Transcript Hospice of North Central Florida Network

Transitions:
Pre-Hospice Support
Susie Lyons, LCSW, AP
Shirley Bloodworth, RN, BSN,
MSN
Transitions: What is it?
• A Community Outreach Program providing
support to individuals& families affected by
chronic life-limiting illness.
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–
–
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Alzheimer’s DiseaseDementia
Heart Disease/Pulmonary Disease
CVA/Coma
Etc.
Transitions: Fit with Hospice of
North Central Florida Network
Transitions
Program Components
 Phone
support
 community outreach
 community education
 volunteers
Meet Our Staff!
Tim Bowen, Executive Director/COO
Tim Bowen is the Executive Director/Chief Operating Officer of Hospice
North Central Florida. He joined HNCF in January 2000. Prior to coming
to HNCF, Tim was the director of Mid-Peninsula and Pathways Hospice,
which served the San Francisco Bay area. He previously served as
National Hospice Director of Hospice development for Olsten Kimberly
Quality Care. Tim began his hospice career in 1985 as a social worker at
the Kaiser Permanente Medical Center in Oakland, California.
Susie Lyons, LCSW Transitions Coordinator
Susie Lyons is the Transitions Coordinator at Hospice of North Central
Florida. Susie joined HNCF in March, 2000. Prior to coming to HNCF,
Susie worked as a social worker in Home Health Care and 15 years
within the VA Health Care System from Nursing Home Care to Adult Day
Health Care to long-term spinal Cord Injury care and Geriatric
Psychiatric care. Susie covers 14 counties.
[email protected] 1-800-330-2858 or (352) 2711-4648
Meet Our Staff!
Shirley Bloodworth, RN, BSN, MSN
Shirley Bloodworth is the Transitions Nurse for Alachua and Duval
Counties. Shirley has been with Hospice over 10 years in many different
roles. She is retired from the faculty of the College of Nursing, and was
Nursing Director of the Clinical Research Center at the University of
Florida. She has done advance work in the Counselor Education and
Geriatric programs. She was Gainesville's Community Chair for the
Coalition for "End of Life Issues,” and has helped develop an Advance
Directive Workbook.
[email protected] 1-800-727-1889 or (352) 379-2929
Kelly Hunter, RN is a Transitions Volunteer
Kelly has been a Transitions volunteer nearly one year. She has been
creating an educational book for clients and families on various end-oflife issues. She is also creating the Transitions Volunteer Training and
Resource Manual. She is a PRN nurse with with Shands Teaching
Hospital.
The Hospice of North Central Florida network
Serving 16 counties and spanning more than 10,000 square miles
Hospice of Jacksonville
Hospice of the Lakes
Hospice of North Central Florida
Hospice of the Suwannee Valley
Hospice of the Tri-Counties
Horizon Health Services
Florida Palliative Home Care
The Pegasus Program
Healing Hearts
Transitions
Care and Compassion When Needed Most
HNCF Network of Services
Home health care
with expertise in disease &
symptom management.
(352) 379-6217
Grief support program - counseling services to individuals,
families, & groups affected by loss.
(352) 379-6239
Pediatric support program-
medical, emotional & spiritual
care for children, families, & the community
(352)692-5138
Home medical equipment
(352) 379-6187
Outreach program - phone support & service
referral for pre-Hospice patients
(352) 271-4648
HNCF Network Teams
Team A: HNCF, Gainesville
Team B: Hospice of the Lakes,
Palatka
Team C: Hospice of the
Suwannee Valley, Lake City
Team D: Hospice of the TriCounties, Chiefland
Team N: Facilities
Team J: Hospice of
Jacksonville
Team L: Hospital Liaisons,
Gainesville
Team H: E.T. York Care
Center, Gainesville
Team S: Starke
Transitions: Making Referrals
• G’ville local # or Toll-free #
• No MD referral required
• No charge (funding sources:
grants/donations/memorial contributions)
• Anyone can make referral
– Pt., family, caregivers, clergy
– Healthcare providers (hospitals/agencies, etc)
– Friends, neighbors
What does Transitions provide to
clients & their families?
Emotional support
Information about & referral to community resources
or HNCF network services
Opportunity to share concerns related to life-limiting
illness
Education on Advance Directives, Care-giving,
Palliative Care, Hospice care
Focus on decision-making issues
End of Life Issues
• Those with Dementia
– Long-term palliative care
– Decision-making
• Caregivers/Families of those with Dementia
– Responsibilities of caregivers
– Difficult decisions regarding palacment
• Timing
• Appropriateness
Grief Issues
• Anticipatory Grief
– Preparing for losses
– Collaboration with Alz.Assoc. , MFAAA, Geriatric
Centers
• Healing Hearts
– Bereavement programs
• Individual counseling
• Group Support
• Memorial programs
HNCF Network
• Cost/Payment sources
• Appropriateness for network services
– Home care
– Medical equipment
– Hospice
• At home
• In facility (NH, ALF, Care Center)
Questions/Discussion