Lessons from a Butterfly Family: Parenting a Dying Child


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Thuy Hanh Trinh, MD Earns Fellow Status from the American Academy of Hospice and Palliative Medicine

Hanh Trinh Photo white background 11-2013

Thuy Hanh Thi Trinh, MD, MBA, FAAFP, WCC, of Houston, TX, recently earned the designation Fellow of the American Academy of Hospice and Palliative Medicine. The Academy is the professional organization for physicians who care for patients with serious illness.  Advancement to fellowship status within the academy honors dedication to and scholarship in the field of the hospice and palliative medicine. This distinction represents a minimum of 5 years of membership, participation in AAHPM activities, letters of recommendation, and board certification in hospice and palliative medicine.

 

Dr. Trinh is Associate Medical Director at Houston Hospice in Houston, Texas. She received her medical degree from Louisiana State University Health Science Center in New Orleans and trained in family medicine at Baylor College of Medicine.  Following residency, she completed her geriatric fellowship at Baylor College of Medicine and her palliative medicine fellowship at M.D. Anderson Cancer Center. She joined Houston Hospice in 2007 and serves as the Education Liaison.

She will receive the designation during the Annual Assembly of the American Academy of Hospice and Palliative Medicine and the Hospice and Palliative Nurses Association in San Diego, California on Saturday, March 15, 2014.

The American Academy of Hospice and Palliative Medicine’s membership includes more than 4,900 physicians and other healthcare professional committed to improving the care of patients with serious or life-threatening conditions. Since 1988, AAHPM has supported hospice and palliative medicine through advancement of clinical practice standards, fostering research, providing education, and through public policy advocacy.

To learn more about Houston Hospice please visit www.houstonhospice.org.

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Expansion of the Margaret Cullen Marshall Hospice Care Center Becomes Reality

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Ribbon Cutting in Spring 2014

The expansion of the Margaret Cullen Marshall Hospice Care Center became a reality in 2013 with the build out of the third floor. The groundbreaking ceremony was held at the end of April and construction on the third floor began in May. Forney Construction, the primary contractor of the project, completed the job in October. Patients began occupying the third floor at the end of October. Thanks to the philanthropic community and the employee’s response to the capital campaign who made filling this need possible.

Renovations for the first and second floors are expected to be completed by Spring 2014. This completion along with the third floor build out will provide an additional
12 patient rooms at the Texas Medical Center facility. This allows Houston Hospice to be more effective in serving patients and families. 

To find out more about the Houston Hospice capital campaign please visit www.houstonhospice.org.

 

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Houston Hospice Capital Campaign Video: Dianne Gilbert, RN, PCM

 

Construction is well under way on the Houston Hospice Margaret Cullen Marshall Hospice Care Center, but we still need your support. Twelve patient rooms are being added to our third floor to allow us to provide inpatient hospice care for additional patients. In the clip above, Mark Howard, Houston Hospice Financial Development Committee Member, interviews Dianne Gilbert, RN, PCM about why she thinks the additional inpatient space is needed. Dianne interfaces with patients every day and knows firsthand the impact the additional rooms will make. Gilbert said, “At 3 in the morning when I get a phone call that there is someone at the end of their life or there is someone in great pain . . . we need to be able to bring those patients in so that we can help them control their pain or provide them comfort in their final days.” Gilbert sees between 40-60 patients weekly.

For additional information about the capital campaign please visit www.houstonhospice.org.

 

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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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