Palliative Care Services
Transitions offers the highest quality of end of life care and palliative care services. We specialize in supporting individuals and families who are facing the physical, emotional, social, and spiritual challenges confronted when dealing with terminal and chronic illnesses. Paramount to our philosophy is to ensure that our patient is experiencing their final transition on their own specified terms — in comfort and with dignity. In our care, our main objective is always to maximize patients’ comfort and quality of life.
With Transitions, it’s always about living. That is why we provide patients with a comprehensive care plan led by a dedicated interdisciplinary team.
Palliative Care
Transitions Palliative Care is specialized, family-centered, chronic care management for individuals with a chronic or advanced illness, focused on pain and palliative care to enhance quality of life. Unlike typical palliative care, Transitions services go above and beyond other providers. Our teams take a holistic treatment approach that addresses both medical and psychosocial needs, including pain management, social and emotional counseling, as well as community service support. Our main focus is preventing repeated hospitalizations, more effectively treating long term illness, managing suffering, and focusing on the quality of life for all patients. Palliative Care is appropriate for people of any age and in any stage of a chronic or advanced illness.
The Transitions Difference
Palliative Care
At Transitions, we go the extra mile to maximize our patients’ comfort related to palliative care. Our teams – which include physicians, advanced practice nurses, social workers, and other specialists – collaborate with our patients and their families to create an individualized care plan. Once the care plan is in place, we commit to uncompromising demands of pain and symptom management and the highest quality of care that sets us apart from our competition: 24/7 patient monitoring, extensive social worker and counseling resources, care services provided in the comfort of their own home, and a visit latency of under 48 hours upon a patient request for a visit.
We aim to empower patients and families by providing the tools and support necessary to embrace life. We don’t focus on the finality of your illness; we focus on the practical side of living. Above all else, our efforts aim to ensure that the final stage of life comes with the most comfort, peace, and happiness possible.
Our Approach
Palliative Care Team Capabilities:
Advanced Practice Nurse (APN) available to come onsite of facility
Counseling Services
APN outpatient consultation in your own home
Ongoing Education
Registered Nurse (RN) 24/7 emergency Palliative Care visits
Pharmacy
Social Service Support
Nutritional Support
Common Symptoms Treated:
Pain
Shortness of Breath
Constipation
Anxiety
Nausea
Fatigue
Diarrhea
Depression
What are the benefits of Palliative Care?
There is a growing recognition in the health care community that repeated hospitalizations can be unnecessary and traumatic when dealing with chronic symptomatology. The trend toward community based services, symptom management, and Palliative Care is guided by this trend, as it has been proven to prevent repeated hospitalizations and more effectively treat long term illness. In addition, our care provides advanced symptom management services that ensure a high quality of life and support both the patient and family throughout the course of care.
At Transitions, we provide the highest quality palliative care to our patients. And, if hospitalizations can be reduced – our goal of allowing the patient to live a more comfortable and happy lifestyle will likely be fulfilled.
We love hearing from you!
“Transitions has been so kind to our mother the past few months. They were there for our father four years ago as he declined. The nurses, social worker and chaplain have been in frequent contact, offering support all the way. Thank you.”
When is it Time ?
Patients may receive Transitions Palliative Care if they are progressing through a chronic or advancing illness or are homebound due to medical circumstances. Our goal is to manage symptoms and control the progression of an illness in order to ensure patient comfort and quality of living. In addition, patients may receive curative treatment in conjunction with our palliative care services regardless of the diagnosis.
A variety of different diseases and symptoms are treated by our care teams. Here are some of the most common factors and diseases processes that may indicate that your loved one is ready for in-home palliative care services:
Changes in Healthcare Conditions:
Recent Hospitalizations
Diagnosed with a new illness
Mental Status
Multiple Illnesses
Post Surgical Rehabilitation
Who Qualifies?
Common disease processes that may benefit greatly from Palliative Care services:
ALS
Alzheimer’s and other Dementia causing diseases such as
FTD, Lew Body, Huntington’s Disease and Primary Progressive Aphasia
Cancer
Chronic Heart Failure (CHF)
Chronic Obstructive Pulmonary Disease (COPD)
Diabetes
Depression
HIV/AIDS
Kidney Disease
Liver Disease
Multiple Sclerosis (MS)
Parkinson’s Disease
Rheumatoid Arthritis
Stroke
Who Pays for Palliative Care?
Palliative Care is covered by Medicare Part B, Medicaid, most private insurance benefits, as well as Veterans Affairs (VA) benefits. Benefits and eligibility are checked upon patient referral. Services covered include:
Physician services
Registered Nurse Emergency Palliative Care Visits
Durable Medical Equipment and Supplies
Spiritual, emotional, social, dietary, and other counseling services
Ongoing Education
Music Therapy, Massage Therapy, and other ancillary services
Chaplaincy Services
At Transitions, we strive to go above and beyond for our patients. In addition to the benefits outlined above, we also provide our patients with following services at no extra cost:
Assistance when filling out Medicaid (Public Aid) applications
Aid in finding community resources for social and emotional support
Life Enrichment services to make the later part of life all about living
Discussing family dynamics and help navigating these dynamics from a licensed professional
Seamless transitions from palliative care to hospice care if the patient sees a significant decline in their health
We love hearing from our patients and their families
“Thank you for the wonderful care you gave to our mother and to us. I so much appreciated the calls with frequent updates on our mom’s condition.”