Hospice is a special way of caring for someone with a limited life expectancy, when the prognosis is discussed in terms of months rather than years. Hospice affirms life and neither hastens nor prolongs the dying process. Our goal is to enhance the quality of life by keeping the patient comfortable and pain-free.
St. Vincent Hospice services are focused on the entire family. Our concern is not only for a family's physical welfare but also its emotional and spiritual well being. St. Vincent hospice care is provided by certified hospice and palliative care physicians who assist patients with pain relief and other symptoms. They provide spiritual, emotional, social, and physical assistance, as well as connections to bereavement groups.
Hospice is a concept of care, not a place of care. Therefore, patients can receive care wherever they call home. This may include a personal residence, nursing facility, assisted living residence, or a hospital setting. If pain or symptoms cannot be controlled at home, the patient has the opportunity to be evaluated for our inpatient level of care.
The beautiful, 25-bed St. Vincent Indianapolis Hospice facility has provided end-of-life care for more than two decades. With carefully chosen furnishings and amenities, there are spacious private rooms and suites, outdoor patios, and a lovely, expansive courtyard. It also features a peaceful chapel and library for quiet moments as well as gathering places for patients and family members.
With our guiding symbol of the three doves - representing body, mind and spirit - St. Vincent Hospice is charged with the mission of helping patients and families complete the journey of life in comfort and peace. We are able to achieve our mission through the expertise of our hospice and palliative care certified medical staff who work together to provide holistic choices and dignity.
Medical Staff - The certified physicians oversee the medical component of the program. ln addition, they are available for consultation with the patient's attending physician.
Registered Nurse and/or licensed Practical Nurse - A hospice nurse will make regular visits to provide consultation in pain management and to help the patient and family understand the illness.
Nurse Practitioner - Certified in the care of the family, wound care, and clinical aromatherapy.
Medical Social Worker - A licensed social worker will make visits as needed to provide emotional support if desired by the patient and the family.
Hospice Aid - Hospice home health aides provide additional personal care, time, and attention.
Chaplain - A chaplain is available to provide spiritual support as desired by the patient and the family.
Volunteers - A team of volunteers is available for companionship and support. To learn more about volunteer opportunities, call 317-338-4011.
Bereavement - Hospice offers bereavement care to the patient's family members or significant others for a period of at least 13 months from the date of death.
Therapists - Hospice provides therapists for physical, occupational, and speech therapy.
As opposed to Curative Care, Palliative Care is a special program of care to help patients feel more comfortable and ease the suffering from a serious illness. Those living with cancer, heart disease, lung disease, kidney failure, and AIDs find palliative care particularly helpful.
Through this specialized treatment, our team helps patients find relief from distressing symptoms including pain, shortness of breath, fatigue, constipation, nausea, loss of appetite, problems with sleep, and many other symptoms. We help patients deal with the side effects of medical treatment, provide emotional support for the patient and family, and improve communication with healthcare providers.
This ancient therapy, which uses the essential oils from aromatic plants, promotes a pleasant, fragrant environment and helps reduce the symptoms of physical, emotional, and spiritual stress. The oils interact with the body's hormones and enzymes to cause changes in blood pressure, pulse, and other body functions.
Providing patients with a relaxing and luxurious spa experience, St. Vincent Hospice Indianapolis offers baths, massages, manicures and pedicures, and a Jacuzzi to relieve stress and enhance emotional well-being.
Cairn terriers and Westies make up the 25-member, specially trained Pet Therapy team at St. Vincent Hospice Indianapolis. There are many stories of how the pets have touched the lives of patients and families, by providing great comfort and aid in relaxation for those who request it.
We have all experienced what music can do for us, so it’s not hard to imagine that it can actually help regulate our blood pressure and heart rate. In a similar way, music therapy has valuable applications in hospice and bereavement care. As part of hospice care at St. Vincent, the Bereavement team leads sessions and provides counseling for the loved ones of the hospice patients for up to 13 months after their passing. Music therapy along with other complementary therapies (art, pet and aromatherapy, and massage) also helps individuals in hospice with pain management and anxiety control through self-relaxation.
Music therapy has the power to touch the human spirit in a very deep and profound way, according to licensed clinical social worker, Brenda Kenyon, a member of the St. Vincent Bereavement team, who also has more than 30 years of experience as a music therapist
Music along with creative activities such as writing, photography, and even weaving can inspire and heal. Brenda recalls a session where she had the participants listen to a song about life being a tapestry, and how their loved ones are woven into their lives. She had each participant pick out ribbons and threads for weavings to help symbolize their relationships, to remember the things they taught, and the things they want to remember.
Music therapists can also help patients create a playlist of music that is meaningful to events in their life. Some patients have also co-written songs with Brenda that they leave to their loved ones as part of a cherished musical legacy. These types of activities provide a distraction from pain, and give purpose and meaning to the patients, as well as, to the loved ones.
An inquiry regarding hospice services may be initiated by anyone at any time. When a patient is faced with a terminal illness with limited life expectancy and the goal changes from curative to comfort, it is time to contact St. Vincent Hospice for consultation. We will then work with a physician or nursing provider to determine if hospice is the right choice.
Patient eligibility is based on the following:
Hospice allows the patient and family to stay together in the comfort of the home but if it is determined that the patient needs an inpatient facility, the medical team will make the arrangements for the patient's stay.
The St. Vincent Hospice provides bereavement counseling for families and friends dealing with the emotional, physical, and social challenges that may come from the loss of a loved one. Grief and the journey toward wholeness and health again after a loss is a process that demands attention, energy, and focus on many levels.
In addition to individual counseling, there are a variety of free support groups and workshops that provide education and information regarding the things one can do to address the more negative impacts of the stress response to grief.
For more information on any listed service, please call 317-338-4040 or 888-780-7284.
To subscribe to the St. Vincent Hospice Bereavement newsletter, contact Patti Churchill, email@example.com, 317-338-4008.
Medicare, Medicaid, and most private insurances cover hospice care. If a patient has no coverage for hospice services, St. Vincent Hospice can provide financial counseling. It is the policy of St. Vincent Hospice that no one be denied services based on the ability to pay.
Hospice is covered by Medicare at 100%, so there is no charge for hospice services under the Medicare benefit. With Medicaid, the patient will be required to meet the monthly spend down before services are covered at 100%. With private insurance, a deductible or copay may need to be met, or have a lifetime maximum benefit available.
Although Medicare pays for hospice care, Medicare does not cover room and board (known as custodial care) in an extended care facility. Therefore, the patient pays room and board fees. If the patient has both Medicare and Medicaid coverage, Medicare pays for hospice care and Medicaid pays for room and board at an extended care facility.
Medicare pays hospice a daily amount for care, including staff, medications, and equipment/supplies related to the terminal illness.
When a qualified patient elects to have Medicare pay for "Skilled" care (complex medical care or rehabilitation) at an extended care facility, he or she is not eligible for hospice services through Medicare at the same time. The hospice staff will help determine Medicare and/or Medicaid eligibility and coverage.
You may call St. Vincent Hospice 24 hours a day, seven days a week. The phone number is (317) 338-4060 or toll-free 888-780-7284. The hospice staff can contact your physician and/or your insurance provider to assist you in accessing hospice care.
St. Vincent - Anderson
Home Care and Hospice Phone: 765-203-2616
Home Care and Hospice Fax: 765-648-3805
St. Vincent - Kokomo
Home Care and Hospice Phone: 765-252-2353
Home Care and Hospice Fax: 765-457-3880
Hospice is a concept of care, not a place of care. Patients can receive care in several settings.
An interdisciplinary team cares for hospice patients. The team members work with the patient and family to develop and implement a plan of care. Team members include:
Attending physician: Usually the patient's own primary doctor who works directly with the hospice team in the day-to-day management of the patient's care
Hospice physician: A medical director and team physicians direct the hospice team's patient care.
Registered nurse: Specially trained to manage pain and other symptoms, and answers questions and educates the patient and family about care, also acts as a case manager and coordinates the team's patient care
Social worker: Assesses the patient and family's emotional, cultural, psychological and social needs, including coping skills, financial counseling and assistance, and support systems; then provides emotional support and makes referrals to other services or community agencies
Chaplain: Assesses the patient and family's spiritual needs and religious preferences, works closely with the patient's own clergy and can provide additional spiritual resources or support, and can assist with funeral planning and bereavement services
Home health aide: Provides direct personal care, including bathing, mouth care, skin care and socialization, and can assist with walking and range-of-motion.
Dietician: Available for consultations about nutrition
Therapists: provide physical, occupational and speech therapy
Volunteer: Specially trained to provide socialization, visitation and active listening for patients and families
The hospice team assesses the need for medical equipment and provides any necessary equipment such as hospital beds, oxygen, walkers and wheelchairs, shower chairs, and bedside commodes, as needed. Supplies may include incontinence pads and briefs, dressings and bandages, bedpans, urinals, and catheters. The patient/family is responsible for non-medical supplies, including toiletries, linens and gowns.
Hospice covers medications related to the hospice diagnosis, including narcotics, as needed for comfort and symptom management. Hospice does not cover medications not related to the patient's diagnosis, and the patient must purchase most non-prescription medications.
St. Vincent Hospice has an on-site pharmacy for in-patients and home care patients. The hospice nurse can usually deliver medications at a scheduled visit if the patient knows when he or she will need refills and notifies the nurse in advance. Patients and families may pick up medication at the hospice pharmacy if required. Hospice can also work with a local pharmacy or delivery pharmacy for urgencies or after-hours crises.
St. Vincent Hospice provides assistance 24 hours a day, seven days a week. Please call the hospice office. Do not call 911 unless you want life-prolonging, aggressive interventions. A chaplain and social worker are also on-call for spiritual or emotional needs. A home health aide is on-call on Saturday and Sunday from 8:00 a.m. - 4:30 p.m. A member of the administrative team and a hospice physician are also available.
In the early weeks of care, it may not be necessary for someone to be with the patient all of the time. Many patients are physically and mentally capable of living alone and can manage with intermittent visits by the hospice team. As the illness progresses, the patient may require more assistance. The hospice staff assesses the patient's needs on an ongoing basis and makes appropriate recommendations.
Advance directives are documents that state an individual's preference about medical treatment decisions or designate another person to make decisions on the individual's behalf according to the patient's wishes. These directives take effect when a patient is no longer able to make his or her own health care decisions.
Although hospice does not require a patient to have an advance directive, families often find it very helpful and comforting to know their loved ones wishes. Hospice social workers are available to discuss and assist in preparing advance directives.
A patient can cancel or revoke hospice care at any time for any reason. A patient may elect to resume hospice services at any time if medically eligible. St. Vincent Hospice may not discharge any patient because he or she is unable to pay for hospice services, the illness is too expensive to manage, or the condition requires hospitalization for symptom control.
Most hospice patients choose to die at home. The hospice team educates the patient and caregivers and prepares them for what to expect during the dying process. A family may elect to have private time with their loved one during this time or may request the hospice staff to be present. At the patient or family's request, we will arrange a transfer to the inpatient unit when death appears imminent.
We offer bereavement care to the patient's family members or significant others for a period of at least thirteen months from the date of death. The hospice bereavement program can provide encouragement through phone calls, newsletters and grief support groups.
Terms you should be familiar with include: