Palliative care is healthcare for people with a disease that cannot be cured. Palliative care aims to improve your quality of life and to neither hasten nor postpone death.
The focus of palliative care is you and your total wellbeing; that is physical / tinana, social / whanaungatanga, emotional / hinengaro and spiritual / wairua wellbeing. Care is specific to you and focuses on you. Palliative care can be provided in your home or elsewhere in the community. Care is most often provided by your GP, who can call on others like us, for further advice and support for you.
Being referred to Hospice means that the GP or team looking after you has, with your permission, asked for some advice or assistance in caring for you. We seek to maximise your living, as much is possible within your context. For some people it might mean using the specialist skills that we have to help solve a challenge that you may have. It might mean supporting you and the people important to you emotionally or assisting you to get support or help at home. For other people referral may happen when death is close and they need our specialist help to manage this stage of their life.
Your GP or the team looking after you typically refer you. There is a criteria on our website that they can work through with you. You or your family/whānau can also contact us directly. We will always ask for your permission to communicate with your GP and specialist.
Your GP, or the specialist team looking after you can work with you, your family and us to determine that. We typically provide care to patients within the last year of their life.
Once your referral has been accepted you are typically seen first by a registered nurse. You may also be seen by other members of the Hospice team – that could be a nurse practitioner, social worker, doctor or cultural support liaison, depending on your needs. We then develop a plan of care with you that focuses on what you want to achieve in the last months, weeks or days of your life.
Yes, you will continue under the care of your GP. Our nurses will continue to liaise with your GP along with other healthcare professionals involved in your care. We have a partnership of care with most primary care providers, such that your primary care team is trained in palliative care and cost should not be a barrier to accessing your primary care team for assistance.
It is difficult to predict. We can talk with you and your family or whānau about typical signs that suggest the end of your life may be approaching.
You can receive care wherever you call home. This could be in your home, at a family or friend’s home, a rest home or hospital. We also have an inpatient unit which is available for short stays to manage specific healthcare needs.
No. Arohanui Hospice cares for people who have a life-limiting (or terminal) illness. We are able to care for many different medical conditions. Some examples are end-stage heart, lung or renal disease, motor neurone disease (and other neurological disease) or cancer.
We care for people of all ages and although we do not have specific training for children we work alongside specialists in child health and your primary care team to advise.
Thanks to the support of our amazing community and residents of the Rangitikei, Manawatu, Tararua and Horowhenua, hospice care is delivered at no charge to you, your family, whānau and carers, including supporting services.
Our community hospice at home service includes nursing, medical, allied clinical and family support staff who work closely with you and your own GP and others involved in your care. We can assist you to find additional support if you need it at home for example support with personal cares e.g showering, home help and access to specialist equipment to ensure your comfort.
Arohanui Hospice nurses are available to visit you at your home to co-ordinate support such as medication administration, Monday to Friday as required and provide a limited service on weekends. For urgent overnight needs we have a 24/7 phone line that you can ring for advice and support. This phone number is 06 356 6606 . Your call will be answered by a Registered Nurse in our inpatient unit, and they will be able to offer you advice. In an emergency call 111. Medical advice and support is also available to our nurses.
Your length of stay in the IPU will be determined by your particular needs, but generally most stays are between four and seven days
Your pets are not able to stay overnight. Well behaved socialised pets are welcome and a visit can be arranged with the nurse in charge.
We can arrange for an interpreter if you wish.
The experience of pain is different for everyone. Normally your pain can be well controlled. There are a number of options for managing pain and we will work closely with you and your GP to ensure your pain is as well controlled as possible.
While assisted dying is not a service provided by Hospice, patients who decide to access assisted dying will still be cared for by Hospice for as long as they need our care.
Many people choose to use complementary therapies alongside main-stream medicine. It is important that you are open and honest with us about what you are taking. There may be interactions between mainstream medicine and the ones you are taking so it is important that we know, so we can advise you about this.
Your GP will continue to prescribe your medication. Our nurses communicate with your GP, where required, regarding your medications. Hospice doctors and a nurse practitioner can and do write prescriptions in certain circumstances and will be in touch with your GP.
Arohanui Hospice bereavement support team can offer a range of support options for your family, whānau or carers after you die.
We are a teaching Hospice. That means medical, nursing or other healthcare students may become part of the team caring for you from time to time. You will always be asked if you are willing to have a student involved in your care. If you decline this will not impact on the care you receive.
Volunteers give generously of their time and skills for our organisation. They help in many areas including: inpatient unit support, community care of patients, administration support, biography service, gardening, in the hospice kitchen, shop volunteers, fundraising events, maintenance, building, odd job repairs, day programme, floral art among many other things. If you or someone you know would like to volunteer please go to our website and complete the application form.
You can talk to your Hospice nurse, or any member of the Arohanui Hospice team involved in your care, or you can reach out to us via emails on: enquiries@arohanuihospice.org.nz Ph 06 356 6606