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WELCOMELetter from President/CEO.............................. 3Philosophy of Care .......................................... 4YOUR HOSPICE TEAMWho%u2019s Who ...................................................... 5Badges ............................................................ 6YOUR LOVED ONE%u2019S CAREHand Washing and Gloves .............................. 7Nutrition and Hydration ..................................7Caring for Your Loved One ........................... 10Mouth Care....................................................10Changing Linens............................................ 11Giving a Bed Bath ......................................... 12Skin Care ....................................................... 12YOUR LOVED ONE%u2019S SYMPTOMSAddressing Your Loved One%u2019s Symptoms ..... 13Agitation........................................................ 13Anxiety and Sadness ..................................... 13Bleeding ........................................................ 14Breathing Difficulty ........................................ 14Constipation.................................................. 14Diarrhea......................................................... 15Dry Mouth ..................................................... 15Fever.............................................................. 15Gurgling, Noisy Breathing............................. 15Hiccups.......................................................... 15Mouth Sores .................................................. 16Nausea .......................................................... 16Pain Control (Please also see Understanding Pain Control) ......................... 16Pressure Sores ............................................... 16Your Loved One is Unresponsive................... 16Urine Output Change.................................... 17Seizures ......................................................... 17Sleep Problems ............................................. 17Swallowing difficulty ...................................... 17Vomiting ........................................................ 17Understanding Pain Control .......................... 18Pain Assessment............................................ 20Myths of Morphine in Hospice Care.............. 23AS DEATH NEARSUnderstanding What to Expect..................... 25SAFETY AND SUPPLIESInfection Control............................................ 29Medication, Supplies & Equipment............... 30Home Safety Guidelines................................ 33EMERGENCYEmergency..................................................... 39SELF-CARECaring for Yourself......................................... 41Documenting Your Healthcare Wishes .......... 42Coping with Loss ........................................... 43PROGRAM AND POLICIESUnderstanding Hospice................................. 47Pediatric Hospice .......................................... 50We Honor Veterans ....................................... 51Patient Bill of Rights and Responsibilities...... 52HIPPA and Patient Privacy ............................. 55Discrimination Policy ..................................... 61ABOUT SAMARITANLife-Enhancing Care ...................................... 63Mission and Vision Statements...................... 63Commitment to Inclusion, Diversity, & Access... 63Core Values ................................................... 63How Can You Help?....................................... 64Samaritan Care Options ................................ 65Guide to Your Handbook