Adviser LeadingAge New York Winter 2014 Winter 2014 | Page 35

Hospice went right into their unit meeting to provide support. They have a very good rapport with our staff, they’re always reaching out and asking how they can help us.” The Community Hospice nurse participates in regularly scheduled rounds with the facility’s nurses, and the social worker is a presence at the quarterly care planning meetings. One of Fort Hudson’s nurse managers, Stephanie Morin, says the hospice social worker often is able to help when there are family concerns. “We had a difficult situation where the family disagreed on what should be done. They disagreed with each other, they disagreed with us, and they were just having a hard time realizing their loved one was declining” says Morin. “The social worker took a lot of stress off of us. She came to our meetings and she and the nurse spent hours with the family, educating them and giving them a better grasp of what was happening and why it was happening.” The relationship with Fort Hudson began with Community Hospice meeting with staff members on as many floors and units as possible. Fort Hudson staff learned the role of the hospice team, and learned how to identify residents who might be appropriate for hospice. “It really empowered the CNAs that they could do something else to help the resident,” Morin says. “I’ve had CNAs come to me and say ‘do you think this person could benefit from hospice?’ That was a direct result of staff meetings we all had.” Because of the excellent relationship between facility staff and hospice staff, the hospice admissions at Fort Hudson have increased quickly. The first hospice patient was admitted there last December, and by this fall, four or five monthly admissions had become the norm. “It’s all about making sure nursing home residents have access to excellent health care and support near the end of life, and the best case scenario is that a resident benefits from the leadingageny.org skills and expertise of two teams that complement each other, the nursing home team and the hospice team,” says Community Hospice’s executive director, Laurie Mante. A former nursing home administrator and then vice president of residential services for The Eddy, based in Troy, she understands the daily challenges nursing homes face. “Family members will always remember what did or didn’t happen in the final weeks and months of their loved one’s life. We’re privileged to be able to work with our nursing home partners to ensure the patient has the best possible end-of-life experience, and to support the family through the grieving process. 34