Hospice is for people who are approaching or are in the end of life journey. As experts in pain and symptom management, we bring individualized care that alleviates suffering and extends comfort. Offering assistance not just to the patient, but the family as well. Our interdisciplinary team approach provides care and practical support to patients, with our main goal being a patient who is comfortable and is escorted through this journey with respect and dignity. We are available 24 Hours/7 Days a week.

Are your patients experiencing any of the following symptoms?

  • Repeat ED (emergency department) visits and/or hospitalization
  • Increased pain and/or symptoms
  • Recurrent UTI’s
  • Recurrent URI’s
  • Abnormal lab values
  • Frequent change in medication
  • Increased shortness of breath
  • Oxygen dependent
  • Frequent falls
  • Frequent calls to Physician
  • Increased dependence with activities for daily living
  • Significant weight loss or weight gain
  • Increased chair-bound or bed-bound status
  • Dysphagia
  • Decubitus Ulcers
  • Incontinence

Indicators for

Cardiac Disease

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Indicators for Cardiac Disease

  • Persistent symptoms of recurrent heart failure at rest
  • New York Heart Class IV- clinical factors include & support discomfort at rest
  • Ejection Fraction of 20% or less
  • Optimal treatment with diuretics & vasodilators
  • Increased Physician visits
  • Frequent hospital & ED visits
  • Abnormal heart rhythms resistant to therapy
  • Unexplained fainting
  • Cardiac arrest or MI
  • Frequent medication & dosage changes
  • Poorly controlled angina
  • Increased fatigue
  • Shortness of breath standing or in a reclined position
  • Awakened by shortness of breath
  • Increased use of oxygen
  • Inability to carry out any physical activity without pain or shortness of breath
  • Weight loss or weight gain related to disease process
  • Neck vein distension

How We Help Patients With

Cardiac Disease

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How We Help Patients With Cardiac Disease

  • Cardiac pain and symptom management
  • Psychosocial support for anxiety and depression related to disease process
  • Symptom management for acute episodes
  • Coverage of medications, DME & supplies related to management of the terminal illness, such as oxygen & cardiac medications to promote comfort
  • Patient education to teach physical energy conservation, medication regime equipment and coping techniques associated with disease progression
  • Assistance with personal care for patient
  • Psychosocial and spiritual support for patient and family
  • Assistance with end of life planning
  • Patient education to teach physical energy conservation, medication regime, equipment and coping techniques associated with the disease process
  • WE ARE AVAILABLE 24 HOURS A DAY/ 7 DAYS A WEEK

Indicators For

Pulmonary Disease

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Indicators for Pulmonary Disease

  • Disabling shortness of breath at rest
  • Poor or no response to bronchodilators
  • Decreased functional capacity resulting in bed to chair existence, fatigue and cough
  • Increased visits to hospital or ED
  • Increased respiratory infections or respiratory failure
  • Increased anxiety of patient and family
  • Frequent change to medication & dosage
  • FEV1 (Forced Expiratory Volume) less than 30%
  • Hypoxemia at rest on room air: O2 Sats (Oxygen saturation level less than 88%)
  • Resting tachycardia greater than 100/minute
  • Right Heart Failure
  • Oxygen dependent

How We Help Patients With

Pulmonary Disease

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How We Help Patients With Pulmonary Disease

  • Expectations of decreased 911 calls, decreased physician calls, and hospitalizations
  • Psychosocial support for anxiety or depression related to the disease process
  • Coverage of medication, DME and supplies related to the terminal illness such as; oxygen and inhalers
  • Assistance with personal care for the patient
  • Patient education to teach physical energy conservation, medication regime, equipment and coping techniques associated with disease progression
  • Psychosocial and spiritual support for patient and family
  • Assistance with end of life planning
  • WE ARE AVAILABLE 24 HOURS A DAY/ 7 DAYS A WEEK

Indicators for

Renal Disease

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Indicators for Renal Disease

  • Patient chooses to discontinue dialysis or refuse to initiate dialysis
  • Dialysis burdens outweigh the benefits
  • Fatigue, insomnia, neuropathic pain, nausea, vomiting, depression, exhaustion and cramping
  • Creatinine clearance < 10 cc/min (<15 for diabetics)
  • Serum Creatinine >8 mg/dl (>6 mg/dl for diabetics)
  • Presence of signs & symptoms of renal failure may include; uremia, oliguria (<400 cc/day), hyperkalemia (<7) and not responsive to treatment
  • Patients whose terminal illness is not related to renal failure may continue dialysis

How We Help Patients With

Renal Disease

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How We Help Patients With Renal Disease

  • Acute symptom & pain management upon & post discontinuation of dialysis
  • Education with expectations of the progression the disease takes as it progresses
  • Psychosocial and spiritual team to support patient and family to help address & alleviate fears
  • End of life planning
  • WE ARE AVAILABLE 24 HOURS A DAY/ 7 DAYS A WEEK

Indicators For

Dementia

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Indicators for Dementia

  • Ability to speak is limited or speech is nonsensical
  • Non-ambulatory or ambulatory with significant assistance
  • Incontinent of bowel and bladder
  • Dependent for ADL’s
  • Stage 7 or higher on the FAST scale
  • Decrease on cognitive status
  • Multiple hospitalization and ED visits
  • Progressive weight loss of >10% of body weight during the last 6 months
  • Serum albumin <2.5 gm/dl
  • Aspiration pneumonia
  • Frequent UTI’s
  • Decubitus Ulcers
  • Dysphagia

How We Help Patients With

Dementia

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How We Help Patients With Dementia

  • Evaluate and aggressively manage non-verbal pain
  • Anticipate needs
  • Treat infections
  • Educate family regarding nutrition and hydration
  • Provide personal care for patient
  • Communication with family regarding patients condition
  • Educating family and caregivers on what to expect as the disease progresses
  • Psychosocial and spiritual support for patient and family
  • Reduction of hospitalization and emergency department visits
  • WE ARE AVAILABLE 24 HOURS A DAY/ 7 DAYS A WEEK

Indicators for

Neurological Disease

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Indicators for Neurological Disease

  • Acute cerebrovascular accident and coma
  • Persistent vegetative state beyond 3 days
  • Physician confirmation of non-recovery
  • Chronic Stroke and Coma
  • Dependent for Activities for Daily Living
  • Mainly bed to chair existence
  • Confused & drowsy state
  • Palliative Performance Scale 40%
  • Insufficient intake to sustain life
  • Documented weight loss of 10% > 6 months, and/or documented inadequate caloric or fluid intake
  • Serum Albumin < 2.5gm/dl
  • Sepsis
  • Decubitus ulcers
  • Urinary tract infections
  • Recurrent fever after antibiotics

How We Help Patients With

Neurological Disease

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How We Help Patients With Neurological Disease

  • Ongoing evaluation and regulation of disease specific medications to control symptoms and pain
  • Coverage of durable medical equipment specific to disease
  • Education for family and caregivers on the expectations of the disease progression
  • Psychosocial and spiritual support for patient and family
  • Physical, Occupational or Speech Therapy available if needed
  • WE ARE AVAILABLE 24 HOURS A DAY/ 7 DAYS A WEEK

More Familiar Disease Processes

We also treat and manage pain and symptoms associated with familiar diseases such as Cancer, Liver, and HIV.  All patients must have a Physicians order to evaluate and treat if appropriate. Additionally, the patient’s attending Physician and our Medical Director believe that in their best medical judgment the patient has a life expectancy of 6 months or less to live.

When you’re ready to refer a patient to hospice care, we’re here to help.