Aging in Place-05 – Home & Community Options

Nurturing End-of-Life Comfort: A Compassionate Exploration of Hospice at HCO

Addressing the intersection of hospice care and developmental disabilities requires a careful and specialized approach, acknowledging the various conditions affecting an individual’s physical, cognitive, and behavioral functioning. As individuals with developmental disabilities near the end of their lives, it is essential to provide compassionate and personalized hospice care that respects their unique needs and preferences.

At the heart of hospice care for individuals with developmental disabilities is a person-centered philosophy, which focuses on their preferences, values, and goals. Decision-making processes are handled with sensitivity, considering the communication abilities and cognitive levels of those involved. HCO is fortunate to collaborate with hospice teams comprising professionals with expertise in both hospice care and developmental disabilities, including physicians, nurses, social workers, psychologists, therapists, and direct support professionals, who are well-trained to navigate this complex intersection.

Nicole Weydt, HCO’s Director of Health Services shared,

“We have been fortunate to work with the hospice program at Winona Health.  The hospice team is comprised of a variety of healthcare professionals and volunteers that provide person-centered, compassionate care for those who are transitioning into the final stages of their life.  Individuals served by the hospice team remain in their own homes and receive all needed equipment, medications, and support to ensure their comfort.  Hospice provides the needed education for individuals, families, guardians, and HCO staff.  Home visits from members of the hospice team, including social workers, registered nurses, aides, and volunteers allows the hospice team and HCO staff to work together for the best possible care for each individual.  Hospice nurses are available 24/7 by phone and will assist with whatever is needed no matter the issue or the time of the need.  Hospice has come alongside the individuals served by HCO to provide dignified, compassionate, peaceful, and individualized care for those journeying through their dying process.”

Effective communication is crucial in ensuring that the individual’s needs and wishes are understood and respected. A collaborative effort among family members, caregivers, and support staff is vital to advocate for the individual and amplify their voice in decision-making processes. Hospice care in this context aims to improve the quality of life for individuals with terminal illnesses by focusing on comfort and symptom management.

Recognizing that not all living environments may be suitable for hospice care, it’s important to assess the appropriateness of homes and roommate situations. This highlights the need to tailor care plans to the unique needs and challenges associated with an individual’s developmental disability and their specific living arrangement.

As individuals and their families navigate the emotional complexities of end-of-life care, hospice providers go beyond medical support, offering emotional and spiritual assistance to address grief, anxiety, and other psychosocial needs. A holistic and individualized approach is essential, ensuring that dignity, respect, and quality of life remain central to the end-of-life journey for individuals with developmental disabilities. Collaboration among healthcare professionals, support staff, families, and the individuals themselves is indispensable to prioritize their needs and preferences in the care they receive.

Next month’s newsletter will feature a story about a family who has recently gone through this process.