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GENTIVA HOSPICE · One on One With a Professional

• 0:00
  Speaker 1: And welcome, welcome, welcoming. At this time now for one
• 0:03
  Speaker 1: on one with the pro and from Geneva Hospice Services,
• 0:08
  Speaker 1: we have mishell in today.
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  Speaker 2: How are you doing, young lady, Good morning, I'm doing great,
• 0:11
  Speaker 2: loving this fall weather.
• 0:12
  Speaker 1: Oh yeah, fall is in the year, it's right today. Well,
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  Speaker 1: we've done this a few times. We've told everybody a
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  Speaker 1: lot about what hospice is, but we're going to give
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  Speaker 1: them some lesser known facts kind of bone up on all.
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  Speaker 3: That's right.
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  Speaker 1: First of all, let's find out about hospice. Now, how
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  Speaker 1: well is it used?
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  Speaker 2: Actually, the hospice benefit is one of the most underutilized
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  Speaker 2: Medicare benefits out there. Studies have shown that less than
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  Speaker 2: fifty percent of Medicare beneficiaries who are eligible for the
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  Speaker 2: hospice benefit.
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  Speaker 3: Actually take advantage of it.
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  Speaker 2: Really, so yes, I think the latest statistic I saw
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  Speaker 2: was about forty seven percent. That's been a couple of
• 0:55
  Speaker 2: years ago, so it may have changed a little bit,
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  Speaker 2: but still they're saying it's still very, very underutilized with
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  Speaker 2: less fifty percent actually taking advantage. So, you know, it
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  Speaker 2: tells me there's a lot of people out there who
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  Speaker 2: need help that aren't getting it. For whatever reason. Maybe
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  Speaker 2: they just don't know about it, maybe they're scared. So
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  Speaker 2: that's that's part of what I'm why I'm doing this,
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  Speaker 2: what I'm doing with you today in the last few months,
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  Speaker 2: is just to increase awareness and let people know that
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  Speaker 2: there are ways out there that they can get help.
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  Speaker 1: Well, let's talk about the ways. So where can hospice
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  Speaker 1: services be?
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  Speaker 2: You know, given well, hospice is not a place. That's
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  Speaker 2: a myth that I don't know how it got started,
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  Speaker 2: but it's not a place. Hospice is actually a plan
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  Speaker 2: of care. And by definition again it is a plan
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  Speaker 2: of care, an advanced plan of care in which we
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  Speaker 2: focus on the needs of the patient and the needs
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  Speaker 2: of their family and not on a specific disease process.
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  Speaker 2: So hospice care can be taken, can be received by
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  Speaker 2: a patient regardless of where they live, wherever they call home,
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  Speaker 2: be it at home alone, at home with a family member,
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  Speaker 2: in a nursing home, and assisted living and independent living,
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  Speaker 2: even if they are homeless and they stay at a
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  Speaker 2: shelter or as I mentioned on the show before, there
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  Speaker 2: was a gentleman who was a homeless, homeless man that
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  Speaker 2: needed hospice care and.
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  Speaker 3: We took care of him under his bridge.
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  Speaker 1: That's where you know.
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  Speaker 3: That's right, that was his home.
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  Speaker 2: And we want to meet people where they are and
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  Speaker 2: not try to change their lifestyle for them, but meet
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  Speaker 2: them where they are and take care of their needs
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  Speaker 2: as they come up.
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  Speaker 1: Well, I guess that kind of blows that the myth
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  Speaker 1: that hospice is a cookie cutter type of plan, because
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  Speaker 1: as you outlined, it's not.
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  Speaker 3: It's absolutely not a cookie cutter.
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  Speaker 2: It is definitely a customized plan for each individual patient,
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  Speaker 2: and that plan is fluid and adaptable. It can be
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  Speaker 2: changed every day if necessary. What we do is we
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  Speaker 2: go in and we look at that patient, their needs,
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  Speaker 2: the needs of their family, what their goals are for
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  Speaker 2: the rest of the time that they have, and then
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  Speaker 2: we customize their plan based on what the family's desires
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  Speaker 2: are and the wishes of the patient.
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  Speaker 3: So we're not going to come in there and.
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  Speaker 2: Force our medication or our health care plan on you.
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  Speaker 2: We really listen to the patient the family and say
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  Speaker 2: what do you want, what's your vision for the next
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  Speaker 2: few months or weeks or whatever time is left, and
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  Speaker 2: we adapt our care plan to that.
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  Speaker 3: There may be.
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  Speaker 2: Times when patient comes on service and they need the
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  Speaker 2: nursing aspect of the care plan, but maybe they don't
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  Speaker 2: need the AID visits. At this time, they're still able
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  Speaker 2: to shower independently and do those things. But as things
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  Speaker 2: progress and as time goes on, they get to the
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  Speaker 2: point where now they no longer can shower safely independently,
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  Speaker 2: so then we'll bring the aids in there.
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  Speaker 3: So it really is a customized.
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  Speaker 2: Plan, very adaptable, very fluid, can change at any time.
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  Speaker 3: And really, I mean, all.
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  Speaker 2: It takes is a phone call that says we want
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  Speaker 2: to adjust our plan.
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  Speaker 1: Okay, Well, I'm thinking, okay, that's a great set of
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  Speaker 1: benefits right there of having hospice, but I understand there's
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  Speaker 1: a little bit more when it comes to that.
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  Speaker 3: That's right.
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  Speaker 2: So hospice care does not encourage or facilitate the dying
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  Speaker 2: process in any way. Again, that's a myth that people
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  Speaker 2: have put out there that, you know, hospice nurses are
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  Speaker 2: the angels of death or anything like that, and that's
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  Speaker 2: really not what it is. We don't create or encourage
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  Speaker 2: an environment that facilitates the dying process. What we do
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  Speaker 2: encourage is a peaceful passing, dignity, comfort, and quality of life.
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  Speaker 2: So statistics also show that patients on hospice often live
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  Speaker 2: longer than patients with similar conditions who do not receive
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  Speaker 2: the hospice benefit.
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  Speaker 3: There's a lot of reasons for that.
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  Speaker 2: I mean, it can be, you know, they're getting extra
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  Speaker 2: interaction with people, so their whole body, their whole psyche,
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  Speaker 2: everything is improved.
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  Speaker 3: Their physical condition can often it's managed.
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  Speaker 2: I can't say that it improves necessarily because they are
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  Speaker 2: have terminal illness, but their emotional needs are met, their
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  Speaker 2: physical needs are met, their spiritual needs are met, their
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  Speaker 2: psychosocial needs are met because of the team approach to
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  Speaker 2: hospice care. So the surveys show that patients on hospice
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  Speaker 2: live on average anywhere from twenty eight to thirty two
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  Speaker 2: days longer than patients with similar conditions who don't receive
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  Speaker 2: the hospice benefit. And you might think, well, that's you know,
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  Speaker 2: that's a month that doesn't seem like very long, but
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  Speaker 2: if it's someone that you love, it's a long time.
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  Speaker 1: It is, you know. And that was about the length
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  Speaker 1: of more than my father got too, And it was
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  Speaker 1: all because his state of mind had changed drastically that
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  Speaker 1: he didn't feel like he was grinding. He didn't feel
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  Speaker 1: like he was putting anybody out. He had all the
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  Speaker 1: benefits that hospice could offer. And it's one of those
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  Speaker 1: things too that he thought, oh my gosh, this is
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  Speaker 1: going to cost a fortune.
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  Speaker 2: There's that, yes, So that's another thing we want to
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  Speaker 2: really make sure people understand is that hospice care generally
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  Speaker 2: does not cost the patient or the family anything. It
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  Speaker 2: is one hundred percent covered by Medicare and or a
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  Speaker 2: Medicare replacement plan. So if someone has a care replacement plan,
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  Speaker 2: they still qualify for the hospice benefit and it flips
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  Speaker 2: over to traditional Medicare for payment. Hospice is the only
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  Speaker 2: benefit for which that happens, So home health doesn't do that.
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  Speaker 2: Any other kind of medical attention that you get doesn't
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  Speaker 2: happen that way. But for hospice, Medicare or Medicare replacement
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  Speaker 2: plan is one hundred percent covered.
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  Speaker 1: Wow. That is absolutely incredible. Now, when we talk about
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  Speaker 1: hospice care and we talk about creating and crafting a
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  Speaker 1: plan for each and every individual, there are three pretty
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  Speaker 1: good sized pillars that are involved with that.
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  Speaker 2: Yes, Comfort, dignity, and quality of life. I touched on
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  Speaker 2: that just a second ago. The main focus of hospice.
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  Speaker 2: Of the hospice care plan is to provide comfort for
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  Speaker 2: the patient. Comfort for them means comfort for their family.
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  Speaker 2: So if a patient is in pain or you're seeing
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  Speaker 2: them struggling, it's difficult not only for the patient, but
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  Speaker 2: it's difficult for the family members as.
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  Speaker 3: Well to watch that.
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  Speaker 2: So main focus of hospice care is comfort for the patient.
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  Speaker 2: We want to provide dignity, So dignity in all aspects,
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  Speaker 2: dignity when with showering, dignity in.
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  Speaker 3: Their day to day lives.
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  Speaker 2: I don't know if my mom used to tell me,
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  Speaker 2: you know, get up and not feel well in the
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  Speaker 2: morning and be like, ah, whatever, I don't feel good
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  Speaker 2: in my mom would always say, take a shower, get dressed,
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  Speaker 2: you'll feel better, And there's a lot of truth to that.
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  Speaker 3: Once you take a shower.
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  Speaker 2: It's almost like you're washing off some of the yuck. Well,
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  Speaker 2: hospice care is in essence kind of like that, because
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  Speaker 2: we're in there taking care of that patient's physical hygienic needs.
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  Speaker 2: So when someone's laying in a bed, if they're bedfast
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  Speaker 2: and they can't get up and physically take a shower,
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  Speaker 2: our aids are trained such to give bed baths if necessary,
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  Speaker 2: but still they're giving them a full bath. So they're
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  Speaker 2: fully taken care of hygienically, They're fully taken care of physically,
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  Speaker 2: they're fully taken care of mentally, emotionally, and spiritually. Just
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  Speaker 2: like I mentioned before, full team approach to patient and
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  Speaker 2: family care.
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  Speaker 1: Now, when it comes to patients and family and the doctor,
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  Speaker 1: is this something that the doctor orders or how do
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  Speaker 1: we go about getting into hospice?
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  Speaker 2: So anyone can make a hospice referral And what that
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  Speaker 2: means is yes, yes.
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  Speaker 3: So a referral is.
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  Speaker 2: Just bringing to like the name of someone who may
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  Speaker 2: be in need of our service. You could call me
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  Speaker 2: up tomorrow and say, hey, I've got a neighbor that
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  Speaker 2: recently came.
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  Speaker 3: Home from the hospital. He's not doing well.
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  Speaker 2: I think he may be eligible for hospice, you know,
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  Speaker 2: would you come out and visit with them? And I'm
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  Speaker 2: not a nurse, I'm not a clinician, so I could
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  Speaker 2: go out and do an informational visit, just find out
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  Speaker 2: what's going on and see if I feel like there is,
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  Speaker 2: you know, grounds for a hospice evaluation. So anyone can
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  Speaker 2: make that referral. An order has to come from a physician.
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  Speaker 2: It doesn't matter if it's a primary care physician, a specialist,
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  Speaker 2: a hospitalist. It can be any physician that will write
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  Speaker 2: an order and say I believe that this patient is
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  Speaker 2: eligible for a hospice evaluation, so they give us permission
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  Speaker 2: to evaluate that patient and admit them if eligible. But
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  Speaker 2: even though we get an order from the doctor, does
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  Speaker 2: not mean specifically that that patient is going to qualify
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  Speaker 2: or that they will be accepted onto service, because there's
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  Speaker 2: a lot of variables. I mean, we've often, even this
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  Speaker 2: last week, evaluated a patient who was one hundred percent eligible,
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  Speaker 2: but the family wasn't quite ready to make that decision
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  Speaker 2: about going ahead and letting hospice be their primary method
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  Speaker 2: of health care. So there's a lot of things that
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  Speaker 2: go into play. But anyone can make the referral, and
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  Speaker 2: it's just as simple as it's given me a name
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  Speaker 2: of someone who you feel might be eligible or might
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  Speaker 2: need more information, and that if I feel like that
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  Speaker 2: is where we need to go and the family's in agreement,
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  Speaker 2: I can reach out to their physician, any physician and
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  Speaker 2: ask for an order and get better get records and order,
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  Speaker 2: and then we can go out and evaluate.
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  Speaker 1: Wow, that's great. Now we were talking about how care
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  Speaker 1: is crafted individually, you know, to fit the patient, the
• 10:00
  Speaker 1: family and everybody and get to their needs with all
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  Speaker 1: that green activity that's involved. Here are you regulated?
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  Speaker 2: All hospice companies are regulated. We are regulated by CMS Medicare,
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  Speaker 2: but not all hospice companies are the same. So I
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  Speaker 2: have mentioned before it's like a barber shop or a
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  Speaker 2: nail salon.
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  Speaker 3: They're all regulated. They're all supposed to cut your hair
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  Speaker 3: or do.
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  Speaker 2: Your nails, but everyone does it a little bit differently.
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  Speaker 3: You know.
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  Speaker 1: I like the.
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  Speaker 2: Example of I love to get pedicures. If I go
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  Speaker 2: into a salon and I ask for a pedicure, which
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  Speaker 2: basically is you're going to trim my toenails and paint them, right,
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  Speaker 2: But if I go in there and that's all they
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  Speaker 2: do is trim my toenails and paint them, I probably
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  Speaker 2: won't go back to that place for a pedicure because
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  Speaker 2: I like the extra. I want them to massage my feet,
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  Speaker 2: massage my legs and you know, do all the things.
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  Speaker 2: So with hospice care, every hospice company has their own
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  Speaker 2: spin on it.
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  Speaker 3: Right.
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  Speaker 2: We all are regulated, we have to follow guidelines, but again,
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  Speaker 2: some will go the extra mile, some will do just
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  Speaker 2: the basic minimums, and you really need to kind of
• 11:00
  Speaker 2: interview and do some research on the different providers in
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  Speaker 2: your area and see which one fits your which one
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  Speaker 2: feels comfortable for you. It is absolutely patient and family
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  Speaker 2: choice when it comes to choosing a hospice care provider.
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  Speaker 2: A lot of people feel like, well, my doctor said
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  Speaker 2: I should use X y Z hospice.
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  Speaker 3: Maybe maybe you should.
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  Speaker 2: Maybe there's a reason why, you know, they're Oftentimes doctors
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  Speaker 2: are related or not related. They are affiliated, yeah, affiliated
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  Speaker 2: with different hospice providers. Not to say that they're getting
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  Speaker 2: a kickback. I don't want to give that indication at all,
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  Speaker 2: but yes, professionally affiliated. So and they may, you know,
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  Speaker 2: just that's the one that they refer to because maybe
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  Speaker 2: they're the medical director or maybe they you know, maybe
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  Speaker 2: their niece works for them.
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  Speaker 3: Whatever. So, but you need to understand.
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  Speaker 2: People need to understand that it is absolutely one hundred
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  Speaker 2: percent patient and family choice. You cannot be forced into
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  Speaker 2: using one specific hospice over another just because that's where
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  Speaker 2: you know, the hospital says go to here, or the
• 12:01
  Speaker 2: doctor's office says go to here, or your neighbor says,
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  Speaker 2: go here. You should absolutely do your own do your
• 12:07
  Speaker 2: own research and make your own decisions. What makes the
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  Speaker 2: Gentva difference, Michelle, There's a lot of things that set
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  Speaker 2: Gentiva apart specifically. I'm just going to list a few
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  Speaker 2: because I think these are kind of big selling points
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  Speaker 2: for us. So Medicare guidelines says that a patient on
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  Speaker 2: hospice care should be seen by a nurse once every
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  Speaker 2: fourteen days. Okay, that's once every two weeks. Most hospice
• 12:30
  Speaker 2: providers see their patients once a week.
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  Speaker 3: I'm talking about a nurse visit.
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  Speaker 2: With Gentiva, our company standard is no less than two
• 12:39
  Speaker 2: times a week are in visit, Meaning every single patient
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  Speaker 2: that we have on our service is going to be
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  Speaker 2: seen by and are in at least twice a week.
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  Speaker 3: That's important.
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  Speaker 2: A lot can happen from a Monday to a Monday,
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  Speaker 2: especially when you're talking about hospice, because you're talking about
• 12:55
  Speaker 2: end of life care. You know things that are very
• 12:57
  Speaker 2: very important and can change almost instantly.
• 13:00
  Speaker 3: So we're going to see our patients twice a week
• 13:02
  Speaker 3: more if needed.
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  Speaker 2: Now that if someone says I don't want a nurse
• 13:07
  Speaker 2: to come out twice a week, again, every care plans
• 13:10
  Speaker 2: adaptable and chang changeable fluid. But our company guideline is
• 13:15
  Speaker 2: twice a week nurse visits. Another thing that's different about
• 13:18
  Speaker 2: Gentiva is that we have a very low patient to
• 13:21
  Speaker 2: nurse ratio, so our company will not let it get
• 13:23
  Speaker 2: more than twelve to one. That keeps the focus very
• 13:26
  Speaker 2: low and keeps you know, keeps the attention very very
• 13:28
  Speaker 2: high on each patient.
• 13:30
  Speaker 1: Very good, mind, goodness. Now, how do we get a
• 13:32
  Speaker 1: hold of you, Michelle? You've got all this information. People
• 13:35
  Speaker 1: are saying this guy, she's knowing something. So how if
• 13:39
  Speaker 1: we get hold of you.
• 13:39
  Speaker 2: I've been doing this for a while. The best way
• 13:41
  Speaker 2: to get a hold of me is to just call
• 13:43
  Speaker 2: me on myself. That number is nine one eight for
• 13:46
  Speaker 2: zero four six eight nine nine. Let me repeat that,
• 13:49
  Speaker 2: nine one eight for zero four six eight nine nine.
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  Speaker 1: And what is the website in case folks want to
• 13:54
  Speaker 1: take a look.
• 13:55
  Speaker 2: The website is gentivahs dot com. That's g E N
• 14:00
  Speaker 2: N T I V A h s dot com.
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  Speaker 1: Wow, that is great. Michelle Fradley, thank you being for
• 14:08
  Speaker 1: being here with us today with the Gentiva Hospice right
• 14:11
  Speaker 1: here on k ones one on one with the pro