The hospice team functions as an interdisciplinary team with a coordinated plan of care. Because Del Corazon Hospice care is family directed and individualized, the patient and family are integral members of the team. Regular team meetings and frequent communications among care team members and with the medical director ensure that patient and family needs are addresses. Additionally, there is an ongoing reassessment process in keeping with changes in the patient’s condition.
Hospice Medical Director is also the physician member of the interdisciplinary care team. As the supervising physician, the medical director is responsible for guiding the team with medication orders for pain and symptom control, and for developing the individualized plan of care. The hospice medical director has the final responsibility of the patient’s care while under hospice care.
Patient Care Manager is directly responsible for managing the daily care of the patient. Also is responsible for providing education and instruction to the caregivers. One of the most important goals of the patient care manager is to provide the caregivers and loved ones with a solid understanding of the hospice philosophy of care.
Case Manager is directly responsible for managing the daily care of the patient through direct supervision of the hospice nurses and by direct interaction with the patient.
Hospice Nurses visit patients on a regular weekly schedule depending on each patient’s need and in accordance with the Plan of Care. The nurse is the one who assess pain and manages symptoms under the supervision of the hospice physician.
Home Health Aides assist patients with the activities of daily living which include: grooming, hygiene, bathing, dressing, skin care, etc. This assistance supports the caregiver, or, in the case of patients living on their own, helps the patient to maintain independence so that they can remain at home.
Homemakers assist the hospice patient with household tasks and meal preparation so that the patient can remain in their home and live as independently as possible.
Volunteers are specially trained to provide socialization and companionship to patients, relieve caregivers, and assist in the hospice office.
Additional members of the team may include occupational, speech, and physical therapists as well as dieticians.