Hospice of Davidson County Hospice Services

Hospice Services

Most people are referred to us by their doctor, but family members, friends, members of the clergy and even patients can connect with Hospice of Davidson County to discuss care options. The decision to enroll in hospice is made by the patient with consultation from physicians and loved ones.

Hospice care is provided by a team of experienced care professionals, including doctors, nurses, social workers, spiritual counselors, hospice aides, grief counselors, and trained volunteers.

Pain and symptom management is our highest priority, but responding to the emotional and spiritual needs of our patients and their families is an integral part of our service offering.

Key services include:

  • Expert pain and symptom management
  • 24-hour on-call availability
  • Residential crisis care
  • Emotional support
  • Pharmacy services
  • Medication management
  • Community resource referrals and coordination services
  • Individualized patient care plans
  • Medical equipment and supplies
  • Personal Care
  • Advance care planning and decision-making assistance
  • Accessibility to community resources

Most patients choose to receive hospice care and support in their own homes, in a familiar setting with their loved ones. Home is wherever the patient lives and may include assisted living and nursing care facilities. Patients are also served at Davidson County’s Hinkle Hospice House, our own inpatient care facility, located on Highway 64 East in Davidson County.

Living With An Illness

Managing the symptoms of a serious illness can be overwhelming. Whether you’ve received a new diagnosis or you’ve had an illness for some time, you are probably experiencing a range of emotions and feelings about your illness and your care. Learning more about the symptoms, understanding the emotions and making decisions will help you enhance your quality of life.

Your symptoms may vary based on your diagnosis. Managing them well can greatly improve your quality of life. The following are common symptoms many of our patients experience and ways to manage them to remain comfortable. Be sure to speak with your care provider about symptoms you’re having.

Click below to learn more about common symptoms and how to manage them.
Incontinence
  • Keep skin dry and clean
  • Use incontinent supplies to maintain comfort
Mouth Soreness or Dryness
  • Avoid acidic foods or liquids like citrus.
  • Do not use mouth washes that have alcohol
  • Use soft toothbrushes to clean mouth, gums, and teeth
  • Drink sips of water and try ice chips
  • Keep lips moist with lip balm
Nausea/Vomiting
  • Eat crackers, dry toast, rice and bland food
  • Avoid fried or spicy foods
  • Eat small amounts of food, but more frequently
Skin
  • Protect bony areas with padding
  • Keep clean and dry
  • Use non-drying soap
  • Apply moisturizer frequently
  • Take frequent sips of water
Constipation
  • Use a stool softener as directed
  • Add fruit and high fiber foods
  • Drink plenty of fluids
  • Increase mobility if able to do so
Shortness of Breath
  • Maintain a calm, quiet environment
  • Prop up head with pillows
  • Circulate room air with the use of a fan
  • Take slow, deep breaths
  • Use oxygen, if possible
Difficulty Swallowing
  • Soft foods may be easier to swallow than liquids
  • Sit up-right while eating
Confusion, Anxiety and Restlessness
  • Maintain a safe environment
  • Decrease activity in the home
  • Medicate as directed for symptom management
  • Play soft or calming music
  • Use relaxation techniques
  • Keep room softly lit
Cough or Increased Mucus
  • Drink warm beverages
  • Drink carbonated beverages
  • Take deep breaths
  • Elevate the head of the bed
  • Try hard candy to suck on
  • Use a humidifier
Diarrhea
  • Stop stool softeners or laxatives
  • Clean skin carefully after each bowel movement
  • Eat apples, bananas, potatoes, rice or oatmeal
  • Avoid fruit juices and sweetened drinks

Advanced Directives

  • Click here to see more about Advanced Directives.
    An advance health care directive, also known as living will, is a legal document where you specify what actions should be taken for your health if you are no longer able to make decisions for yourself because of illness or incapacity.

    A living will is one form of advance directive, leaving instructions for treatment. Another form is a specific type of power of attorney or health care proxy, in which you authorize someone (an agent) to make decisions on your behalf when you are incapacitated. People are often encouraged to complete both documents to provide comprehensive guidance regarding care.

    To learn more about creating an advance directive, call 336-475-5444.

Understanding Emotions

  • Click here for more about understanding your emotions.
    Fear of the unknown. Anger about your diagnosis. Disbelief of what you may be facing. Anxiety about new decisions. Relief that a long battle with a disease is behind you. You may face these and any number of emotions, often in a short amount of time when a terminal diagnosis is given. Know that you are never alone with Hospice. Our care providers and volunteers are here for you when you need us most to share your feelings with someone. There is no wrong way to go through what you’re going through.

    Talk with your car providers about any psychological or spiritual issues you’re may be experiencing.

Understanding The Hospice Benefit

  • Click here for more about The Hospice Benefit.
    Hospice care is appropriate for any person who no longer wishes to pursue a curative approach to an illness and instead wants to focus on pain management and symptom control. Care is provided in a patient’s home, in long-term care facilities and at the county’s only inpatient unit, The Henry Etta & Bruce Hinkle Hospice House.

    Typically, a loved one is the patient’s primary caregiver and, when appropriate, helps to make decisions for the patient receiving hospice care. Hospice team members make regular visits to provide care or services while assisting the family needs as well. The frequency and type of visits provided are individualized, based on the patient and family’s needs and wants.

    Although many people associate hospice care with cancer, hospice care is available for anyone with a life-limiting illness or injury with a life expectancy of six months or less.

Quality of Care

Click below to learn more about our Quality of Care.

Certifications

Hospice of Davidson County is proud to have a number of staff members who have completed additional certifications in their respective fields:

  • Our Physician Medical Director, Dr. Lana Riemann, MD, MPH, is Board Certified in Family Medicine and Hospice and Palliative Medicine. She is also a member of the American Academy of Hospice and Palliative Medicine
  • Six Nurses have achieved national certification as Certified Hospice and Palliative Nurses (CHPN)
  • Five staff members are Licensed Clinical Social Workers (LCSW)
  • Our Chief Financial Officer, Glen Hubbard, CPA, MBA, CHFP, is a Certified Public Accountant and is a Certified Healthcare Financial Planner.
Accreditation

Hospice of Davidson County is accredited by ACHC. The Accreditation Commission for Health Care, Inc. (ACHC) is a third-party, not-for-profit organization that has developed the highest national standards for providers to be surveyed against in order to demonstrate their ability to deliver quality health care products and services. ACHC awards accreditation to organizations that meet national standards in seven areas of business operations including care management, customer service, quality improvement, patient safety and fiscal management.

Surveys and Survey Results

Hospice of Davidson County participates in two national survey programs: the Family Evaluation of Hospice Care (FEHC) and the Family Evaluation of Bereavement Services (FEBS), in addition to other state and regional survey programs. The FEHC measures overall satisfaction with services provided including patient care, pain management and emotional support. The FEBS measures overall satisfaction of grief support and counseling services provided following a loss of a loved one.

Your Rights

Hospice of Davidson County honors the rights of each patient and family we serve.  To read the Patient’s Bill of Rights, click here.

If you have any concerns or comments regarding the staff of Hospice of Davidson County or the care you received, please call 336-475-5444 and speak with the Director of Quality and Compliance, Monday-Friday 8:00 a.m. to 5:00 p.m.

What is Hospice Care?

Hospice is a specialized type of health care that is delivered by our own physicians, nurses, Hospice aides and social workers. Many patients and families also choose to include additional team members such as a spiritual counselor, grief counselor, and a volunteer.