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Hospice Care | Shangrila Hospice

What is Hospice

Hospice does not seek to lengthen life nor hasten death, but focuses on the quality of life. Hospice is a benefit program of health care and services designated to meet the special needs of patients and their loved ones, when the patient is diagnosed with a disease for which they elect comfort and palliative care.

  • Hospice staff and volunteers offer a specialized knowledge of medical care, including pain management.
  • The goal of hospice care is to improve the quality of a patient's last days by offering comfort, compassion, and dignity.
  • Hospice care is provided by a team-oriented group of specially trained professionals, volunteers and family members.
  • Hospice addresses all symptoms of a disease, with a special emphasis on controlling a patient's pain and discomfort.
  • Hospice deals with the emotional, social and spiritual impact of the disease on the patient and the patient's family and friends.
  • Hospice offers a variety of bereavement and counseling services to families before and after a patient's death.

The word "hospice" stems from the Latin word "hospitium" meaning guesthouse. It was originally used to describe a place of shelter for weary and sick travelers returning from religious pilgrimages.

During the 1960s, Dr. Cicely Saunders, a British doctor, started the modern hospice movement by establishing St. Christopher's Hospice near London. St. Christopher's organized a team approach to professional caregiving, and was the first program to use modern pain management techniques to compassionately care for the dying.

The first hospice in the United States was established in New Haven, Connecticut in 1974. Today, according to the National Hospice and Palliative Care Organization, there are more than 4,700 hospice programs in the United States.

We like to let you know that hospice is not a place but a concept of care. Over eighty percent of hospice care is provided in the patient's home, family member's home and in nursing homes. Inpatient hospice facilities are sometimes available to assist with caregiving.

Help is only a phone call away. The attending doctor, patient, family members, friends, clergy, social workers, hospital discharge planner, or any person concerned with a patients’ well being, can make a referral. We are here to assist you from the beginning process clear through to the end.

Hospice Support Services

We’d like you to know that hospice is a patient-centered, interdisciplinary approach to end-of-life care that respects the needs of terminally-ill patients and helps them remain as comfortable as possible, with loved ones nearby. We are asked many times what the difference is between hospice and palliative care, and it’s rather a simple one: palliative care is for those who have advanced illness but are continuing curative therapies. This can be a time to learn about how an illness is likely to progress and plan for end-of-life care.

Shangrila Hospice does not provide palliative care in the strictest sense. We are focused on helping terminally-ill patients through the last days of their lives. Our treatment plans never include curative therapies.

All our patients receive a collaborative plan of care that is managed by an interdisciplinary team of physicians, nurses, social workers, home health aides, and chaplains. The hospice approach addresses the symptoms of the illness, as well as the patient's and family's emotional and spiritual concerns.

Shangrila Hospice services are offered in extended care facilities, hospitals and homes in four counties of the Inland Empire, including Los Angeles, Riverside, San Bernardino, and Orange.

Services Offered

  • Pain and symptom management
  • Assistance with the emotional and psychosocial aspects of dying
  • Medication, medical supplies and equipment
  • Family coaching on caring for the patient
  • Spiritual care
  • Special services, such as physical therapy, when indicated
  • Transition to short-term inpatient care (if symptoms become too difficult to manage at home)
  • Bereavement care and counseling to surviving family and friends

We are committed to providing premier end of life care to adults and children with terminal illnesses. Our goal is to ensure that comfort and assistance is offered to patients and their loved ones when managing the complexities that come with a life limiting illness. Call us with questions.

Your Circle of Support

Each one of our patients is served by an interdisciplinary team of hospice professionals, ranging from hospice physicians and Nurse Practitioners to volunteers, social workers and clergy. These specialists collaborate closely with one another to meet the patient and family’s needs, from preparing for an end-of-life experience with compassion and dignity through the bereavement process. Together, these team members form a circle of support dedicated to providing the best possible care to you and your loved ones.

This team is mandated to meet at least every other week and talk about you and your care plan, and whether or not you’re having your needs met and how the family is dealing with this and what else do we need to provide.

Quality of Service Standards

Shangrila Hospice focuses on keeping patients comfortable in their own home during a terminal illness –wherever they call home. Whether it’s their family residence, a board and care home, assisted living or nursing home, or a dedicated hospice facility, Shangrila Hospice is dedicated to preserving a high quality of life for our patients. Our service standards indicate the care and support those patients and families can rely on from us. Please click on the link related to your service needs for further information.

Shangrila Hospice-at-Home Service Standards

Hospice Nursing Home and Assisted Living Standards

The hospice goal is to help the patient on life's last journey, and to support family members and those close to the patient. Should you have any questions about our services, or our standards of service, please call.

Shangrila Hospice-at-Home Service Standards

  • The Shangrila Hospice staff will admit patients to the Program within four hours of referral when this is desired by the patient and the family or caregiver.
  • A comprehensive "Plan of Care" is developed on the day the patient is admitted to the program. This is done in collaboration with the client and the family or caregiver.
  • The patient's Primary Care Physician is contacted at least weekly by the Registered Nurse and immediately if there is a significant change in the patient's condition.
  • A member of the Shangrila Hospice visits or calls the patient or family/caregiver every day. The Hospice Team consists of our Medical Director, Registered Nurses, Licensed Nursing Assistants, Social Workers, Chaplains and Volunteers.
  • The Shangrila Hospice Registered Nurse is available 24 hours a day/7 days per week and phone calls to us are returned within fifteen minutes.
  • The patient's comfort level and general condition are monitored closely and treated appropriately. Pain and other symptom management are the expertise of the Medical Director and Registered Nurses. They are educated and certified in this specialty area of healthcare.
  • A member of the Hospice Team will be present at the time of death when this is desired by the patient or the family/caregiver.
  • The interdisciplinary team meets weekly to review the patients and discuss the patient's needs.
  • Bereavement support services are available to family members and caregivers and are available to help the family with ideas to help celebrate a life that was so meaningful to you.  Our bereavement staff add support when you need to talk.  You do not have to go through this alone and our support for you never ends until you are ready to let go.

Hospice Nursing Home and Assisted Living Standards

Hospice care can be provided wherever people call home, including long term care facilities and assisted living facilities. Working together with the facility staff and the patient's family and physician, our hospice team provides added clinical services and care plan consultations, in addition to providing expertise in pain and symptom management.

  1. The Plan of Care will be established at the time of admission to the Hospice Program by the resident/family, Hospice RN and facility Unit Manager or her/his designee.
  2. A written schedule of visits by the Hospice Team will be posted at the nurse's station to indicate what team member will be visiting that day which indicates the name of the staff member and the day they will be there. This schedule will be updated as needed.
  3. Each visit by the Hospice Team will be documented and placed in the specific area that the facility has requested.
  4. Weekly Care Plan Meetings with the resident/family, Hospice RN and/or Social Worker and the facility staff will be scheduled.
  5. Medical equipment not covered under the facilities room and board will be covered by the Hospice Program.
  6. General Inpatient residents will be seen daily by a Shangrila Hospice Registered Nurse.
  7. Hospice LNA assistance will be provided to hospice residents.
  8. Hospice Volunteers will be available to hospice residents.
  9. Palliative care treatments to improve the quality of life are available and their appropriateness will be determined by the resident's Primary Care Physician and the Hospice Medical Director. Examples are: Intravenous hydration, removal of fluid from lungs or abdomen.
  10. Dementia/Alzheimer's residents will receive Comfort Care Services designed to reduce agitation and confusion.
  11. Shangrila Hospice will provide its own Physical Therapy, Occupational Therapy and Speech Therapy to hospice residents to improve quality of life.
  12. Bereavement Support will be provided to the client/family and facility staff prior to and after the death for one year.
  13. Educational programs will be made available to facility staff.
  14. Consultations for symptom management for non-hospice residents will be also available to facility staff upon request.
  15. Specialized Complementary Therapies will be available to Hospice residents when these are appropriate.
  16. All changes and updates to the Care Plan made by the Shangrila Hospice RN will be discussed with the Unit Manger/Charge Nurse.
  17. At each visit we will check-in with the Unit Manager/Charge Nurse and inquire about changes in the resident's condition.

The Shangrila Hospice team members are highly trained in providing medical care, pain management and emotional and spiritual support. The Hospice team includes:

  • Hospice Medical Director, Board Certified in hospice and palliative care
  • Hospice and Oncology certified Nurses
  • Medical Social Workers
  • Rehabilitation Therapists
  • Bereavement Support
  • Chaplains
  • Home Health Aides
  • Volunteer Coordinator and trained Volunteers