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Homeland Hospice Selected for National Project to Improve Care

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Homeland Hospice, a nonprofit hospice program that serves communities throughout Central Pennsylvania, has been selected to participate in the alpha testing phase of a new tool to standardize the collection of data for hospice patients. Homeland is one of 20 hospice programs chosen nationally, and the only hospice in the state participating in the project.

The Hospice Outcomes Patient Evaluation (HOPE) tool is a project led by the Centers for Medicare and Medicaid Services (CMS) designed to better understand care needs throughout a patient’s dying process and contribute to the patient’s plan of care. The HOPE tool will also allow CMS to analyze data between patients and hospice programs across the country.

“A core goal of the HOPE tool is to understand how a hospice team works together to put the patient’s needs first,” says Mary Peters, MSW, Assistant Director of Social Services for Homeland Hospice. “A patient-centered approach to care has always been our philosophy.”

Homeland team members include a registered nurse case manager, hospice medical director, attending physician, volunteer coordinator, social workers, spiritual counselors, home care aides and others.

The HOPE tool alpha testing involves three phases, which includes training, data collection, and a forum scheduled in June 2021 to review the data and offer feedback about the tool.

Homeland has completed training and is in the data collection phase. During this phase, a patient’s primary hospice team – including a registered nurse, social worker and spiritual counselor – is present for each assessment.

With Homeland’s expansive service territory, data collection has required additional time and travel and Homeland’s dedicated staff has risen to the occasion.

“I’m proud of our staff for taking on this additional project,” Mary adds. “We are committed to providing excellent data to support the HOPE tool.”

Homeland Hospice is a hospice program that serves 14 communities throughout Central Pennsylvania by providing end-of-life care either in a person’s home or wherever they reside, including nursing facilities. Homeland also provides bereavement support to families for a full 13 months following the death of their loved one. This service is available to anyone in the community who is experiencing grief.

To learn more, please contact Homeland Hospice at (717) 221-7890.

Finding the Hope in Hospice … for 10 Years

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Myra Badorf, Assistant Director of Development for Homeland HospiceMyra Badorf is the Assistant Director of Development for Homeland Hospice and on August 16th celebrated her 10-year anniversary. Upon looking back, she shares her thoughts with us.

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“Caregiving often calls us to lean into love we didn’t know possible.” ~ Tia Walker, author

I’ve worked for Homeland Hospice for 10 years now … never on the front lines like so many of my colleagues, but never far from the heartbreaking stories of untimely and sometimes tragic deaths, to the beautiful descriptions of the passing of an elderly person who lived a good life full of love of family, success in a career, a strong faith and peace … even welcoming death in the end.

My mother is 89 and my father is 88, and my family and I are blessed to still have both in our lives. Plus, I have never had anyone close to me ever needing the services of hospice. But I too know that it is a matter of time. With two parents looking at the doorstep of 90, I expect it now, and I will welcome the support hospice services have to offer when that time comes.

Here at Homeland Hospice I have the good fortune of reading the letters and cards of thanks that we receive from the many family and friends of those we have cared for over the years. Many of them include a monetary donation as a way to express their appreciation and gratitude, for which we are thankful.

These letters make me proud of the people I work with—our nurses, social workers, aides, chaplains, volunteers. All of them deal with important life issues daily, never wavering from this calling of hospice. I don’t know what burdens they carry for our patients, how it effects their off hours, or their health, but what I do know—to do this, they must have what we refer to as “the heart of hospice.” You see, it takes a special person, especially in the medical field to do this kind of work. Nurses are trained to heal. They are also trained to solve problems—which is an essential skill for anyone providing hospice care. In most cases healing will not come, but the opportunity to ensure a peaceful, pain-free death, managing complicated symptoms … well, our staff are second to none.

“Death is not the enemy sir, indifference is! You treat a disease, you win, you lose. You treat a person, I guarantee you, you’ll win, no matter what the outcome.” ~ Patch Adams

Homeland Hospice’s Soup & Casserole Program

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By Laurie Murray, Volunteer Coordinator for Homeland Hospice

The end-of-life journey is a time when extra comfort and support is needed as patients and their families are often fatigued physically, emotionally and spiritually. A hospice caregiver is often faced with situations that can change daily or even hourly. Frequent medications, dressing changes, safety, toileting, feeding, and emotional support easily fills their day, and in many cases, their night too. In addition, there are situations in which a spouse or caregiver may never have prepared a meal. The patient is the one who always handled that daily task.

Homeland Hospice has found that for many patients and their families a simple home-cooked soup or casserole that can be taken from the freezer, heated, and enjoyed is a huge blessing. It is comfort for the belly! The meals are prepared by volunteers either working independently or as a group. Before Covid-19, our focus was having church groups prepare the meals. Now, there are people looking for opportunities to serve from their homes, so we are seeing more individual cooks becoming involved.

Some of our volunteers simply cook a little extra when they are preparing a meal for their own family. Church group often use the left-overs from a community or church meal to make a yummy dish or soup.

The meals are prepared in 8×8 aluminum pans, wrapped in aluminum foil, placed in a gallon freezer bag, labeled with the ingredients and reheating instructions and frozen. Volunteers then either contact Laurie to pick up a meal from them or the they are welcome to delivers it to the Homeland Hospice office. The meals are stored in a freezer at the office until it is delivered to a patient by hospice staff or by another volunteer, a “Casserole Courier.”

The meals do not remain in the freezer for long! With a census of over 200 patients, twenty meals can disappear very quickly. We are always accepting new cooks to assist with this program.

The Soup & Casserole Program is just another “extra” that is provided by Homeland Hospice. It helps in bring comfort to our patients, but also alleviates some of the stress from family caregivers.

Mary Beth, a faithful volunteer making soups and casseroles stated, “I’m so happy to help. All of the events of the world have made me feel helpless. This opportunity has once again made me feel helpful.”

Not 9, But 99

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Helen Haddick, Homeland Hospice Nurse, has a gift of expression. We are grateful to her for allowing us to share the following article from her blog “From Saving to Sending, Hospice Isn’t Just About Dying.” Prior to becoming a Hospice Nurse, Helen’s journey included ten years of being a Med Surg, ICU, and Perianesthesia Nurse.

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She was the type of old lady I want to be. She was sassy and opinionated. Mostly confused but, had moments of crystal lucidity. Her eyes were set on a fellow resident and no amount of reasoning could dissuade her that this was going to be her boyfriend. She loved Diet Coke, but, fountain only please… Her accomplishments were many in life during a time when such feats were limited to those with an Adam’s apple.

Gold hoops were always glimmering from her ears. A former hairdresser, the hairdo was never in question. Sometimes she loved me and other days she would look at me, questioning loudly “What in the hell are you doing here?”

We shared chocolate bars and man stories. She always told me that while other parts might not work, her eyes never stopped. As her mind allowed, we talked about trash reality tv. She was my patient for a long time. Far longer than is usual for hospice. I had a nickname for her, only known to me, Kitty.

Just as Medicare requirements dictate, we had several team meetings and the talks of discharge would go round and round. But, just as the time would grow closer, something wildly unexpected would occur and discharge became a non possibility.

As rapidly as her descent was, her resurrection was equally as fast. Non responsive for days, she would just open her eyes as if she never skipped a beat. To say that this made me feel clueless would be an understatement. Just as I prepared family, boom, she was roaring right back.

I had begun to accept my lack of knowledge and power. Just as discharge talk began, the crisis began. Making sure to prepare family just in case, I found myself disbelieving they words I was uttering to them. Guiding them through the journey of end of life, I was expecting to receive calls daily that she had sat up and was demanding food.

This time was different. There was a little nagging voice urging me to keep my eyes open. There was gurgling. There was lack of waking up. My comforting and preparation of her daughter continued, even though I still felt beyond skeptical. The mottling. The fever. And yet, she had bounced back before.

Her preacher came and along with the daughter said some prayers. I had asked him to go today… nagging feeling. My phone rang as I was with another patient and noting the number, my thought was that I probably had forgotten my stethoscope there – pretty typical.

“Helen… it happened.”

“What happened?”

She

Was

Gone

With my best attempts as hiding my shock failing, I wrapped up my visit and headed over to pronounce. Even still, I half expected to walk in and a deep sleep to have been misread as an eternal sleep.

But, she was no longer.

Her face peaceful. Her life lived her way. Her journey traveled her way. Her death beyond question on her terms.

There were moments it felt she had 99 lives. That ended today.

As my heart continues to swell with gratitude which express as tears from my eyes, I cannot believe my good luck.

Her 99 lives have given such profound meaning to my one.

 

Homeland Hospice is a hospice program that serves 14 communities throughout Central Pennsylvania by providing end-of-life care either in a person’s home or wherever they reside, including nursing facilities.  Homeland Hospice also provides bereavement support to families for a full 13 months following the death of their loved one. This service is available to anyone in the community who is experiencing grief.

To learn more, please contact Homeland Hospice at (717) 221-7890.

My Volunteer Journey

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By Lisa Wolff, Homeland Hospice Volunteer

About 6 years ago, I was fortunate to be able to retire from a long career as a health care lawyer. After I retired I had to figure out what I wanted to do when I “grew up.” I decided I wanted to work directly with patients instead of working at a desk. While it was definitely not easy to find such a job without any experience and with my “maturity” eventually I was hired as a nurse’s aide in the Neurology Unit at Harrisburg Hospital. This was great because they provided the training I needed for the job. Being a nurse’s aide was about as different from a legal desk job as any job could be! It was fast paced, hands on, and never a dull moment! It provided me the opportunity to meet all types of people, from all walks of life and many cultures, to provide hands-on care and comfort, and to be a part of the patients’ and their families’ lives for a short period of time. Often, patients were so grateful for my small service that it was overwhelming to me. I learned so much about people and the world in general. It was one of the most meaningful experiences of my life.

After several years as a nurse’s aide, I decided it was time to retire more permanently so that I could spend more time with my family. I knew I still wanted to work with patients and I thought volunteering for a hospice organization might fit the bill. After doing some research about the Homeland organization, I met with Laurie and was very impressed by her leadership skills and her vision for the volunteer team. I became a volunteer patient companion.

In a little over a year of volunteering with Homeland Hospice I have had many different kinds of experiences. Some patients are just as sweet and pleasant as can be and have no difficulty talking with me about a variety of subjects. Others are not able to communicate verbally or have significant hearing loss. Sometimes, I feel uncomfortable because a patient is not able to communicate and I don’t have a lot to say (I don’t really feel it is appropriate to talk about myself and my life too much). Other times, I feel concerned because, based on my nurse’s aide experience, I have identified a possible care giving need. In these instances, I either figure it out myself, such as reading to a patient who is nonverbal (if they seem to like that) or I call on Laurie. Laurie is a great resource! She always has good ideas when I am seemingly stuck! Also, if I have a care giving issue she will very quickly get a response from the patient care team.

One time I had a patient who was known in her facility as a very grouchy lady. Every time I visited, she was in a bad mood and had a list of complaints about her condition or her environment that she wanted me to address. (I realized that if I were in her place, I would probably have similar complaints, but I know that voicing such complaints is not always the best way to win friends). I would chat with her and play gin rummy (using her rules) and after a while she would become pleasant and I would be able to coax her to take a walk down the hall. Invariably, when I left she would ask for a hug, which I gladly gave. Just helping to make a patient a little happier for a short while is my goal.

Volunteering for Homeland Hospice is so rewarding. I must say, however, that sometimes I really don’t want to make a visit. It can seem too challenging to think of things to say, or deal with someone who is nasty, non-verbal or hearing impaired. However, I have to laugh at myself once again because every time I leave a patient and get into my car to go back to my nice life, I am filled with gratitude about the visit I just had. I hope I make some small difference in the patients’ day. I know they have made a difference in mine.

I am bummed about the pandemic. I really miss interacting with the patients. I learn so much from them and I cannot imagine how difficult it is for them and their caregivers to be so isolated from social interaction. I do write cards, I can only hope they help a little.

Homeland Hospice is a hospice program that serves 14 communities throughout Central Pennsylvania by providing end-of-life care either in a person’s home or wherever they reside, including nursing facilities. Volunteering is a component of Homeland’s holistic approach to health care. Homeland Hospice also provides bereavement support to families for a full 13 months following the death of their loved one. This service is available to anyone in the community who is experiencing grief.

To learn more, please contact Homeland Hospice at (717) 221-7890.

A Life of Serving Others Employee Spotlight: Reynaldo Villarreal

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Having grown up in the dry climate of Mexico, Reynaldo (Rey) Villarreal, chaplain for Homeland Hospice, reveres the rolling hills and green trees of Central Pennsylvania. For Rey, life with Homeland Hospice is another chapter in his story of serving others in their time of need. Homeland Hospice is a hospice program that serves communities throughout Central Pennsylvania.

Rey joined Homeland Hospice in January after working as a pastor for churches in El Salvador, California and Las Vegas. Rey’s wife, who is also a pastor, was raised in Pennsylvania. The couple relocated to the area to be closer to their family as they raise their children.

Rey was raised in Mexico where is father is a pastor and his mother leads programs for women and children run by the church. As one of five children, Rey worked beside his parents and siblings to help individuals and families in need of spiritual guidance and basic needs support, like food and shelter. Through their work, Rey and his family often encountered people associated with local drug cartels who stood in opposition of the church’s mission.

“We grew up learning how to stay safe from the cartels,” Rey says. “Receiving threats on our lives, having our cars stolen and being accosted in the streets was a way of life.”

Despite these challenging circumstances, Rey’s family remained in Mexico because of the significant need for their help and the small miracles they witnessed daily.

“It was an incredible experience to see someone leave the cartels for a life with purpose,” Rey adds. “It was affirmation of the power of faith.”

While working as a pastor, Rey loved his time with the elderly members of his congregation. He looked forward to learning about their families and life story. Rey often shared his love of music during his visits. He is an avid guitar player and singer. He knew if he ever had the chance to work with patients in hospice care, he would jump at the opportunity. For Homeland Hospice and Rey, the match of mission to talent and passion has been ideal.

A few months after Rey joined Homeland, the COVID-19 pandemic hit our region, limiting access to hospice patients in many nursing homes. Rey sees the grief and loss of families as they mourn the death of their loved ones during a time of social distancing.

As some restrictions have lifted this summer, Rey has returned to several nursing homes to spend time with patients during their end-of-life journey. He strives to go the extra mile in supporting staff and caregivers during this challenging time.

“I try to let everyone see the smile in my eyes since they can’t see it through my mask,” Rey says. “Now, more than ever, we need to connect with one another any way we can.”

Rey looks forward to the days when he can bring his guitar and sing to patients once again.

“Music has the power to brighten everyone’s soul,” Rey adds. “I can’t wait to give that gift to patients.”

Spiritual counseling is a component of Homeland’s holistic approach to health care. Counselors and chaplains respect each individual’s beliefs and offer support and encouragement. In addition, Homeland offers bereavement support to families for a full 13 months following the death of a loved one.

To learn more, please contact Homeland Hospice at (717) 221-7890.

Guitars … with Gratitude… 2020 Tour Resumes

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After a temporary pause due to the COVID-19 pandemic, Homeland Hospice is excited to announce its “Guitars … with Gratitude … 2020 Tour” is back on the road. Guitars are currently on display at Café 1500 in Harrisburg and Desperate Times Brewery in Carlisle.

“Guitars, Gifts & Gratitude” was a Homeland Hospice 10th anniversary event held last November featuring local musicians and a guitar gallery with more than 60 art-inspired guitars. The guitars were generously donated and decorated by local individuals and businesses. While each guitar is unique in its design, emotions of hope, compassion and love shine through each piece.

The guitar tour extends the 10th anniversary celebration and provides a platform to share the message of Homeland Hospice. Homeland Hospice is a hospice program that serves communities throughout Central Pennsylvania.

Patrons visiting Desperate Times Brewery can admire Judy Dooley’s butterfly-themed guitar created in honor of her mother Rose, who died more than two years ago. In her end of life journey, Rose received in-home care support including massage and music therapy, and spiritual counseling from Homeland Hospice. The Homeland team also helped Judy as a caregiver and grieving daughter.

“The moment I heard about the guitar project, I knew I wanted to be involved,” Judy says. “This project has helped me tell my mother’s story.”

Designing the guitars was not only therapeutic, but an opportunity for individuals to unleash their inner-artists. From local elementary school students and business owners to professional artists, the guitar designers used their talent to showcase their personality. Just like music, the guitars speak to everyone individually while conveying a sense of community.

“I knew the designs would be good,” says Ed Savage, Assistant Director of Development for Homeland Center. ”But I was blown away by the creativity. The guitars are outstanding.”

For information about the guitar tour locations, visit https://www.homelandathome.org/guitar-exhibit-locations/.

Homeland Hospice is a hospice program that serves 14 communities throughout Central Pennsylvania by providing end-of-life care either in a person’s home or wherever they reside, including nursing facilities. Homeland also provides bereavement support to families for a full 13 months following the death of their loved one. This service is available to anyone in the community who is experiencing grief.

Combating Loneliness in Seniors

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By Barbara Goll, Community Liaison Educator and Nutritionist

speaking with loved ones on the phoneLoneliness affects more than 42 million older Americans according to the American Psychological Association.  While living alone does not inevitably lead to loneliness, it can be a contributing factor.  Social contact typically decreases with age due to retirement, spouse and friends dying or moving away, lack of mobility and physical limitations.  When an entire peer group is experiencing these naturally occurring changes it is easy to see why there is a decline in the number and quality of relationships as we age.

Loneliness is a very personal experience.

Loneliness comes with different causes and implications for every individual. This makes addressing the problem complex.  Loneliness is a negative emotion defined by the quality and quantity of relationships that we have versus those we long to have.  It is based on an individual’s values, needs, wishes and feelings. Loneliness can create a persistent loop of negative thoughts and feelings that can wear us down and push others away.  “Loneliness is tricky because someone has to tell you their negative emotions,” says Kerstin Gerst Emerson from the Institute of Gerontology. “Diagnosis depends on asking questions, not a blood test or MRI.” It is a subjective feeling of social separation.  When one does not feel they have value, self-worth or a purpose to their lives, it can lead to loneliness and depression.   Loneliness can be defining and devastating to the lives of the elderly.

I realized the devastation of loneliness when my mother made a comment after a holiday family gathering stating that she felt alone and not a part of conversations.  She also felt that what she might have to say was not important and that the conversations she had with others were just small talk.  At the nursing home where I worked, I saw the pain on residents faces as they told me how lonely they were feeling, even though they were participating in a group activity at the time.  Loneliness is personal and these feelings are all valid.

Loneliness has a harmful impact on mental and physical health.

When loneliness becomes a lifestyle, research shows it can cause depression, risk of heart disease, high blood pressure, Type 2 diabetes, weakened immune system, anxiety and dementia.  These are not issues to be ignored. The Center for Cognitive and Social Neuroscience suggests that the connections with loneliness and health risks lie in harmful lifestyle choices such as eating poorly, inactivity and smoking.

What can be done to combat loneliness in seniors?

As family, caregivers and community members we can help our seniors become less lonely, more engaged. Here are some helpful suggestions:

  • Encourage seniors to express themselves while being a good listener. Ask them to tell you more about past interests and activities.  Try to rekindle and adapt past interests and hobbies to fit their current abilities.
  • Use information learned from inquiring conversations to create an individual plan to decrease loneliness. Be creative with ideas, things offered in your community, clubs, and groups.  Be prepared to nudge a little bit outside of their comfort zone.
  • Foster relationships between generations through visits and technology such as email and Facetime or Skype. Help grandchildren learn wisdom, childhood stories and family history from grandparents.  Have them show grandparents how to use their cell phone or computer more easily or help them correspond with friends and distant family.
  • Visit as often as possible and engage in meaningful conversation. Give your full attention and really listen and hear what they have to say. Take a walk, read, sing or listen to favorite songs or play a board game. If unable to visit often you can write, call or use technology.
  • Seek out and attend activities of interest with the senior, especially for the first few times. Local senior centers and Area Agency on Aging are a good place to start.
  • Let seniors teach you something. When a former art professor moved into the nursing home where I was working, I empowered him to teach a basic sketch class to the residents.  This brought worth and value to his life as well as the other residents lives who learned how to draw.  Older individuals love to pass on knowledge.
  • Take seniors out to restaurants, Sunday church service, a movie, to visit with a friend, shopping or a drive around the neighborhood or out into the country. Fresh air and a change of scenery can do wonders.
  • Help facilitate connections with old friends that may not be able to visit anymore through letters, in-person visits, or emails.
  • Encourage seniors to volunteer. Volunteering can be very rewarding and seniors have a lot of skills and wisdom to contribute to their community.  This is a great social connection and adds purpose, worth and fulfillment to their lives. Volunteer search sites include:  volunteermatch.org, rsvpcapreg.org and createthegood.aarp.org
  • Take a class such as exercise, computer or other educational topic of interest. Many community colleges offer free lifetime learning classes for seniors.  It is a great way to create new connections.
  • Community planners and local authorities must take action and create policy that places emphasis on healthy aging. Allow communities to support our older adults and the aging process as well as those living with dementia. Dementia Friendly America and Age Friendly Cities are initiatives that focus on communities working together to support our older Americans.

Reducing loneliness in all generations is derived from strong and loving relationships we have with others.  Let’s try to help our seniors create and preserve these relationships throughout their lives and show them how valuable they truly are.

Barbara Goll is a Community Education Liaison and Nutritionist for Homeland at Home. Her passion is educating and helping people attain a higher quality of life while aging in place. Goll is a valued member of Homeland’s community outreach team offering a variety of short talks on nutrition and age-related issues, including her “My Reflections” workshop to help you to think through many end-of-life care decisions. She has presented at 50 Plus Expo’s, civic organizations, community support groups, senior centers, aging forums and more. Homeland at Home offers Hospice, HomeHealth and HomeCare.

Cheerleader, Friend and Advocate: Employee Spotlight on Laurie Murry

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laurie murry, volunteer coordinator at homeland hospice

Challenging times can bring out the best or worst in people. Some individuals focus on problems and uncontrollable circumstances, while others find opportunities to share their compassion with others.

Laurie Murry, volunteer coordinator for Homeland Hospice, works to find and spread light in the darkest of times. During COVID-19, her empathy for patients, volunteers and staff has been an inspiration when it is needed most.

In her position as volunteer coordinator, Laurie trains and places hospice volunteers according to their interests and in a manner that accommodates their busy schedules. Homeland Hospice is a nonprofit hospice program that serves communities throughout Central Pennsylvania.

Since the beginning of the COVID-19 pandemic, Laurie has found creative ways to connect with patients who are unable to see family and friends because of social distancing. Laurie created a card campaign through Volunteer Match, an online program that engages individuals in volunteer projects. Through the campaign, people were asked to create cards and write uplifting messages to hospice patients.

cards to lift homeland patients' spirits“There are good things happening in this world,” Laurie says. “Sending cards to patients is a great way to lift their spirits while also enabling people to take part in a positive activity during a difficult time.”

Within six hours of posting the volunteer opportunity online, Laurie had heard from families as far away as Hawaii, Florida and California. Many people wanted to engage their children in an uplifting project as a way of teaching about the power of the human spirit during adversity.

“When one door closes, Laurie finds a way to open a window,” says Debbie Klinger, RN, director of Homeland Hospice. “Patients might not be able to see visitors, but Laurie has found a way to make them feel important.”

Laurie’s card campaign was so successful, she had to remove the opportunity from Volunteer Match after a few short hours. Based on the outpouring of support, patients will receive cards over the next several weeks.

The impact of COVID-19 has placed significant burdens and worries on the shoulders of the frontline workers at Homeland Hospice. During this time, Laurie partnered with her friends to create morale booster packages with cards and small gifts for nurses and aides. Recipients of the anonymous gifts were overwhelmed by the show of encouragement and appreciation.

To connect with volunteers who are currently unable to help due to safety precautions, Laurie created a video of the hospice team in their masks with signs of support. The video served to remind volunteers they are appreciated and missed.

“Laurie is always looking for ways to make an impact,” says Myra Badorf, assistant director of development for Homeland Hospice. “We’re grateful for the impact she makes on our lives and those of our patients and volunteers.”

For more information about Homeland Hospice and volunteer opportunities, call (717) 221-7890.

Compassionate Bereavement Support During COVID-19

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We all need human connections, especially during the journey of grief. A smile or caring embrace from individuals in our support network can provide us courage to share our most intimate feelings of loss, and give us the strength to believe in a better tomorrow. The impact of social distancing because of COVID-19 has compounded the grieving process for individuals and families.

Immediately following the announcement of stay-at-home orders, Homeland Hospice’s bereavement support program shifted from in-person meetings to phone sessions. Homeland chose to connect to members via phone calls instead of virtual visits because of gaps in comfort levels in using technology, as well as access to specific online products and privacy concerns.

Homeland’s bereavement programs are available to the bereaved of Homeland’s patients as well as anyone in the community who is experiencing grief. Bereavement support group meetings also are held on a rotating schedule throughout the year. Homeland Hospice is a nonprofit hospice program that serves communities throughout Central Pennsylvania.

“I’m grateful to Brian Medkeff-Rose and Noelle Valentine, Homeland Hospice’s bereavement counselors,” says Mary Peters, MSW, LSW, Assistant Director of Social Services at Homeland Hospice. “They immediately adapted to phone sessions to offer support and guidance to all of our clients.”

At the beginning of the COVID-19 crisis, anxiety levels were very high for individuals and families as there were so many unknown factors about the impact and spread of the virus. Social-distancing further increased levels of worry as people were unable to personally connect with friends, loved ones and their hospice support team.

“In the beginning, our calls with individuals were longer and more frequent as stress levels were very high,” Noelle says. “It was important for clients to be heard and validated for their emotions.”

In many cases, Noelle and Brian helped members develop new coping mechanisms that align with social distancing restrictions. For one of her clients who enjoys attending painting events with friends, Noelle encouraged her to find time for art and creativity at home. This activity provides a sense of normalcy and peace during this uncertain time.

With each client, comes a personal journey of grief. Not everyone is on the same path based on when a loved one died and individual adjustments to loss. For some people, the grief is very new and raw. Other individuals may be facing the first anniversary of the death of a loved one or experiencing mourning based on loneliness.

“For members of our bereavement groups, I’ve encouraged them to call each other,” Noelle adds. “Through these connections, our clients are forming a unique community of support.”

More recently, Noelle and Brian have been working with individuals who lost loved ones during COVID-19 and we’re unable to be present at the end. This important time called “bedside holiness” includes heart-filled conversations about love, forgiveness, gratitude and saying goodbye. We hold on to these memories as we grieve and remember our loved one. Often, it’s these moments that bring us the greatest comfort.

“It’s extremely difficult for families losing loved ones at this time,” Brian says. “It will complicate the grieving process in ways we’ve never experienced before.”

Through this experience, Noelle and Brian are overwhelmed by the resilience of the human spirit and the compassion clients have for each other.

“We can’t take away grief, but we can be there during the journey,” Noelle says. “Amidst the darkness there is light for all of us.”

To learn more, please contact Brian Medkeff-Rose, M.Div., M.A., or Noelle Valentine, MSW, LSW, at (717) 221-7890.