What is Hospice Care? And why is it so important?

people holding hands

Hospice care provides physical, psychological, social and spiritual support for those who are in their last stages of a terminal illness. Typically, hospice care is suggested by a healthcare provider when a patient has six months or less to live. Many individuals who are experiencing terminal and chronic conditions such as cancer, heart disease, dementia and kidney failure use hospice as a way to prepare for the last stages of their journey. In addition, hospice care can help families cope with the forthcoming loss of a loved one through counseling and respite care. While hospice care is often focused on meeting the physical needs of a patient, many people are unaware of its robust offerings for both the individual receiving care and their family members.

What Does Hospice Care Provide?

Many hospice care providers take different approaches to services and types of support, however all hospice providers are required to offer certain services. According to the American Cancer Society, here are a few of the most common types of hospice services provided for patients:

Palliative care

Palliative care, or symptom management, is provided as a part of hospice and is designed to prevent or treat any symptoms related to an individual’s illness. Palliative care helps address any pain or discomfort in order to allow the patient to enjoy the last stage of life with their loved ones. The main goal of palliative care is to ensure the patient is comfortable and knows their options.

Home care

Most hospice care is given directly from an individual’s home. However, there may be some situations where hospice care needs to be given from a hospital or long-term care facility. A hospice team can arrange for care no matter where you are, and will be involved with your care plans and family members.

Spiritual care

In addition to managing pain and controlling symptoms, hospice care also provides an individual with spiritual or religious care, depending on their beliefs and preferences. Spiritual care can help an individual prepare to say goodbye to their loved ones to with planning a religious or spiritual ceremony and burial plans.

Family meetings

A hospice care team will meet regularly with family members and keep them informed about their loved one’s condition and help manage expectations. These meetings allow family members to discuss their feelings, ask questions and prepare for the death of their loved one. In addition, the hospice care team will share daily updates and make routine visits.

Coordination of care

The hospice care team is responsible for coordinating care for the individual and sharing information to those involved in providing medical care. This might include an inpatient facility, pharmacists, clergy and even funeral directors. Hospice care teams are also available anytime during the day or night if a question or problem were to arise.

Respite care

Caregiving can be extremely challenging for spouses and other family members. That’s why hospice services provide respite care. During respite care, an individual is cared for in the hospital or a nursing home so their caregivers can rest at home, attend to other responsibilities or simply take a break.

Bereavement care

After a loved one dies, the hospice care team will provide support to the family during the grieving process. Trained volunteers, clergy members or professional counselors will provide visits, phone calls, support groups or counseling sessions to members of the family. The hospice care team can also provide resources and other professional care when needed.

Who makes up a Hospice Care Team?

According to the Mayo Clinic, a hospice care team is made up of professionals ranging from healthcare providers to volunteers and home health aides. If you or your loved one is receiving hospice care, here’s who you can expect to be on your care team:

  • Doctors. Those who receive hospice care will be under the supervision of a primary care doctor, hospice doctor or medical director. Each patient will be able to choose their primary doctor who will oversee their care.
  • Nurses. Nurses will provide care in any setting, depending on where the individual is receiving hospice services. Nurses are also responsible for coordinating the hospice care team.
  • Home health aides. Home health aides provide additional support with daily activities such as bathing, dressing, eating and other routine tasks.
  • Spiritual counselors. Chaplains, priests, lay ministers and other spiritual counselors or advisers can help provide spiritual care and guidance to the individual receiving care and their family members.
  • Social workers. Social workers provide counseling, support, and referrals to other support systems and resources both for the patient and their families.
  • Pharmacists. Pharmacists provide medication management and offer suggestions on how to best relieve symptoms and manage pain.
  • Volunteers. Trained volunteers often provide a variety of services including respite care, transportation services and help with additional needs.
  • Other professionals. Speech, physical and occupational therapists can provide therapy when needed.
  • Bereavement counselors. Trained bereavement counselors offer support and guidance to family members after the death of their loved one.

Benefits of Hospice Care

Watching a loved one go through their final stages of life is hard for everyone involved. Hospice care provides comprehensive care that supports both the individual and their family members through this difficult time. While hospice can be provided in a hospital or long-term care facility, it can also be provided in the comfort of one’s own home, which allows patients to feel more comfortable and relaxed. Hospice also provides a comprehensive care plan, which takes the burden off of family members and allows them to spend quality time with their loved one without worry for the future. In addition, hospice care can be personalized to fit the needs of the individual and support their wishes for the future.

What is Hospice Care? And why is it so important?

Hospice Care and its Importance

Hospice care provides physical, psychological, social and spiritual support for those who are in their last stages of a terminal illness. Typically, hospice care is suggested by a healthcare provider when a patient has six months or less to live. Many individuals who are experiencing terminal and chronic conditions such as cancer, heart disease, dementia and kidney failure use hospice as a way to prepare for the last stages of their journey. In addition, hospice care can help families cope with the forthcoming loss of a loved one through counseling and respite care. While hospice care is often focused on meeting the physical needs of a patient, many people are unaware of its robust offerings for both the individual receiving care and their family members.

What Does Hospice Care Provide?

Many hospice care providers take different approaches to services and types of support, however all hospice providers are required to offer certain services. According to the American Cancer Society, here are a few of the most common types of hospice services provided for patients:

Palliative care

Palliative care, or symptom management, is provided as a part of hospice and is designed to prevent or treat any symptoms related to an individual’s illness. Palliative care helps address any pain or discomfort in order to allow the patient to enjoy the last stage of life with their loved ones. The main goal of palliative care is to ensure the patient is comfortable and knows their options.

Home care

Most hospice care is given directly from an individual’s home. However, there may be some situations where hospice care needs to be given from a hospital or long-term care facility. A hospice team can arrange for care no matter where you are, and will be involved with your care plans and family members.

Spiritual care

In addition to managing pain and controlling symptoms, hospice care also provides an individual with spiritual or religious care, depending on their beliefs and preferences. Spiritual care can help an individual prepare to say goodbye to their loved ones to with planning a religious or spiritual ceremony and burial plans.

Family meetings

A hospice care team will meet regularly with family members and keep them informed about their loved one’s condition and help manage expectations. These meetings allow family members to discuss their feelings, ask questions and prepare for the death of their loved one. In addition, the hospice care team will share daily updates and make routine visits.

Coordination of care

The hospice care team is responsible for coordinating care for the individual and sharing information to those involved in providing medical care. This might include an inpatient facility, pharmacists, clergy and even funeral directors. Hospice care teams are also available anytime during the day or night if a question or problem were to arise.

Respite care

Caregiving can be extremely challenging for spouses and other family members. That’s why hospice services provide respite care. During respite care, an individual is cared for in the hospital or a nursing home so their caregivers can rest at home, attend to other responsibilities or simply take a break.

Bereavement care

After a loved one dies, the hospice care team will provide support to the family during the grieving process. Trained volunteers, clergy members or professional counselors will provide visits, phone calls, support groups or counseling sessions to members of the family. The hospice care team can also provide resources and other professional care when needed.

Who makes up a Hospice Care Team?

According to the Mayo Clinic, a hospice care team is made up of professionals ranging from healthcare providers to volunteers and home health aides. If you or your loved one is receiving hospice care, here’s who you can expect to be on your care team:

  • Doctors. Those who receive hospice care will be under the supervision of a primary care doctor, hospice doctor or medical director. Each patient will be able to choose their primary doctor who will oversee their care.
  • Nurses. Nurses will provide care in any setting, depending on where the individual is receiving hospice services. Nurses are also responsible for coordinating the hospice care team.
  • Home health aides. Home health aides provide additional support with daily activities such as bathing, dressing, eating and other routine tasks.
  • Spiritual counselors. Chaplains, priests, lay ministers and other spiritual counselors or advisers can help provide spiritual care and guidance to the individual receiving care and their family members.
  • Social workers. Social workers provide counseling, support, and referrals to other support systems and resources both for the patient and their families.
  • Pharmacists. Pharmacists provide medication management and offer suggestions on how to best relieve symptoms and manage pain.
  • Volunteers. Trained volunteers often provide a variety of services including respite care, transportation services and help with additional needs.
  • Other professionals. Speech, physical and occupational therapists can provide therapy when needed.
  • Bereavement counselors. Trained bereavement counselors offer support and guidance to family members after the death of their loved one.

Benefits of Hospice Care

Watching a loved one go through their final stages of life is hard for everyone involved. Hospice care provides comprehensive care that supports both the individual and their family members through this difficult time. While hospice can be provided in a hospital or long-term care facility, it can also be provided in the comfort of one’s own home, which allows patients to feel more comfortable and relaxed. Hospice also provides a comprehensive care plan, which takes the burden off of family members and allows them to spend quality time with their loved one without worry for the future. In addition, hospice care can be personalized to fit the needs of the individual and support their wishes for the future.

Power of Pets for Seniors

Older man with Pet

According to a 2018 AARP survey, nearly one in three Americans suffer from loneliness, a rate which is only expected to rise as more older adults choose to age in place, often living alone. When left untreated, chronic loneliness can lead to inflammation, excess weight gain, depression, and cognitive decline. In fact, loneliness increases the likelihood of mortality at the same rate of smoking 15 cigarettes per day and can increase the risk of developing dementia. To combat this public health concern, many older adults are finding reprieve in the comfort of pets. In addition to pacifying feelings of loneliness and depression-related symptoms, pets can also lower blood pressure and heart rate, reduce the stress hormone cortisol and increase the body’s natural mood booster, serotonin, in their owners.

Animals have a profound effect on the symptoms of depression, isolation and feelings of loneliness. Acting as constant companions, dogs and cats live in the moment and encourage older adults to be present, instead of dwelling on the future, which can be a frightening concept as we age. In addition, animals give their senior owners purpose and responsibility, which can lead to feelings of accomplishment, pride and a sense of security. The simple act of petting an animal releases serotonin, prolactin, and oxytocin all of which play a part in elevating moods.

For many older adults, having a pet provides motivation to move more than they would normally. The greatest health benefit comes to dog-walking owners whose extra activity throughout the day can reduce feelings of anxiety and depression; plus, the extra vitamin D is good for improving mood, bone health and promoting overall wellness. Researchers have also suggested that spending time with a pet can increase appetite and promote nutrition, which comes as benefit for the 30 percent of older adults who struggle with changes in diet and feelings of decreased hunger.

Alternatives to Pet Ownership

Pet ownership might not be a viable option for all senior citizens. However, there are a variety of ways to reap the benefits of having a pet without all of the commitment. One popular option, especially for those living with Alzheimer’s disease or another type of dementia, is purchasing a robotic pet. Most robotic pets mimic the feel and look of real pets and can ease feelings of loneliness and depression without all of the responsibility.

Pet therapy is also a great alternative, especially for those who live in a residential senior living community. Many hospitals and long-term care communities invite volunteers with therapy animals to conduct regular visits with residents. While these visits are typically short, there is evidence that just 15 minutes of bonding with an animal can increase levels of serotonin, our body’s natural “feel good” hormone.

The cost of adopting and caring for a pet can be a deterrent for some older adults. However, organizations like Pets for the Elderly helps pay animal shelter fees for seniors who adopt a companion dog or cat. In addition, local human societies will often offer senior discounts to make adoption for more accessible for those who need companionship. At Maple Knoll Communities, our Outreach Services program offers low income seniors with access to pet food and other necessities.

While loneliness and depression continue to be a public health concern among older adults, pet ownership can provide benefits that allow seniors to live more joyful and healthy lives. 

Time to Move? Why you should consider a CCRC

Older couple having coffee

As we enter into our later years, most of us will need to decide where we want to spend the rest of our lives. Aging in place might seem like the most practical option, however, many older adults end up needing assistance as they age. In fact, according to an article published by Forbes Magazine, nearly 18 million older adults, or half of everyone aged 65 and older, report that they need some assistance with routine daily activities. Older adults have a wide variety of living options including low income or subsidized housing, senior apartments, and continuing care retirement communities, also known as CCRCs.

Continuing care retirement communities provide a wide range of care, services and activities all in one place. These facilities offer a spectrum of care including independent living, assisted living, and skilled care nursing. In addition, these communities usually offer additional services like housekeeping, social activities, medical care, meal plans, security and maintenance teams. CCRCs are ideal for older adults who want to age in one location without worrying about the future, and for spouses who require different levels of care.

Benefits of CCRCs

Some older adults are discouraged from looking into a continuing care retirement community because of the price tag. Out of the 2,000 CCRCs in the country, two-thirds charge an entry fee in addition to monthly fees. However, for many older adults, the benefits outweigh the cost. Here’s why a CCRC, like Maple Knoll Communities, is more than just a place to put your things:

All inclusive

One of the biggest draws to a CCRC is that everything is included, which is a great perk for adults who are aging alone or away from their families. Residents can enjoy meals, on-site maintenance, security, transportation, housekeeping, laundry and even some utilities. This removes the burden of completing every-day tasks and frees up time for hobbies, exercise and social activities.

Access to a large social network

Many CCRCs offer social activities and clubs, which provide an opportunity for residents to connect with one another. Isolation and loneliness are large concerns among the older adult population, and consistent interaction with peer groups can help reduce the risk of developing these issues. CCRC residents will enjoy the opportunity to participate in outings, educational speakers, organized travel, and interest-based clubs.

Health care services

Most CCRCs offer health care services within their communities, which allows residents to seek medical care when they need it and eliminates the need for transportation.  Residents can also move through the continuum of care whenever they begin to need more support.

Peace of mind

Watching our loved ones age can be a difficult process, especially for adult children who live far away. However, CCRCs provide comfort to families knowing that their loved one is safe and will be cared for throughout the duration of their lives.

Improves quality of life

Older adults who live alone are more likely to develop feelings of loneliness and depression, which can cause major health concerns such as cognitive decline. At a CCRC, residents are consistently engaged, encouraged to socialize with others, and develop new skills and interests.

Provides relief for a caregiver

CCRCs can be attractive for couples who require different levels of care or if one spouse if the primary caregiver for the other. If needed, the spouse can receive extra care within the facility, where assistance is provided. In addition, many CCRCs offer respite care to give the caregiver time for themselves.

Financial Advantages of CCRCs

While the initial investment to move into a CCRC can seem like a lot when compared to other living accommodations, it isn’t unreasonable considering all that they offer.  In fact, CCRCs are often a less expensive option over the long-term. If you’re considering a CCRC but are deterred by the cost, it’s important to consider the financial advantages.

  • Investing for the future. Retirement is an investment many people work towards most of their lives. So, it’s important that you invest in your own retirement wisely. If you move into a CCRC at an appropriate age, and amortize over a period of time, it’s often cheaper than you might expect. In addition, most CCRCs use entrance fees to fund long-term improvements within the facility, which you will directly benefit from throughout your life. And, most importantly a CCRC guarantees that you will have access to the care you need when you need it, making for a worry-free future.
  • Ensuring all meets will be met. If you choose the right CCRC, you will be taken care of for the rest of your life. Be sure to ask if a CCRC is a non-profit as you look at your living options. CCRCs that function as non-profits will almost always take care of you even if you outlive your assets for a number of different reasons.
  • All investments are protected. CCRC contracts should include policies regarding refunds and how much your loved ones will receive if your entrance fee outlives you.  Most CCRCs will protect your assets and should be upfront with their contract model.

Questions to Consider

As you discern through your retirement options, it’s important to ask the right questions as you tour different communities. LeadingAge, a nationwide organization of nonprofit and government aging-services providers, recommends that prospective residents ask these 10 questions when considering a retirement community.

  1. Are you a for-profit or not-for-profit, and what’s the financial strength of the retirement community?
  2. What’s included in the monthly fee?
  3. How do you help me to maintain my freedom and independence?
  4. What kind of emergency response systems do you have?
  5. How do you measure your residents’ satisfaction?
  6. How many residents offer input and feedback?
  7. What is the difference between independent and assisted living?
  8. Can you remain in independent living when your needs change and how is aging in place supported?
  9. What are the five most popular programs in your community and who decides what programs and events are scheduled?
  10. Can I review your residency agreement?

At Maple Knoll Communities, we know how big of a decision it is to choose where to spend your retirement. We’re here to support you in each step of the way. You can find answers to these questions and more here. To learn more about our offerings, or to schedule a tour, please contact us!