patient care. This meeting, led by one of our medical directors, is a comprehensive, collaborative effort involving the nurses, social workers, home health aides, chaplains, and volunteer services.

Needs are discussed as well as continued appropriateness for hospice care. Issues such as spiritual needs, funeral planning, family dynamics, and financial concerns are also included in the conversation.

It always amazes me that the level of concern and patient advocacy we provide surpasses what families and patients ever expect.

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