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Hospice Care
Compassionate Care in the Comfort of Your Home Welcome to Renown Hospice, where compassion meets comfort in life’s most tender moments. Renown Hospice is a not-for-profit hospice, founded solely on a mission to care for and support those in our community. With a dedicated team of professionals and comprehensive services provided in the comfort of your home, our hospice program is one of the highest-rated quality care and experience agencies in northern Nevada.
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11 Tips Caregivers Need to Know
Becoming a caregiver or playing a more active role in another’s healthcare is a big responsibility. At some point, almost all adults will support an aging parent or a loved one in need. Keeping track of their needs and wellbeing, while also prioritizing your own can become overwhelming. It’s important to know: you are not alone, and help is available. Read on for 11 tips to help you manage your time, your own wellbeing and your loved one’s care. Self-care comes first. When your main priority is the person in your life who needs care, it’s easy for your own needs to take the backseat. Give yourself time each day to focus on your personal wellbeing. It’s hard to give a loved one the care they need if your own needs are not met. Prioritize the Activities of Daily Living (ADL). Make a note of what ADLs your loved one can do alone, what they need help with and what activities require the most help. This will help you work through the day with them, as well as plan out how the day’s activities will go. Do a home safety audit. Do showers, bathtubs and steps have safety grab bars? Look around the house for additional tripping hazards, like rugs or electrical cords. If your loved one struggles with day-to-day navigation of the home, consider scheduling an occupational therapy appointment. This type of therapy helps a person develop or maintain the motions required to accomplish daily tasks. You might also qualify for a referral to in-home healthcare, such as Home Care. Have the hard conversation. The best time to discuss views about end of life care and to learn what choices are available is before a life-limiting illness or crisis occurs. With advance care planning, you can help reduce the doubt and anxiety related to decision making at the end of life. Completing an Advance Directive is a great tool to sort out all these decisions before they’re needed. Attend a free workshop to learn more and complete this important document. Identify when you need respite. Respite care involves receiving a short-term break from caregiving. Organizing in-home care for your loved one will allow you to step away and tend to your needs. By identifying what kind of respite care you are seeking, you can find the right person to provide you with that much-needed break. Don’t wait until you feel overwhelmed, plan ahead. Write down insurance contact information. Have a direct connection to the right insurance professional for support and advice. If your loved one is eligible Medicare, this is a good opportunity to review their current selections and if they would benefit from a Medicare Advantage Plan or Medicare Supplement Insurance. Seeking out expert advice or information on Medicare options is a great way to navigate this. Consider calling a broker, or attend a free educational seminar with Senior Care Plus. Gather legal and financial information. Make a list of all existing legal documents and financial accounts that your loved one has. These might include a will, advance directive, power of attorney, bank accounts or investment accounts. If you have questions about how to manage them, or need assistance in setting up additional framework, reach out to a lawyer, legal service, financial adviser or bank representative. Create an inventory of medical information. Identify where all of your loved one’s medical records are, as well as a list of providers or healthcare practices where they have received care. Consider if you should have your loved one give you Proxy Access in MyChart, which allows you to access all the features in MyChart on their behalf, including viewing upcoming appointments, viewing test results and emailing a doctor on their behalf. Make a list of what others can do. Think about all the little (and big) things that need to happen, and write down tasks that others could take care of you. When someone says “let me know what I can do” you’ll be ready with a pre-written list of items they may be able to assist with. Tasks could include tackling around-the-house repairs, scheduling lawn work, helping to walk the dog, taking a car for an oil change and cleaning. Find programs and events for social enjoyment. If and when possible, seek an activity outside of the home. Look for community centers that have programs for seniors, recreational activities or meals that you can patriciate in together. If leaving the home is not an option, arrange for visits or in-home activities, such as movie nights, card games or time to visit with family. Research long-term options. If you will be considering a nursing home or assisted living, make a list of amenities that you and the person you are caring for would like. Take this list with you when visiting potential locations to make sure you don’t forget to ask about each item.
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Serious Illness Care – Delivered Directly to Your Home by Renown Health
Nurse practitioners will come to your home to discuss your needs, develop a personalized plan, and align with your team to ensure excellent health care through at-home Renown Palliative Care. Nos complace anunciar que ahora ofrecemos servicios de interpretación en español para nuestro cuidado paliativo a domicilio. Renown Health, the only Level II Trauma Center in northern Nevada, and the leader in offering the most innovative services for critically ill adults and children is also home to a Palliative Care team dedicated to providing compassionate, specialized care for individuals and families facing the challenges of serious illness. “As Reno’s only not-for-profit health care organization we are constantly investing in better care and essential services for our community. Our goal is to keep care local, and to enhance the quality of life for patients and their families,” said Brian Erling, MD, MBA, President & CEO for Renown Health. “Empowering people with serious illnesses to receive advanced care planning in the comfort of their homes helps fuel a spirit of independence and eliminates visits to the hospital or the emergency room. This in-home Palliative Care program reflects Renown’s commitment to serving the needs of our community and ensuring patients with serious illnesses have convenient access to the clinical expertise they need, day and night.” “At Renown Health, our multidisciplinary Palliative Care team, led by physicians and nurse practitioners, work collaboratively to provide clinical support and compassionate guidance for patients with chronic and life-limiting illnesses,” says Dr. Jonathan Theriot, a specialist in Palliative Care with Renown Medical Group and a faculty member of University of Nevada, Reno School of Medicine. “We offer a consultative service that can be used at any time during a person’s illness. People can continue to see their physicians and receive treatment (such as chemotherapy or dialysis) while on service. Our nurse practitioners will come to the home to discuss the person’s individual needs and concerns and develop a personalized health care plan. We work closely with other physicians and care teams such as primary care, oncology, and home health to align and ensure the best care possible. We are available 24/7 to answer questions. Our only goal is to support the patient and their family.” Key features of the Renown Palliative Care program include: Comprehensive Symptom Management: Focused on alleviating pain, nausea, fatigue, and other side effects and symptoms to ensure patient comfort. Emotional and Psychological Support: Provide counseling and support services to help patients and their families cope with the emotional challenges of serious illness. Spiritual Care: Offer resources and support for patients to explore spiritual concerns and a sense of well-being. Coordination of Care: Ensure seamless communications, alignment, and collaboration between healthcare clinicians on a unified care plan tailored to each patient’s needs. Support for Families: Provide education, respire care, and support services to help families navigate the complexities of caregiving for a person with a serious and life-limiting illness. When is the time right for Palliative Care? New diagnosis of chronic or life-limiting serious illness; Need for patient and caregiver support regarding medical decision-making; Difficult physical or emotional symptoms that impact daily life and routines; Frequent hospitalizations or Emergency Room visits; Uncertainty regarding health care options and available resources; Questions about end-of-life care; Increased difficulty completing activities of daily living. What services can Palliative Care provide? Advance care planning; Serious illness conversations; Symptom management through collaboration with your primary physician or medical provider; Reducing stress and anxiety; POLST and DNR completion; Durable medical equipment including assessment for walkers, wheelchairs, and greater mobility. Does Insurance or Medicare/Medicaid pay for Palliative Care at home? Financial coverage for at-home palliative care services varies by provider and insurance plan. Medicare and Medicaid cover palliative care patient visits by a physician or advanced practice nurse. Some Medicare Advantage and health insurance plans offer coverage for palliative care visits and services, but specifics vary by plan. For specific guidance, contact your employer or health plan to determine coverage details and length of coverage including copays, out-of-pocket costs, and other charges for palliative care. Does Renown offer at-home Palliative Care for people who speak Spanish? "Nos complace anunciar que ahora ofrecemos servicios de interpretación en español para nuestro cuidado paliativo a domicilio," dice Monica Gonzalez-Ruesga, Community Liaison, Renown Home Health. "Estamos dedicados a brindar cuidado de alta calidad y satisfacer las necesidades lingüísticas y culturales de nuestra comunidad." Renown utiliza un servicio de interpretación telefónica en vivo para los pacientes que hablan español. Can I self-refer to the Renown Palliative Care team? Yes. Self- and physician referrals are both accepted Mon-Fri 8AM-4:30PM at 775-982-2828. More information on the Renown at-home Palliative Care program is available at renown.org/Health-Services/Palliative-and-Supportive-Care. For media interviews with Dr. Jonathan Theriot, Monica Gonzalez-Ruesga or a member of the Palliative Care team, contact news@renown.org. About Renown Health Renown Health is the region’s largest, locally governed, not-for-profit integrated health care network serving Nevada, Lake Tahoe, and northeast California. With a diverse workforce of more than 7,500 employees, Renown has fostered a longstanding culture of excellence, determination, and innovation. The organization comprises a trauma center for adults and children, two acute care hospitals, a children’s hospital, a rehabilitation hospital, a medical group and urgent care network, and the locally owned not-for-profit insurance company, Hometown Health. For more information, visit renown.org.
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