In addition to providing hospice care, your gifts support needed programs available to our entire community. Most of these programs are available at no cost to anyone in the community. Your contributions support these programs, including:

- Grief counseling to anyone in the community who has lost a loved one

- Advance Care Planning so that end-of-life care choices will be known and legally documented

- Residential hospice care at the Kate B. Reynolds Hospice Home for those who cannot be cared for in their own residence

- Education of healthcare professionals in the important areas of end-of-life care and pain or symptom control

- Complementary therapies designed to help patients and families experience the best possible quality of life

For more information on contributing to Hospice & Palliative CareCenter, please contact one of the following staff members at 336-768-3972 or 1-888-876-3663.

For more information about Hospice & Palliative CareCenter, visit http://www.hospicecarecenter.org!

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One of every three older women is dealing with urinary incontinence. And one of every six older men. If your loved one has this problem, he or she is likely not talking about it. Not talking to you. Not talking to the doctor.

She may be embarrassed. Or he may assume nothing can be done.

In fact, urinary incontinence is a medical problem with many treatment options. Untreated, urinary incontinence is associated with

• social isolation. Fear of accidents often leads to withdrawal from activities outside the home.

Read the entire article…

For more information about Hospice & Palliative CareCenter, visit http://www.hospicecarecenter.org!

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When you are caring for a relative, it seems obvious that health care providers would readily answer your questions. But health professionals and health plans are not permitted to freely give information. This can interfere with your ability to help your loved one follow doctor’s orders or figure out insurance billing.

Rules about confidentiality

You’ve probably heard the term “HIPAA.”

READ THE ENTIRE ARTICLE

For more information about Hospice & Palliative CareCenter, visit http://www.hospicecarecenter.org!

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Camp Carousel promotes healthy mourning through creativity and fun!

Camp Carousel 2011 will be held Monday, July 25 – Friday, July 29.

Learn how to cope with a death-related loss. Camp Carousel is designed to meet the unique needs of grieving children (ages 6-12), teens, and adults. For more information or for a registration form please see the Grief Counseling section of our web site or call 336-768-3972!

click here for registration brochure

For more information about Hospice & Palliative CareCenter, visit http://www.hospicecarecenter.org

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Source: SeriousIllness.org

You may be entitled to claim your relative as a dependent. This requires that:

- The individual’s income was less than $3,650 in 2010. “Income” includes Social Security and pension benefits. Also, proceeds from investments or withdrawals from retirement savings plans.

- You paid more than 50% of your relative’s support. He or she does not have to live with you. Support expenses include food, clothing, housing, and medical care. Also, transportation, recreation, and other essentials. If he or she lived with you, include fair rental value for your family member’s share of the lodging.

Many relatives qualify. Your parents and siblings. Other family relatives, step relatives, and in-laws. Or anyone who lived with you all year.

If others paid some support expenses, a deduction is still possible. But only one person can claim it. And everyone who shared expenses must sign a multiple support agreement.

You may be able to deduct medical expenses.

• This includes expenses paid for yourself, your spouse, or a dependent relative. Or for a relative who would have qualified as a dependent but had too much income or filed a joint return.
• The expenses must add to more than 7.5% of your adjusted gross income (AGI). For example, if your AGI is $40,000, the first $3,000 of expenses doesn’t count.

READ THE ENTIRE ARTICLE

For more information about Hospice & Palliative CareCenter, contact Ann Gauthreaux, public relations director, at 336-768-3972, or see Hospice’s website at http://www.hospicecarecenter.org!

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Source: SeriousIllness.org

When your family member is in pain, you are suffering too. The “mirror neurons” in our brains are programmed to recognize pain in others. That’s good news, in that it arouses compassion and spurs us to action. But it can be bad news, too. When you’re highly attuned to a loved one’s pain, you’re at higher risk of depression and self-neglect.

Learn about pain management. Your ability to reduce your relative’s experience of pain will help both of you.

- Report symptoms and ask questions. Download the Pain Tracking Kit offered by Partners Against Pain. And ask the doctor for a consult with a palliative care specialist. They have special training in pain control.

- Learn about medications. Master the steps you can take to lessen pain when it occurs.

Our article on managing pain provides guidelines for other remedies you can use at home.

Accept what is beyond your power and focus on what you can control.

• Emphasize comfort. Remind yourself, “Today, I may not be able to stop the pain, but I can still [prepare food, massage feet, etc.].”
• Provide distractions. If your family member is engaged in an activity, he or she is less likely to be aware of the pain.

Read The Entire Article…

For more information about Hospice & Palliative CareCenter, contact Ann Gauthreaux, public relations director, at 336-768-3972, or see Hospice’s website at http://www.hospicecarecenter.org!

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Soure: Winston-Salem Journal

By Annette Fuller
Published: February 09, 2011

Doctors’ busy schedules are no excuse for them not taking the time to discuss end-of-life care options with their patients, said Dr. William Blackstock, program director of the Comprehensive Cancer Center at Wake Forest University Baptist Medical Center.

“Some of my colleagues do a fabulous job of discussing these issues with their patients,” Blackstock said. “But too many of my colleagues almost never have these discussions until the patient is seriously ill. At that point, they may be taking pain medication that can confuse them. We need to have these conversations sooner than that.”

And it’s not just an issue of doctors not having enough time, he said.

“There is a skill set to this,” Blackstock said. “We are not trained to do this. It’s not something that we emphasize during residencies or fellowships.”

That’s why Blackstock is glad that the American Society of Clinical Oncology recently published a 24-page booklet, available online, that advocates for more involved conversations between patient and doctor earlier in the process about the patient’s choices for care and treatments during his or her last few months of life, if treatments are not successful.

Cancer patients are “at different places” when doctors first bring up this topic, Blackstock said.

“Some want these discussions early; some want it later,” he said. Even if the patient puts off the topic, due to fear, “it is still the doctor’s responsibility to engage the patient in this discussion. It’s part of taking care of them, just as much as the medical treatment.”

READ THE ENTIRE ARTICLE

For more information about Hospice & Palliative CareCenter, contact Ann Gauthreaux, public relations director, at 336-768-3972, or see Hospice’s website at http://www.hospicecarecenter.org!

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There’s a reason rivalries resurface when siblings share in elder care. According to Francine Russo, author of They’re Your Parents, Too!, the trigger is an awareness that time is running out. It often hinges on the desire to resolve unconscious needs for parental attention. Perhaps it’s a need to feel as important as another sibling. Or to feel forgiven. Or to feel capable.

When old issues operate beneath the surface, the result can be lots of emotion and little constructive progress.

What to do:

- Check in with yourself. Are you overly engaged in caregiving out of the hope for approval? Or underinvolved because you were “the baby”? Recognize how your perspective may affect your role in your parent’s care and your response to your siblings.

- Don’t blame your sibs. If you feel that Dad overlooks you, you may be right. Your parent may be unfair. This is not the fault of your siblings, however. Similarly, if you are the “favorite child,” try not to abuse that privilege. Instead, look for common ground with your siblings. Acknowledge your parent’s foibles.

- Treat your siblings as adults. If you don’t operate according to old family patterns, your siblings are less likely to do so too. Meet them as they are today. At a minimum, agree to put aside sibling issues to focus on the care of your parent. Use the forum of a “family meeting” for discussion. Hire a facilitator if problems persist.

- Get support. You may not ever receive the love you want from your parent. Your siblings may repeat old patterns. Accept these realities if they occur, and find connection in other places. Try a support group for family caregivers. Or consider individual counseling for help in letting go of old hopes.

For more information about Hospice & Palliative CareCenter, contact Ann Gauthreaux, public relations director, at 336-768-3972, or see Hospice’s website at http://www.hospicecarecenter.org!

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There’s a lot to do after bringing someone home from the hospital. The obvious goal is continued recovery. But roughly 20% of older adults are rehospitalized within 30 days because of problems that develop at home.

Research shows there are three things you can do to prevent a backslide. It’s important to get going on them even before your loved one is discharged.

- Understand the new medication schedule. Meet with the discharge planner to review medications. Bring a list of what your loved one was taking before hospitalization. If any of these drugs are not on the current list, ask if they should be restarted. Review each new medication. When should it be taken? How long should it be taken? Any side effects? Have new prescriptions phoned in to the pharmacy before you leave the hospital.

- See the doctor for follow-up within a week. Find out what doctor(s) your loved one should see. Request that the hospital forward records to all of them. Before you leave the hospital, call the doctor’s office to set up an appointment for the next week. You may need to be firm with the receptionist and explain that your loved one has just been hospitalized.

- Know the signs and symptoms of problems. Before leaving the hospital, consult with the discharge planner about what to expect. Ask them to group symptoms as “green light,” normal recovery. “Yellow light,” early signs of a possible problem. And “red light,” a significant problem. Find out what to do and who to call in case of yellow or red light symptoms.

Focusing on these three tasks can significantly speed recovery and reduce your family member’s chance of rehospitalization. If you are confused about any of these tasks, insist on having your questions answered before you leave the hospital.

For more, visit http://www.hospicecarecenter.org!

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Caring for a seriously ill family member can lend a tinge of blue to the holidays. It may be sadness that cherished family rituals are no longer possible. Or worry that this year will be the last for your loved one. Here are some ways to handle these common stressors.

- It doesn’t have to be “all or nothing.” Even if some family customs are no longer realistic, embrace what’s still possible. And let go of the guilt-laden “shoulds.”

- Keep it simple. Perhaps you still gather at Mom and Dad’s, but order a precooked, take-out meal. Or have everyone contribute to the meal. Try to capture the essence in a way that no one person shoulders a big burden.

- Focus on the most meaningful activities. Your energy and your loved one’s energy are limited! Pick one ritual that truly gives you that holiday lift and consider any others an “extra gift” of the season.

Acknowledge the “anticipatory grief.” You’re not crazy if pulling out your holiday sweater brings on a bout of tears.

- A holiday can sharpen awareness of life’s impermanence. You may feel grief about the losses you have already experienced. And grief as you realize your loved one may not be with you next year. These feelings are normal. If possible, share them with someone who understands.

- Celebrate your loved one’s presence. Trying to “make this holiday the best” may distract you from spending quality time with your relative. Instead, take the opportunity to cherish what you have now, and revel together in shared memories of holidays past.

Maintain your normal self-care routines. In this season of extra stress, it’s especially important to get enough sleep, eat sensibly, and exercise regularly.

For more, visit http://www.hospicecarecenter.org!

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