Archive for June, 2008

June
29th 2008
Let Your Voice be Heard

Posted under General & Marketing Massage for Special Populations & Massage for Elders

I appreciate Laura’s comments and I agree that we can let our voice be heard by those who will make the decisions about funding for hospices. Here’s how.  It takes 5 minutes to let your voice be heard about this issue.  Thanks for speaking up!  Ann 

1.Go to the Home page of the National Hospice and Palliative Care Organization website. www.nhpco.org.

2.Click on the link that reads “Congress Should Hear Your Thoughts. This will take you to their Legislative Alert Center.

3. Click on “Send a Letter to Your Elected Officials.

4. Confirm your zip code.

5.  Complete the Compose Message form and hit Send! 

Your message will automatically be sent to your Senators and Representatives.

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June
28th 2008
Funding Cuts to Hospices Could Impact Massage in Hospice Care

Posted under General & Marketing Massage for Special Populations & Massage for Elders

 Hello All,

Please read the following press release.  Medicare funding cuts to hospice could directly impact the funding of massage programs in hospice care.  What do you think about this?              Take care, Ann

Hospice Programs Nationwide Urge Congress to Act on Behalf of End-of life Patients 

Millions affected as Administration proposes $2.29 billion hospice rate cut 
WASHINGTON, D.C., June 19— More than 3,500 individual hospice providers representing all 50 states are calling on Congress to take immediate action to stop the Administration from slashing the hospice reimbursement under Medicare. The Administration’s proposed regulatory change would impact millions of Americans nearing the end of their lives and effectively cut approximately $2.29 billion in payments to hospice providers. The new rule could result in program closures and reduced patient access, as Medicare represents more than 80 percent of hospice revenues. The rule could take effect as early as August.

 In an open letter to Congress, the providers call the cut “irresponsible and [a] short-sighted attempt to save dollars at the expense of
America’s most vulnerable population, the dying.”

 The Administration, by trying to eliminate the current budget neutrality factor, is in effect cutting reimbursement to one of the most cost-effective health care programs that is also extremely popular among patients and their families.   According to an independent

Duke
University study, hospice saves Medicare an average of $2,300 per patient, or nearly $2 billion each year. Close to 99 percent of families whose loved one used hospice would recommend it to others.
 Congress has rejected Administration requests to reduce the level of hospice reimbursement in the past, realizing the harmful impact such cuts would have on care at the bedside. Today, sentiment on Capitol Hill largely remains the same — in April, a bicameral and bipartisan group of 92 members of Congress sent a letter to Health and Human Services Secretary Mike Leavitt in opposition to the proposed rule and within the past week a group of 130 bipartisan representaives in the House asked Ways & Means committee leadership for action to block the hospice rate cuts in the upcoming Medicare package.  The proposed regulatory maneuver is questionable as it has neither been approved by Congress nor recommended by MedPAC, the independent agency established to advise Congress on Medicare issues.  Hospices provide compassionate care for those reaching the end of life. The focus is on caring, not curing, and, in most cases, care is provided in the patient’s home. Hospice programs served more than 1.3 million patients and their families in 2006 and that number is expected to continue to rise as more terminally ill patients seek high quality, compassionate end-of-life care.   The
Alliance for Care at the End of Life

The Alliance for Care at the End of Life is a 501(c) 4 organization created by the National Hospice and Palliative Care Organization (NHPCO) to provide a more aggressive and comprehensive advocacy voice to serve the entire field and, ultimately, one of
America’s most vulnerable populations - those nearing the end of life.

 

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June
17th 2008
Holding the Space for Connection

Posted under General & Marketing Massage for Special Populations & Massage for Elders

Hello again! I first want to say thank you to those of you who offer your comments to this blog. I enjoy hearing perspectives from others who serve elders and those in end-of-life care.
Last week during the Compassionate Touch® Practitioner Training in Orlando I was reminded of one of the aspects of this work that is deeply rewarding. Elaine, an LMT at the training, had a session with a gentleman who is living with advanced Alzheimer’s Disease. He spends hours in a “geri-chair” and requires assistance for all aspects of his personal care. Communication is very limited and voluntary movement is difficult for him. His wife comes to the facility daily to assist with his care. She reluctantly gave permission for him to have a Compassionate Touch® session, stating that she “didn’t know how he would do with the touch.”
The therapist began her session slowly, focusing attention and introduced her touch. He appeared receptive and she proceeded to massage his hands and arms. He responded with eye contact and his breathing relaxed. His wife hovered nearby observing this interaction and told Elaine that he enjoyed having his scalp rubbed. The therapist moved around the chair and offered him a head and neck massage. He became obviously relaxed and had a little smile on his face. At the end of the session, his eyes were clear and smiling. After the session ended, his wife asked Elaine if it would be OK for her to massage his hands and that she was grateful for the tender, caring touch he had just recieved.
We often have a chance to model gentle, sensitive massage for family caregivers. It seems they often need “permission” to offer this kind of contact. Watching a session with a skilled massage therapist shows that touch becomes a meaningful way to connect with their loved one. When we model touch and massage, we become the space holder for both the elder and the family to find healing in the power of human contact– no words are needed in this profound communication. Both lives are uplifted.
I encourage you to invite family members to occasionally be present during your sessions to create opportunity for them to learn by your example. Remember, we all create that stillness in motion. Thank you for all you do for our profession and for those you serve.
Until next time, I wish you well.
Ann

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