Overview

The Hospice Foundation of America welcomes you to this program, The Hospice Appropriate Patient, to learn more about the many different types of hospice appropriate patients and how healthcare professionals in multiple settings can identify such patients and support their transition into hospice care. Hospices across the country now care for a much wider diversity of patients than in the past. Many patients dealing with chronic, progressive illnesses can benefit from the care of a hospice team. Learning to identify these patients and assist their transition into a hospice program can enhance the care they receive and increase their quality of life.

This program provides descriptions and characteristics of hospice appropriate patients and promotes the skills healthcare practitioners need to not only identify patients who could benefit from hospice care, but also explain how this care differs from cure-oriented medical care. We will look at traditional concepts of hospice patients and explain how current hospice practice has expanded and now provides services for a wide range of diagnoses and patients. We will also examine a few of the barriers to reaching a wider hospice patient base. Additionally, the program is designed to engage a wider community audience and enhance their understanding of the suitability of hospice care for a wide assortment of patients facing life-limiting diagnoses and prognoses.

Objectives

Upon completion of this program, participants will be able to:

  1. Describe hospice admission criteria.
  2. Identify 3 common characteristics of hospice appropriate patients.
  3. Present common barriers to hospice care for prospective patients.
  4. Articulate approaches to overcome barriers.
  5. Other than cancer, name 4 different diseases common to hospice patients.
  6. Describe when dementia patients are hospice appropriate.

Outline

Identify barriers to hospice care for hospice appropriate individuals.

  1. Discuss methods to overcome the common barriers to hospice care.
  2. Discuss characteristics that are common to potential hospice patients.
  3. Present hospice appropriate indicators commonly observed in cancer and non-cancer patients.
  4. Discuss “Adult Failure to Thrive” as a hospice appropriate diagnosis.
  5. Review general guidelines for “when to call hospice”.
  6. Discuss questions e-mailed from the audience.

Jennifer Carlson

Jennifer is a Registered Nurse and has been a hospice nurse for almost 20 years. She has been certified as a Hospice and Palliative Care Nurse for over 16 years. She was employed by Capital Hospice in Northern Virginia for 17 years and was blessed to have had a wide range of opportunities in a variety of roles. Jennifer has provided bedside care to hospice patients and their families throughout her hospice career. She has extensive background in managing the day-to-day activities of hospice teams, overseeing compliance and quality projects and educating hospice staff and the community regarding end-of-life care. Jennifer moved to TN 3 years ago. She is currently the Director of Operations at Amedisys Hospice in Sweetwater, TN and remains passionate about sharing her knowledge about hospice and palliative care.

Philip F. Carpenter

Rev. Carpenter has more than twenty years’ experience in end-of-life grief and bereavement counseling and spiritual care, working with a wide variety of patients and bereaved individuals across the socioeconomic spectrum. His career has given him the opportunity in numerous organizations to manage more than employees across multiple departments, providing leadership, vision, evaluations, and all needed employee screening and supervision, as well as the responsibility to manage busy office environments including budget creation, reporting, and oversight. He has spoken extensively on grief and loss issues, caregiving concerns, and advance care planning in casual and formal settings. Additionally he has lectured at George Mason University, George Washington University, Allegany College of Maryland, and presented at the American Academy of Hospice and Palliative Medicine conference, the National Hospice and Palliative Care Organization conference on end of life care for minorities, and a poster presentation on a community-based model for pediatric palliative care, and the 1st international Evidence-Based Palliative Care Awareness Symposium in Jeddah, Kingdom of Saudi Arabia. Mr. Carpenter received his Master of Divinity from The Southern Baptist Theological Seminary, with a focus on Pastoral Care and Counseling. He serves as Program Officer and Bereavement Specialist for the Hospice Foundation of America.

Hank Willner

Hank Willner, M.D. attended Yale University College and Medical School and completed his residency in Family Practice at the University of Virginia where he was the Chief Resident from 1977-78. He was Board Certified in Family Practice initially in 1978 and has been recertified in 1984, 1991, 1997 and 2004. From 1978-80 he served in the National Health Service Corps as a family practitioner in a large rural health clinic in Buckingham County Virginia. In 1980 he founded Virginia Family Practice Associates, PC in western Fairfax where he worked in private family practice until 2001, when he decided to change careers to focus on Hospice and Palliative Medicine. He has worked with Hospice of Northern Virginia, now Capital Caring, since then and serves as a staff Medical Director and a Palliative Care Consultant with Capital Palliative Care Consultants. He also works as a part time Emergency Physician at Laurel Regional Hospital.

Dr. Willner is active in teaching medical students and House Staff from the Medical Centers in the Washington Metropolitan Area and serves as a Clinical Assistant Professor of Family Practice both at Georgetown University Medical School and the Medical College of Virginia. His special interests include the doctor-patient relationship, informed consent and Bioethics and he is the Chairman of the Ethics Committee at Fair Oaks Hospital as well as at Capital Hospice. He serves as a Medical Consultant to the Hospice Foundation of America.

His hobbies are spending time with his family and friends, jogging with his dog Daisy, reading mystery thrillers and he is an avid golfer. Dr. Willner lives in Bethesda, Maryland with his wife Catherine and his sons, Daniel and Jonathan.