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GENTIVA HOSPICE · One on One With a Professional

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  To one on ims a professional paid presentation at fourteen hundred k one. Good
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  morning, good morning, good morning, and welcome, welcome, welcome.
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  It's time now for one on one with the pro and we have Michelle in
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  form a Gentiva Hospice and how are you today, young lady? Doing very
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  well? Thank you? How are you well? You know, traveling twice
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  as speed us at, you know, that's how I am alway, running
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  fast and furious. This morning I was delivering supplies to our patients and no
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  water. We got a little short staff this week with some people on vacation
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  and out just whatever, you know, so we all kind of pitch in
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  and do whatever it needs to be done. So that's greaty being delivery boy
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  this morning. Takes a team. Takes a team to try team well,
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  I always say it takes a village, and I'm the village idiot. So
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  there you go, God, and you're the smartest person I know. In
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  fact, we're going to talk about we're going to prove how smart because we're
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  going to talk about hospice care and home health and how they kind of run
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  parallel and sometimes not. And it's going to be an interesting dive today because
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  we always learn a lot more about hospice care and how Gentiva does it.
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  Especially. Well, let's let's begin with it, okay. So I like
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  to talk about the similarities and the differences of home health because home health and
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  hospice because a lot of times home health is so much easier to discuss a
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  lot of physicians even want to refer their patients to home health because it's an
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  easier conversation. And so I want people to understand the differences between home health
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  and hospice, how they can be similar, and how they're very very different,
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  and what makes them so. So we'll talk about there's four different things
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  that give the distinguished between home health and hospice. So one is the patient's
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  need, The second one is the patient's goals. Third is their status,
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  meaning their home status, whether they're homebound or not homebound. And then finally
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  the duration of the plan of care. So that's those are four things that
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  kind of make the distinction. Well, that's good, that's great. You
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  know, we we we want to make sure that everyone is well versed in
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  the language because you're in a trying time and the last thing you need is
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  confusion, right, And when we talk about hospice care, and we talk
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  about a time duration. There's really no set time, is there, right,
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  Not for hospice, but with home health there is, And so let's
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  just start. Duration is the last thing I want to talk about. So
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  let's talk about the need first, because this is real kind of where you
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  really can kind of decide whether you're ready for hospice or home health one or
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  the other. Yes, so, and I used to market for home health,
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  so I know kind of both both ends of the spectrum here. So
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  for home health, there has to be what is called a skilled nurse need.
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  So for example, a patient would have to have medication management or medication
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  administration, or education on disease process or wound care or therapy, so specific
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  needs that have to be performed and taken care of by a skilled nurse.
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  That that's a requirement for home health. However, for hospice that is not
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  a requirement. So the difference is for hospice, i's anybody can have it.
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  They don't have to have a skilled need necessarily to have a nurse come
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  in there and do something specific. We do all those things. We educate
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  and we take care, we do all that stuff. But that's the difference
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  between home health and hospice is one of the requirements for home health is you
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  have to have a skilled nurse need, but for hospice that is not a
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  requirement. The second one is the goal. So the goal for home health
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  is basically I kind of refer to it as a as an urgent care.
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  It's someplace that you go in a pinch, but you wouldn't necessarily use that
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  place for your primary care. Long term. Home health is designed to take
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  care of a goal short term and it's kind of a like I call an
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  emergency room would be like treat them and streatom. So with with with home
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  health, their desire is to treat that specific need at that specific time,
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  but it's not designed for a long duration. It's designed for short term need
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  to improve that patient's condition then let them go. Hospice, however, is
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  designed to stay with that patient. It's a long term goal. It's not
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  a short term you know, take care of something on the fly and then
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  move on. It's actually a goal for long term care to until that patient
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  is you know, has completed their lifespan. So need and goal. The
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  third one is the patient's status. So for home health, they have to
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  be home bound. Now, that does not mean that they can never get
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  out of their home. It just means that it is considerably taxing on them
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  to get out. They only get out of their home for emergencies, maybe
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  to go to church, or to doctor's appointments, or you know, maybe
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  to see their kids at a graduation, something like that, something big.
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  They only get out of their home for something big. But for hospice,
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  they don't have to be homebound. With hospice care, we want that patient
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  to be able to enjoy their life whatever time is left and do whatever they
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  want. So here's a good example for home health. If if someone normally
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  goes to the movies every week, or they go have breakfast with their friends
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  every Wednesday morning. With home health, that's probably not going to be They're
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  not going to be able to do that. They have to be able to
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  stay They have to be required to stay home most of the time. However,
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  with hospice, we want them to continue on with their life. So
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  those are differences. Are you homebound or are you not homebound? So oftentimes
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  a patient will get referred to home health and they're really not homebound, so
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  they don't really qualify for home health. In that case, hospice might be
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  a better option for them. Okay, I'm sure glad you're straightening. It's
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  out for a lot of people, because I can see where somebody could dig
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  a wrong turn quickly. Yes, And like I said, home health is
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  very easy to talk about. It doesn't sound scary, it doesn't sound you
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  know, like the end, it doesn't sound doom and gloom. And so
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  a lot of people say, well, how about home health, Maybe you
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  need to look at home health, and that really might not be the best
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  option for that patient. And so then what happens is sometimes they may go
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  ahead and get put on home health, and then home health is like,
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  this isn't really working out, So now what do we do. Well,
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  now we've got to go back and have another difficult conversation with the family about
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  this isn't really the best option for you. Maybe we need to look at
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  hospice. Now. There are times when a patient is quite quite home bound,
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  they're quite eligible for the home health care, but then it doesn't quite
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  meet their needs. For example, if they're doing therapy to try to restore
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  something. After six or eight weeks of physical therapy, they're like this isn't
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  working, We're not seeing any improvement, or your disease process is continuing to
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  decline, and then they need to switch over and become a hospice patient.
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  Very good, now, Michelle. People if they have these questions of getting
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  aired, rupt you right now, because right now people are getting curious,
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  how who do we call? Where do we get in touch with folks who
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  need to know these things, the difference between hospice care at home health.
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  The best thing to do is just call me directly. My number is nine
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  one eight for zero four six eight nine nine nine one eight for zero four
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  six eight nine nine. And in case you're wondering just what area Gentiva covers,
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  well, I'm going to tell you. If you can hear us on
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  the radio, that's the coverage. Yep, that's right. If you can
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  hear our voices, you are covered. Hey, gotcha, We're here to
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  help you out. And at Gentiva, it's a it's a it's a large
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  footprint where a lot of different places and we can come to you. That's
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  right. Wherever you are, wherever you call home, that's where we'll see
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  you. We have had patients that are in homes, patients in facilities.
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  We've even had patients who've been in one particular facility or one home and then
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  they moved and we just follow them wherever they're at. Now, if they
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  go out of state or they go to a different whole, different location,
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  we just transfer their care to our sister company and whatever location they're at.
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  So we see that a lot here in northeast Oklahoma because we've got family members,
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  you know, in Kansas and whatever. So a lot of times people
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  will cross that border or even Arkansas. But we are in almost every I
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  think we're in forty eight of the fifty states, probably all the you know,
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  continental and so we can we can hook you up. There's very few
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  places that Gentiva doesn't cover, but we make sure that we will let you
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  know and if we can't, if we can't take care of them, then
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  we'll find somebody who can. Alrighty now, after I've interrupted you, that's
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  okay. Where are we now? Got life between health, home healthcare and
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  hosts. So the last one is the duration and again this is like,
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  you know, how how long is this goal? What is the goal of
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  care? How long do the do are you going to need help? So
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  with home health, it is designed for short term for duration, you know,
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  shorter duration like again physical therapy six to eight weeks of physical therapy,
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  or a wound care short term wound care to try to get that wound healed.
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  Maybe it's you know, speech therapy to help with swallowing issues, things
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  like that. But it's all designed for short term. Home health is designed
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  to get them better and then discharge them, release them. But with hospice,
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  it's designed for the long term. It's designed to be you know,
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  until the end, or until that patient stabilizes enough that they're no longer considered
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  terminally declining. And so if the patient is in a position where their condition
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  is not going to improve, we know they're not it's not going to improve,
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  then hospice is the best option for them because we're designed to be in
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  there and stay with the family, follow them, educate them, support them,
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  give them all the encouragement, support, bereaevement until the end. So
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  hospice really is it's a life journey, you know, I mean really it's
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  a life journey, end of life journey for the patient, it's a life
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  journey for the family, and we're there to follow them and stay with them
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  until until that patient passes and then we do follow them for at least thirteen
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  months after Wow for berievement. Incredible, incredible, And like you said,
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  you know, there's no oh duration, as you say, as far as
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  hospice is concerned, it's going to be when it's going to be. There
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  are people who follow the news. We have a former president, mister Carter,
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  who's nearing one hundred years old, but he's been in hospice care for
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  over a year, right. I think everyone knows he's probably not going to
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  get any better, but he's not showing signs of getting a whole hourse,
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  right. But that's why hospice is there. Hope is there right now,
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  right for no matter what. And so here's a good example. I like
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  to explain it to people this way because it helps kind of paint the picture.
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  So everybody has a life journey, and we all go different paths,
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  and you know, but at the end, pretty much we all we all
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  have a journey to trick, you know, at the end of life,
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  and everybody's maybe you know, everybody's journey may be a little bit different at
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  that end, but we all have that path to tread. Right. Let's
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  imagine, for imagine if you would. Let's say it's a two mile stretch.
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  Some people it might be a five miles stretch. We don't know,
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  right, but let's let's pretend that it's this. This path is covered with
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  jagged rocks and broken glass and hot coals and stickers and you know, debris,
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  and we all have to we all have to travel that path. Hospice
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  care doesn't make that path any shorter, nor does it make it any smoother,
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  but it gives that patient shoes. So if that helps to kind of
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  explain to people, it doesn't encourage death, It doesn't speed up death,
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  nor does it. You know, length doesn't push it off any it.
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  You have that path and everybody's you've got that path, and we don't know
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  what it's going to be. We don't know how long it's going to be.
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  We don't know you know, what your what your lifespan is. But
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  hospice is there to not facilitate or encourage death or to to put it at
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  bay. But it is just there to make that journey easier and more peaceful
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  for the family and you know, make it make it a little a little
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  bit smoother ride. We did that for and be quite honest, with you
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  through the whole course of his disease period. The hospice period was probably the
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  call must and you know, I can speak for my entire family. That
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  was something I had never gone through, never even really heard of the word
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  up until that point ten years ago, twelve years ago, and we're so
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  thankful that there was a service that could be provided like that. We just
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  weren't aware of it. And that's every time, Michelle you're in here,
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  I'm excited to talk about Gentiva and the services that you provide because there are
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  so many people who just don't know. They might hear the word, they
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  might have heard something somewhere from someone, but they're getting it from someone who
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  knows and someone they're going to learn to trust. It really is a gift.
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  Hospice is a gift. It is about how you live, and it
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  is so so important that people understand it is not you know, it's not
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  a bad thing. It's such a gift, not only to patient, but
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  to the patient's family. It allows that family to be the family and not
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  have to be the primary caregiver all the time because they've got someone else that
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  they can call. They've got a whole team that's out there ready to support
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  them and meet whatever needs they have. Very good, and again we can
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  get a hold of you. You've given out your phone number. And there's
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  also a website that folks can visit too, Yes they can. It's Gentiva
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  HS dot com. That's g E N T I v A HS dot com.
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  Okay, very good, very good, and Michelle by golly. It's
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  always great to have you in here, and it's always great to get ANO
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  education because we learned so much from you when you're here. Thank you,
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  thank you. I just want if people have any questions about home health or
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  hospice, feel free to call you, text me, call me, whatever
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  works for you. I'm happy to help out and help guide you in the
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  right direction. Folks, you've been watching and listening to are one on one
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  with the pro with Michelle Freeley, and she is with Gentiva Hospital. Stay
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  tuned, We've got news coming up at the top of the hour, followed
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  by our local news all right here on K one, the one you trust.