Community Hospice Care in the Central LHIN

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Community Hospice Carein the Central LHIN
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Community Hospice Service in the Central LHIN

• 7 Hospices in York Region
• Doane House
• Evergreen
• Georgina
• King Aurora
• Richmond Hill
• Thornhill
• Vaughan
• Hill House (Residential Hospice)
• Simcoe
• Alliance
• Philip Aziz

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A Model of Partnership

• York Region Hospices
• Partially funded by Ministry of Health and Long
  Term Care through Pal Care Network
• Work closely together to provide a continuum of
  services across the region
• Work collaboratively on projects to benefit
  clients
• Moving towards working with Hospices from across
  the Central LHIN in the same spirit of
  collaboration

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Hospice - The History

• Hospice, from the Latin root hospes means shelter
  or safe place
• Throughout history, hospices were used as a place
  for travellers to stay, for food and shelter.
• Hospices were a place of refuge for individuals
  undergoing significant transitions or arduous
  journeys.

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Hospice Care - Today

• A philosophy of care focusing on emotional
  support, practical physical care, caregiver
  respite, and bereavement support for individuals
  with a progressive life-threatening illness and
  their families/caregivers.
• Ontarios hospices are the largest direct service
  providers within the voluntary health care
  sector.

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Principles of Hospice Care

• Quality of life
• Informed choice
• Client and family-centred
• Volunteer-driven
• Community-based
• Holistic and culturally inclusive
• Complements professional medical care and other
  community services
• No fee for service to families

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Hospice Care - Eligibility Criteria

• Progressive life-threatening illness (not disease
  specific)
• Any age
• Referrals can easily be made by the individual,
  family member, friend, clergy, or health care
  provider

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Hospice Programs - Overview

• In-Home Visiting Program
• Day Programs
• Bereavement Support
• Caregiver Support
• Complementary Therapies
• Information, Education and Referrals

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In-Home Visiting Programs
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In-Home Visiting Program - Clients

• Diagnosed with a life threatening illness at any
  age
• Following a continuum of care
• Diagnosis
• During treatment
• Change from treatment for cure to treatment to
  care
• End of life and beyond
• Client services are extended to all family and
  caregivers

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In-Home Visiting Program - Volunteers

• Community members with life skills
• Supervised by professional program staff
• Mandatory 30 hour training (minimum)
• Additional training provided
• Variety of cultures and backgrounds Often from a
  professional background

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In-Home Visiting Program - Program

• Service can start as soon as an individual is
  diagnosed
• Client and volunteer matched by personality,
  experiences, cultural background, language
  spoken, availability and proximity.
• More than one volunteer may be assigned to a
  family, depending on need and availability.
• Visits are arranged during the day and/or
  evening, 7 days a week.

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In-Home Visiting Program - Program

• Companionship
• Emotional spiritual support
• Non-medical support
• Caregiver relief
• Practical assistance
• Comfort measures
• Driving for appointments and errands
• Life Review and Legacy Work
• Non-medical support to supplement health care team

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In-Home Visiting Program - Partners

• Hospices Case Management System
• CCAC
• Hospital clinics and Palliative Care teams
• Disease specific support groups (ie. AIDS
  Committee of York Region)
• Social Service organizations
• Transportation organizations

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Day Programs
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Day Programs - Clients

• Diagnosed with a life threatening illness, at any
  stage
• Desire and ability to attend a community based
  program

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Day Program - Volunteers

• Community members
• Variety of roles
• Drivers
• Phone support
• Meal preparation
• Companionship
• Speakers

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Day Programs - Program

• Offers a safe, caring environment
• Caregiver respite
• Opportunity for socialization, peer support
• Planned activities which may include theme days,
  special outings, or guest speakers
• Nutritious meal served
• Supervised by professional staff
• Complementary/Integrative Therapies

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Day Programs - Complementary Therapies

• Therapies offered may include
• Reiki
• Yoga
• Massage Therapy (RMT)
• Therapeutic Touch
• Shiatsu
• Meditation
• Music Therapy
• Reflexology
• Art Therapy

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Day Programs - Partnerships

• Hospices manage referrals to ensure access to
  service
• Faith communities
• Community and Senior Centres
• Colleges and High schools
• Local business

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Bereavement Program
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Bereavement Support - Clients

• Children, teens, adults and seniors
• Family of the palliative client
• Community referrals

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Bereavement Program - Volunteers

• Community members
• Extensively trained
• Supervised by professional staff
• Many have had a bereavement experience

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Bereavement Program - Program

• One to one support in person, in the home, by
  phone or e-mail
• One to one counselling by professional staff
• Specialized Group sessions
• Closed or Drop-In
• Art therapy for children
• In school support
• Tragic response

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Bereavement Programs - Partnerships

• Hospices Bereavement training grant
• Bereaved Families
• Boards of Education
• Rainbows Peer Support Program
• Faith communities and cultural groups

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Hospice and the LHIN
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Need for hospice care

• Approximately 245,000 Canadians die each year
  (Canadian Hospice Palliative Care Association)
• Approximately 5 - 15 of Ontarians have access to
  hospice palliative care services (Hospice
  Association of Ontario)
• Each death affects approximately 5 more people
  (Hospice Association of Ontario)

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How you can help

• Plant seeds share information about Hospice
  services as early as possible
• Refer early remember that support can be offered
  at the first diagnosis
• Ongoing communication and partnership ensures
  optimum care

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Hospice Association of Ontario

• For information about your local hospice
• Toll free 1-800-349-3111
• Toronto 416-979-9779
• Email info_at_hospicelifeline.com
• Internet www.hospicelifeline.com