The following
program presents principles
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designed to
promote good health and
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is not intended
to take the place of
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personalized professional care.
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The opinions and
ideas expressed are those
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of the speaker.
Viewers are encouraged
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to draw their own conclusions
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about the information presented.
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Praise God for I'm fearfully and
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and wonderfully made.
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This is what
David proclaimed with
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a loud voice. I'm Jim Marcum,
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and I want to welcome each one
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of you to this
episode of Wonderfully Made.
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Thank you for
taking time out of your
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busy weekend and busy schedule.
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I believe we
have a message that is
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going to appeal to
each one of you today.
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I'm so happy to
have as our guest in
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our studio today Ron Mahlo.
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Ron it's nice to have you here.
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Thank you Jim for having me.
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Well tell me
what we're gonna talk
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about today in Wonderfully Made.
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Well Jim today
we are going to talk
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about Hospice.
A Hospice can make
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a difference,
kind of a tough time
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in your life,
when life is coming to
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an end and there are some issues
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that you need do deal with.
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Now how did you Ron, how did you
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get involved in Hospice,
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is it something you have always
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been interested
in or did you work
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in this area? Well actually Jim
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for many years I
was involved with
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healthcare, but
really didn't know
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too much about Hospice.
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A few years ago my parents had
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to become patients and that time
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I realized the
benefit that Hospice
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was and how beneficial was
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to those. Okay,
well I don't know
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many people out there might have
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a tough time talking about end
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of life issues. It's never easy
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to talk about. I know in my
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practice everyday I have to deal
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with people that
are coming to end
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of the life issues, and one of
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things that
I've always struggled
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with this and I wanna always
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make sure is when I talk to them
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before they die,
I want to make sure
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that they are spiritually right.
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Is this one of
things that Hospice
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looks into? Oh it's such a huge
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part of that,
every Hospice team has
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chaplain member
on board to discuss
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these different
issues of Christianity
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and so forth. And perhaps your
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faith is of
another faith is always
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different
avenues that we can use
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to benefit through this time.
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Heartwise Ministry Ron is the
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ministry that's
dedicated to finding
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the truth in medicine.
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There is a lot
of people out there,
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they have misinformation about
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medicine and we
also like to focus
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on the
spiritual and with this we
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have got
questions from literally
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all over the world regarding end
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of life issues and Hospice care
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and what I have
done is I grouped
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them together.
We would like to go
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over them for viewer audiences
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and for people
that have written in,
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you gonna hear your questions
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answered today with Ron.
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Let's go to the first question.
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My father is a
92 year-old and has
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been diagnosed
with terminal cancer.
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His quality of
life was poor before
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the diagnosis of this cancer.
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I do not know which way to go in
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regards to his healthcare?
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Options include home health,
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placing him in
an Assisted Living,
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Hospice care and rotating the
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family members. What exactly is
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Hospice and
would this type of care
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offer my father
advantages over the
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other services. Our
main goal is quality
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of life and Ben has written that
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from Delaware.
Jim one of the unique
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things about
Hospice is, it's all about
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caring and
comfort, maybe not so much
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the curative side
of the disease process.
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We want to focus on the comfort,
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with this
question with the gentleman
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of 92-years old;
the body is starting
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to get old. He
is going to start to
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wane a little bit.
What we want to do,
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we want to focus
on the comfort to
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make his last days
here on life positive
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and beneficial.
This can happen in an
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Assisted Living; it
can happen in the home
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setting or in
some places Hospice are
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contracted with
different facilities
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where they could be
inpatient somewhere.
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It's always encouraging for the
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family to be a
major part of the care.
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Now Ron how does Hospice differ,
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what does Hospice offer that
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Assisted Living does not offer?
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Well Assisted Living is more of
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a facility or
perhaps somebody is living
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where they can have some of the
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medicines given to them to help
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them get through what they need,
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perhaps meals
provided and entertainment,
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where as Hospice
can impact and they
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can stay in
Assisted Living much like
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an apartment complex.
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But it is just
another facility that
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we can utilize, medicines are
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given on time.
We can provide the
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medicines,
bathing assistance for
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personal care can be provided
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through Hospice. Okay, and he
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also has the
advantages over home,
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is this Hospice have advantages
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over keeping the patient home
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if they have a
real active family?
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Well that's one of great things
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about Hospice we want to work
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within the home, okay.
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We want to utilize.
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These are your last days of
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your life, where
do you want to be,
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you want to be at home, okay.
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And so Hospice
can bring our services
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to the home and
impact right there.
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The family is there, everyone is
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comfortable and
it's just great setting.
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So it sounds
like you view Hospice
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as treatment? Oh very much,
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very much. Not only treatment
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for the patient but also the
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treatment for the family.
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We try to look at the family,
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extended family, the patient,
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the family is intra
role in the treatment,
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but we also like to treat them.
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We want to look at
their stress levels.
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We want to make sure they are
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sleeping okay, that
their nutrition status
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is just as well as the patient.
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Because you know
I've seen in terminally
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old patients not
only is the patient
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ill but the
caregivers is such a draining
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experience on
them. Very much and
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if you have an elderly client,
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more than likely their
spouse is also elderly,
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and has their own
medical issues. Okay,
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well Ben, I hope
that answered your
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question with
some of the advantages
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of Hospice. Let's
go to Ann in British
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Colombia. And
Ann is writing today,
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she says we have
limited work resources
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and I worry
about my aunt who lives
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next door. She
is 85 years old and
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lives alone. Her doctor says she
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is in end-stage heart failure.
00:06:07.68\00:06:09.31
She can barely
walk across the room
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on her own and their question is
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will insurance
help with Hospice care?
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That's a good
question. It is a good question,
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to be honest
with you I'm not sure
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completely on Hospice in Canada.
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But here in the
United States Hospice
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is covered
Medicare, Medicare aid,
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and then admit with an approved
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Hospice agency.
Now those are people
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that are
approved for Medicare aid.
00:06:34.86\00:06:36.57
If you're younger
person below 65 then
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most people
carry private insurance
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at that point
and then you have to
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work directly with
your insurance company,
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but more than likely
it won't be any issue.
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Now it seems to
me, I've been thinking
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about this, that
actually going through
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Hospice for end
of life issues would
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probably
cheaper on a system than
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traditional care,
are they have to be true?
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I think it's much cheaper.
00:07:01.22\00:07:02.46
We look at the medications.
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Some medications maybe we just
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won't have to do any more.
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The great thing
about it is there is no
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cost really to the patient.
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Most of the medications that are
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related to the
disease process are
00:07:13.89\00:07:15.72
covered by
Hospice, and then also
00:07:15.73\00:07:17.85
in a kind of
durable medical equipment
00:07:17.86\00:07:19.91
like hospital beds, walkers,
00:07:19.92\00:07:21.89
and wheelchairs
those things also
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are paid by
Hospice, no charge to
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the patient. You
know Ron this is,
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this is a tough
topic to talk about,
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because no one
likes to talk about
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their loved ones
and then passing on.
00:07:31.50\00:07:33.97
And I've looked
at many different
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health shows and we just don't
00:07:36.21\00:07:37.60
address these
issues, because this
00:07:37.61\00:07:38.99
is tough. Do you find it tough
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for the people
to talk about things
00:07:40.39\00:07:41.67
like finances at
the end of life and
00:07:41.68\00:07:43.94
what mom and dad should get and
00:07:43.95\00:07:45.74
how they should
be cared for? How,
00:07:45.75\00:07:47.44
how do you get people to open up
00:07:47.45\00:07:49.04
and talk about these things?
00:07:49.05\00:07:50.59
Well it is very
tough especially within
00:07:50.60\00:07:52.38
our culture. The western culture
00:07:52.39\00:07:54.07
just doesn't
really to talk about
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death all that well.
00:07:55.68\00:07:56.65
But someone has to step forward
00:07:56.66\00:07:58.93
and sometimes you
have to be direct.
00:07:58.94\00:08:00.23
But you want to encourage and
00:08:00.24\00:08:01.61
provide environment that people
00:08:01.62\00:08:03.04
feel
comfortable talking about it
00:08:03.05\00:08:04.47
because really
you need to let your
00:08:04.48\00:08:06.54
loved ones know
what's your wishes are.
00:08:06.55\00:08:08.57
Now do you ever
find is usually when
00:08:08.58\00:08:11.14
someone wants to get involved in
00:08:11.15\00:08:12.44
Hospice is it come
through the patient,
00:08:12.45\00:08:14.18
the doctor or the
family or is it just
00:08:14.19\00:08:16.15
a sort of mix of the three.
00:08:16.16\00:08:17.34
Most of the
time it is the doctor
00:08:17.35\00:08:19.29
that makes the referrals perhaps
00:08:19.30\00:08:21.10
the patients been sick they were
00:08:21.11\00:08:22.76
on test perhaps they have known
00:08:22.77\00:08:24.54
for while whatever
the disease process.
00:08:24.55\00:08:26.17
Once the doctor has made that
00:08:26.18\00:08:28.65
determination that perhaps if
00:08:28.66\00:08:30.80
things continue the way they
00:08:30.81\00:08:32.44
were that there is a six month
00:08:32.45\00:08:34.08
window that
something could happen,
00:08:34.09\00:08:35.71
that would make you
eligible for Hospice.
00:08:35.72\00:08:37.77
Your family
physician will then contact
00:08:37.78\00:08:40.20
whatever Hospice of your choice
00:08:40.21\00:08:41.63
then the process would start
00:08:41.64\00:08:42.79
from there. Okay, so Ann
00:08:42.80\00:08:44.74
in British
Columbia, you know getting
00:08:44.75\00:08:46.71
back to your
question, it looks like
00:08:46.72\00:08:48.01
insurance will not only help
00:08:48.02\00:08:49.59
with Hospice care but it sounds
00:08:49.60\00:08:50.88
like they are
gonna encourage it.
00:08:50.89\00:08:52.24
Let's go on to John in Oregon.
00:08:52.25\00:08:54.73
His question is
my doctor said I need
00:08:54.74\00:08:57.86
Hospice care and this is John,
00:08:57.87\00:08:59.62
even though he
needs Hospice care
00:08:59.63\00:09:01.08
he is still
writing in the Heartwise
00:09:01.09\00:09:02.77
Ministries. He
says my doctor said
00:09:02.78\00:09:04.73
I need Hospice care.
I'm not just not ready
00:09:04.74\00:09:07.55
to make that emotional jump.
00:09:07.56\00:09:09.59
I still feel okay, not
great, my mind is okay,
00:09:09.60\00:09:12.84
but my doctor is insistent.
00:09:12.85\00:09:15.19
And my family will support me on
00:09:15.20\00:09:17.81
whatever I decide,
is this a situation
00:09:17.82\00:09:21.06
you have encountered before.
00:09:21.07\00:09:22.35
Jim we have cases
like this what John
00:09:22.36\00:09:25.05
is talking about.
The patient feel great,
00:09:25.06\00:09:27.03
he doesn't
think he need Hospice,
00:09:27.04\00:09:28.38
because there is a
little bit of stigma
00:09:28.39\00:09:30.26
with Hospice that it's the end
00:09:30.27\00:09:31.50
of the world I
only have six months
00:09:31.51\00:09:32.70
to live. That's not the case,
00:09:32.71\00:09:34.43
all the doctor
is saying, there's
00:09:34.44\00:09:36.66
something could
happen within six months.
00:09:36.67\00:09:38.16
I've had Hospice patients live
00:09:38.17\00:09:39.99
two years which is great
00:09:40.00\00:09:41.98
and beneficial.
I would encourage
00:09:41.99\00:09:43.40
John that if he is not ready for
00:09:43.41\00:09:44.74
Hospice that's
fine. He doesn't need to,
00:09:44.75\00:09:46.89
but it wouldn't hurt to have the
00:09:46.90\00:09:49.03
Hospice
representative to come out,
00:09:49.04\00:09:50.71
talk to him,
inform him and the family,
00:09:50.72\00:09:53.95
so if the time does come when he
00:09:53.96\00:09:55.60
needs it, he is
well informed and
00:09:55.61\00:09:57.83
mentally he is prepared for it.
00:09:57.84\00:09:59.09
Now why do you think, the doctor
00:09:59.10\00:10:00.78
would be insistent on this?
00:10:00.79\00:10:02.20
Would there be
anything that doctor
00:10:02.21\00:10:04.78
would know or would benefit John
00:10:04.79\00:10:06.31
that he would be on Hospice.
00:10:06.32\00:10:07.54
Well depended on
the disease process,
00:10:07.55\00:10:09.72
and that's where
it's very beneficial
00:10:09.73\00:10:12.53
for John to sit
down and talk face
00:10:12.54\00:10:14.22
to face with his doctor.
00:10:14.23\00:10:15.42
If he wants a second opinion
00:10:15.43\00:10:17.29
by all means get
a second opinion.
00:10:17.30\00:10:18.87
This is something he has to very
00:10:18.88\00:10:20.05
comfortable
with. You know I might,
00:10:20.06\00:10:21.91
if I had a patient like that.
00:10:21.92\00:10:22.99
Ron I might say you know
00:10:23.00\00:10:24.70
I'm not doing this Hospice,
00:10:24.71\00:10:26.39
because I want you to die,
00:10:26.40\00:10:27.49
just want you to
enjoy what life we
00:10:27.50\00:10:28.97
have to the
fullest, and look at all
00:10:28.98\00:10:30.92
advantages
Hospice has, we can get
00:10:30.93\00:10:32.77
you equipment, we can have
00:10:32.78\00:10:34.20
pastoral care
come to your house,
00:10:34.21\00:10:35.50
where we can get
you some special,
00:10:35.51\00:10:37.09
I think that's they way I would
00:10:37.10\00:10:38.59
approach him, maybe his doctor
00:10:38.60\00:10:39.67
just hasn't
communicated with him.
00:10:39.68\00:10:41.20
And unfortunately, the ten years
00:10:41.21\00:10:43.03
I was working in medicine,
00:10:43.04\00:10:44.37
before I've even
worked with Hospice,
00:10:44.38\00:10:46.09
I really didn't
understand completely
00:10:46.10\00:10:48.58
what Hospice
had to offer. Right,
00:10:48.59\00:10:50.83
well that's good
I hope, John I hope
00:10:50.84\00:10:52.38
that's useful for
you, but one thing
00:10:52.39\00:10:54.49
I would really want to encourage
00:10:54.50\00:10:56.42
you is make sure the lines of
00:10:56.43\00:10:57.94
communication between you
00:10:57.95\00:10:59.62
and your
healthcare providers are good,
00:10:59.63\00:11:02.33
because when
you think about your
00:11:02.34\00:11:03.68
doctor he is one
of the person who
00:11:03.69\00:11:05.51
is just gonna go
to some of the life's
00:11:05.52\00:11:06.86
toughest decisions with you.
00:11:06.87\00:11:08.24
Make sure you have
good communications
00:11:08.25\00:11:10.45
and you are happy with
your current situation.
00:11:10.46\00:11:12.57
I must go to the next question.
00:11:12.58\00:11:14.73
This person
withheld their name Ron so.
00:11:14.74\00:11:16.82
She says talking
about our own death
00:11:16.83\00:11:20.24
I find difficult.
We talk so easily about
00:11:20.25\00:11:23.97
everything else. I
guess it's just not
00:11:23.98\00:11:26.86
a popular topic.
My doctor started just
00:11:26.87\00:11:30.31
to step me when I
approached the issue.
00:11:30.32\00:11:32.71
I hope you do not side
step the issue as well.
00:11:32.72\00:11:35.78
Not many
ministries deal with dying.
00:11:35.79\00:11:38.37
Here is my
concern; I'm scared of
00:11:38.38\00:11:41.75
dying despite
being a Christian my
00:11:41.76\00:11:44.60
entire life. Is
this a normal feeling
00:11:44.61\00:11:47.67
and the names
withheld from this?
00:11:47.68\00:11:49.68
Unfortunately it
is normal feeling,
00:11:49.69\00:11:51.07
but I just have
to applaud here that
00:11:51.08\00:11:52.73
she brought the
issue up with her doctor.
00:11:52.74\00:11:54.52
Doctors are human too and it is
00:11:54.53\00:11:56.99
uncomfortable, we do get attach
00:11:57.00\00:11:58.43
sometimes with our patients,
00:11:58.44\00:12:00.25
but yes it can be a normal issue
00:12:00.26\00:12:02.11
within the
western culture especially
00:12:02.12\00:12:03.90
death and dying is
kind of a fear topics.
00:12:03.91\00:12:06.68
Statistics have
showed that people
00:12:06.69\00:12:07.66
just don't want
to talk about it.
00:12:07.67\00:12:09.25
Most of the
issues I felt that people
00:12:09.26\00:12:11.22
that have faced
the fear of dying
00:12:11.23\00:12:13.04
is usually a lot
of unresolved issues
00:12:13.05\00:12:16.04
perhaps with
their family, financial
00:12:16.05\00:12:18.27
issues or
something that they don't
00:12:18.28\00:12:19.72
want to leave behind and done.
00:12:19.73\00:12:21.07
I always
encourage my patients try
00:12:21.08\00:12:23.30
to resolve these
issues talk openly
00:12:23.31\00:12:25.05
communicate best it can be,
00:12:25.06\00:12:26.39
but the biggest benefit that
00:12:26.40\00:12:28.59
I have seen is a daily devotion,
00:12:28.60\00:12:30.90
or just a daily
relationship with God.
00:12:30.91\00:12:32.78
There is peace,
there is peaceful
00:12:32.79\00:12:34.96
rest in God. The
patients that I have
00:12:34.97\00:12:37.06
had is to obtain
this have lost their
00:12:37.07\00:12:40.17
fear of death and
have face to forward.
00:12:40.18\00:12:42.69
So this isn't
necessarily an uncommon
00:12:42.70\00:12:45.34
feeling that you've experienced.
00:12:45.35\00:12:46.64
Not at all.
Okay, I guess, everyone
00:12:46.65\00:12:49.43
thinks that if
you are Christian,
00:12:49.44\00:12:50.75
I guess you think that when it
00:12:50.76\00:12:52.17
comes to end of
life, you should be
00:12:52.18\00:12:53.52
ready to go, be
at peace and almost
00:12:53.53\00:12:55.36
be just ready to go step across,
00:12:55.37\00:12:56.68
but that's not always the case.
00:12:56.69\00:12:58.24
And it could be
that you have peace
00:12:58.25\00:13:00.62
and strength in
your Christian life
00:13:00.63\00:13:01.93
but again maybe you have
00:13:01.94\00:13:02.98
unresolved issue with maybe a
00:13:02.99\00:13:04.49
son or daughter,
a brother or sister.
00:13:04.50\00:13:07.21
And lot of times
we have to resolve
00:13:07.22\00:13:09.05
those issues, it
makes things much
00:13:09.06\00:13:10.83
more easier. How do you get
00:13:10.84\00:13:12.15
through you know like it might
00:13:12.16\00:13:14.13
be in some
instances, it might be pain,
00:13:14.14\00:13:15.67
or maybe a
relationship hasn't been
00:13:15.68\00:13:17.78
fixed or they
know their relationship
00:13:17.79\00:13:20.72
with God. How
do you help patient
00:13:20.73\00:13:22.44
sort of saw
through that and is that
00:13:22.45\00:13:24.50
something that
Hospice does or that
00:13:24.51\00:13:26.46
something comes
from the chaplain or
00:13:26.47\00:13:28.40
how do you work
through all that?
00:13:28.41\00:13:30.06
Well within
Hospice, every member
00:13:30.07\00:13:31.51
in the Hospice
team has some kind
00:13:31.52\00:13:32.81
of a background or
some kind of training
00:13:32.82\00:13:34.47
with counseling and
to identify these issues.
00:13:34.48\00:13:36.81
The day, the
visits the Hospice nurses
00:13:38.22\00:13:40.26
and the team
makes, they are gonna
00:13:40.27\00:13:41.61
try to address
these, but as to Chaplain
00:13:41.62\00:13:43.81
if it's a
spiritual issue or any other
00:13:43.82\00:13:46.03
kind of spiritual
issue. They are very
00:13:46.04\00:13:48.60
instrumental in
going forward talking
00:13:48.61\00:13:51.71
about this. If you
look at these issues,
00:13:51.72\00:13:54.11
it usually
resolves. You know one thing
00:13:54.12\00:13:56.66
that's helps me
in dealing with my
00:13:56.67\00:13:58.58
patients as I would explain them
00:13:58.59\00:14:00.37
to is death is a
sleep and everyone
00:14:00.38\00:14:03.19
likes to sleep.
We just want to have
00:14:03.20\00:14:05.19
a peaceful sleep. That's right.
00:14:05.20\00:14:06.43
You know and
that's sort of you know
00:14:06.44\00:14:07.98
when they see like
that, you know they
00:14:07.99\00:14:09.63
doesn't necessarily
have be a lot of pain
00:14:09.64\00:14:11.50
and these issues,
there is something
00:14:11.51\00:14:12.90
you can't get
done. So the person
00:14:12.91\00:14:15.61
that wrote this question, I just
00:14:15.62\00:14:17.10
want to say that we are praying
00:14:17.11\00:14:18.25
for you and we hope that this is
00:14:18.26\00:14:21.89
answer has
helped you and hopefully
00:14:21.90\00:14:23.88
some of these
issues can be resolved.
00:14:23.89\00:14:25.60
Now next one is
from a doctor in Ohio.
00:14:25.61\00:14:28.89
And this is a sort of tough
00:14:28.90\00:14:31.00
question here.
This doctor in Ohio
00:14:31.01\00:14:33.19
says I'm skeptic of Hospice.
00:14:33.20\00:14:35.08
I think it's all about money.
00:14:35.09\00:14:37.96
Is there anything that cannot be
00:14:37.97\00:14:40.68
achieved by home
health and a good
00:14:40.69\00:14:42.36
caring family? I
didn't know Hospice
00:14:42.37\00:14:44.95
made a lot of
money, Ron? Well neither
00:14:44.96\00:14:47.59
did I Jim. But
it is funded mostly
00:14:47.60\00:14:49.69
by the Government that is true.
00:14:49.70\00:14:51.71
I always tell
patients that one of the
00:14:51.72\00:14:53.37
nice things
about Hospice all those
00:14:53.38\00:14:54.55
taxes that you've paid over
00:14:54.56\00:14:55.57
the years you
finally get a little
00:14:55.58\00:14:56.83
benefit out of it.
Hospice can do some
00:14:56.84\00:14:59.09
different things
than home health.
00:14:59.10\00:15:00.46
They are both
usually in the home
00:15:00.47\00:15:01.84
health setting, so
Hospice can generate
00:15:01.85\00:15:06.14
their care right
there in the home.
00:15:06.15\00:15:08.92
But one of the
difference between
00:15:08.93\00:15:10.28
home health and
Hospice that I have
00:15:10.29\00:15:11.75
known over the
past is the Hospice
00:15:11.76\00:15:14.10
team is more
trained to deal with
00:15:14.11\00:15:15.39
death and dying issues.
00:15:15.40\00:15:16.66
Perhaps at home
health with nurse
00:15:16.67\00:15:18.47
would feel
little uneasy and with
00:15:18.48\00:15:20.16
some of these issues.
00:15:20.17\00:15:21.14
They are a little
bit better trained
00:15:21.15\00:15:22.21
with the use of pain medication,
00:15:22.22\00:15:23.82
so we can
adjust and provide that
00:15:23.83\00:15:25.71
comfort without over medicating
00:15:25.72\00:15:27.83
the patients. And yes there is
00:15:27.84\00:15:29.34
the money issue too, the benefit
00:15:29.35\00:15:31.09
as I said
earlier. Hospice does pick
00:15:31.10\00:15:33.01
up the durable medical equipment
00:15:33.02\00:15:34.56
needs, hospital beds, commodes,
00:15:34.57\00:15:36.99
walker,
crutches anything that is
00:15:37.00\00:15:38.62
needed in the
home to assist that
00:15:38.63\00:15:40.04
patient. Okay,
well in thinking about
00:15:40.05\00:15:42.51
this question, it makes me think
00:15:42.52\00:15:44.46
about is how long
is Hospice been around,
00:15:44.47\00:15:47.33
is it something
that's been around
00:15:47.34\00:15:48.35
for years or
this is a new concept,
00:15:48.36\00:15:50.64
who sort of
developed, did you know
00:15:50.65\00:15:52.12
how all that
started? Well I really think
00:15:52.13\00:15:53.73
we have been
doing it for centuries,
00:15:53.74\00:15:55.98
but it's mostly
the family care that
00:15:55.99\00:15:57.44
was taking care
off. About mid-70s is
00:15:57.45\00:16:00.15
when the first
Hospice program first
00:16:00.16\00:16:01.88
started coming
on, so it hasn't been
00:16:01.89\00:16:03.87
around been a long
time, but the theories
00:16:03.88\00:16:06.42
behind it has
been around forever.
00:16:06.43\00:16:08.33
Now is this growing
program or it's sort
00:16:08.34\00:16:12.39
of stagnant, I
mean I hear about it
00:16:12.40\00:16:14.70
but I don't know
whether it's something
00:16:14.71\00:16:15.74
that everyone
is getting involved
00:16:15.75\00:16:16.95
in now or. I
think every year the
00:16:16.96\00:16:19.28
numbers increasing
to the millions that
00:16:19.29\00:16:21.05
are patients and
it is a growing need,
00:16:21.06\00:16:24.15
but I think it's
because there is more
00:16:24.16\00:16:25.31
education, more
people are talking about it.
00:16:25.32\00:16:27.20
Because I think
you know in talking
00:16:27.21\00:16:29.34
to viewers one on
one today if you look
00:16:29.35\00:16:31.17
at America and
the world, the world's
00:16:31.18\00:16:33.93
aging people are living longer.
00:16:33.94\00:16:35.55
People are
living more independent,
00:16:35.56\00:16:37.35
modern medicine and better
00:16:37.36\00:16:39.29
healthcare
principles are hopefully
00:16:39.30\00:16:41.04
keeping people alive
and functional as well.
00:16:41.05\00:16:43.33
So I think this
service is gonna be
00:16:43.34\00:16:45.43
there for long time
to come. Well I think
00:16:45.44\00:16:47.29
so too. Now do
you find it the people
00:16:47.30\00:16:49.18
are happy and
families are happy that
00:16:49.19\00:16:51.30
you are able to
maybe keep patients
00:16:51.31\00:16:52.94
out of the
hospital, out of the emergency
00:16:52.95\00:16:55.04
room or did they
find that rewarding?
00:16:55.05\00:16:57.40
What do they tell you after the
00:16:57.41\00:16:58.67
Hospice
experience? I would say in many
00:16:58.68\00:17:01.40
cases it is, it's a reward back
00:17:01.41\00:17:03.80
to the Hospice team to know that
00:17:03.81\00:17:05.19
we did make a
difference in someone's
00:17:05.20\00:17:06.36
life. I recently
had a patient that was
00:17:06.37\00:17:08.82
sent home he was in poor health.
00:17:08.83\00:17:11.07
Really the
physician thought that
00:17:11.08\00:17:12.95
perhaps he had only
few days left to live.
00:17:12.96\00:17:14.87
The family really
didn't know too much
00:17:14.88\00:17:16.61
about Hospice. They were little
00:17:16.62\00:17:18.35
reluctant for us to come in,
00:17:18.36\00:17:19.51
but they allowed us to come in,
00:17:19.52\00:17:21.11
we described to them what could
00:17:21.12\00:17:22.81
be offered to Hospice and they
00:17:22.82\00:17:24.34
allowed us into the home.
00:17:24.35\00:17:25.32
Jim you know
that gentleman lived
00:17:25.33\00:17:26.66
an extra two
months. His family got to
00:17:26.67\00:17:29.13
spend time with
him. He got to spend
00:17:29.14\00:17:30.67
some of the holidays with him.
00:17:30.68\00:17:31.80
It was so
rewarding for the family.
00:17:31.81\00:17:33.42
They took our hats
off to us and applauded.
00:17:33.43\00:17:35.75
Ron a lot of times
when I get in patients
00:17:35.76\00:17:38.37
in the hospital is
they say the family
00:17:38.38\00:17:41.10
is scared to see
their loved one pass
00:17:41.11\00:17:44.24
at home. They fear
that emotional trauma.
00:17:44.25\00:17:47.38
They would just rather you know
00:17:47.39\00:17:48.82
let the hospital
deal with those issues
00:17:48.83\00:17:50.76
because they
don't want to see it.
00:17:50.77\00:17:52.14
How do you work
around that, that incident?
00:17:52.15\00:17:54.87
Well in some cases
that is the incidents
00:17:54.88\00:17:57.88
and we try to
support them what they
00:17:57.89\00:17:59.30
want to do. We can look at doing
00:17:59.31\00:18:01.55
at home setting, if they are not
00:18:01.56\00:18:03.14
comfortable there; there's also
00:18:03.15\00:18:04.12
a nursing home. A
lot of nursing homes
00:18:04.13\00:18:05.56
are contracted
with different Hospice
00:18:05.57\00:18:07.37
agencies to revive the care.
00:18:07.38\00:18:09.35
And then in some cases perhaps
00:18:09.36\00:18:11.31
they want to stay at home,
00:18:11.32\00:18:12.40
but as time draws
closer, the fear of the
00:18:12.41\00:18:15.55
family of
witnessing this or maybe
00:18:15.56\00:18:17.56
just the pressure what it takes.
00:18:17.57\00:18:19.19
We place the
patient into the Hospice
00:18:19.20\00:18:21.67
to give the
family a bit of respite
00:18:21.68\00:18:23.63
and then provide the care there.
00:18:23.64\00:18:24.91
So the family doesn't even have
00:18:24.92\00:18:26.28
to see if they
don't want be around
00:18:26.29\00:18:28.04
when they actually that happens
00:18:28.05\00:18:29.81
they don't have to
be. That's correct.
00:18:29.82\00:18:31.38
Now nobody knows what time line
00:18:31.39\00:18:33.27
that run, and
only God knows that,
00:18:33.28\00:18:34.69
but we train
Hospice nurses we try
00:18:34.70\00:18:36.92
to pick up on
difference signs and
00:18:36.93\00:18:38.43
symptoms that
will indicate there is
00:18:38.44\00:18:40.19
something is in
the process. Okay, now
00:18:40.20\00:18:41.78
Ron Dr. Ken in
Ohio, you know thinks its
00:18:41.79\00:18:44.14
all about money,
I have another I'm
00:18:44.15\00:18:46.06
sort of question
that I like to sort of
00:18:46.07\00:18:47.91
bounce back at
you. Have you ever
00:18:47.92\00:18:49.61
got any criticism
from families about
00:18:49.62\00:18:51.77
things that haven't been done
00:18:51.78\00:18:53.26
well in Hospice and what some,
00:18:53.27\00:18:55.33
what might be some
of those criticisms.
00:18:55.34\00:18:57.05
Well some of the issues that do
00:18:57.06\00:18:58.71
we face is and
Jim you have to keep
00:18:58.72\00:19:00.98
in mind it's a very
stressful situation.
00:19:00.99\00:19:03.79
Perhaps they
don't feel like the care
00:19:03.80\00:19:05.48
is where they want to be,
00:19:05.49\00:19:06.66
and perhaps
they feel that things
00:19:06.67\00:19:08.00
aren't done in a timely manner.
00:19:08.01\00:19:09.42
But again as that communication
00:19:09.43\00:19:11.62
feedback that Hospice team needs
00:19:11.63\00:19:13.18
in order for them to meet the
00:19:13.19\00:19:15.01
expectations.
Okay, well you know
00:19:15.02\00:19:16.84
I am sitting here thinking about
00:19:16.85\00:19:18.09
that is you
know trying to think,
00:19:18.10\00:19:20.08
what they do in Bible days.
00:19:20.09\00:19:22.24
You know, what did they do
00:19:22.25\00:19:23.22
in Bible days is
to care for their,
00:19:23.23\00:19:26.53
I know I am just
jogging my memory,
00:19:26.54\00:19:28.08
you know and it
seem like families
00:19:28.09\00:19:29.82
did that back
then, and it seems like
00:19:29.83\00:19:31.39
this Hospice is
like an extended family.
00:19:31.40\00:19:34.06
Well it pretty
much is, I don't how
00:19:34.07\00:19:35.64
many times I
felt like part of the
00:19:35.65\00:19:37.98
patients family
after its all set
00:19:37.99\00:19:39.74
and done and the
families continued
00:19:39.75\00:19:41.56
to call me. The neat thing about
00:19:41.57\00:19:43.23
Hospice is, it
just doesn't stop there
00:19:43.24\00:19:45.76
with a passing. Hospice provides
00:19:45.77\00:19:47.90
bereavement
counseling at least thirteen
00:19:47.91\00:19:49.92
months after the
passing of the patient.
00:19:49.93\00:19:51.81
Perhaps just more than one time
00:19:51.82\00:19:54.07
in a month, at
least once a month,
00:19:54.08\00:19:55.62
a trained social
worker or counselor will
00:19:55.63\00:19:58.44
keep in contact
with the family just
00:19:58.45\00:20:00.21
to see if there is
any issues that they
00:20:00.22\00:20:01.89
need to talk about. Okay, so Ken
00:20:01.90\00:20:03.98
I think that Ron
answers the question
00:20:03.99\00:20:06.87
there doesn't
seem to be a lot of
00:20:06.88\00:20:08.09
monetary gains
here. In fact, Hospice
00:20:08.10\00:20:10.42
is the sort of
service family to family.
00:20:10.43\00:20:12.46
Okay let's go on
to the next question
00:20:12.47\00:20:14.77
here and this next
question is from Kim
00:20:14.78\00:20:19.02
in Tulsa,
Oklahoma. And Kim writes,
00:20:19.03\00:20:22.70
she has a simple
question, she says how
00:20:22.71\00:20:25.24
our Hospice volunteers chosen
00:20:25.25\00:20:27.76
and do they receive training.
00:20:27.77\00:20:29.88
Jim there is such a huge need of
00:20:31.46\00:20:33.31
volunteers within Hospice.
00:20:33.32\00:20:35.15
Again it's one of
those things within
00:20:35.16\00:20:36.84
our culture
that we had hard time
00:20:36.85\00:20:38.39
dealing with and that's death.
00:20:38.40\00:20:39.76
The way volunteers are acquired
00:20:39.77\00:20:41.90
basically through
churches, community
00:20:41.91\00:20:44.16
outreaches,
perhaps just somebody
00:20:44.17\00:20:46.83
walking in the door
and saying may I help?
00:20:46.84\00:20:48.71
They go through
a training exercise
00:20:48.72\00:20:50.84
that they can recognize the
00:20:50.85\00:20:52.24
grief process.
They can recognize
00:20:52.25\00:20:53.85
some of the disease process.
00:20:53.86\00:20:55.08
They are the eyes and ears
00:20:55.09\00:20:56.57
of the Hospice team and not only
00:20:56.58\00:20:57.73
that they might be able to asses
00:20:57.74\00:20:59.52
staying with the patient.
00:20:59.53\00:21:00.53
So the family maybe can get out
00:21:00.54\00:21:02.31
and have a little break maybe do
00:21:02.32\00:21:03.99
some grocery
shopping, do some laundry,
00:21:04.00\00:21:05.85
or basic house
work. So do you have
00:21:05.86\00:21:07.63
to have any
special skills or knowledge
00:21:07.64\00:21:10.86
or education to
be Hospice volunteer?
00:21:10.87\00:21:12.94
You just have to have the love
00:21:12.95\00:21:14.10
and the willingness to care.
00:21:14.11\00:21:15.43
So this is just like
a ministry in itself.
00:21:15.44\00:21:17.46
That's right. Now do you have a
00:21:17.47\00:21:20.60
waiting list for
volunteers or you see
00:21:20.61\00:21:22.27
yourself always needing them.
00:21:22.28\00:21:23.75
We are always needing them,
00:21:23.76\00:21:24.73
I think it will be
great if we have the
00:21:24.74\00:21:26.03
waiting list.
Okay so if you have
00:21:26.04\00:21:28.26
church out there that one wants
00:21:28.27\00:21:29.87
to look for some
ministry that they
00:21:29.88\00:21:31.59
have been doing,
look to you look Hospice.
00:21:31.60\00:21:34.30
I think they'll
be more than happy
00:21:34.31\00:21:35.57
to have you.
Okay let's go another
00:21:35.58\00:21:37.80
question and this
question is from Janet
00:21:37.81\00:21:40.42
in Washington
State and Janet writes
00:21:40.43\00:21:43.66
it seems to me we
hear very little about
00:21:43.67\00:21:47.11
the dying process in medicine.
00:21:47.12\00:21:48.73
Is not this an
important part of life?
00:21:48.74\00:21:51.72
I want to "die
well". I know God has
00:21:51.73\00:21:56.55
a place for me in
heaven, but I still
00:21:56.56\00:21:58.89
want to go out
strong. Do you have
00:21:58.90\00:22:01.39
any suggestions?
Now that's, that's quite
00:22:01.40\00:22:03.63
a question. It is,
it's a great question,
00:22:03.64\00:22:05.56
and we all want
to go out strong.
00:22:05.57\00:22:07.06
Christ wants us
to go out strong.
00:22:07.07\00:22:08.81
He wants us to be
centered in his life,
00:22:08.82\00:22:11.34
and if you have
daily devotion with God,
00:22:11.35\00:22:13.33
if you have that
relationship you'll
00:22:13.34\00:22:15.93
go out strong.
We have to remember
00:22:15.94\00:22:17.83
Christ is waiting
for us. He told us that
00:22:17.84\00:22:20.30
he went to
prepare a place for us
00:22:20.31\00:22:21.83
and that's how
you are going to go
00:22:21.84\00:22:23.11
out strong. You
know it seems like in
00:22:23.12\00:22:25.51
talking about the
whole life process,
00:22:25.52\00:22:27.89
we talk you know
if you think about
00:22:27.90\00:22:29.78
babies for
instance, and we spent
00:22:29.79\00:22:31.36
a lot of time on
babies. You have baby
00:22:31.37\00:22:33.10
shower, you give
a lot of baby gifts
00:22:33.11\00:22:36.05
and you know
there is big deal when
00:22:36.06\00:22:37.34
you come into this world.
00:22:37.35\00:22:38.36
I guess you know some of that
00:22:38.37\00:22:41.06
it seems like
very joyous occasion,
00:22:41.07\00:22:44.48
but yet I see
when people do pass
00:22:44.49\00:22:46.85
it's not quite as joyous as I
00:22:46.86\00:22:48.78
would like it to
be. What are your
00:22:48.79\00:22:50.69
feelings on some of that?
00:22:50.70\00:22:51.82
You know one of
things I love to do
00:22:51.83\00:22:53.98
when I first
meet a Hospice patient
00:22:53.99\00:22:55.54
is kind of incorporate some type
00:22:55.55\00:22:57.22
of celebration.
Maybe there is not
00:22:57.23\00:22:58.63
the balloons
and cake, but I want
00:22:58.64\00:23:00.16
to celebrate the life
that we are looking at.
00:23:00.17\00:23:01.86
Who better to
tell me than the person
00:23:01.87\00:23:04.13
laying there in
the hospital bed?
00:23:04.14\00:23:05.52
I love to hear the
stories of their past,
00:23:05.53\00:23:07.52
their
experiences, what lessons they
00:23:07.53\00:23:10.04
have learnt and you know what
00:23:10.05\00:23:11.17
a lot of time the
spouse or the children
00:23:11.18\00:23:13.57
come into the
room and I've heard
00:23:13.58\00:23:15.64
many stories of
them saying you know
00:23:15.65\00:23:17.07
what daddy or mom never told us
00:23:17.08\00:23:19.45
those stories before I'm so glad
00:23:19.46\00:23:20.91
that you were
here. You want to talk
00:23:20.92\00:23:22.87
about these things
and that's a great way.
00:23:22.88\00:23:24.59
You know now do you think people
00:23:24.60\00:23:27.34
as they go on
towards the end and
00:23:27.35\00:23:30.24
they recognize it like Janet.
00:23:30.25\00:23:31.75
She is really
thinking about this
00:23:31.76\00:23:33.81
dying process, do you think the
00:23:33.82\00:23:36.12
communication
process it just improve
00:23:36.13\00:23:38.44
or you know how
can that be enhanced,
00:23:38.45\00:23:40.36
because you know some families
00:23:40.37\00:23:41.61
just don't like to
talk. You know they
00:23:41.62\00:23:43.61
have unresolved
issue, there are things
00:23:43.62\00:23:45.32
that need to come
out; there are things
00:23:45.33\00:23:46.92
that need to be
set to promote healing.
00:23:46.93\00:23:48.75
How would you
as a Hospice person
00:23:48.76\00:23:52.23
sort of help
promote families that might
00:23:52.24\00:23:54.24
not be as open
as they should and
00:23:54.25\00:23:56.35
you recognize
there might be some
00:23:56.36\00:23:57.72
unresolved
issues, how do you sort of
00:23:57.73\00:23:59.04
encouraged that? Well first half
00:23:59.05\00:24:01.02
is recognition
and again that comes
00:24:01.03\00:24:03.29
from training,
but the other thing
00:24:03.30\00:24:04.72
is if I'm
talking to a patient and
00:24:04.73\00:24:07.38
I've sense that they do not
00:24:07.39\00:24:09.52
want talk in
front of their family,
00:24:09.53\00:24:10.98
I will honor
that trust that they
00:24:10.99\00:24:15.41
had with me. At the same time
00:24:15.42\00:24:17.19
I want to promote them to bring
00:24:17.20\00:24:18.69
the family in. Perhaps at times
00:24:18.70\00:24:20.43
I act as mediator
with the full goal
00:24:20.44\00:24:23.14
of bringing those together,
00:24:23.15\00:24:24.87
so they can talk
about their issues,
00:24:24.88\00:24:26.93
talk about their
past, let each other know
00:24:26.94\00:24:28.90
how much they love
them. Okay, now let's
00:24:28.91\00:24:31.60
say we have patient that's been,
00:24:31.61\00:24:33.14
you know they decided, the whole
00:24:33.15\00:24:34.71
family decided for
Hospice. The doctor
00:24:34.72\00:24:37.16
sign on, they have
a wonderful experience
00:24:37.17\00:24:39.21
but they go on
beyond six their month
00:24:39.22\00:24:42.54
time table and
they continue do well,
00:24:42.55\00:24:45.18
in fact maybe
they are even healed.
00:24:45.19\00:24:47.26
Does that mean
in the future that
00:24:47.27\00:24:50.39
they can't be
involved, the Hospice
00:24:50.40\00:24:51.91
still stay
involves in their life.
00:24:51.92\00:24:53.21
Let's say it's
becoming a part of their
00:24:53.22\00:24:55.08
treatment plan for the disease,
00:24:55.09\00:24:56.46
you know what I'm saying.
00:24:56.47\00:24:57.45
Let's say they are getting well
00:24:57.46\00:24:58.43
maybe because
the Hospice and the
00:24:58.44\00:24:59.87
chemical
environment is changing,
00:24:59.88\00:25:01.31
they are healing
their bodies because
00:25:01.32\00:25:02.87
you know some of these positive
00:25:02.88\00:25:04.97
influences maybe
their resolved issues
00:25:04.98\00:25:06.97
and crisis come into their life
00:25:06.98\00:25:08.35
and as result
their chemistry's changed
00:25:08.36\00:25:10.41
to this point,
that the disease starts
00:25:10.42\00:25:12.06
to improve, and they go beyond
00:25:12.07\00:25:13.79
that yet they still
want to keep Hospice
00:25:13.80\00:25:15.51
involved. How would that,
00:25:15.52\00:25:16.93
how would that since play out
00:25:16.94\00:25:19.17
in Hospice. Well
again that's six month
00:25:19.18\00:25:21.02
window is just a
figurative speech.
00:25:21.03\00:25:23.17
If they get
better at any time you
00:25:23.18\00:25:26.03
can stop Hospice, it's what we
00:25:26.04\00:25:27.93
called
Revocation, and you could stop
00:25:27.94\00:25:30.17
that at any
time. If further down
00:25:30.18\00:25:32.71
the road maybe
year or two or maybe
00:25:32.72\00:25:34.17
never we hope, if you do need to
00:25:34.18\00:25:36.68
restart Hospice
it's not a promise it's
00:25:36.69\00:25:39.26
just matter of a
phone call. Yeah,
00:25:39.27\00:25:40.87
because I had
patient not long ago that
00:25:40.88\00:25:43.45
was placed in
Hospice and Hospice sort
00:25:43.46\00:25:46.17
of rebuilt them, I
mean they went back
00:25:46.18\00:25:48.64
and told them
about some of things that
00:25:48.65\00:25:50.59
they have done in their lives,
00:25:50.60\00:25:51.74
made their life feel meaningful,
00:25:51.75\00:25:53.52
help them solve some of these
00:25:53.53\00:25:55.31
unresolved issues
but in that process,
00:25:55.32\00:25:58.49
the will to live
came back and they
00:25:58.50\00:26:01.71
went well beyond the six months
00:26:01.72\00:26:03.43
and you know eight, nine and
00:26:03.44\00:26:04.71
ten months,
would Hospice still be
00:26:04.72\00:26:06.46
allowed to come into the home
00:26:06.47\00:26:07.94
and still
Minister if that was part
00:26:07.95\00:26:09.83
of the therapeutic
team? Well technically,
00:26:09.84\00:26:13.25
okay. If there is
still Hospice patient,
00:26:13.26\00:26:15.86
Hospice will be
involved. If they
00:26:15.87\00:26:17.71
want to stop
Hospice that's great,
00:26:17.72\00:26:19.52
but most of the
time, these are life
00:26:19.53\00:26:21.39
long relationships that we made.
00:26:21.40\00:26:23.24
I still to this
day see patients that
00:26:23.25\00:26:25.65
maybe have stopped Hospice.
00:26:25.66\00:26:27.01
I see families
that perhaps their
00:26:27.02\00:26:28.92
loved one has passed on,
00:26:28.93\00:26:30.03
I become part of
it. They invite me
00:26:30.04\00:26:31.62
over lunch. Oh
wow. I see them on
00:26:31.63\00:26:33.26
the streets. You
really become part
00:26:33.27\00:26:34.76
of the family and the community.
00:26:34.77\00:26:36.38
Well I am
beginning to see Hospice
00:26:36.39\00:26:38.77
care as a part of
changing the chemistry
00:26:38.78\00:26:41.78
of the body much like a medicine
00:26:41.79\00:26:43.38
would. You know medicine changes
00:26:43.39\00:26:44.81
your chemistry,
the way you think,
00:26:44.82\00:26:46.47
changes your
chemistry, it seem like
00:26:46.48\00:26:47.72
this Hospice care
is nurturing, is caring
00:26:47.73\00:26:50.40
for a patient,
meeting their needs,
00:26:50.41\00:26:51.90
both spiritually
and emotionally and
00:26:51.91\00:26:54.40
physically that
could do a lot not
00:26:54.41\00:26:56.93
so much to the physical healing
00:26:56.94\00:26:58.75
but to the
healing that comes inside
00:26:58.76\00:27:00.69
with the mind, so
really the mind is
00:27:00.70\00:27:03.03
healed before
the body might pass.
00:27:03.04\00:27:04.80
The greatest
medicine is having God
00:27:04.81\00:27:07.55
in your heart and
through your mind.
00:27:07.56\00:27:09.46
Wow! Ron we have about a minute
00:27:09.47\00:27:11.31
left today,
would you like to leave
00:27:11.32\00:27:12.95
our audience
some in talking about
00:27:12.96\00:27:14.90
Hospice. Is
there some things that
00:27:14.91\00:27:16.12
you think that need to really be
00:27:16.13\00:27:17.24
understood or emphasized as we
00:27:17.25\00:27:19.00
close today? I
think what we need
00:27:19.01\00:27:20.79
to remember what Hospice is that
00:27:20.80\00:27:22.32
although is
coming to the end of the
00:27:22.33\00:27:25.20
chapter of the
book that there is a
00:27:25.21\00:27:26.92
greater life ahead
of us, and that Christ
00:27:26.93\00:27:28.54
is waiting for us.
He is going to prepare a
00:27:28.55\00:27:31.05
place for us and he
promise that he will
00:27:31.06\00:27:33.30
come back for us,
that is the greatest
00:27:33.31\00:27:35.83
message. Okay, well I know that
00:27:35.84\00:27:38.29
talking about end
of life issues is not
00:27:38.30\00:27:40.28
the most exciting
topic. It's not exciting
00:27:40.29\00:27:43.46
as when I talk
about heart attack
00:27:43.47\00:27:44.85
or
defibrillator, but it think its
00:27:44.86\00:27:46.84
something that
needs to be done and
00:27:46.85\00:27:48.36
you are out there in
the audience today and
00:27:48.37\00:27:50.22
I know there is
one or two people that
00:27:50.23\00:27:51.38
needed to hear this today,
00:27:51.39\00:27:52.52
and please if you
have some of these
00:27:52.53\00:27:54.74
issues that we
have talked about,
00:27:54.75\00:27:55.91
go get help
because there is healing
00:27:55.92\00:27:58.33
that occurs even when you die,
00:27:58.34\00:28:00.23
there is healing
that still could be done.
00:28:00.24\00:28:01.89
And I want you to
praise God for you
00:28:01.90\00:28:03.86
truly are fearfully
and wonderfully made.
00:28:03.87\00:28:06.34