A New Approach to Home and Hospice Care...
A New Approach ...
Health at Every Age

A New Approach to Home and Hospice Care

Article by News Team on November 6, 2020
A pandemic can't stop these teams from their mission. In this article:
  • Learn how Carilion's Home Care and Hospice teams adapted to the challenges of the pandemic
  • Learn how Carilion is supporting them even as they support their patients

The need for home care and hospice care doesn’t stop during challenging times, and meeting the needs of patients and their families during a pandemic called for new ways of delivering that care.

Home Care

“It was imperative that care continue to be provided amid the crisis because many patients required in-depth wound care, administration of IV medications and assessment of medication tolerance,” said Sarah Browning, director of operations and support for Carilion Clinic Home Care and Hospice.
 
“Unlike the hospital setting, there were no visitor limitations in the home,” she said. So to prepare for a Home Care visit, Carilion’s team began reviewing pre-visit screening questions from anyone who may be present, and adjusting their personal protective equipment (PPE) based on reported symptoms.
 
Even so, some patients have asked that medical staff not come in the home, citing social distancing and the need to limit exposures. In those situations, the U.S. Centers for Medicare and Medicaid Services allows telehealth visits by video or phone for routine patient check-ins.

Hospice

Families still require support during the difficult time before a loved one passes away, and Carilion’s Hospice team have continued to provide bereavement support to family members even when PPE and social distancing requirements meant caregivers had to offer emotional support in different ways than they normally would. During the pandemic, they began using phone calls, notes and other forms of outreach to stay connected personally to the bereaved.

Caring for the Caregivers

The pandemic has been challenging for caregivers as well. Supporting and uplifting our Home Care and Hospice team is an integral part of Carilion Clinic’s overall response to COVID-19. Carilion's chaplains regularly reach out to caregivers to maintain connectivity with inspiring email messages, group reflection and optional prayer times.

“Watching staff adapt and respond to patient and family needs during this pandemic has been heartwarming to say the least,” said Sarah. “We are so proud of this team for their commitment and dedication amid all the uncertainties.”

Planning Ahead

Planning for end-of-life care is important for all of us. These resources can help:

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