Cartwright Hospice Residence

Visiting Nurses/Covenant

What is Hospice?
Social Stigma
Old

New Face of Hospice

All

People Death/Dying Depressed Drug Coma Where you die The End

Ages Living life to the fullest Quality Care Pain Management Comfort for Family and Client

Cartwright Hospice Center

Welcome Home.

Mission:
To provide support and comfort to you and your family and to control pain and other physical, emotional and spiritual discomfort.

Purpose/Treatment:
Focus

on care, not cure Treats individual, not the disease Emphasize quality and dignity vs. length of life Family/Client-Centered

To provide choices for end-of-life care Bereavement counseling available for at least 13 months after death

Services Covered
Medicine

relating to life limiting illness Medical equipment Medical supplies Bereavement services

About Cartwright
Non-profit

What does this mean?

Sister

company to Covenant Established in 1996 Once a girls home, now purchased and leased to Covenant

Eligibility
Clients

that are diagnosed by a physician with a terminal disease and are given 6 months or less to live Choose treatments to enhance quality of life Agree to work with Hospice team, in cooperation with the family and physician Reassessment occurs every 90 days

Population served
They

accept any individual who has a referral from a physician stating they have 6 months or less to live Ages range from as young as 30 on up All religious backgrounds are welcomed with accommodations All are welcome despite sex, race, ethnicity, religion etc..

Access to Services
Doctor

Referral Any income level Medicare/Medicaid/Private Insurance Financial Need Assistance Available Daily fee of $115.00 for room and board (Medicare/Medicaid doesnt cover)

Funding & Sustainability

Funding

is provided through a foundation that can be accessed by Cartwright Contributions from families Reimbursement from Medicare/Medicaid

Spread out between all the patients Out-of-pocket

Cartwright

provides financial assistance for those who cannot afford the out of pocket expenses

Amenities

Reflection Room

Enjoying Lifes Pleasures

15 Bedrooms

In Loving Memory

The Facility

The Staff

Questions?

Origins of Hospice Care

Before the 1940s

People passed away at home Women cared for dying family Family care for passed relatives

1940s: 49.5% of deaths occurred in institutions 1950s: 60.9% of deaths occurred in institutions 1960s: Television portrays death inaccurately

Leads to avoidance of talking about death Most people afraid and misinformed

Origins of Hospice Care

Advances

in technology change medicine from 1940s to 1970s

People live longer Shift in medical profession
More

specialization Less personalized care Emphasis on biomedical model

Establishment of Hospice Care

1963: hospice introduced by Dr. Cicely Saunders at Yale University

Main focus: comfort patients with terminal illnesses through symptom control Eliminate technology and focus on a natural approach to death and dying

1975: First hospice center in US opened in Connecticut

Opened after Florence Wald (then Dean of Yale) and Dr. Elisabeth Kubler-Ross studied with Dr. Saunders and Dr. Sylvia Lack

Changes in Hospice Care

1970s-2000s

Emphasis changes from cure to comfort Importance of family as part of health care team Symptom control to improve quality of life rather than sedate patients Many options for individuals who are terminally ill
Hospitalization Stay home Hospice care

Barriers in Hospice Care

Many

barriers still exist in hospice care

Lack of physician education

Tend

to follow biomedical model Focus on curing patient Hospice referrals given too late

Financial concerns for patients and family

Hospice

can be expensive Some insurance companies do not cover hospice care

References
Hoffmann,

R. L. (2005). The evolution of hospice in america: Nursings role in the movement. Journal of Gerontological Nursing, 26-34. Krisman-Scott, M. A. (2003). Originas of hospice in the united states: The Care of the dying, 1945-1975. Journal of Hospice and Palliative Nursing, 5(4), 205-210.