Hospice Training Guide

AS CARE NEEDS INCREASE

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Your Care Team can help avoid unwanted hospital stays, allowing the patient to stay at home. Four Seasons’ nurses are available 24 hours a day, 7 days a week to respond to your urgent needs or other issues that concern you. We can arrange for a nurse to visit you, even in the middle of the night if necessary. CONTINUOUS CARE If changes in the patient’s condition require more intense care than is typically provided, it is sometimes best for Four Seasons’ nurses and nurse aides to remain for a few hours or more in the patient’s home. The Medicare hospice benefit calls this “continuous care.” This is for ‘crisis’ periods, for a limited time, and the patient must meet certain criteria.

The Four Seasons Team will: • Train family caregivers to give medications, provide personal care and treatments, or con- duct other specific procedures ordered by your medical provider. • Reposition (if reasonable) bedbound patients and bathe/change incontinent patients frequently for comfort and to prevent skin breakdown. • Bring their own food and beverages and will not smoke or use electronic smoking devices while in your home.

• Be allowed a 30-minute meal break and up to two 10-minute breaks during an 8–12 hour shift. • Conduct themselves as guests in your home, and will be courteous and respectful at all times. • Provide regular visits by the usual Care Team in addition to the continuous care being provided to the patient.

How you can help: • Stay involved in the patient’s care.

• Assist in planning for the patient’s care when the current symptoms are under control and continuous care ends. • Ask questions freely and as often as needed.

• Be part of making decisions that you feel are in the best interest of the patient, such as not turning in bed, refusing medications, etc. Please discuss these decisions with your Care Team. • Be available for visits from your Care Team.

RESPITE CARE Respite care is a period designed to relieve the family member or other persons caring for the patient. The patient is admitted to a nursing center (possibly Elizabeth House) only on an occasional basis, for no more than five consecutive days at a time. The hospice Medicare benefit also pays for this short stay. WHEN MORE HELP IS NEEDED TO GIVE CARE AT HOME Giving care takes much time and energy. Sometimes it is good for the family to hire professional caregivers. Quality, private-duty personal care is available with other community agencies or individuals. Talk with your social worker for more information. Hiring, supervision, and payment of professional caregivers is the respon- sibility of the patient’s family. Your Care Team will gladly work closely with caregivers you choose to hire.

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Four Seasons

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