Comfort and Compassion

Signature Hospice strives for comfort and compassion for families and patients during life’s most difficult time and journey.

For any journey, preparation and planning are essential. With a devoted support team of professional care providers, our services focus on comfort, companionship, relief, peace, and resolution.

The goal of hospice is to allow the patient to rest comfortably. By compassionately working to normalize events, routines, schedules, and more, our compassionate care providers help you and your family focus on the important moments.

A Holistic Approach to Hospice Care

Our Signature holistic approach to care during hospice includes a team dedicated to quality of life.

  • Primary Care Physician – a person on hospice maintains one-on-one care with their primary care physician
  • Medical Director – Oversees the entire plan of care
  • Registered Nurse (RN) – performs the initial evaluation and writes the plan of care. In addition, coordinates the care plan and delegates any instructions to the team
  • Home Health Aide – receives instruction from the RN and is instructed on care that requires delegation.  Provides personal care services and companionship
  • Medical Social Worker – assists with family dynamics, educates on advance directives, wills, and more
  • Spiritual Counselor – provides peace and comfort to the person on hospice as well as to the family and assists in resolutions
  • Volunteers – provided during the times when family caregivers need respite

Additional Benefits

  • Signature provides up to 13 months of bereavement counseling
  • Support groups for family members
  • Memorial services twice yearly
    • Reunion with hospice staff
    • Opportunity to meet other families who have benefited from Signature Hospice
  • Counseling for staff members of senior communities that may be dealing with the loss

Beginning Hospice

  • A physician determines whether a patient is appropriate for hospice services.
  • A second physician confirms the need for hospice before anyone can be admitted.
  • With two physicians agreeing, odds are it’s a great decision to begin services.
  • Hospice is an elective service by the patient or family.
  • This service is paid for by Medicare if a patient is 65 years or older and eligible for the Medicare part A benefit.
  • The service can be revoked at any time by the patient or POA (power-of-attorney) without penalty.
  • If hospice services are revoked and the patient or POA would like another election to hospice service, a new doctor’s diagnosis and prescription is required.
  • The goal of hospice is to stabilize the patient and normalize events. When a patient successfully regains strength, they can graduate off hospice.

Click here for additional information on beginning hospice.


 

What is Palliative Care and how does it differ from Hospice?

Palliative care is a philosophy of care that focuses on symptom management, goals of care, advanced care planning, and quality of life issues at any point in a disease process. Hospice shares a similar philosophy, but assumes that a person is no longer pursuing life prolonging treatments and is in their last 6 months or so of life.

What is Palliative Care Consult?

A palliative care consult is an opportunity for patients, families, clinicians, and care providers to express concerns or worries about a patient. These may include addressing relentless symptoms, assessing patient/family goals, clarifying prognosis and treatment options, POLST issues and/or placement issues.

Primary goals:

  • To clarify and solidify a care plan that is realistic and consistent with the patient’s needs
  • Assist with symptom management
  • Ensure patients understand their medical condition and prognosis (if they desire such information)
  • Collaborate with social workers and/or Chaplains regarding patient/family anxiety and suffering
  • Improve communication between patients, families, and multidisciplinary team
  • Discuss options for advanced care planning

After the consult, recommendations are made to the referring provider and appropriate team members.

  • A consult is ordered by the patient’s PCP, but anyone involved with a patient’s care may initiate a referral.
  • A consult may be done by a Nurse Practitioner, Social worker or both, depending on the situation.

What type of patients are appropriate for referral?

  • Patient has a complex medical illness with little or no advanced care planning
  • Significant family distress and dynamics
  • Patient has multiple physicians with conflicting agendas and prognostication
  • Chronic and/or progressive illness with frequent ER utilization or hospitalization
  • Progressive or poorly controlled symptoms (i.e. Pain, dyspnea, nausea, fatigue, depression, anxiety, Chronic weight loss, spiritual distress)
  • Declining functional status
  • Confusion and/or discordance regarding the care plan

Is Palliative Care Right For You?

1. Do you have a serious illness such as:

    • Cancer
    • Congestive heart failure
    • Chronic heart failure
    • Chronic obstructive pulmonary disease
    • (COPD)/emphysema
    • Kidney failure
    • Liver Failure
    • Dementia
    • Neurological Disease (ALS, Multiple
    • Sclerosis or Parkinson’s Disease)
    • Other serious illnesses

2. Do you have symptoms such as:

    • Pain
    • Nausea
    • Shortness of breath
    • Fatigue
    • Anxiety
    • Depression
    • Lack of appetite
    • Constipation

3. Do you experience the following:

    • Frequent emergency room visits
    • Multiple admissions to the hospital with the same symptoms

If you answered YES to any of the above, Signature Palliative Care Consultation is here to help.

Call or contact us if you have any questions, at (503) 682-3989 in Portland or  (208) 642-9444 in Idaho.