Barry Baines
speaker
1,145 appearances
30 recordings
1 series
first heard Feb 2024
last heard 3 Apr
Barry Baines’s voice in public audio — every appearance, attributed to the second.
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recordings per month · last 12 monthsRecordings per month over the last 12 months — 6 in all, peaking in Jan 2026 with 2.
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And in fact, there are some freestanding hospice homes that people can go into. These tend to be private pay, but some people might be familiar within our community. We have Weedham Residential Hospice, J.A. Weedham. We have the Pillars Hospice Home. Out in Oakdale, we have NC Little in Edina. And then there's also Our Lady of Peace, which is also in St.
Paul that offers a place for people to actually go and spend their last days.
Yeah, I mean, every state can have their thing going, but those are the, you know, the standard things. The reality is probably less than 1% of people actually avail themselves of services within a hospice home, as it were. Number one, because they tend to be private pay and they could be expensive.
Typically they're reserved for people who are really at the end, like days to weeks, generally speaking. And the vast majority of care and hospice is given in the person's home or the place where they're living that they call home. So it'll be either
you know, in their home, their, you know, a house, their apartment, you know, what have you, or if they're living in assisted living, or if they're living in a, they needing long-term care in a nursing facility, nursing home, they can, they receive care there. Hospice goes, hospice programs go wherever the people are. And that, and that's where they deliver the care
Um, and most people would prefer to be in a comfortable place. They're, you know, their home is surrounded by their loved ones. And that's, so that's sort of where the care gets delivered in the vast majority of cases. But when you talk about hospice, sometimes people think, oh, that's a place, right? You know, well, but hospice care, you receive wherever you are.
And in fact, if you start off in your home, And you're receiving hospice and then you need a higher level of care. So you go into an extended care facility or long-term care facility. Hospice follows you wherever you go.
So there actually are a group of people. Hospice is very much... When I was very involved with that, it's really a team type of care. I always say hospice is a team sport, but that's the lighter kind of thinking that only a hospice medical director might say.
But it's very important because within that Medicare hospice benefit, when people receive hospice, that benefit requires that a hospice provide
nursing care skilled nurse a skilled nurse social work a chaplain to deal with spiritual issues usually they have home health aides to provide some help at home with bathing things like that a medical director that sort of oversees things then in addition they also have to have volunteers 5% of the hours of care that hospice provides under Medicare have to be, you know, involving volunteers.
Right, exactly. So let's say, let's say I was in hospice, okay. As a, as a patient and and I have, and I elect to have, I mean, a person could refuse that, but hospice volunteers are trained. Actually, I usually, in my hospice medical director days, I usually am part of their orientation.
And then they volunteer, they work with, you know, with patients, they don't deliver medical care because they're just like, I would say normal people, you know, they're just normal people. And so let's say that I'm, I'm home and my wife is sort of taking, you know, care of me. But, you know, she needs to go out and go shopping as an example. So,
When a volunteer comes to stay for an hour or so, that would give, you know, my spouse some respite to go out, do some shopping, maybe go for a coffee with, you know, with a friend outside. So they kind of, you know, do that. They could, you know, we have volunteers that will play music, would read, you know, read to them.
Hospice, a number of hospices, these aren't required, but additional services, music therapy, pet therapy. So imagine that they, I don't know if Murphy or Riker would meet the criteria for that, but a lot of people, you know, they really connect with animals. And there's a lot of hospice programs have, you know, what's called pet therapy, you know, for hospice.
You oftentimes, the music therapist will also help.
you know sort of get a twofer and and cover you know not only the the music that they bring and that's very important because you know really it's soothing for the soul you know you have absolutely music that you like you know have a dog who hops up on your bed and just sits there and you could you know pet them and that make that does make you feel feel better better so the
array of services that you can get from hospice. There are quite a few of them.
Yeah, typically what happens, the vast majority of people who become hospice volunteers, not surprisingly, are people who had a loved one who was in hospice and the care that they received. Hospice requires that if you did have a loved one in hospice, you had to wait a year before you could apply to be a hospice volunteer. Interesting. Okay. But the vast majority have that experience.
Yeah. So the way the benefit works, again, it's designed for people who have a life expectancy of six months or less. The reality is we don't, you know, we really don't have a crystal ball on that, okay? And it's not like, oh, your six months is up, so you can't be in hospice anymore. The way it's set up, is for under Medicare, there's a benefit periods that they call.
So the first benefit period is three months. So the person gets enrolled in hospice and three months, you know, goes by. And then if they still at that time after three months, if everyone agrees that given the likely course of their disease, their prognosis is six months or less, they, can be recertified. And then there's a second benefit period of three months. Okay.
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