Hospice can be a very scary and ominous word to many people. As a hospice admissions nurse, I see the fear, indecision, vulnerability, confusion and despair firsthand.
Some patients I meet have a newly diagnosed terminal disease, and others suffer from a long-protracted disease that is now in the last stages. More often than not, the patient is ready to stop treatments and focus on pain and symptom management. They want to remain at home in safe, warm and familiar surroundings, rather than the grueling routine of a hospital or skilled nursing facility with endless doctor visit cycles.
As an Advanced Practice Nurse and International Psychologist, I'm passionate about providing hospice and palliative care simply because it is the right thing to do.
Everyone facing serious illness deserves this holistic, compassionate care, and I feel extremely blessed to be part of an organization like JourneyCare – one that shares my vision of delivering care to all who need it.
Part of our shared mission is spreading the word about the need for this supportive care in our communities, in the United States and throughout the world. That is because, unfortunately, many people are not able to receive the hospice or palliative care they need. This includes not only patients in developing countries, but even citizens of our own country who are part of marginalized, stigmatized and vulnerable groups.
Before becoming a hospice nurse, my professional career included extensive time serving in an intensive care unit, a coronary care unit and an emergency room, where the adrenaline and energy was high. Goals for a patient would be improvement and the constant search for “what would make them better?” — a frequent question asked by families. No one would mention in-depth comfort or quality of life.
I had always admired hospice nurses, not completely understanding myself (already a nurse) what hospice was all about. I believed hospice was called in when end of life meant almost end of shift.
I held various other roles, including working at a community clinic, public health facilities and home health agencies. When I had the opportunity to work firsthand with various hospice agencies, for the first time I had the audacity to believe I could be a hospice nurse.
My beloved late husband, who died November 11, 2014, was in the care of JourneyCare in our home for the last four days of his life. Coming from Serbia, neither one of us knew much about this health service, except that we were both scared by the word “hospice!” We associated it with the end of life and we were both horrified.
“Please don’t mention the word hospice,” I begged a social worker, who later helped both of us a great deal. “No worries, nobody likes that word,” she told me with a hug like a sister, and sympathy deep in her eyes.
April is Counseling Awareness Month.
Some say they don’t want counseling. Some say they don’t need counseling. Personally, I'm a big believer in counseling. In bereavement. In seeking some sort of help. Some sort of support. Some sort of release.
When you lose a loved one, your life is turned upside down. Your mind is tired. Your heart is broken. Help is available. Help can be sought. And dare I say, help should be sought.
I fell in love with my beautiful wife at the age of eighteen, and we dated for one year. We spent eight years apart, until fate brought us back together. At the age of 30, she took her last breath with us.
April 16 is National Healthcare Decisions Day, a nationwide initiative that aims to help people across the U.S. understand the value of advance healthcare planning.
I want to tell you about why I'm passionate about advance directives, with a hint of my irreverent sense of humor to boot.
Advance directives should be filled out when we are healthy and lucid. They should not be something we hastily prepare as our stretcher is being loaded into an ambulance.
They don't affect our everyday lives or even take effect until we are unable to make healthcare decisions for ourselves. How many people end up being non-decisional at some point? I’ve worked at the JourneyCare’s Pepper Family Hospice CareCenter in Barrington for five years now, and I can say, without exaggeration, that everyone reaches a point wherein they are unable to make decisions for themselves. This appears to only apply to mortals. So far, I have been alive for 29 years and it appears that everyone is mortal, possibly even including myself.
I've found that there’s no better way to reminisce with our Jewish patients than talking about the major holidays and the memories associated with them. Beginning at sundown on April 10, through April 18 of this year, we will be celebrating the Jewish holiday of Passover, also known as the Festival of Freedom.
The eight-day holiday commemorates the emancipation of the Jews from slavery in ancient Egypt. The Passover Seder is our traditional and family oriented ritual-packed feast. As we prepare for the upcoming holiday, I relish the old traditional songs I get to sing with our hospice patients.
Part of good communication skills is the ability to listen. It's especially true in my role as a hospice social worker.
Being skilled in communication and assessment is vital to my work. These skills allow me to best identify the challenges my patients and their families face, and ensure I’m able to meet their needs.
I may find a patient’s wife tearful as she recognizes the decline in her husband. Sitting with her, I'll place my hand over hers when she squeezes tightly. The act of joining her for a cup of tea and normalizing these recent changes is something I can do to provide her comfort.
Everyone has heard the words “social work” and “social worker," but do you know what they really mean? When I was growing up, I thought social workers were men and women who wanted to devote their lives working in underprivileged countries helping poor people enrich their lives.
Well, I grew up and learned I wasn’t completely wrong. And after 20 plus years as a social worker, I continue to learn everyday what social work and being a social worker truly mean.
As a hospice social worker I wear many hats. I am a noun, verb, adverb and adjective. I'm a counselor, confidante, advocate, researcher and resource. I'm a cheerleader, motivator, listener, party planner, wedding coordinator and dream maker.
Mainly, I am a humbled and privileged, invited guest into the lives of patients and families who I've been honored to know over the years. Here are a few of them:
Hospice is not a place. It is a philosophy of care.
Hospice focuses on providing compassionate care to patients with terminal illnesses once curative treatment has ended.
Hospice happens anywhere the patient calls home, from the house they grew old in, or a new place they have come to call home — be it in assisted living, a nursing home, a residential facility or a hospice carecenter.