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#SuperiorCare Wherever You Call Home

Hospice is not a place, but a type of care. We provide comprehensive care wherever you call home. Services are provided at:

Hospice Houses

Hospice of Dayton – Hospice House

Hospice of Dayton can provide personalized short-term symptom management and medical support in our Hospice House, located at 324 Wilmington Avenue in Dayton. The Hospice House provides superior around-the-clock medical attention to assure patient comfort. Visitors are welcome 24 hours a day, every day of the week. Once stabilized, patients can return to their home setting for continued hospice support.

Hospice of Butler & Warren Counties – Lorelei’s Place

Hospice of Butler & Warren Counties can provide personalized short-term symptom management and medical support in the 14-bed Lorelei’s Place Hospice House, located at 5920 Long Meadow Drive, in Franklin, Ohio. Lorelei’s Place also provides superior around-the-clock medical attention to maintain patient comfort. Once stabilized, patients can return to their home setting for continued hospice support

Home Care

We partner with family members and the family physician to assure the highest quality of care can be provided in your home. We support family members and caregivers with a professional care team including physicians, nurses, Advanced Practice nurse specialists, respiratory and other therapists, home health aides, social workers, pharmacists, grief counselors, chaplains and volunteers. Each of our Home Care staff members is patient-focused and driven to lead with a servant’s heart.

Hospital Care

It’s our commitment, as a community-based, patient-focused organization, to work closely with area hospitals in order to ensure superior comfort for patients. We work energetically with members of the hospital staff focusing on palliative treatments while honoring choices for patients and caregivers – allowing them to celebrate life with the help of hospice care.

Nursing Home/Assisted Living Care

We also partner with extended care and assisted living facilities to assure that superior hospice care is available in each patient setting – personalized to meet individual needs and guarantee peace of mind.

In addition to providing specialized care for the control of pain and symptoms, we also provide aides to assist with extra personal care, social workers to help with needed resources, chaplains to address spiritual needs, and volunteers to provide companionship. Our clinical staff does not replace the nursing care currently being provided by the facility, but our expertise in personalized care given at the end of life’s journey can provide patients with another level of comfort.

Learn More About Our Services

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The World Shrinks for Those with Alzheimer’s & Dementia

Alzheimer’s Dementia and dementia in general are a series of continuing losses. When individuals suffering from dementia reach the point of no longer being able to be continent, speak meaningfully, and need assistance with all aspects of activities of daily living, they may be ready for hospice care. At this point, dementia is quite advanced and brain tissue loss is advancing. Specifically, the individual has lost the ability to speak more than a half dozen different words, is incontinent most of the time, and often cannot ambulate without some type of assistance. There are other issues as well.

Many individuals will be highly distractible during meals, cannot tolerate stimuli such as noise, feel fearful of caregivers trying to give personal care, fearful of leaving a familiar facility, and may have increasing agitation. Further, loss of recognition of loved ones is common as the disease progresses. However, other modes of communication are often effective such as massage, music, aromatherapy, or just calm presence.

Background concept wordcloud illustration of Alzheimer’s disease

What does this mean for the family and the individual’s caregivers?

Those who are fearful are the most likely to refuse baths and showers, or personal care even if they are soiled or wet. If the caregiver rushes to complete the care, agitation and aggression are likely to be a problem. The individual needs to be approached calmly, and assured they are safe. The going may be slow and only partial completion of a task may take place. For example, if the individual is taken for a shower, is the area pleasant and conducive to lowering anxiety? If not, try adding soothing music, seat the patient and begin a partial bath sitting on a chair or toilet. Then move to the more intimate areas. This may decrease the fearfulness. Always assure that the individual is safe with the caregiver.

As more and more of the brain is destroyed, the individual may have problems with recognizing and using utensils to eat. They may have problems with food pocketing, chewing, and swallowing. The dining room experience may be too stimulating. Activities that are over stimulating may be a problem for the individual who can no longer process this information. Care modifications here include using finger foods, softer foods, a quiet dining area, one-to-one feeding, and allowing adequate time for the eating experience. Thickener may be added to fluids if the individual is prone to choking on thin liquids.

Avoid the phrase “do you remember….”

The process of the disease is loss of more and more brain tissue. This affects time awake; movement, ability to sit up, and ability to speak and remember. Family and caregivers need to introduce themselves with each encounter. Avoid the phrase “do you remember….” At this point, meals may be missed due to inability to arouse the individual. More and more time may be spent in bed and now attention to skin is important. Seating adaptations may need to be put in place to support trunk and head. Music is often a way to reach those at this stage as well as aromatherapy. Keeping the environment calm and not over-stimulating enhances comfort. Individuals will eat less and less and finally stop eating as the brain is extensively damaged by the disease process.

How Hospice Helps the Dementia Patient

End-of-life care is aimed at these losses. The hospice team helps family and patients to adapt and understand these changes as the natural disease progresses. Feeding tubes are not recommended as patients will often develop aspiration pneumonias and may not be able to handle the formulas for tube feeding. The process of placing a tube can be overwhelming to a patient who cannot process the experience. Avoidance of hospitalization is important as the patient with dementia’s world grows smaller and smaller. Hospital visits remove the patient from familiar surrounds, noises, and caregivers and can be quite frightening to the individual who then may become aggressive or agitated. This increases suffering for the patient and family as well as bringing more harm than good. Good end-of-life care is aimed at meeting the patient where he/she is in the dementia process and adapting to that place and walking with patient and family for the journey to the end of life. Key to good end-of-life care is education of the disease process and translating that to care interventions for the individual to maintain a good quality of life until time of death.

Caring for a loved one with Alzheimer’s or Dementia? Join our Alzheimer’s Educational Series every last Tuesday of the month. Register and learn more by clicking here.

Find local activities and information from the Alzheimer’s Association Dayton Chapter by clicking here.

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About the Author:

Nancy Sterling Trimble, PhD, RN, CNP, has served eight years at Ohio’s Hospice of Dayton as a Clinical Team Liaison and the focused care specialist for geriatrics and neurology with over 30 years of experience. She has served as a faculty member of Indiana Wesleyan University, Capitol University and Wright State University. Nancy has also contributed numerous articles to clinical publications.

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Get to Know our Interdisciplinary Care Team!

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Hospice care is a holistic approach to end-of-life care that addresses the physical, social and spiritual needs of patients. Our interdisciplinary team is committed to providing the highest possible quality of life for patients. Our hospice team includes the talents and expertise of many to achieve that goal. The team includes:

Physicians: Our doctors are certified specialists in hospice and palliative care. Their expertise is in managing symptoms and developing personalized solutions for patients. They work directly with the primary care physician to address the needs of patients and provide support to families.

Nurse Care Managers: Our nursing staff monitor and address the changing needs of patients and provide education to patients and families. They focus on symptom control and improving quality of life by coordinating a wide range of support to benefit patients and families.

Personal Care Specialists: Our expert team of Personal Care Specialists provides assistance with bathing, dressing, meal preparation, eating, light housekeeping and more.  They are essential to the quality of life our patients enjoy.

Chaplains: Our chaplains deliver spiritual support for patients from a starting point of respect for the personal beliefs of each individual. Our chaplains honor and encourage their faith, joining with personal clergy to reinforce spiritual foundations and religious traditions.

Social Workers: Social workers play a central role in holistic hospice care serving as advocates for patient and family and connecting them with community resources important for quality of life. Social workers help with the emotional impact of grief and bereavement as well as practical concerns such as insurance and veteran’s benefits.

Pharmacists: Our pharmacists monitor patient medications to assure safety and tailor medications to meet individual patient needs. When cost might compromise patient quality of life, our pharmacists work with drug manufacturers to provide medications through patient assistance programs.

Therapists: Our therapy teams bring an additional level of comfort, care and quality of life to patients. Respiratory, occupational and massage therapists assure comfort and care, while music, art and pet therapies contribute to quality of life. Aromatherapy, light and Reiki therapies are additional levels of comfort available to our hospice patients.

Volunteers: Our volunteers receive special training to support patients and provide patient companionship, caregiver relief, errand running and a multitude of other services to enhance patient and family care.

To learn more about how we can assist you or your loved one, please give us a call at 888.449.4121 or visit or contact us page. 

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PARO – A Positive Substitute for Pet Therapy

Some people complain that technology can be dehumanizing. Those people have not yet had the privilege of meeting PARO.

PARO is the nickname of an advanced interactive therapeutic robot that is being used at Ohio’s Hospice of Dayton with patients. Designed to look like an adorable baby harp seal and covered with synthetic fur, PARO is loaded with sensors in his long whiskers and entire body, enabling him to react to sound, light and touch. PARO blinks his eyes, moves his head, makes sounds and reacts as a real animal does when interacting with a human. PARO evokes the same emotional pleasure as a pet therapy animal but can serve patients in situations where real animals cannot.

Ohio’s Hospice of Dayton added two of the baby seal robots to the clinical team a few years ago as part of an innovative approach to patient care. For patients in settings that do not permit animals, such as nursing homes, PARO is a tool to encourage patient interaction.

Occupational Therapist Angelene Volpatti highlights how PARO affected one patient. “The patient was well-educated and confined to a wheelchair in a nursing home. Her children were literally all over the country – Alaska, Florida and Washington state. They spoke frequently by phone, but conversations were limited mostly to what the patient had to eat and how she was feeling.

During our first meeting I discovered the family were animal lovers and always had pets. Pet therapy was not offered by the nursing home, so we brought PARO to visit. The patient responded to PARO just like she would a pet, speaking to him and petting him, smiling and enjoying PARO’s reactions. She immediately relaxed and was less physically contracted. The conversations with her children became more rich, as she talked about PARO and together they reminisced about pets.”

Research with PARO has shown that patients experience a reduced heart rate, reduced blood pressure and are more calm after interacting with the robotic seal. They engage in more social interaction. Such positive outcomes, without the potential side-effects of pharmaceutical interventions, are convincing evidence of the value of robotic therapy.

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Hospice of Dayton Earns NIJH Accreditation

Jewish Hospice AccreditedHospice of Dayton is now included in a select group of 60 hospices nationwide after earning accreditation with the National Institute for Jewish Hospice (NIJH). The accreditation links Hospice of Dayton with NIJH which provides staff training and insights on treating Jewish patients who are terminally ill, and access to resources and education about Jewish custom and practice that may arise while caring for a hospice patient who is Jewish.

 

According to Hospice of Dayton’s Team Leader for Chaplain Services, Gayle Simmons, “The training and resources available through NIJH enables our interdisciplinary teams to provide specialized care to patients of the Jewish faith who are at the end of their life,” says Simmons. “We can now offer appropriate emotional and spiritual support to our patients and their families as they go through this most difficult journey.”

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