...of qualified and competent staff at all times to meet the care and service needs of our client population. Affable Home Care, Inc. will be continued as a Florida Limited Liability Company based in Broward County, owned by its principal investors and principal operators. The office will remain at its present address: 7331 Venetian Street, Plantation, FL 33322, which is in central Broward County. Broward County houses many hospitals, hospices, and rehabilitation centers, which will serve as referral bases for our agency. Consumers of our services will be those individuals and families who require care and assistance in their homes and/ or temporary places of residence. Health care professionals such as; hospitals, doctors, and providers of hospice care, usually refer these patients. Our agency has already established an excellent reputation with many of these professionals, through the work of our Admissions Director, who has been associated with the medical profession for many years, and through the presentations made to our community via marketing tools and personal interaction. Our agency must be licensed by the State of Florida and our services reimbursed by Medicare, Medicaid, and other private insurance carriers. The process of licensure and insurance certification is being initiated and we are well on our way to meeting the regulations and guidelines for providing home health care to patients in Broward County. Pricing is not a major factor of consideration as all pricing...
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...Organization The local organization chosen is the E. Carlton Powell Hospice Center, which provides care within the center for patients who have been given 6 months or less to live and are not able to remain in their homes. Apart from the hospice center they also have a home care agency that provides care for patients that remain in their home or in nursing facilities. This paper will discuss the vision, mission, how it is governed and staffed, the stakeholders and their influences on the organization, marketing strategies and importance, values of diversity, and any environmental trends in which they are faced. Mission and Vision The Community Home Care and Hospice provides care within the Carolinas and is the largest provider. The agency was developed in 1995, by the Carrolton Management Corporation. The agency has grown in response to the increase in admissions, the 24/7 care, and the efforts of personal care. The foundation is non-profit 501 © 3 organization. The mission and visions of the agency is: “As a charitable wing of Community Home Care Hospice, the Community Hospice Foundation raises funds to support the crusade against life-limiting conditions by contributing to community awareness and education; scholarships and research; and programs that engage in the practical ministry of indigent care while honoring those we serve and memorializing those for whom we have cared. Community Hospice is committed to providing supportive, palliative, and loving care to...
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...What are some of the advantages for using a research-based approach to problem resolution in your organization or practice? One of the greatest advantages for using a research based approach in Hospice and Palliative Care is marketing the service. So often, the subject of end-of-life care is tabu. Health care professionals and lay persons who do not have an active working knowledge of this type of care seem to think that accepting Hospice Care is “throwing in the towel”. Pilot and Beck (2012) state that research utilization is due to studies which have been applied to clinical practice and then incorporating the results of those studies into everyday practice. Some of the advantages of utilizing those studies include the ability to make more informed clinical decisions and enriches educational and practice. Research based approaches are vital to problem resolution. As I stated earlier, one of the greatest problems facing Hospice and Palliative Care providers is a failure by other practitioners to identify and offer timely referrals. Nursing care is dependent on research based evidence to provide safe and effective care. Policies of health care agencies should be written based on evidence based and proven methods. Again, in the Hospice arena, nurses should be able to trust the EBP studies and research and have faith that they will be able to effectively communicate the rationale behind interventions they are performing. I have seen that this is particularly...
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...American Hospice Patient/Family with Board Certified Music Therapy as a Component of their Plan of Care Elizabeth Joy Gifford University of San Francisco, lgiffman1@aol.com Follow this and additional works at: http://repository.usfca.edu/dnp Part of the Nursing Commons Recommended Citation Gifford, Elizabeth Joy, "The Experience of African American Hospice Patient/Family with Board Certified Music Therapy as a Component of their Plan of Care" (2009). Doctor of Nursing Practice (DNP) Projects. Paper 14. This Project is brought to you for free and open access by the Theses and Dissertations at USF Scholarship Repository. It has been accepted for inclusion in Doctor of Nursing Practice (DNP) Projects by an authorized administrator of USF Scholarship Repository. For more information, please contact zjlu@usfca.edu. COMPREHENSIVE EXAM 2 Section I: Introduction Statement of the Problem Although 60% of African Americans in the United States have stated that they would want hospice care when they are dying (AARP, 2003), they only comprise 8% of all hospice enrollees (NHPCO, 2007), despite the fact that they represent 13% of the total population in this country (U.S. Census Bureau, 2008). In fact, hospice care in this nation has always been underutilized by African Americans (Connor, Elwert, Spence, & Christakis, 2008). In the San Francisco Bay Area, among Medicare-certified hospice agencies that submit data to the State of California, only 2% of all the hospice enrollees...
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...Business Research Ethics Dandrea Stokes RES/351 March 16, 2015 John Rudin Introduction Thru business research my intentions are to determine how the business of palliative and hospice care can improve their marketing tactics to gain a appropriate but steady patient base. I have found that thru being a part of the clinical staff it is very hard to determine what ones patient load will be at any given time. What I mean by this is that from time to time nurses and caregivers may experience a high volume in the number of patients being added to their patient load, but at other time may experience a extended amount of time were one will become worried about how they will meet their forty hour a week necessity in order to survive. Unethical Research When observing this problem it is very easy to find yourself with a feeling of uneasy anxiety about many things. For example you begin to wonder is there a problem within the company that one should be concerned about, or maybe even the question of is my job secure. These thoughts along with many others may cross your mind at any given time.. Most of the time this anxiety leads to over thinking the issue, and can cause one to assume that the people in charge of finding the patients could possibly need a new strategy. The strategy of finding new patients is one of the most important areas of research, and it must not be compromised unethically in any way. How the marketers go about gaining the patients determines how the relations...
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...NRS-433V Introduction to Nursing Research May 20, 2012 Research Critique, Part 1 Advanced Care Planning (ACP) is a huge part of healthcare. Dying is a part of life, but that doesn’t make the subject any less scary. Just because healthcare professionals handle end of life issues on a regular basis, doesn’t mean that they are immune to the sensitivities of the topic. End-of-life decision making is the process that healthcare providers, patients, and patients’ families go through when considering what treatments will or will not be used to treat a life-threatening illness. (Thelen, 2005) Many nurses who deal with death and decision making burn out. Hospice staff, because of their work with the terminally ill, are considered a high-risk group for burnout. Often, the reason behind the decision to leave or take a sabbatical from hospice work is that the staff member reached the limits of his or her capacity to care and “couldn’t take it anymore.” (Keidel, 2002) A qualitative study done, on anticipating emotion, related to ACP, was chosen to be critiqued, due to this highly sensitive topic in the healthcare industry. The subject this study was critiqued on, were, the problem statement, purpose and research question, literature review, and conceptual/theoretical framework. The clinical problem, addressed, is that end of life discussions between healthcare professionals and clients have many areas of hindrance, due to the sensitiveness of the discussions. The authors established the...
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...Come Join the Hospice and Palliative Nurses’ Association Houston chapter! Why Join HPNA Houston Chapter? • Free monthly subscription to CHPNA TODAY, a nursing journal with up-to-date articles and the most cutting edge research in hospice and palliative nursing • Speakers teach us how to apply research findings in clinical practice! • Bi-annual workshops and CEU’s • Fellowship with like minded professionals and networking opportunities • Houston chapter sponsors a bi-monthly newsletter for all things local in Hospice and Palliative Care! • Free study materials for CHPN certification! • Free Tote bag, T-shit and professional pin! Requirements for Membership: • Must be RN or LVN practicing in Hospice and/or Palliative Care setting for 18 months+ (special circumstances considered) • $120 yearly member ship fee, waived for members 55 years and up! American Cancer Society says, “HPNA is leading the charge for evidence based practice in a bourgeoning specialty.” Ruth M RN says, “ I have been a hospice nurse for 10 years, and yet I learn something new about this field and how to deliver care nearly every week!” Come see for yourself! This Monday November 15th HPNA Houston chapter is hosting an Ice Cream Social with keynote guest speaker Dr. John Wessley. Topic: “Caregiver Fatigue: Caring for yourself and Others, an RN’s perspective” Monthly meetings held the third Friday of the month 7:00p-8:30p In the M.D. Anderson...
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...medications or medical equipment, is affected by many factors. Factors such as the situation of a financial aspect, patient education and the quality of the services or products being distributed. Care of the Dying “Hospice care is palliative care given to individuals who are terminally ill, with an expected survival of six months or less. The focus of hospice care is on meeting the physical, emotional, and spiritual needs of the dying individual, while fostering the highest quality of life possible.” (Rastegari RN, B.S.N., 2002, para.). In the way that our world is becoming, we are seeing many individuals coming down with diseases that are either not curable or that it has ran its’ course in the body and that there is nothing that can be done to prolong life. This is when this type of service is needed and many of individuals, especially the minorities and the American Indians. Many people do not understand what Hospice is all about. When they do find out about it, then they wish that it was known about sooner. The sole purpose of using this service is to help reduce both the physical pain and the emotional suffering of the patient during their final stages of the illness that they are dying from. According to "Evercare Hospice And Palliative Care" (2012) Hospice is not a physical place, it is a service that comes to wherever people live, whether that’s a hospital, an assisted living facility or a home. Consumer Outlook Many individuals do not know that such services are...
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...Hospice & Palliative CareCenter Branch Office Directions (from WS office) Mocksville Office 377 Hospital Street, Mocksville 336-753-0212 40 West Take the Hwy 601 exit, turn (L) at top of ramp Follow Hwy 601 past Lowes, Food Lion & Sonic Keep straight, go through stoplight at Sonic, then take an immediate (L) turn onto Hospital Street (beside Foster Drugs) (Look for Gym 365 as a landmark) Take an immediate (L) into office complex. Stay on top level, proceed to end suite Salisbury Office 512 Klumac Road, Suit 3, Salisbury 704-633-5447 40 East to 52 South to 85 South Take the Jake Alexander Blvd exit, turn (R) Stay in the right-hand lane Turn (R) onto Klumac Road Follow past Trinity Oaks & small bridge Turn (R) into Klumac Square Proceed to (L) corner Walnut Cove Office 235 North Main Street (PO Box 683, Walnut Cove 27052) 336-591-1124 52 North Take the Germanton (Route 8) exit, turn (L) Continue through Germanton Turn (L) at the Shell Station onto Route 8 towards Danbury Turn right on Brook Cove Go to the end of Brook Cove; the office is located on the right at the intersection of Brook Cove and North Main Street OR 40East, 52 North, Take Germanton Rd Exit and turn (L) continue to follow this road until you come to end, Turn (L) onto Hwy 311. At next stop light turn (L) onto Brook Cove Rd., then immediately (L) into parking area. Office is located directly across the street from SunTrust...
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...A Final Wish of Death A final wish of death should be granted when life has come to its last chapter and all that is sought is a peaceful passing. The decision between a physician and terminally ill patient to hasten their death should be accepted and granted. A terminal illness can be described as an incurable disease which will end the life of the sufferer. If death is inevitable, why must we wait for natural causes to occur? Physician-assisted deaths should be legalized in all states so that the terminally ill can request a final act of dignity. “Physician-assisted death is defined as the physician providing the means for death, most often with a prescription. The patient not the physician will ultimately administer the lethal medication” (Braddock & Tonelli, 1998). If a patient can come to a decision when it is time to stop treatment for their terminal illness, they should also be allowed to choose when to bring death. End of life care has become an equally important issue to physicians as well as the patients. If physician-assisted deaths were permitted in all 50 states, physicians could openly discuss end of life wishes with their patients. With all the advances in modern medicine, people are living much longer which allows for a higher risk in developing a terminal illness. A few examples of terminal illnesses are cancer, strokes, Alzheimer’s disease, renal failure, and heart failure. With increasing numbers in terminal illnesses...
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...Bereavement The effectiveness of bereavement in hospice surroundings is beneficial to those that are losing a loved one with the emotional support. Bereavement is a combination of therapeutic and social support for the grieving process, (Reid, Field, Payne, & Relf, 2006). People react differently when they are going to or have lost a love one or someone close. The feelings connected to bereavement are numbness, anger, guilt, anxiety, helplessness, relief, and acceptance, (Cutcliffe, 2002). Bereavement is not just tied to a family member dyeing, but it can be when two people are divorcing or if someone close has moved away. Bereavement counseling is important for the person who is going through the grieving process to seek counseling, (Cutcliffe, 2002). The counselor will focus on the client in a therapeutic surrounding by teaching their client how to accept their loss. Counselors will allow the client to work through the pain, provide their client with mental tools to adjust to their surroundings, and teach their client how to control his/her emotions by and allowing him/herself to continue with life, (Cutcliffe, 2002). There are support groups that provide the person who is grieving with mutual support, understanding, and empathy. Some people need to handle their loss with medication because of them being depressed. Medication may also help with those who suffer from insomnia or excessive anxiety. Some people can overcome the grieving process by treating themselves...
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...The Elderly Greene, J. (2013, August). The Denver Hospice. H&HN: Hospital &Health Networks, 87(8), 37-38. This article is about how the Denver hospice has won a lucrative award 2013 Circle of Life Award. What allowed the Denver hospice win this award was there unique program that they come up with in dealing with palliative care. Palliative care is an up and coming method of health care that deals with easing of pain for any stage of someone’s disease. Hospice care only deals with patients in the final stages of their disease. The Denver hospice is leading the way by branching out and developing a palliative care program to service more people than just standard hospice alone. The Denver Hospice's fearless culture of innovation has produced partnerships that bring hospice and palliative services to a wide variety of people who might not otherwise have access to them (Greene). Palliative care is a difficult item to get funding for. No one wants to fund the final minutes of a person’s life. Although, Denver Hospice has a reputation of never turning anyone away, they will treat whoever is in need. Denver Hospice works with many different groups to try to cater to the clientele as well as get funding. The Veterans Administration has worked with the Denver Hospice to identify special needs of veterans, who make up 31 percent of the hospice's patients (Greene). Many of which may have seen combat or had to endure something that which has made care now that much more...
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...are better prepared to handle the death of loved ones. In our society, we tend to shy away from thinking about death. The terminally ill generally die in institutions (hospitals and nursing homes), away from their homes. Therefore, we are seldom exposed to people dying. Many people in our society seek to avoid thinking about death. They avoid going to funerals and avoid conversations about death. Many people live as if they believe they will live indefinitely. Fortunately, the hospice movement has been developing in recent years in an attempt to foster death with dignity. A hospice is a program that is designed to allow the terminally ill to die with dignity—to live their final weeks in a way they want. Hospices originated in the Middle Ages among European religious groups that welcomed travelers who were sick, tired, or hungry (Sullivan et al., 1980). Hospices serve patients in a variety of settings—in hospitals, in nursing homes, in assisted-living facilities, and in the dying person’s home. Hospices provide both medical and social services, Children should not be sheltered from death. Funerals help children learn that death is a natural process. Taboos against talking about death and dying need to be broken in our society. You may find that tactfully initiating discussions about death and dying with friends and relatives will be helpful to you, and to people close to...
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... Since we are trained to help patients and families heal, this can be difficult to handle. Regardless of my personal feelings or beliefs, I always encourage my patients and their families to make the decisions that are best for them with the information they have been given. Our job as patient care advocates is crucial, especially when dealing with end of life and quality of life issues. The National Institute of Health defines hospice as “end of life care provided by health professionals and volunteers.” This type of care gives attention to pain control while trying to keep the patient as alert as possible. A referral to hospice is placed when a patient has been given less than six months to live. The goal of hospice is to maintain dignity and comfort while making the end of life as peaceful as possible. Hospice personnel try to maintain that goal through spiritual, medical and psychological support (“Hospice care,” 2013). Support for the patient’a family is also provided. Hospice care can be given in many areas including home, a hospice...
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...Dying in a Hospital Setting Elizabeth Allegro Aspen University Abstract Acute hospitals play a significant role in end of life care, it is the place where most people die. Evidence suggests that end of life care in hospitals needs improvement. The purpose of this paper was to investigate patient and family experiences of hospital death, the weaknesses within the hospital setting and possible solutions to improve. A literature search identified common themes, these included: * Hospitals are seen as a place of treatment and cure; death may be viewed as a failure. * Good communication between physician and patient is vital for a patient to make an informed choice regarding their care. * Patients may not receive palliative care if end of life is diagnosed too late. * A lack of resources such as short staffing contributes to suboptimal end of life care. Dying in a Hospital Setting Most Americans die in hospitals; many suffer unnecessarily due to the lack of knowledge about end of life care. Some patients receive aggressive treatments up until the time of death. Patients often suffer in vain attempts to prolong life instead of receiving compassionate, comfort care. Death is part of life, sooner or later everyone will face death. It would be easier if one was prepared for it. Communication is important to prepare for death. There is often an expectation of a cure when a patient is hospitalized;...
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