Care Giving

National Hospice Month: Kathy Flinn and Tiffany Livanec

Kathy Flinn and Tiffany Livanec

Featured for National Hospice Month for the week of November 26 are Tiffany Livanec and Kathy Flinn. Tiffany is a Professional Relations Liaison and has been working at Houston Hospice El Campo office for five years. Kathy Flinn is the RN, PCM-IPU and has been working with Houston Hospice at the Texas Medical Center location for the past 14 years.

(Tiffany) What do you love most about working at Houston Hospice?
I love educating the community about hospice and knowing that many will have a much greater quality of life due to our efforts. 

 

(T) What draws you to your position?
My grandmother was on our services several years ago. The GIFT of hospice to our family is so dear to my heart that I feel incredibly blessed to have the opportunity to work for such an amazing organization.

(T) What have you gained from working at Houston Hospice?
I have gained a greater appreciation for life, even less fear of death, and an increased faith!

(T) If you hadn’t become a Professional Relations Liaison, what might you have become?
If I weren’t called to be a liaison, I would like to be a chaplain.

(Kathy) What has been a pleasant discovery for you in the hospice community? 
Meeting the dedicated people who do this work because they perceive it as a”calling”… not just a job.

(K) What impact has hospice had on your life?
It reminds me that this life is temporary. It’s the next life that is really important.

(K) If you hadn’t become a nurse, what might you have done?
A travel journalist.

(K) Who was the person who most influenced you, and how?
Jane Sidwell.  She was PCM of the Inpatient Unit in 1996 when I oriented to my role as on-call nurse. I spent a 3-week rotation in the PCC (Patient Care Center) as it was called back then. Jane is the epitome of what I perceive to be an effective manager.

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National Hospice Month: Robynette Hall & Elizabeth Erwin

Robynette Hall & Elizabeth Erwin

 

Elizabeth Erwin & Robynette Hall share their hospice experiences for National Hospice Month. Robynette Hall has worked with Houston Hospice for the past five years as an RN for the On-call Team and works throughout the city.  Elizabeth Erwin, Senior Accountant has worked at Houston Hospice in the Texas Medical Center for the past 15 years.

 

 

(Elizabeth) What has been a pleasant discovery for you in the hospice community?
There are some who don’t know what hospice is all about and then there are others who look at me with admiration when they hear I work at Hospice.

(E) What draws you to your position?
I love Accounting!

(E) What have you gained from working at Houston Hospice?
Respect for what the nurses and doctors do on a daily basis. And let’s not forget the Finance staff who book and report the results of their work!

(E) If you hadn’t become a Senior Accountant, what might you have done?
Forest Ranger – I love nature – the backyard outside my window helps with the forestry side of my accounting!

(Robynette) What do you love most about working at Houston Hospice? 
I love the Team work and how much everyone truly cares for the patients and their families.  I also like how many Disciplines are involved taking care of our patients and their families.  It takes an army to care for them.

(R) What has been a pleasant discovery for you in the hospice community? 
This is where I belong, working Hospice and how rewarding it is to be able to help the patients and their families.  I feel truly blessed.

(R) What impact has hospice had on your life?  
The company is terrific and growing, the Team work has been the best I have ever witnessed and I feel everyone really cares about each other.  Knowing how much impact you have on the patients and families is a great reward unto itself.  As well as being able to work for one of the only nonprofit hospices in the Houston area.

(R) If you hadn’t become an RN, what might you have done? 
This is my third career and my second career move as a nurse.  I think I am hooked as a hospice nurse however.

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National Hospice Month: Sharon Hempler and Sonja Payne

Sharon Hempler and Sonja Payne

 Houston Hospice employees Sharon Hempler and Sonja Payne talk about their experiences at Houston Hospice for National Hospice Month. Sharon has been an RN-PCM on the Blue Team in the West Office for the past five years. Sonja Payne, Receptionist, at the Texas Medical Center location has been working with Houston Hospice for 20 years.

(Sharon) What has been a pleasant discovery for you in the hospice community?
Inspite of the difficulty of our work, we support & uplift each other.

(Sh) What impact has hospice had on your life?
Not only was I able to assist patients and families, but Houston Hospice supported me through my husband’s death.

(Sh) If you hadn’t become an RN-PCM, what might you have done?
If I hadn’t become a PCM, I would still be out seeing patients and families.

(Sh) Who was the person who most influenced you, and how?
Cheryl Holbert was my PCM and set a high standard for me to follow. She is knowledgeable and was a good mentor and teacher. Ruth Landauer was a friend of a friend who recommended Houston Hospice to me. She is a calming influence and supportive of staff and our clients.

(Sonja) What has been a pleasant discovery for you in the hospice community?
What has been a pleasant discovery for me is the spiritual bindings that hold me to Houston Hospice.  No matter how I look at my position here, I can always find myself spiritually connected to the organization. 

(So) What impact has hospice had on your life?
The impact hospice has had on my life is tremendous.  I am grateful for all the years and experience that I have endured here.  I don’t take hospice or the people here for granted. I am aware of other people’s feelings and believe everyone here at Houston Hospice is on a journey. 

(So) What have you gained from working at Houston Hospice?
Compassion and patience are two things I did not necessarily exude before coming to work here.  I knew about compassion and I had heard about patience. However, had I not come to work here I would probably not have gained either.  It prepared me for the grief I suffered in losing my brother and helped me support my family during our losses. Many of my friends and family say that I have two lives; one before hospice and the one I have now, after hospice.

(So) Who was the person who most influenced you, and how?
The person who influenced me the most at Houston Hospice would be Ruth Landauer, Director of Volunteers.  I learned from Ruth’s warmth and dedication from the very beginning.  She embraced me very delicately and made me feel ‘right at home’ on my very first day at hospice.

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National Hospice Month Insight from Nora Heflin and Jodie Gonzalez

Nora Heflin and Jodie Gonzalez

 

For National Hospice Month, Houston Hospice employees shared insight into compassionate, end-of-life care. Featured for the week of November 5 are Jodie Gonzalez and Nora Heflin. Jodie is a social worker on the Blue Team, which is based out of the West Office and has been working with Houston Hospice for one year. Nora Heflin has been a Certified Patient Care Aide for the past four years and is working at the Texas Medical Center location.

 

(Jodie) What do you love most about working at Houston Hospice?
My co-workers! Everyone on my team gives 100% to every patient/family and truly believes in the work we do.

(J) What draws you to your position?
The ability to walk alongside families during the most difficult time in their lives.

(J) If you hadn’t become a social worker, what might you have done?
A champion flamenco dancer…of course!

(J) Who was the person who most influenced you, and how?
Elisabeth Kübler-Ross did amazing work with terminally ill patients and really opened the world’s eyes to the needs of dying patients and discussions of death/dying. As long as professionals understand that there are no “5 stages of grief,” her work is still inspirational to those of us trying to increase our culture’s comfort level with death.

(Nora) What has been a pleasant discovery for you in the hospice community?
I discovered that we all face pain in life; it’s what you do with it.

(N) What impact has hospice had on your life?
Hospice has had a great impact on my life, losing my sister to cancer in 2010. I trusted my loved one to the care of Houston Hospice.

(N) Who was the person who most influenced you, and how?
Dr. Trinh, She taught me even in the worst of times, there is always another way to look at the situation. Even under tremendous amount of stress she still can manage to find some good in every situation.

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Houston Hospice: National Hospice Month

National Hospice Month is upon us. Every Monday through the month of November Houston Hospice will be highlighting employee experiences and delving into the human aspect of hospice care. The 2012 National Hospice and Palliative Care theme is Comfort·Love·Respect – something we see daily at Houston Hospice. Hospice care happens because of skilled and compassionate hospice and palliative care professionals. These include physicians, nurses, social workers, hospice aides, chaplains and volunteers. Below is a glimpse of employee insight into compassion driven end-of-life hospice care.

What have you gained from working at Houston Hospice?

 “Knowing that we are truly helping patients, and their families at the most crucial part of their lives,” Robynette Hall, RN, On-call Team.

“What I have gained most at Houston Hospice is compassion and patience,” Sonja Payne, Receptionist.  

“Fulfillment in being a healing presence,” Kathy Flinn, RN, PCM-IPU.

 

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What Hospice Care Can Do for Seniors

To qualify for most hospice care programs, patients must have a terminal diagnosis and an expected prognosis of six months or less. Patients at any stage of their life span may enter, but because of the requirements, most hospice patients are seniors who are dealing with an advanced-stage cancer or chronic disease.

Seniors often begin to consider hospice once they have exhausted their potentially curative treatments. They may also turn to hospice if they are not candidates for traditional treatments because of their age or late-stage diagnosis. Once patients decide that a purely palliative regimen is right for them, hospice services can help them stay comfortable and maintain their quality of life.

Hospice programs also help seniors and their families cope with the terminal diagnosis. From counseling to support groups, these programs help seniors address end-of-life decisions, such as life support and wills. They also help seniors manage the emotional stress they may be feeling about the upcoming months. Patients’ family members – regardless of age – can also benefit from the emotional health services that make up a large component of hospice care.

Health Care Services

Hospice nurses provide a number of health care services that are specifically designed to help patients keep their symptoms under control. While these services are not intended to increase a patient’s life span, they are intended to improve the patient’s quality of life. These services primarily help seniors manage pain, nausea, diarrhea or constipation, fatigue, appetite loss and other common symptoms.

Hospice physicians regularly evaluate the patient’s condition and decide which palliative therapies would provide them with the most benefits. Through hospice, seniors can obtain pain medications (either non-steroidal or steroidal, depending on the severity of their discomfort), wound care, hygienic assistance and other general personal care. Seniors who need help portioning out or remembering to take their medications can also receive this assistance from their hospice nurse.

Seniors can also rely on their hospice staff in case of an emergency. While seniors who enroll in an inpatient hospice facility receive 24-hour monitoring, patients who receive hospice services at home also have hospice nurses on-call all day. This provides the patient and their family extra reassurance in case of a medical crisis.

Emotional Care Services

Seniors also gain access to emotional care services when they enter a hospice program. Hospice care incorporates several different supportive care options, including:

Throughout their time with hospice, seniors will be able to work with clergy members, professional counselors or psychologists, social workers and other volunteers who are trained to guide them through the process. While patients may not immediately realize the importance of these emotional care services, they help patients cope with stress, anxiety and fear. Additionally, family members often have access to emotional support and bereavement services through the organization.

Author bio: Faith Franz researches and writes about health-related issues for The Mesothelioma Center. One of her focuses is living with cancer.

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Celebrating Valentine’s Day as a Caretaker

Valentine’s Day is a holiday that people love to love or love to hate. Some people love the idea of having a whole day to celebrate their love for their friends, family, and that special someone. Other people believe Valentine’s Day is a made up holiday to generate card, chocolate and flower sales. Whatever your opinion is, as a caretaker acknowledging Valentine’s Day can benefit your loved one.

If you take away all of the commercialization of Valentine’s Day what is left? The answer is simple- love. Dedicating a whole day of love for the people in your life is a great way to realize how valuable they are. As a caretaker, you are already a laborer of love. Balancing work and family is stressful enough. You choose to become a primary caretaker because of your deep love for your family member or friend.

This Valentine’s Day, take some time to think about the love you have for the friend or family member you are taking care of. In the chaos of trying to create a successful balancing act, it’s easy to forget why you are a caretaker. Think about great memories shared between the two of you and talk about them with your sick loved one. You don’t have to buy flowers, chocolates, or cards to celebrate your love for each other.

Also, don’t forget to celebrate the love you have for yourself. Take a moment to think about your characteristics that make you unique and special. When you love yourself you can love others even more. Don’t let yourself forget your worth or that you are a strong, caring person. Give yourself a giant hug and compliment.

Even though Valentine’s Day can seem a little over the top and excessive, don’t forget the message of love. Let others in your life know that you love them even if it’s a simple phone call or letter. And celebrate the love you have for yourself.

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Give the Gift of Listening

 

This photo was taken by Andrew Beeston 

The holidays are a time of the year when people show their emotions the most. Anger, sadness and joy are some emotions people express during the holidays based on their personal beliefs or past experiences. The holiday season also prompts people to share their true feelings with family and friends whether they are good or bad. Sometimes this includes elderly members of our family who believe their years left are numbered and want to make sure their message is heard.

When we start to hear our grandparents, parents, aunts or uncles talk as if they might pass away very soon it can be hard to accept, especially around the holidays. We do not want to think this could be their last family holiday function because it puts a damper on the celebration. If you find yourself in a similar situation with a family member over the holidays, here are a few tips I have gathered from my experience working in hospice.

 Actively Listen

If your loved one wants to tell a story or have a serious conversation with you, give him or her, your full, undivided attention and listen. One of the biggest fears we face with death is the possibility of being forgotten. The stories that we have can be passed around and shared with our family for generations. It can be reassuring to your loved one that he or she will be remembered. So, even though you may be hearing grandpa’s fishing story for the 100th time, listen again and tell him that you’ll pass his story on to your grandkids one day.

 Ask Questions

When family members begin to open up and speak as if they have a short time left in their life, ask them questions. This shows them that you care about the life they have lived and that they are significant to you. Ask them for advice and to share the life lessons they have learned. This will make them feel needed and that they are still valued and respected.

Build Support

If a family member feels as if his or her days are numbered, talk to your other family members about it. Building a strong support system with other family members will help ease the pain when a death occurs. Sharing different views and perspectives can also provide a large retrospect about how one person can affect so many lives in different ways. Grandpa’s fishing story may mean one thing to you but something completely different to your cousin. Communicating with other family members can teach you something you never knew about your sick family member.

The holiday season can be an overwhelming time. Always be sure to take time and listen to a family member or friend who is trying to be heard. Make them feel important and that their message will never be forgotten. Be patient while listening to the same story for the 100th time and maybe one day someone will do the same for you. Have a safe and wonderful holiday season.

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Hospice During the Holidays

When a family member is admitted into hospice care, a variety of emotions come into play. Fear, sadness, anger and relief are felt at any given moment and can often lead to confusion and dismay. During the holidays, these emotions can peak and we can sometimes lose sight of the positives hospice care offers.

First of all, hospice care provides an environment where it is safe to say goodbye. When a patient agrees to hospice care, he or she is giving you permission to say farewell. Family members and friends can focus on their loved one and each other. Also, having family and friends around can offer great validation for those who are having difficulty with the farewell process.

In addition, hospice can bring together the patient’s family members and friends. During a difficult time, most families become stronger than ever. They support one another and tend to let go of petty arguments that occurred in the past. Also, family members spend more time together while a family member is in hospice care. They form a bond knowing that they are all going through this process together.

Also, hospice provides a place to relive precious holiday memories as a family. The patient gets to enjoy stories from a variety of friends and family members about holiday traditions and funny memories. This is a great way for the patient and the patient’s family to focus on positive thoughts. Sharing funny holiday stories can help lighten the mood and provide relief to the family members and friends who are nervous or uncomfortable.

And finally, hospice allows you to see the kindness strangers can offer. Volunteers and nurses do not stop working during the holiday season and often sacrifice holidays to take care of patients. A hospice staff understands how difficult losing a close friend or family member can be during the holidays. They provide extra support, extra attention and extra kindness to family members during the holiday season. Witnessing these extra efforts can make you appreciate how caring strangers can be at a time in need.

Saying goodbye to a loved one is never an easy task and during the holidays it can be more difficult. Remember to try to focus on the positives and don’t be afraid to form a support group of family members and friends. Understand that the hospice staff is there to comfort you and to help you during the holidays. Treasure the precious moments you have with your loved ones, share cherished memories and appreciate the impact the patient’s life has had on you.

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Celebrate Hospice Month

Houston Hospice Volunteer Pam Poole

 The month of November has many different observances. From Native American Heritage to Pancreatic Cancer Awareness, the ways to honor  November are endless. We are choosing this month to honor Hospice and those who dedicate and provide others with exceptional hospice care.   

  Each November, the National Association for Home Care & Hospice (NAHC)celebrates National Home Care Month, National Hospice Month and Home Care Aide Week to honor health care administrators, nurses, clinicians, therapists, aides, homemakers, chore workers and companions who make a remarkable difference in the lives of patients and their families.[1] This year’s theme for hospice month is, “Loving Care at Home When You Need It Most.” This theme will focus on caregivers who take on the responsibility and stress in assuring their loved one is comfortable.

One way to honor Hospice Month is to honor a caretaker. Being a caregiver is one of the most difficult tasks a person will ever have to face. Caretaking can last as short as weeks and as long as many years. Caretakers must re-organize their priorities in order to give their loved one the best care they can. The added stress can lead to neglecting their spouse, children, job and even themselves. Caretakers never have a moment of peace because if something happens to their loved one off their watch, then they feel guilty.

If you know someone who is a caretaker be sure to take this month to honor them in a special way. It doesn’t have to be something extraordinary, but something little. A card encouraging them to keep up the good work can mean wonders to a stressed out caretaker. Offering a set of ears for listening or a shoulder to cry on can show support and provide comfort to caretakers.

Another way to honor Hospice Month is to volunteer at a local hospice. Most hospices need help with a variety of tasks from visiting with patients to helping out with administrative work. At Houston Hospice we have volunteers who provide our patients with musical and pet therapy as well as volunteers who water our plants. Remember, even the smallest gesture can make the biggest difference.

And finally, one of the greatest ways to participate in Hospice Month is to spread the word and educate others about hospice care. This can be done by talking to friends and families about how hospice affects you. Spreading knowledge and sharing insight of your own hospice views and experiences can change a life unexpectedly. 

Whether it’s a day, a week, or the whole month, remember to acknowledge that one of the many observances of November is hospice care. Showing support and pride will not cost you a thing. If you are proud November honors hospice, wear a burgundy ribbon to represent all who dedicate their services to hospice and caretaking.

[1] National Association for Home Care and Hospice

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