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Patient and Nurse

Our Services

All Hope Hospice goal is to improve quality of life both patient and families. We empower our patients and encourage them to share their concerns, thoughts and wishes so we can better understand their desires and strive to meet their unique needs. We support patients and families throughout twelve California counties.

Our Services

04

Medical Social Worker

A Medical Social Worker conducts initial and continuing assessments of patient and family psychosocial needs.  The social worker can provide counseling and assistance with community services and other resources that will help support patients and families during these critical times.

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Physician Services

All patients receiving service must be under medical supervision, provided by an attending physician. Oversight of physician services and each patient’s plan of care is the responsibility of the hospice Medical Director, who should complement the attending physician’s care and act to assure overall continuity of the hospice program’s medical services.

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Hospice Aides

Patients whose caregivers need and want support for hands on care or help with activities of daily living will be supported by hospice service aides. HHA frequency is determined based upon the patient’s needs and assessment of the care team

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Nursing Services

A Registered Nurse Case Manager is responsible for the coordination of all hospice services.  Scope and frequency of services are based on initial and ongoing assessments of the patient’s needs.  The skilled nurse provides symptom management, comfort care interventions, support and education for the patient and family, and coordination of all hospice needs.

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Spiritual/Chaplain Services

The hospice offers interfaith spiritual care to all patients/families that request or indicate a desire for such service. Spiritual counseling services include but are not limited to:

 

  • Developing a spiritual plan of care for patient and family that includes provision of spiritual support as needed and defined by patient and family working in collaboration with local clergy and spiritual support groups when possible;
     

  • Assisting with funerals, memorial services, bereavement support, and conducting prayer, worship, and other rituals for patients/families as appropriate;
     

  • Offering patients/families opportunities to share and reconcile their thoughts, feelings, beliefs, and values with their experience of illness.

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Volunteer Services

Volunteer services are an integral part of the hospice program. Activities are based on an assessment and plan developed by the care team and include:

  • Visiting, offering companionship, emotional support, and friendship
     

  • Reading, writing letters, playing games
     

  • Staying with the patient to allow family/caregiver to run errands
     

  • Household assistance and running errands, transportation
     

  • Providing limited personal care and assistance with activities of daily living.

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Bereavement Services

Bereavement services are available to family members and caregivers up to 13 months after the death of a patient according to family wishes.

The interdisciplinary team (IDT) address the initial bereavement assessment as part of the ongoing care planning process. The bereavement assessment may include: patient/family grief and loss issues and risk factors, survivor needs, cultural, social, and spiritual issues.

Happy Grandparents

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Other Services

The hospice agency provides some services through contractual arrangements and retains professional responsibility for those services.  Such services include:  physical, occupational and speech therapy, laboratory, radiology, dietitian consultation, medical equipment, pharmacy services.  

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Services for Patients in Skilled Nursing Facilities

All Hope Hospice is contracted to some skilled nursing facilities and can provide care for you at these facilities   if you and your family decide this is right for you. Our clinical team will coordinate with your doctor and the facility and create a plan of care that meets your needs.

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Supplies and Equipment

The RN/Case Manager, upon admission   will assess the need for medical equipment and supplies to be used.  All Hope Hospice will provide the needed supplies and durable medical equipment.

At All Hope Hospice, we ensures that appropriate services are available to all hospice patients/families.

The Four Levels of Hospice Care

Routine Care

  1. Hospice services, including care by all interdisciplinary group (IDT) members and the provision of medications, equipment, and supplies, are available when the patient receives care.
     

  2. The level of care requires intermittent home visits by members of the IDT as identified in the interdisciplinary plan of care.
     

  3. The focus of care is management of patient symptoms and support and counseling of the patient and family/caregiver.
     

  4.  The patient’s caregiver is responsible for the patient’s care during intervals between hospice home visits.
     

  5. The type, intensity, and frequency of visits are based on the patient’s needs.
     

  6. Services are available 24 hours a day, 7 days a week.

Inpatient Hospice Care

  1. Inpatient care on a short-term basis for palliation of acute medical and/or psychosocial symptoms related to the terminal illness is available only at a contracted skilled nursing facility and/or an acute care hospital. Care provided in the facility adheres to the same standards of care, intensity, and mix of services as provided to patients in their place of residence.
     

  2. The hospice continues to provide all services to the hospice patient in a facility, including visits by interdisciplinary group members, medications, and equipment/supplies necessary for the management of the patient’s terminal illness.
     

  3. A Registered hospice nurse will make daily nursing visits.
     

  4. The frequency of home health aide and other staff visits will be based on individual need.

Respite Care

  1. Respite care is short-term care available at a contracted nursing facility when the IDT determines it is necessary to relieve the caregiver.
     

  2. Services provided during the respite stay include those provided with routine home care.
     

  3. The hospice nurse must visit the patient at the facility at admission and before discharge from the respite facility.

Continuous Care

1. The need for continuous care is indicated when a medical crisis develops which cannot be managed by the family, in conjunction with intermittent support by the hospice team. A medical crisis is defined as an acute exacerbation and/or decompensation of the patient.

 

2.   Decision factors for continuous care include:

             A.   Patient/family wishes to remain at home

             B.   The move of the patient to another care setting would create a hardship for the patient or family

             C.   Continuous care will enable the hospice to manage the symptoms more effectively.

The goal of All Hope Hospice is to help you live in peace, comfort, and dignity up to and including the moment of death. If you would like to learn if your loved one is eligible for hospice care, please call our us now at 510-241-0619.

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