Latest / One on One With a Professional / GENTIVA HOSPICE CARE PT 1
Transcript
- 0:03Money. Good morning, good morning, and welcome, welcome, welcome.
- 0:06It is time now for our one on one with the pro, and we've
- 0:11got a new pro that we want to introduce you to and that is Michelle
- 0:15Freeley, who is a hospice care consultant for Gentiva Hospice. First of all,
- 0:21welcome Michelle. How you doing. I'm doing great. Thanks for having
- 0:23me on. Well, it's our pleasure. We are going to talk about
- 0:27what hospice is and what hospice is not. How would you like to go
- 0:32about this? Well, I always like to start off by telling people what
- 0:35hospice is not, because there's always a lot of fear and a lot of
- 0:41you know, just like anxiety surrounding that word hospice. Generally, when a
- 0:46physician or anybody mentions to the family member, you know, the word hospice,
- 0:50they just shut down. They don't want to hear anything else because it
- 0:52is there's kind of a stigma, you know how it used to be.
- 0:55So I always like to start off by telling people what hospice is not.
- 0:58And a couple of is hospice is not giving up hope. I hear oftentimes
- 1:03people say, oh, I just don't want to give up yet. I
- 1:06just don't want to give up yet. So hospice is absolutely not giving up.
- 1:10It's giving that patient a different kind of hope, given the family a
- 1:12different kind of hope for more comfort as their time progresses for whatever time.
- 1:18That might be the second thing that it is not. It is not foregoing
- 1:22care. Many times people tell me they don't want to put their loved one
- 1:26on hospice care because they don't want them to stop being treated for other things.
- 1:30And that's a big misnomer because hospice does not mean you don't get care
- 1:36for anything else. It just means that whatever your terminal illness is for which
- 1:41we put you on to our service, we don't aggressively treat that condition.
- 1:46So, for example, if we put someone on hospice care for advanced cancer,
- 1:52we're not going to treat their cancer. But if they were to get
- 1:53a UTI or strep throat or anything like that, or pneumonia, we're absolutely
- 1:59going to treat that. So a lot of times people just have that misconception
- 2:04that once you're on hospice, that's it. You know, if you get
- 2:07a UTI, you get anemonia, you're just going to have to go with
- 2:08that. Because that's but that's not how it is. So I just want
- 2:12everybody to understand that it is absolutely not foregoing care. We're going to take
- 2:16care of that patient regardless. I think you just made a whole lot of
- 2:20people breathe a sigh of relief. I think probably, so I know,
- 2:23it's it's a big it's just a big misconception, and people don't really they
- 2:28don't understand hospice. And so that's one reason why I wanted to be on
- 2:30the air with you today and in the coming weeks, is to let people
- 2:35understand that there's a lot out there that you don't know, and people are
- 2:38always scared of what they don't know. You know, I'm scared of the
- 2:39dark because I don't know what's in there, you know, So flip on
- 2:43that light, let me see, and then I'll walk to the end of
- 2:45the hallway, you know. But with hospice, I think people just they
- 2:47don't understand it, and so I always want people just to open your mind,
- 2:51let me explain it to you a little bit. And ninety percent of
- 2:53the time people that under when they hear what it really is about, they're
- 2:57like, well, of course, why wouldn't I want that you know.
- 3:00Now, tell us what hospice care is and what makes gen Tiba hospice so
- 3:06unique. Okay, well, hospice care by definition, is an advanced plan
- 3:10of care in which we focus on the patient, their specific needs the needs
- 3:15of their family instead of focusing on curing a disease. So that in and
- 3:21of itself is a very big explanation of what hospice is. An advanced plan
- 3:24of care that shows you that you're going to be getting care. It's not
- 3:28just you know, putting you in bed and giving you some pain meds,
- 3:30you know, and letting you go. So it is an advanced plan of
- 3:34care, so we are going to be taking care of the entire patient.
- 3:38Gentiva and all hospices use a full team approach to patient care, so it's
- 3:42not just a nurse going in there to administer pain meds and check vital signs.
- 3:46We have a full team. It's a multidisciplinary. It is a medical
- 3:51director, a medical doctor that oversees the care of all the patients. We
- 3:53have an our in case manager that manages a patient care, does the hands
- 3:58on health care for that patient, and communicates with the rest of the team.
- 4:02We have a chaplain bereavement coordinator that make sure that the spiritual needs are
- 4:08met, any kind of companionship, not necessarily to come in and preach to
- 4:12them, but just kind of guide them through their spiritual journey whatever that looks
- 4:15like. It's not not a denomination specific, you know, event, it's
- 4:20whatever that patient desires, and that's what the chaplain is there for. And
- 4:25then to provide bereavement support to the family thirteen months after the passing. Then
- 4:29we have a social worker who also comes in to help bridge that gap between
- 4:32maybe family dynamics, if there's a strange family member that you know, there's
- 4:36some you know, you know, animosity among the family or whatever. They
- 4:42can also connect the family with additional support in the community, someone to help
- 4:46with maybe take care of the lawnwork, or if you need a babysitter,
- 4:48you know, somebody to come in and sit with mom while you go run
- 4:51errands or you know, things like that. The social worker we don't provide
- 4:55that as a hospice company. We don't pay for that service, but our
- 4:58social worker has tons connections and they can facilitate that communication together, you know,
- 5:03get you guys connected so that you have those resources that you need.
- 5:05You may not even know about them. Social worker is also very good with
- 5:10helping people navigate through the legal system. I mean, if there's end of
- 5:14life planning that needs to be done, if there's estate planning, if there's
- 5:16you know, some kind of property that needs to be divided out, or
- 5:21you know, something like that, and with medical with benefits, veteran benefits,
- 5:26I mean, there's a lot of stuff that people just don't know that
- 5:28they don't know, and then the social worker can really bridge that gap.
- 5:31So I think that in and of itself is a very big benefit to family.
- 5:35Helps give them some relief, and they can help with end of life
- 5:38planning that is so reassuring. I mean, first of all, you're going
- 5:44through a very rough time with someone you love, and the last thing you're
- 5:47thinking of is all these other things are going to come down on you like
- 5:53a ton of bricks, you know, sooner rather than later. And it's
- 5:57nice to know that the service you provide helps people. She clearly navigate through
- 6:02it all and do it with a very gentle chorus of guidance, absolutely very
- 6:09compassionate. In addition to those services that I mentioned, we also have our
- 6:13home health aids that come in and help with personal care, bathing and grooming
- 6:17and things like that. And they can come in as often as two to
- 6:19three times a week, and that helps the family members then be able to
- 6:24be the family member and not have to be the primary care giver twenty four
- 6:27seven. You know, it gives them a break. So those aids coming
- 6:30in is a huge benefit. And then we also have volunteer staff that will
- 6:34come in and you know, maybe the patient themselves aren't able to get out,
- 6:39but the family might want to go to church and they don't want to
- 6:42leave their family member home alone, so a volunteer can come in and sit
- 6:45with them, play cards, watch TV, you know, work a puzzle.
- 6:48Just sometimes they'll run errands, do some light housekeeping, pickup groceries,
- 6:51things like that. So it really is a full team approach to patient care
- 6:57and family care. We really embrace the whole family in addition to giving them
- 7:00education as to what to expect. This is what that disease process looks like,
- 7:03here's what's going to come up next, so they're not surprised. You
- 7:06know, we're speaking with Michelle Franley and she's a hospice care consultant with Gentiva
- 7:13hospice, and we've been talking about what hospice care is and what hospice care
- 7:18is not. Now Gentiva Hospice is got a white footprint. You're all over
- 7:26the place. Tell everybody where you can be found. We're everywhere where,
- 7:30Yes, we're everywhere. We have our main office in Tulsa is where the
- 7:33office that I office from, excuse me, and we have an office in
- 7:36Muskogee. Both of those are known by the name Gentiva. We also recently
- 7:42acquired a couple of places called Heartland Heartland Hospice and Heartland home Health in the
- 7:47McAllister and Shawnee areas. And then sometime during second quarter maybe third quarter of
- 7:53this year, we're supposed to be opening a branch in the Edmund area.
- 7:56So very big footprint in the state. We also have several locations through out
- 8:00I know a lot of your Kansas listeners have probably heard the name Gentiva,
- 8:03so we do have lots of locations in the Kansas state as well. And
- 8:07you serve Bartlesfield quite handsomely. We do serve Bartlesville. We've got patients that
- 8:11currently am in a couple of facilities here and a few home patients always looking
- 8:16to expand our reach and get as many people on our service as possible.
- 8:20Now some folks might not understand is that although GENTV is here to serve,
- 8:28you know, your office is not here. That doesn't make any difference because
- 8:31your nurses don't clock in at an office and go someplace. That's right.
- 8:37Our nurses go directly to your home. That's right. You don't take that
- 8:41thing in the middle there. They go from their home to your home.
- 8:43Yes, they all set their own schedules. I mean they get a listing
- 8:48of patients that they're going to see that day and then they choose you know,
- 8:50they set the time, and we try to arrange those visits to accommodate
- 8:54our patients. Obviously, there are some that like to sleep in, you
- 8:56know, so they don't want to be seen before ten am, and we
- 9:00do our best, do the best we can to accommodate that. But oftentimes
- 9:03I hear people say, oh, well are you local you know, well,
- 9:05yeah, I mean, we don't have a brick and mortar here,
- 9:09but we do have patients here, so we have nurses here. We have
- 9:13nurses that are twice that we've got nurses here in Barbersville twice a week.
- 9:16We've got you know, our aids here two or three times a week,
- 9:18so we are what I consider local. We don't have a brick and mortar
- 9:22here, but we do have nurses that don't live far so our response time
- 9:26is not going to be much different than someone who actually has a brick and
- 9:28mortar here because their nurses aren't just sitting in the office waiting to be dispatched.
- 9:33Yeah, very good, that's a very good explanation of it. Now,
- 9:35I know that you work hand in hand to it with many hospitals too,
- 9:41and that that really pays dividends because if a person, you know it
- 9:46has a loved one in a hospital, first of all, there's some trust
- 9:48there and being you know, met through that process probably earns a little bit
- 9:58more trust on the way into hospice in that journey. Yes, and many
- 10:03many hospitals they have, you know, a few that they prefer to work
- 10:07with. Some hospices are owned by hospitals or you know, they're they've got
- 10:11a financial interest, But many times it's really the patient choice. The patient
- 10:16has the right to choose whatever hospice provider they want to use. So I
- 10:20encourage people, you know, at this time when you're when you're not in
- 10:22crisis mode, when you don't need that service right now, it's a good
- 10:26time to open your mind and listen to find out what's out there. Gentiva
- 10:30Hospice is a five star provider. I got to ask you about that.
- 10:33We got a five star, yes, five stars. That it's based on
- 10:37surveys that are that are sent out after the patient passes away to their families.
- 10:41It's based on overall patient care, so timely, timely meeting with the
- 10:46family, pain management, education of the family, support, communication, quality
- 10:54of staff. You know, did the family feel feel like they were treated
- 10:58with compact and respect, things like that. So it's it's a whole long
- 11:01list of things. But just like anything from the government, it's not easy.
- 11:07So CMS is the Center for Medicare and Medicaid Services and that's what guides
- 11:11hospice. That's the guidelines for hospice and so there nothing is ever given out
- 11:16easily from them. But they earned, yes, very much earned, and
- 11:20we did get a five star. So I think that speaks volumes about the
- 11:22quality of our care. Now, remember five stars not a participation RIBMN.
- 11:26That's right. This is a lot of hard work and this is a lot
- 11:30of trust, and this is a lot of people really going the extra mile
- 11:35to make sure that your loved one is taken care of and your family is
- 11:39taken care of at the time. Like you said, it's a whole team
- 11:43of probrim it absolutely is. And you know this is a difficult anytime you
- 11:46have to make a decision about end of life care, it is a tough
- 11:50decision to make. It's good to know that you've got a village. You
- 11:52know, you've got a whole team in your corner. It's not just one
- 11:56person that's there to guide you through this whole thing. You've got an entire
- 12:00network of people with lots of connections, lots of resources to help you.
- 12:03So it doesn't ever make the passing of a loved one easy. That's never
- 12:07easy, but it does make it a lot less scary, and you do
- 12:11feel like you're not in it alone. And I think that makes a huge
- 12:13difference with someone who has to make that decision. How do we get a
- 12:18hold of you and how can we find you on the web so we can
- 12:20maybe take our time and go through that before we call. There is a
- 12:24website, it's Gentiva Hospice. I believe it's gentivahospice dot com. I'm not
- 12:28positive. Just stick it in the Google. That's okay. We just stick
- 12:31it into Google and it's right there. Yeah, you've got my email there,
- 12:35it's calm. Yeah, we've got it. We've got it. So
- 12:39yeah, I'll leave. I'll leave my business card here with you, and
- 12:41we can put that information on your Facebook page or your website however it's best
- 12:45for your listening. Now, we're going to put this video up on the
- 12:48Facebook page and it's already on here with Facebook Live. But folks, if
- 12:52you do have questions, you might want to message us and maybe not stick
- 12:58that right here in the comments, but message us and just put ari is
- 13:03in regarding Gentiva's G E N T I V A S. And then we'll
- 13:11Gentiva Hospice Care and we will make sure that we get that taken care of.
- 13:16And I'll pass that along, of course to Michelle, so when she
- 13:20has our next visit, we maybe answer some questions as absolutely all right,
- 13:24I want to thank you for this has been very informative and I'm glad that
- 13:30we have you here because a guy like me I did not know what hospice
- 13:35care was until we needed it, and then that's that's where that came from.
- 13:41All right, I want to thank you for being with us here on
- 13:45ask the Prone