Collin County Living Well Magazine May/June 2020 | Page 33

OLIVIA ROGERS Olivia is a leading voice in health care and senior services and the Chief Nursing Officer of VNA Texas. Dear Olivia, We are considering putting my aunt on hospice for a long- term illness that is worsening. Our biggest reservation is that we have heard that once someone goes on hospice, the regular medications are stopped, and morphine is started. She’s been on some of these medications for years and they really seem to help her. If we choose hospice, do we have to stop all regular medications? ~Questions about medications Dear Questions about medications, There is a common misconception about hospice that when someone elects hospice, they have to give up all of their other medications and start “comfort” medications right away, such as morphine. At VNA, we try to dispel this myth, as it is our goal to treat the whole patient and not only the terminal illness. We aim to do whatever is necessary to enhance someone’s quality of life. Many of our patients continue maintenance medications, such as blood pressure medications, diabetes drugs, sleep aides, and antibiotics. We will not discontinue medications unless it has been determined by the physician that there is potential harm or they are no longer beneficial. Decisions are made collaboratively between the patient, family and the doctor. Every hospice treatment plan is as unique as the patient. ~Olivia Dear Olivia, I’ve heard a lot about “group homes.” What are these homes and are they safe? We are starting to look for a place for my mother-in-law. She has become weaker and we are not sure how much longer we can take care of her on our own. We want to make sure we choose a place that is safe and provides adequate care. ~How do you know? Dear How do you know, That is a great question as group homes, or residential care facilities (RCFs) as they are known in the health care community, are springing up everywhere. This concept is not new, but it has become more popular in the last several years as the cost of other forms of long-term care increases. RCFs are actual homes in neighborhoods that are run as a business, often operated by a nurse or physician. They are regulated by the State of Texas if there are more than three residents living in the home and are licensed by the state licensing body known as HCSSA. This licensure and oversight ensure these homes are providing quality care and have the necessary fire and safety measures. This should give residents and their families peace of mind as these facilities are surveyed at least every three years. For help in determining what facility is right for your loved one, contact one of our medical social workers at VNA. We are here to help! ~Olivia vnatexas.org N I J H ACCREDITED VNA Hospice Care VNA Care Choices VNA Hospice Care focuses on living life to its fullest and treating you with the dignity and respect you deserve. As a nonprofit, our bottom line is patient support and comprehensive care provided by our highly qualified staff. Following the diagnosis of a life-limiting illness, patients and their loved ones have many questions about the best course of action. VNA Care Choices provides supportive care services in the home while continuing treatment with your current physician. To schedule your free in-home informational visit please call [phone] or email [email protected] For volunteer opportunities please call [phone] or email [email protected] COLLIN COUNTY Living Well Magazine | MAY/JUNE 2020 31