Bluegrass Care Navigators News

Bluegrass Care Navigators Supports Families Through Every Step

Tue, 24 Mar 2026 16:41:31 GMT

Marla Sowers was never defined by titles though she held many. A pianist and Miss Morehead State University, a valedictorian, a beautiful singer, and an excellent writer, she carried the practical wisdom of her farming family into everything she did. As a public school elementary music teacher, Marla shaped hearts by inviting students to see kindness as strength. When a dementia diagnosis altered the rhythm of her days, her husband Richard cared for her at home and then with the help of an assisted living facility for as long as he could. After several years, the facility referred her to Bluegrass Care Navigators (BCN) for hospice services.

From the first visit, BCN’s hospice team honored Marla as the whole, beloved person she was, keeping her clean, comfortable and cared for. But the team also cared for her spouse, Richard, too, with regular phone updates, steady guidance and reassurance. That partnership let him exchange the stress of being her sole caregiver for the peace of simply being her husband and friend.

“One of the greatest comforts was knowing Marla was in good hands,” he said. “When I was home, I didn’t have to worry. I could trust that through the partnership with the facility and hospice, she was receiving the best care possible and being cared for with dignity and compassion. That peace of mind meant everything.”

After Marla passed, Richard began grief counseling with Mike Brown, (MSW, CSW) Bereavement Counselor at BCN. For Richard, those sessions weren’t about a cure. Instead, they offered him space to speak the hard things, hear astute reflections, and learn coping strategies he could practice on his own.

“Walking alongside someone like Richard is why this work matters,” Mike said. “Grief can feel isolating, but when we create a safe space for people to speak their truth, you start to see the weight lift. With Richard, I watched him move from carrying everything alone to rediscovering his own resilience and gratitude. Seeing his hope return, is the most meaningful part of what we do.”

As Richard moved from overwhelming grief to hope, he decided to become a donor and give his time as a volunteer to support other patients and families. By offering his professional skills in marketing, problem-solving and fundraising, he joins a team committed to bringing comfort, hope and dignity to other individuals and families like himself.

“I want to volunteer to help BCN and in honor of my wife and of the people who supported me during the 10 years I cared for her,” he said. “I’m grateful that no matter your skills, Bluegrass Care Navigators will find a place for you to help others.”

To learn more about our services for patients and families or to volunteer your time, visit bgcarenav.org or call 855.492.0812.

Bluegrass Care Navigators Provides Family with More Moments

Tue, 24 Mar 2026 16:33:13 GMT

When Bill Papania thinks about Bluegrass Care Navigators, he doesn’t just remember the end of his mother’s life, he remembers the time, comfort, and connection Team BCN made possible.

In the fall of 2004, Bill’s mother was diagnosed with terminal cancer. By the following spring, her health declined rapidly after an infection sent her to the hospital. When she was discharged, her care team believed she had only weeks to live. Thanks to the expert, compassionate care provided by Bluegrass Care Navigators, she lived more than five additional months, time that meant everything to her family.

“We couldn’t have had our mother at home and comfortable without Bluegrass Care Navigators,” Bill said. “We all knew she was dying, but their care gave us comfort and, most importantly, more moments together.”

BCN’s care team showed up whenever they were needed. Nurses visited often to manage wound care and symptoms, allowing Bill and his family to focus on what mattered most, simply being together.

One of Bill’s favorite memories is a small but meaningful ritual.

“Mom enjoyed a cocktail occasionally,” he said. “Sometimes, my brother and I would stop by after work and have happy hour with her. I’ll always remember that and those conversations. If she hadn’t been at home, those moments wouldn’t have happened.”

After his mother’s death, Bill knew he wanted to give back to help ensure other families could experience the same compassionate care. He first became a donor, and later, a volunteer. For more than a year, Bill has given his time to BCN, including delivering holiday stockings to patients.

One visit in particular stayed with him. Bill was welcomed into the home of a husband caring for his wife, who had been diagnosed with dementia. It was clear the weight of caregiving was heavy. As the two talked, they discovered a shared love of fishing and spent nearly an hour swapping stories.

“I knew this man was in a tough spot,” Bill said. “It just felt good to be able to do something that made his day and his journey a little better. That’s what volunteering is all about.”

Stories like Bill’s are possible because of generous donors, dedicated volunteers, and the compassionate professionals of Team BCN. Together, they create comfort, connection, and moments that families will carry with them forever. To learn more about our services call 855.492.0812 or visit bgcarenav.org.

Bluegrass Care Navigators Offers Hope, Support and Connection to Grieving Family

Thu, 19 Mar 2026 19:04:07 GMT

In 2024, the Coleman family’s world was shattered with a devastating cancer diagnosis and unexpected loss of Jessica, devoted wife and mother. Kyle and his three daughters were overwhelmed by grief and the daily reminders of life without her. They connected with Bluegrass Care Navigators’ (BCN) grief team whose compassionate support and counseling helped the family find comfort, connection and the tools to heal together.

“You never know how grief is going to hit you, and Susan, our grief counselor, was very helpful to give me and my girls the tools we needed to navigate these moments as they came,” Kyle said. “The care we received from day one is just beyond words.”

Kyle not only faced the heartbreak of losing his wife of 13 years, but also the challenge of guiding his daughters, ages 12, 9, and 5, through their own grief. Susan equipped his family with meaningful tools to openly share their feelings as they navigated their healing journey together. With Susan’s support, his daughters gained the confidence to ask difficult questions, and Kyle learned how to respond in honest, age-appropriate ways, strengthening their ability to communicate and support one another through loss.

“The hardest part for me is that I would feel like she was still in the house with us, and the knowledge that she wasn’t there was really hard for me,” daughter Makenna said. “I felt like I was alone.”

Makenna, her sister Mia, and dad Kyle, began working with BCN’s grief team. Each sister scheduled one-on-one sessions with Susan McVey (MSW, LCSW), Bereavement Counselor in the Frankfort Region. During their sessions, the girls participated in a variety of memory making activities, read poems and stories that encouraged them to express their emotions, and learned coping skills, such as coloring, journaling or breathing exercises.

“People come into the office, and they are struggling with losing their soulmate, parent, or a beloved child, and I always feel honored when they allow me to participate in their healing process,” Susan said.

Last Christmas, Susan encouraged each girl to participate in a memory treasure hunt by asking their family questions about Jessica, such as: "What was her favorite Christmas ornament?", "What was her favorite carol?", or "What was her favorite Christmas food?" Each family member gave different answers and shared unique memories. Susan and the girls wrote down all the questions, cut them out, and created a special ornament for each family member, displaying their personal answers.

During the summer of 2024, the Coleman family also participated in Camp Hope, which is a free, one-day children’s bereavement camp for children ages 6-17, who have experienced the death of a loved one in the last two years. Camp provides an opportunity for children and their caregivers to express their grief and develop effective coping strategies in a fun, safe and supportive environment.

“Camp Hope was so much fun,” Makenna said. “My favorite was the equine therapy and getting to interact with other kids who were also going through loss made us comfortable to share with each other and helped me know that I was not alone.”

Although the family continues to grieve, thanks to Bluegrass Care Navigators, they are finding hope.

“I just want to say thank you from the bottom of my heart for the support that you give to BCN so they can continue to provide free community grief counseling,” Kyle said. “Susan and the team helped me navigate through this first year as a dad, husband and a person. We miss Jessica dearly, and her loss will always be part of my life, but thanks to the grief care I received, my journey doesn’t end here. I hope you’ll continue to support other families like mine and continue to love and support your community.”

The Bluegrass Grief Care program is available free of charge to anyone in the community who has experienced the loss of a loved one, and offers various programs, including Camp Hope, support groups, holiday workshops, and individual grief counseling. The grief care program is only possible due to the kindness and generosity of grant funding, community partners, and donor support.

“When I work with a child, it is so helpful when I can go to my shelf and give them a journal to write about their loved one,” Susan said. “We do a lot of art activities using crayons, paint or other craft items. These supplies have to come from somewhere. We’re very grateful for every pen, pencil and marker that comes through the door and for our generous donors who support children in our community experiencing grief for the first time.”

Bluegrass Care Navigators Expands Bluegrass Transitional Care Program with Grant Award in Partnership with Saint Joseph London

Tue, 17 Mar 2026 13:46:00 GMT

Expansion will improve access to care and chronic disease management for high-risk patients across Laurel, Jackson, and Whitley Counties

Bluegrass Care Navigators has been awarded $97,500 by Saint Joseph London through the CommonSpirit Health Community Health Improvement Grant to expand its Bluegrass Transitional Care (BTC) program with a new partnership with Saint Joseph London. This expansion will strengthen the support for high-risk patients transitioning from hospital to home in Laurel, Jackson, and Whitley Counties.

This expansion addresses a critical need for improved access to care and chronic disease management among individuals facing complex medical, behavioral health, and social challenges. Through this partnership, BTC will deliver evidence-based transitional care interventions designed to help patients safely navigate the transition from hospital to home while reducing preventable hospital interactions, including readmissions.

The program will enroll up to 181 patients identified as high-risk due to chronic illness, behavioral health conditions, or social barriers. Each participant will receive a comprehensive 30-day bundled care plan that includes hospital bedside enrollment, three in-home visits from a nurse or care coach, and unlimited 24/7 phone support.

Core services provided through BTC include medication reconciliation, disease specific education using the teach-back method, and assistance scheduling follow-up appointments within seven days of discharge. Patients will also be connected to vital community resources such as transportation assistance, tobacco cessation programs, nutrition support, and behavioral health treatment.

By strengthening the continuum of care, BTC ensures patients and caregivers have the tools, knowledge, and access needed to manage chronic and serious conditions, including diabetes, cancer, cardiovascular disease, and substance use disorders. The program is designed to achieve measurable outcomes, including a reduction in hospital readmissions and improved patient engagement in ongoing care.

Program goals include:

A reduction of 15 percent or more in 30-day hospital readmissions among participants
At least 90 percent of patients receiving timely medication reconciliation
At least 85 percent securing a primary or specialty follow-up appointment within seven days
At least 80 percent demonstrating teach back competency in self-management of their condition
At least 70 percent connected to at least one additional healthcare or social service resource

Continuous evaluation throughout the 12-month grant period will track enrollment, service delivery, and patient outcomes to ensure the program’s effectiveness and impact.

“This grant strengthens our ability to serve individuals and families across our community with the care, comfort, and support they deserve,” said Liz Fowler, President of Bluegrass Care Navigators. “It reflects the power of partnership in ensuring no one must face serious illness alone. This investment supports Bluegrass Care Navigators’ mission to deliver patient-centered care with excellence and compassion. We are thankful for this partnership and the opportunity to expand access to critical services for those who need them most.”

The expansion of Bluegrass Transitional Care directly advances Saint Joseph London’s community health priorities by improving access to care, reducing avoidable hospital readmissions, and enhancing long-term health outcomes for some of the region’s most vulnerable patients.

About Bluegrass Care Navigators
Established in 1978, Bluegrass Care Navigators (BCN) provides hospice care in 32 counties across northern, central and eastern Kentucky. As a mission-driven, nonprofit agency, BCN supports those facing serious illness or chronic disease with both long and short-term hospice care, palliative care, transitional care, PACE (Program for All-Inclusive Care for the Elderly), and grief counseling services. For more information on services available by county, visit bgcarenav.org or call 855.492.0812.

About Saint Joseph London
Saint Joseph London is a 150-bed full-service hospital located in London, KY. Established in 1926, the facility serves patients from southeastern Kentucky, including those from Clay, Laurel, Jackson, Whitley, Knox and Pulaski counties. The current $152 million regional hospital opened in 2010, and offers all private patient rooms, with most overlooking a small lake and garden on the 52-acre healing environment.

Pawsome Volunteer Brings Comfort When It Matters Most

Mon, 02 Mar 2026 18:55:42 GMT

Hi. I'm Callie.

Most days, my job is simple: walk into rooms with my human, Mary, wag my tail, and let people know they’re not alone. I’ve been doing this therapy dog work with her for a while now, and I take it very seriously, even if I’m small and fluffy.

One morning, we visited a hospice patient at a care facility in Lexington. As soon as we entered her room, I could tell something special was happening. The patient smiled right away and reached out to pet me. She told Mary that I reminded her of her own little dog, Domino, who had passed away a few years earlier.

I stayed close while they talked.

We were there for about thirty minutes, which was a long time for me. I love people, but I’m not a lap dog, and I prefer to keep my independence. Still, something told me this woman needed me in a different way.

So, I climbed up to the foot of her bed, curled into a small ball, and went to sleep.

I don’t usually do that. In fact, Mary says I’ve never done that before on a therapy visit. But sometimes, you just know when a person needs something only a dog can give, the gift of presence.

When it was time to leave, I wasn’t done working. I drew smiles from staff and visitors in the hallway, along with more pets and moments of connection.

Later, Mary spoke with the patient’s daughter, who said something that made my tail wag all over again:

“You and Callie have just made my day. Mom was so happy.”

That’s why therapy dogs do what we do. And it’s why the humans who volunteer with us matter so much. One visit can bring comfort, spark memories, and remind patients and families that joy and connection are still possible, even during the hardest moments.

Want to Join Our Pawsome Team?

We’re restarting our Volunteer Animal-Assisted Therapy Program , and we’re looking for compassionate volunteers and their certified therapy animals to join us.

If you and your animal partner are interested in bringing comfort, calm, and connection to patients and families when it matters most, we’d love to hear from you.

Learn more: www.bgcarenav.org/volunteer or call 855.492.0812

Bluegrass Care Navigators Redefines Hope through Hospice Care

Wed, 25 Feb 2026 14:39:51 GMT

For Lois and Doug Gates, home has always been a place of purpose, faith and shared life. Married for more than 63 years, the couple met as teenagers, built a family through adoption, and spent decades serving others together. Their moments together became even more precious after Lois received a serious diagnosis two years ago. After undergoing surgery, the cancer recurred, and the couple chose to forgo additional treatment and live the best quality of life possible with support from Bluegrass Care Navigators (BCN).

“I get up and I thank the Lord every day that I have another morning and that I have another day with Lois,” Doug said. “We don’t take each other for granted.”

Lois spent 50 years working at Nicholas County Hospital, beginning in 1962 just one week after graduating high school. What started as answering phones and greeting patients grew into a lifelong career in medical records and health information management. As the hospital expanded, Lois advanced into leadership and oversaw the department.

After a lifetime of supporting clinicians behind the scenes, when Lois herself faced serious illness, she already understood what compassionate care should look like.

After surgery in 2024 for oral cancer, she and her family faced difficult decisions about further treatment when the cancer recurred. Together, they chose to focus on comfort and quality of life. In the fall of 2025, they began hospice care with Bluegrass Care Navigators, a provider Lois already trusted from her years working in the hospital.

Hospice care comes right to Lois’s home. Currently, a nurse visits weekly to check her vitals and manage medications, and the team is always just a phone call away. For Doug, that reassurance makes all the difference.

“It makes me feel better knowing they’re checking on her,” he said. “I want her to have the best care possible, and I know they’re providing that.”

Because of BCN’s support, Lois is still living life on her terms. She continues to crochet, quilt, embroider and cross-stitch, creating hats that she donates to local schools. One room of their home is dedicated to the beautiful crafts Lois has made that includes doll dresses and doll house furniture. When the weather is warm, she and Doug still fish at least once a week, and she fills her days with the activities that bring her joy and purpose.

“Hospice has helped me keep doing the things I love,” Lois said. “They’re there when I need them, and they take care of me and Doug, too. They include him in my care plan.”

For Lois and Doug, hospice isn’t about giving up, it’s about living fully, together, at home. With Bluegrass Care Navigators by their side, they’re doing just that, one day, one project, and one shared moment at a time.

About Bluegrass Care Navigators

Established in 1978, Bluegrass Care Navigators (BCN) provides hospice care in 32 counties across northern, central and eastern Kentucky. As a mission-driven, nonprofit agency, BCN supports those facing serious illness or chronic disease with both long and short-term hospice care, palliative care, transitional care, PACE (Program for All-Inclusive Care for the Elderly), and grief counseling services. For more information on services available by county, visit www.bgcarenav.org or call 855.492.0812.

Bluegrass PACE Participants Celebrate Thanksgiving & Holiday Season

Tue, 17 Feb 2026 15:24:23 GMT

The Bluegrass PACE Care team and participants kicked off the holiday season with their annual Thanksgiving lunch. The atmosphere was filled with gratitude and joy, as everyone enjoyed a delicious meal and each other's company. The PACE team continued to celebrate the holiday season with fun activities in the weeks to come.

These cherished events are just one example of the supportive environment Bluegrass PACE Care provides for adults 55 and older. Through PACE (Program of All-Inclusive Care for the Elderly), older adults receive comprehensive health care, social activities, and personalized support to help them remain independent and engaged in their communities. The Thanksgiving lunch and Holiday celebrations reflect PACE’s commitment to fostering connection, well-being, and dignity for all participants, ensuring that everyone feels valued and cared for not only during the holidays, but all year round.

Pikeville Team Goes Above and Beyond to Provide Comfort and Care

Tue, 17 Feb 2026 15:13:35 GMT

As a Support Center RN, I’ve witnessed many moments of compassion, but few have touched me as deeply as the call I received from a patient’s wife in our Pikeville region. She shared how our nurse, Tiffany Little (RN), provided care with such warmth and dedication that her presence brought genuine comfort and support to their lives.

The wife said that Tiffany approached every visit with warmth and kindness, never treating it as simply a “job.” The wife described how Tiffany listened, talked, and truly cared, going the extra mile to ensure the family felt seen and supported beyond her official duties. The wife’s grief and gratitude were palpable, and I couldn’t help but shed a tear filled with both happiness and sadness. The wife also praised the entire Pikeville team for their professionalism and heartfelt compassion.

Moments like these remind me of the profound impact our team has on families, renewing my faith in the difference we make and leaving me grateful to serve alongside such dedicated colleagues.

Person-Centered Care Makes a Difference for the Hoffstedder Family

Tue, 17 Feb 2026 15:10:59 GMT

Team BCN brought compassionate, personalized care to Tim and Helen Hoffstedder during a challenging chapter in their lives. After receiving a dementia diagnosis almost seven years ago, Helen’s family did their best to care for her at home. When she required additional support, they moved her to ColdSpring Transitional Care where she could receive high-quality care around the clock. In February 2024, she began retaining fluid and had difficulty breathing. The team at ColdSpring Care referred the family to Bluegrass Hospice Care and that extra support brought her husband Tim immense reassurance.

“We genuinely love working with Bluegrass Care Navigators,” Tammy Walwark, Director of Nursing at ColdSpring Care, said. “The relationship we share is special, and the collaboration between our teams is something we’re really proud of. When patients and families face some of the most challenging moments of their lives, we come together, lean on one another, and work through them as a team, even when it isn’t easy. That partnership is rooted in doing what’s right for the patient, always. And that shared commitment makes all the difference.”

As of January 2026, Helen receives regular visits from BCN’s team of doctors, nurses, CNAs, social workers and chaplains, in addition to the services provided by ColdSpring Care. Both organizations focus on surrounding the Hoffstedder family with empathy, compassion and dignity.

“I see her once per week, and more as needed,” Brea Storms, BCN RN in the Northern Kentucky region, said. “Because ColdSpring referred this family to our services early in the journey, we have been able to help improve her quality of life and allowed the family more time to create memories with her.”

BCN’s expert interventions improved her quality of life.

"Peace of mind is everything. Bluegrass Care Navigators truly understands what Helen is going through, and they communicate like real people, listen to our needs, and recommend the right equipment to keep her comfortable,” Tim said. “I’m so grateful knowing she’s getting the best care possible thanks to the relationship between ColdSpring and BCN."

As her symptoms eased, her mental status improved. Now, when Tim visits, he is sometimes rewarded with a precious smile from Helen.

“At the end of the day, everyone shares the same goal, to do what’s right for the patient,” Walwark said. “When organizations work together with that mindset, we can create something truly meaningful for both patients and their families during a time of real need.”

Celebrating Care Reimagined Because of Our Donors

Tue, 17 Feb 2026 14:51:10 GMT

Thanks to your remarkable generosity, our two-year Care Reimagined fundraising campaign has been a resounding success. With your steadfast support, Bluegrass Care Navigators exceeded our ambitious $7 million goal by the December 31, 2025, deadline! This achievement ensures that we can continue to provide essential care and support to seriously and terminally ill individuals within our community.

“Thanks to your incredible generosity, we didn’t just reach our goal, we surpassed it!” said Laura Klumb, Vice President of Philanthropy. “Our Caring Community continues to inspire us, and we are deeply grateful for your unwavering support, which allows us to provide compassionate care at the moments when it matters most for those facing serious illness.”

Our campaign was designed with three primary goals in mind: 1) to maintain our annual operations through the ongoing generosity of our supporters; 2) to expand and enhance innovative or under-reimbursed programs such as Medical Respite, Bright Path, Dementia Care, Bluegrass PACE Care, and Integrative Medicine; and 3) to secure the organization’s long-term sustainability by encouraging documented future gifts through thoughtful estate planning.

"Donors have always been the driving force behind our ability to innovate and deliver vital programs at Bluegrass Care Navigators," said Liz Fowler, President and CEO. "Because of your generosity, we are able to continually grow and adapt our services, ensuring that we remain a trusted and leading provider of healthcare for frail older adults, as well as those facing serious and terminal illness. Your partnership empowers us to serve patients and families now and for generations to come. Thank you for making this meaningful work possible!"

Navigating Dating After the Loss of a Partner

Fri, 06 Feb 2026 14:16:03 GMT

Losing a spouse or partner is an experience that can reshape every aspect of daily life, including how you connect with others. As you navigate the journey of grief and healing, you may find yourself wondering if—and when—dating might feel right for you.

Consider the following questions:

Where are you in your grieving process?

Many people the year following the loss of a spouse or partner to be a period of enormous adjustment and wait to begin dating until getting through these “firsts”. But, everyone’s grief is unique, and you may be ready before then, long after the first year, or never.

Who do you want to include in the conversation?

You may want to seek input from or to inform your adult children, close friends, or faith leaders as you make your decision.

What do you hope to gain for a new dating relationship?

Reducing loneliness or finding a consistent companion may be a key factor. Spend some time in honest reflection about expectations of a new relationship. Ask yourself the hard question “Am I trying to replace the roles my partner filled in my life?”.

Have you considered the full range of ways to address loneliness?

Becoming more active in your community, joining a class, deepening existing friendships, adopting a pet, and volunteering may also help.
Special note: Please make sure you have the energy and resources to dedicate to caring for a pet before you adopt an animal.

If you choose to begin dating, what are you comfortable telling your dates about your widowed status?

Some people share details about this part of their lives right away while others choose to wait until they are more comfortable in their new relationship.

Safety Guidelines to Keep in Mind:

Look out for signs of romance scams or people that may take advantage of you.
Be cautious about giving out personal details too soon.
Be suspicious of any request for money in dating. Avoid sharing any financial information.
Do a Google search on the person you are considering dating.
Be aware that a date outside of your same age category is higher risk.
Meet in a public place for a first date and let a friend/family member know where you are.
Arrange a call from a friend during the 1st date—to have a graceful exit, if needed.
Limit alcohol on dates—stay in control.
Arrange for your own transportation so you can leave when you want.
Limit/avoid personal information in your dating profile, if you post online.
Remember that sexually transmitted infections can be contracted at any age.
Take it slowly. Being cautious and allowing time for a new relationship to grow will give you time to reflect on your experience and reduce the risks of dating.

Our grief care services are for anyone in the community who has experienced the loss of a loved one. Discover how our team can help you and your family by contacting us through our website or calling 855.492.0812 .

Other Resources

whatsyourgrief.com/widow-dating-am-i-ready

getgriefymagazine.com/blog/dating-and-remarrying-after-death-the-untold-truth

By Mike Brown, MSW, Lisa King, PsyD, CGD and Melinda Simpson, LCSW, APHSW-C
Bereavement Counselors | Bluegrass Care Navigators

12 Meaningful Ways to Remember A Loved One Together

Wed, 07 Jan 2026 14:00:59 GMT

Build a memory box

Use a cardboard box and decorate all the sides with markers or paint, drawing memories, messages or pictures in memory of your loved one. Place items like mementos of special times or add notes or drawings for your loved one.

Have a balloon release ceremony

Choose a special time, like your loved one’s birthday or anniversary for the ceremony. Pick a place like a park, beach, field or burial site, to release the balloons. Use helium-filled balloons and have family members write words of remembrance on them. You can talk about how loss and change are a natural part of life, play music or read verses as the balloons are released.

Plant a tree or flowers

Tending to a growing plant is a symbol of an ongoing relationship and provides many chances to grieve a loss. The life cycle can help you reflect on the memory of your loved one.

Read a children's book about grief

There are many age-specific children’s books that address grief. Books are a great way to help children open up and begin sharing feelings after a loss.

Create memory pages

Use fun scrapbooking paper and include Information about your loved one, such as their name, birthday, date of death, favorite food or activities, words to describe them, or things they enjoyed. Phrases like "I remember you when..." or ''I feel closer to you when..." can help provide inspiration.

Draw with sidewalk chalk art

Decorate your sidewalk or driveway with pictures or words honoring your loved one. Creativity is a great way to help express your feelings and emotions.

Make a bracelet

Use a variety of beads with different colors, shapes and letters. Pick out beads that represent a special memory or detail about your loved one.

Decorate a jar or bottle

Apply paint, decoupage or other materials to a jar or a bottle. You can write messages and place them inside the bottle. These messages can be something that you did not get a chance to say, something that you wish you had done or said differently, a favorite memory, or a life update. Alternatively, you may wish to place a small candle or light inside and use it at times you wish to remember your loved one.

Utilize a journal

You can use a journal to write about or draw special memories of your loved one. Add photos or mementos to make it feel special.

Make a playlist

Create a list of your loved one’s favorite songs. Listen to this when you want to think about them.

Recreate a favorite recipe

Prepare a meal or dessert that your loved one enjoyed or made frequently. While you are making it reminisce about memories associated with the food and favorites that you enjoyed together.

6 Ways to Process Grief After the Loss of a Loved One

Wed, 07 Jan 2026 14:00:26 GMT

1. Reflect and remember

Relive experiences in your thoughts. Allow the details and the emotions that come with them to be fully expressed. Explore memories as they come up. Trust that your system is bringing up these thoughts as part of your healing process. The repetition of painful memories helps flush out the strong emotions attached to them.

2. Share stories

Talking about your loss provides a great deal of release. You may need to tell the same stories over and over as part of your healing. Support groups provide a place where you have the opportunity to be heard and can continue to talk about your grief in a supportive environment.

3. Write it down

Keeping a journal is not for everyone, but it can be a powerful tool for healing. Writing about feelings and events can help you to identify emotions. Words help constructively channel these emotions and show a record of your progress.

4. Don’t be afraid to cry

Tears can relieve a lot of pressure and tension. Learn to trust your body’s need to cry or not. Individuals grieve differently. Tears are not a sign of weakness and do not mean that your emotions are out of control.

5. Make space for your loss

People commonly fall out of their routines after the loss of a loved one. Because of this, they may feel they have too much unstructured time in which to grieve. It is OK to take time to sit with a loss. Other days, you may feel the need to be as busy as possible. Make time to create quite moments to work through your feelings. Respecting your needs for healing and creating opportunities to grieve is important.

6. Take care of yourself

Do your best to nourish your body and rest. Get outside and enjoy the fresh air. Exercise can release a surprising amount of tension, anger and frustration. It is important to make self-care a priority.

Signs You Might Need Extra Support While Grieving

Wed, 07 Jan 2026 13:59:30 GMT

Everyone deals with grief, which can be painful at times. Most grieving people will experience some of the feelings outlined below. Ask yourself the following questions to help determine if you might benefit from grief services.

Has your patience level changed?

Are you always irritable?
Are you always annoyed?
Are you always intolerant?
Are you always angry?

Do you feel numbness or isolation?

Are you experiencing an ongoing sense of numbness?
Are you experiencing an ongoing sense of being isolated from yourself or from others?

Do you feel alone with your grief?

Do you usually feel that you have no one to talk to about what has happened?

Are you anxious or fearful about death?

Since your loved one died, are you highly anxious most of the time about your own death or the death of someone you love?
Are these feelings beginning to interfere with your relationships, your ability to concentrate or your ability to live as you would like to live?

Are you consumed by thoughts of your loved one or their death?

Do you feel that you are always and continually preoccupied with memories or thoughts of your loved one?
Do you feel that you are always and continually preoccupied with the death itself?
Do you feel that you are always and continually preoccupied with certain aspects of the death even after several months?

Do you feel restlessness or the need to stay busy?

Do you usually feel restless or in “high gear?”
Do you feel the need to be constantly busy beyond what is normal for you?

Do you fear intimacy or closeness with others?

Are you afraid of becoming close to new people in fear of losing them?
Do you think being close with others will cause pain?

Are your behaviors becoming harmful?

Are you drinking more than you used to?
Are you using more prescription or non-prescription drugs?
Are you engaging in sexual activity that is unsafe or unwise?
Are you driving in an unsafe or reckless manner?
Are you considering serious thoughts of suicide?

Do you feel overwhelmed with responsibility for surviving family and close friends?

Are you feeling heavily burdened or like you are taking on too much?
Are you angry or feel like the situation is suffocating?
Are you resentful because you feel as though no one is there for you?

Are you continually limiting your reactions and emotions?

Are you experiencing only a few of the reactions or emotions that usually come with grief?
Are you unable to express your thoughts or feelings about your loved one and their death through words and actions?
Are you only remembering certain aspects of your loved one or your relationship together?

Do you feel like you are going crazy?

Are you wondering if what you are experiencing is normal?
Do you feel stuck or unable to move on?

A helping hand and a listening ear can be valuable while grieving. If any of these feelings continue for a prolonged period of time, or become extremely intense, you may benefit from additional help from a grief care professional.

Why It's Important to Grieve

Wed, 07 Jan 2026 12:37:20 GMT

Because of the many complexities of grief and learning to cope with loss, National Grief Awareness Day was created in 2014 by Angie Cartwright, who had experienced the loss of many loved ones. Observed annually on August 30 ^th , the day is designed to bring awareness to the grieving process and effective means of coping with loss.

Grief is our response to a loss. This loss could be a person, a job, moving, changing schools, or the loss of our independence. Our losses vary in duration, depth, and complexity. We all grieve, and we are all surrounded by people who are grieving. Grief is the feelings that we have about our loss: sadness, anger, fear, frustration, guilt, relief, and many others. We all grieve differently; that is okay. Mourning is how we express these feelings. This may be through talking, writing, walking, the use of music or art. Each person will have to find their own way to safely and effectively express their feelings. Some things to try might include:

Practice self-care

This includes our physical, emotional, social and spiritual needs. Allow yourself time to acknowledge your feelings. Staying busy is an effective means of coping, but this avoidance can lead to complicated grief.

Reach out to friends and family who understand your feelings

They can provide support and lessen feelings of isolation.

Be patient with yourself

There is no timeline for grieving. Give yourself time to navigate the many emotions of grief.

Explore activities that allow for expression of your feelings as well as connection to your loved one

Listening can help others. Do not feel as if you must have the “right” words that will bring healing. Sitting quietly with a friend or family member can be very therapeutic. Be patient with your friend or family member, understanding that they, too, are experiencing this roller coaster of emotions as they work to reconcile their feelings of grief.

Offer practical assistance, such as preparing a meal, running errands or helping with household chores. This can help alleviate some of the pressure your grieving loved one may be experiencing. Often, a grieving friend or family member feels isolated or forgotten. Be present. A phone call, a text to say you were thinking of them or a face-to-face visit can help show you are there for them.

By Nancy Kremer, LCSW and Susan Houston, LCSW
Bereavement Counselors | Bluegrass Care Navigators

Transforming Lives with Compassion: Your Gift Provides Hope Beyond Medicine

Fri, 14 Nov 2025 17:57:17 GMT

Throughout his career, Scotty Caudill, social worker (LCSW) in our Hazard region, cared for patients with a variety of needs—some physical, and some deeply emotional. Recently, he supported a hospice patient who was under 40 and had endured a lifetime of trauma and substance abuse. Her mother was killed when she was a child, and she had a traumatic accident as a young adult. She had no family, no home, and a history of troubled relationships that left her in a domestic violence shelter.

Whenever Scotty and the team meet a younger patient who has a history of addiction or abuse, they recognize that deep, unresolved trauma often underlies their struggles. That’s why the team’s approach always begins with trauma-informed care. Our clinicians screen each patient for their personal history and story. By understanding the person behind the symptoms, our team can offer not only the best medical treatment, but also kindness, empathy and respect.

When this patient came into our hospice care, her physical symptoms were not acute, so our team focused on her emotional needs. The staff listened deeply, took her outside to feel the sun, and did her hair and nails. One day while Scotty was visiting with her, she told him something I’ll never forget: Thanks to our team, her final days became the best days of her life.

It’s your donation that makes this kind of compassionate, whole-person care possible. It empowers nurses, like Adrienne, to provide loving care to her community. Your support allows Emma, our music therapist, to create songs for our patients, a lasting gift that brings comfort to their family and will continue to be cherished as a legacy for years to come. Your generosity supports our entire team, as they meet patients where they are, hear their hopes, honor their stories, and bring comfort in their final days.

Will you support our team and the patients and families we serve again this holiday season?

BCN’s Hospice Team Helps Couple Say “I Do”

Fri, 17 Oct 2025 16:25:42 GMT

When Ted and Kathy came to Bluegrass Care Navigators, they were facing the challenges of serious illness and caregiving at home. Through the compassionate, patient-centered care of our hospice team, they found more than just medical support. Our team helped them fulfill a longtime dream. After more than two decades together, Ted and Kathy were married on June 26 in a heartwarming ceremony at our Bluegrass Hospice Care Center at UK Good Samaritan Hospital.

“It was 25 years coming because I asked her a long, long time ago,” Ted said. “She said yes, but we just never got around to tying the knot.”

After Ted was admitted to the hospital earlier in June, a physician asked if they were married. Ted and Kathy said they wanted to but didn’t know how to do the paperwork or the other details since Ted was in the hospital. The physician helped fast-track the license and, our hospice team stepped in to handle every detail – cake, flowers, hair and makeup, and even a photographer. Ted and Kathy appreciated the way the team stepped in to make their day beautiful and said that the team had almost as much fun as the newlyweds.

“Getting to be a wedding planner like this is the part of nursing that I love,” Andrea Owens, RN at the care center, said. “They don’t teach you this in nursing school, but I love the human connection in hospice care and getting to be part of people’s lives in a way that truly matters.”

Once Ted returned home, the hospice team continued to care for Kathy and Ted. Team BCN has provided all of Ted’s medical equipment, including a hospital bed and manages his IV medications, assists with baths and provides emotional support.

“They went above and beyond,” Kathy said. “We weren’t expecting the best outcome with the diagnosis we are facing, but they gave us the best outcome possible that we can have right now, and it’s because of them.”

To learn more about our services, visit bgcarenav.org .

BCN Donors Quilt Together Stories of Care, Community, and Giving Back

Thu, 09 Oct 2025 19:28:59 GMT

After receiving their mother, Delores’, cancer diagnosis in 2024, the Jones family committed to providing her with the best care at home. As the family faced the physical exhaustion, emotional heaviness and worry of caring for their mom, they realized they needed extra support. They turned to Bluegrass Care Navigators, who provided expert medical care coupled with personalized compassion.

“They made us feel like family, and they were right there for anything that we needed,” daughter Emily Jones Hudson said. “Our mom was at home with hospice for a couple of days before she moved to the Greg and Noreen Wells Bluegrass Hospice Care Center. Our whole family was able to visit, and that was such a gift.”

The nurses, staff, and volunteers created an atmosphere of comfort and safety not just for their mother, but for the whole family. When the Care Center staff learned Delores loved quilting, they gave her family a quilt from a previous donor. Moved by the care their family received, the Jones family wanted to give back and donated one of their mother's quilts, now displayed at the Care Center.

But they didn’t stop there. Emily and Sandra began a quilting workshop as part of the Southeast Kentucky African American Museum and Cultural Center that Emily had founded in 2020 to explore African American culture in Appalachia.

“I grew up watching our mom quilt, probably even more than Emily did,” Sandra said. “Mom had her own sewing and craft room, and she taught me all those little things: how to iron, sew buttons, and always had something for me to do. Making things together was just part of growing up.”

As part of the workshop, the sisters spearheaded a special project to create a quilt for a patient at the Greg and Noreen Wells Bluegrass Hospice Care Center. Workshop participants chose colorful fabrics, arranged blocks in alternating directions, and incorporated a cross into the design. The quilters used a process called tacking to tie knots that hold each piece together.

“We prayed over every knot and over the quilt as a whole,” Sandra said. “We made the quilt in such a way so that visitors can tie additional knots and say a prayer for their loved one when they do so. We hope that the quilt becomes a living symbol of comfort.”

Through the quilting workshop, Emily and Sandra brought the community together to transform hardship into hope and explore the thread of family, cultural heritage and heartfelt generosity.

“It's our desire to capture the stories behind the quilts and create something that benefits others,” Emily said. “Quilting may have originally been created as a necessity to keep the family warm, but they are works of art, and our hope is to donate at least one quilt per year.”

The African-American Museum and Cultural Center in Hazard, Ky., explores the stories, contributions and history of African-Americans in Southeast Kentucky to preserve this history for generations to come.

To learn more about the services that BCN provides, visit bgcarenav.org .

Turning Memories into Music and a Lasting Legacy

Tue, 19 Aug 2025 18:27:52 GMT

Don Henderson didn’t just share stories. He brought them to life. With a sparkle in his eye and a voice full of rhythm, he’d recount tales of singing in his beloved quartet, road trips with friends, and high school escapades that still made him chuckle. During his visits with Integrative Medicine therapist Emma Powers, every conversation unfolded like the next stanza in a life well-lived.

“I thought that his story needed to be written down, and I heard a song in the making,” Emma said.

Together, Emma and Don began to write lyrics, capturing Don’s voice, his journey, and the music that had always been a part of his life. The result was a deeply personal song that reflected the legacy Don wanted to leave behind.

During her final visit, Emma sang the completed song to Don.

“It was something he was proud of, just like I was” she said.

After Don passed, his wife Roberta played Don’s Song at his funeral, allowing friends and family to celebrate his life in a way that felt authentically him.

“I just can’t thank you all enough,” Roberta said. “I’ve always said you all are angels, and I’m happy that Don was able to spend his last days focusing on music because it made him so happy.”

Music therapy is part of the Integrative Medicine Program at Bluegrass Care Navigators and is generously supported by donors. The Hendersons are one of many families who have felt isolated and found hope because of these therapies. Thanks to the generosity of our Caring Community, Don’s story didn’t end. Instead, it became a song that continues to bring peace, joy and healing to those who loved him most.

“Thank you to anyone who has donated to the Integrative Medicine program,” Emma said. “It truly makes a difference for patients and families.”

From Houselessness to Healing: A Couple's Journey Through BCN's Comprehensive Care

Thu, 14 Aug 2025 14:27:53 GMT

Each year, Bluegrass Care Navigators provides compassionate care to thousands of seriously ill and vulnerable individuals. With philanthropic support from grantors, donors, and community partners, we connect people with the right care at the right time. One example is our Winter Weather Medical Respite Program, which supports unhoused seniors and adults with disabilities—like Janice and Herb, who had nowhere else to turn.

Janice and Herb faced serious health challenges and had lost their temporary housing, car, and savings. Unable to access emergency shelters, they faced food insecurity and isolation. Janice and Herb were referred to BCN’s Winter Weather Medical Respite program, which quickly secured a hotel stay, delivered groceries, and began to address their medical needs. The team arranged transportation and permanent housing. Less than three weeks later, the couple moved into their new apartment—just in time to welcome home their dog, who had been fostered by a local rescue.

Though the crisis ended, our care continued. We helped the couple enroll in Bluegrass PACE Care , a program for seniors 55+ that is fully covered for those with Medicare and Medicaid or Medicaid only. It offers medical and personal care, meals, social activities, and transportation to the PACE Center and medical appointments.

“We support individuals across the continuum of care,” says Jamie Cody, Director of Speciality Programs at Bluegrass Care Navigators. “We meet their initial needs and connect them to resources that honor their humanity, help them navigate healthcare, and ensure dignity throughout their lives.”

From immediate housing to long-term healthcare, we provide comprehensive, compassionate care. While hospice is our core service, we focus on empowering individuals to live with dignity, improve quality of life, and navigate health challenges with the support they deserve.

BCN Offered Hope and Shaped My Career

Wed, 13 Aug 2025 20:58:11 GMT

The first time I heard the word hospice, I was just fourteen years old. I remember sitting beside my mother in her hospital bed as our family faced one of the most difficult decisions of our lives.

My father, sister and I had been taking care of my mom for as long as I could remember, but at that moment, I realized we couldn’t do it alone anymore. Then, the hospice team arrived. They entered our world with such humility and respect, as if they had been preparing for this exact moment all their lives. They helped carry a weight that felt impossible for us to bear. They stood by us until my mother passed away when I was 15. I will never forget the sense of peace they brought during the darkest time of my life.

Two years later, at 17, I started volunteering with hospice. I was drawn to the in-patient units, places that had cared not only for my mother, but also two other family members. I felt at home there in a way that’s hard to explain. It was as though I was giving back to the same people who had given so much to me. By 19, I became a CNA at the University of Kentucky’s in-patient unit, and at 21, I accepted my first nursing position there as a new graduate. I was trained by the same people who had taken care of my mother all those years ago. It felt like I had come full circle, stepping into a role that I had always been meant to fill.

Over the last eight years, since the first time I heard the word hospice, I’ve learned so much. I’ve witnessed moments of beauty, grace, and love that I never imagined I would be a part of . I’ve watched a patient’s dog climb into bed with them and refuse to leave , even after their passing. I’ve supported a patient as they shared one last, slow dance to their wedding song with their spouse. I’ve sat on the floor in hospital hallways, holding grieving family members as they cried on my shoulder. I’ve held patients' hands and sang to them as they took their final breaths when their families couldn’t be there in time. I’ve gently pulled patients over in bed so their spouse could sleep next to them one last time.

These moments have taught me that being a hospice nurse is about so much more than just providing medical care. We are the ones invited into sacred moments, the ones who offer families and patients peace, dignity, and comfort when they need it most. Everyone must die, but I have the privilege of helping people die with grace, on their own terms, surrounded by love.

Thank you for supporting us as we support the families in our care and ease their load. I believe that hospice is much more than a job; it is an honor. We are grateful for your generosity that allows us to continue to provide this type of wholistic care.

Patients and Caregivers Recognize BCN for Top Hospice Care Nationwide

Wed, 06 Aug 2025 18:58:18 GMT

Bluegrass Care Navigators (BCN) has been named a 2025 Hospice CAHPS Honors Award recipient by MatrixCare. The Hospice Consumer Assessment of Healthcare Providers and Systems (CAHPS) exclusively recognizes high-performing hospice agencies that continuously deliver quality care as measured by patient and caregiver satisfaction surveys.

Bluegrass Care Navigators’ President and CEO Liz Fowler, credits Team BCN’s commitment to providing excellent, patient-centered care that improves the quality of life for patients, but also supports families and caregivers through grief care, respite services and more.

"Receiving the 2025 Hospice CAHPS Honors Award is a meaningful recognition for all of us at Bluegrass Care Navigators,” Fowler said. “It affirms our ongoing commitment to delivering exceptional care with compassion, exactly when it’s needed most. This award reflects our team’s dedication to going above and beyond for the patients and families we serve."

To be considered for this award, the hospice agency must have scored above the MatrixCare National Score for the Willingness to Recommend question. If that criterion is met, performance is evaluated utilizing a set of 24 additional quality indicator measures. These scores are then compared on a question-by-question basis to a national performance score calculated from survey data from all partnering hospices included in the MatrixCare Hospice CAHPS database.

Bringing Smiles and Blooms: Volunteer Delivers Joy to Hospice Patients

Mon, 30 Jun 2025 18:08:55 GMT

For Cathy Betzner-Sutton, volunteering with Bluegrass Care Navigators (BCN) is more than just a way to give back—it’s a calling. Having cared for her own parents and recently supported her aunt through cancer treatments, Cathy understands firsthand the importance of compassionate care and has always had a heart to help others.

Eight years ago, Cathy found her place at BCN by volunteering to deliver flowers and small gifts to hospice patients each month. To her, these visits with her “friends,” as she lovingly calls them, are not just deliveries but moments of joy, companionship and kindness.

“You never know if you might be the bright spot in someone’s day,” she said.

Her dedication to giving back runs deep in her family. Cathy's grandfather, Theodore Betzner, was part of a case study presented before the Senate, advocating for hospice care to be recognized and covered by Medicare. Though she didn’t realize it when she started volunteering, her work now continues his legacy of ensuring terminally ill patients receive the care and dignity they deserve.

Whether she’s delivering flowers, sewing memory pillows, or simply sitting and listening, Cathy finds immense fulfillment in her role.

“It makes my heart swell with warmth,” she said. “I feel like I get more out of it than my friends do.”

To learn more about volunteering at BCN, visit bgcarenav.org/volunteer .

Choosing Hospice Early Brought Patient and Family Peace

Wed, 14 May 2025 13:54:28 GMT

Over the course of a year, Cammie Grant watched her father, Marshall’s, health steadily decline. Although he lived in an assisted living facility and she or someone in her family visited him daily, she realized he needed more care and support than they could provide. That’s when she turned to Bluegrass Care Navigators (BCN). For five months, Team BCN walked alongside her family prioritizing expert medical care, comfort, dignity and connection.

“Team BCN was always there when I needed them, whether it was to answer questions or offer advice,” Cammie said. “It gave me peace of mind to know we had a team with us every step of the way.”

The extra support BCN provided allowed Cammie to shift from caregiver to daughter and give her father consistent, high-quality medical attention.

“Hospice made everything better for all of us, and I’m going to say that it grew, but that doesn’t mean that it started out very small,” she said. “But the support we received increased as my father’s care needs changed.”

Since Marshall was a veteran of both WWII and the Korean War, BCN connected him with Clark Kidwell, one of BCN’s veteran volunteers. Clark and Marshall visited regularly for several months, sharing stories and life experiences.

“Veterans will tell me stories they can’t or won’t tell anyone else because there’s a shared understanding,” Clark said. “But it’s the honor of spending time with veterans like Marshall that make my days so special.”

BCN is a Level 4 partner in the We Honor Veterans program, a collaboration through the National Alliance for Care at Home and the Veterans Administration. BCN has been specially trained to address the unique needs of our nation’s veterans at end-of-life. As part of the program, BCN trains veteran volunteers to perform Veteran Pinning Ceremonies.

“Dad loved the Veteran Pinning Ceremony, and we learned stories about his time in the Army Air Corps during WWII and Korea,” Cammie said. “Clark had done research about this special division of the military and the entire ceremony was so meaningful and uplifting.”

As part of the ceremony, Marshall received a certificate, a blanket and a flag pin in appreciation for their service.

As Marshall neared the end of his life, he expressed his wish to go home. Because hospice had already been in place, BCN was able to act quickly and make it happen. Although every situation is different, Marshall was able to spend his final 30 hours surrounded by family in the comfort of his home.

“It was clear that the BCN team wasn’t just doing their job,” Cammie said. “They were genuinely invested in my father’s comfort and our well-being, and I’m thankful for the expertise that BCN gave me. With their help, I could give my father what he needed at the end of his life so that I could feel at peace letting him go.”

Established in 1978, Bluegrass Care Navigators provides hospice care in 32 counties across northern, central and eastern Kentucky. As a mission-driven, nonprofit agency, BCN supports those facing serious illness or chronic disease with both long and short-term hospice care, palliative care, transitional care, PACE (Program for All-Inclusive Care for the Elderly), and grief counseling services. For more information on services available by county, visit bgcarenav.org or call 855.492.0812.

Pikeville CNA Provides Care to Patients No Matter the Weather

Mon, 12 May 2025 20:05:09 GMT

Patty May’s dedication to her patients has never wavered even in this past winter’s snow, ice and cold. For three weeks in January, Patty, a Certified Nursing Assistant (CNA) in our Pikeville region, repeatedly walked two miles each day to reach her car that she parked at the mouth of her holler so she wouldn’t get snowed in and could continue to provide necessary care to her patients.

“My patients are my friends, and I think of them like my family,” she said. “To me when I decided to be a CNA, that was me taking responsibility for the people I’m going to take care of. You don’t leave your family when they need help. You go until the end and do whatever it takes to make sure they’re cared for.”

Patty decided to become a CNA after witnessing the kindness and compassion the clinicians showed her mother during a hospital stay almost 20 years ago. After her mother passed, Patty knew she wanted to give to others in the same way, and that calling led her to become a CNA. Since then, she has worked in a variety of roles for several nursing homes and clinics before finding her home at Bluegrass Care Navigators.

“The best part is that I have a little bit more time that I can spend with my patients,” she said. “I see eight to ten patients per day to provide help with baths, dressing and other daily living activities, but I feel like I’m getting paid to visit and help people. That’s what I want to do.”

Patty’s story epitomizes the heart, dedication and values of all our Bluegrass Care Navigators’ team members. Her unwavering commitment, fueled by a lifetime of love and service, helps our patients feel supported and know that they matter.

As a donor, we know you are equally committed to our mission. Your generosity will help team members like Patty provide compassionate care to those who need it most no matter the obstacles or circumstances. Thank you for being a dedicated part of our team!

Bluegrass Care Navigators Provides Comfort and Peace Beyond the Final Days

Fri, 09 May 2025 20:14:45 GMT

When Robin Moss and her family welcomed her in-laws into their home, they knew it would be a journey of love, patience, and challenges. But when her father-in-law Teddy’s health declined due to a cancer diagnosis, Robin quickly realized they needed extra support and turned to Bluegrass Care Navigators (BCN).

"People often assume that calling hospice means death is imminent, which leads many to wait too long,” Robin said. “The reality is that hospice provides valuable comfort and support for both the patient and their loved ones throughout the process. It's important to call sooner to benefit from the care and peace it offers."

From the moment hospice stepped in, Robin felt relief. The team expertly managed Teddy’s symptoms and effectively controlled his pain, allowing him to achieve his goal of a good quality of life at home. The team also supported her as a caregiver, providing resources and education to help her feel competent and supported.

“Teddy’s pain became too much, and I didn’t know what to do,” she recalled. “I called, and a nurse came right away—she showed me a better way to manage his medication, and from that point on, he was comfortable.”

The team anticipated their needs, often before Robin even had to ask. Whether it was equipment like a Hoyer lift delivered within hours or a compassionate voice on the phone in the middle of the night, she knew she wasn’t alone.

“They never made me feel bad for not knowing things and educated and encouraged me,” Robin said. “They walked me through everything—how to manage medications and his anxiety. They weren’t just there for Teddy. They were there for me, too.”

When Teddy passed in October, the hospice team continued their support, ensuring a smooth transition for the family, walking with her through the grieving process and offering practical support with the necessary paperwork to close his estate.

“People don’t realize hospice isn’t just for the final days,” Robin shared. “It brings comfort, dignity, and peace—both for your loved one and for you.”

Established in 1978, BCN provides hospice care in 32 counties across northern, central and eastern Kentucky. As a mission-driven, nonprofit agency, BCN supports those facing serious illness or chronic disease with both long and short-term hospice care, palliative care, transitional care, PACE (Program for All-Inclusive Care for the Elderly), integrative medicine and grief counseling services. For more information on services available by county, visit bgcarenav.org or call 855.492.0812.

Bluegrass Care Navigators Inpatient Hospice Unit at UK HealthCare Relocates to Good Samaritan Hospital

Wed, 30 Apr 2025 20:18:51 GMT

Bluegrass Care Navigators, in partnership with UK HealthCare, is relocating its inpatient hospice unit to a new home within UK HealthCare’s Good Samaritan Hospital. The move to the new location — scheduled for April 30 — reflects a continued commitment to providing high-quality, compassionate end-of-life care in a space that is more accessible and comfortable for patients and their loved ones.

The inpatient hospice unit, which originally opened in 2018 in the Ben F. Roach Building at the UK Markey Cancer Center, will transition to a refreshed and newly designed space at Good Samaritan. The new location will offer an increase in capacity from 10 to 11 private rooms, each designed to provide the comforts of home alongside expert symptom management.

Last week, the unit’s new space opened with a ribbon cutting and reception. The relocation brings a number of benefits for patients, families, and care teams. Family members and other visitors will now enjoy easier parking access and closer proximity to restaurants and other amenities in the downtown Lexington area. Inside the hospital, the unit is just steps away from services like the cafeteria and chapel — resources that were previously a longer walk for visitors navigating the main medical campus.

“We are honored to welcome the inpatient hospice unit to Good Samaritan Hospital and proud to support this meaningful partnership with Bluegrass Care Navigators,” said Angie Lang, chief administrative officer for Good Samaritan Hospital. “This transition reflects our shared commitment to providing compassionate, patient-centered care in a setting that offers greater comfort and convenience for families during a deeply personal time.”

The move strengthens a long-standing collaboration between UK HealthCare and Bluegrass Care Navigators, a partnership that brings expert hospice care to patients dealing with advanced illnesses including cancer, cardiac and pulmonary disease, renal and liver conditions, and neurological disorders.

“Bluegrass Care Navigators and UK HealthCare have long shared a commitment to ensuring that patients and families receive expert medical, emotional, and spiritual support during life’s final stages. The relocation of our inpatient hospice unit continues that mission — providing compassionate care that upholds dignity, comfort and meaningful connection,” said Liz Fowler, Bluegrass Care Navigators president and CEO.

Bluegrass Care Navigators is a nationally respected nonprofit organization that provides expert, compassionate care for those navigating serious illness and end-of-life transitions. Formerly known as Hospice of the Bluegrass, the organization has served Kentucky families for more than 40 years through a range of services including hospice care, palliative care, grief support and caregiver resources.

Learn more about the inpatient hospice unit or end-of-life care services at www.bgcarenav.org.

UK HealthCare is the hospitals and clinics of the University of Kentucky. But it is so much more. It is more than 10,000 dedicated health care professionals committed to providing advanced subspecialty care for the most critically injured and ill patients from the Commonwealth and beyond. It also is the home of the state’s only National Cancer Institute (NCI)-designated Comprehensive Cancer Center, a Level IV Neonatal Intensive Care Unit that cares for the tiniest and sickest newborns, the region’s only Level 1 trauma center and Kentucky’s top hospital ranked by U.S. News & World Report.

Bluegrass Care Navigators Helps Dementia Patient Improve Quality of Life

Fri, 04 Apr 2025 16:20:10 GMT

Randy Conn is not your average patient. After suffering a migraine induced stroke at age 32 that left him legally blind, Randy learned to live with pain by focusing on what he could do rather than his limitations. He became an excellent wood worker, making beautiful pieces, like Adirondack chairs, tables and blanket chests for family and friends. After his diagnosis with Lewy Body Dementia (LBD), a condition causing severe cognitive decline, behavioral changes, mood and sleep disorders, and ultimately death, Randy resolved to live with dignity and preserve his quality of life.

This decision led him and his wife, Karen, to seek the expert support of Bluegrass Care Navigators (BCN) for palliative, hospice and grief care as the disease progressed and Randy’s cognitive abilities declined.

"The team at BCN has been phenomenal,” Randy said. “They’ve helped me manage my pain, given me tools to cope with the cognitive decline, and supported Karen with respite care. It makes me feel better that my family is getting the care they need, too.”

The Conns began using palliative care to help manage Randy’s chronic pain, as well as nausea and vomiting. After several months, Randy transitioned to hospice care due to increased cognitive decline, non-responsiveness and feeding tube management.

“After entering hospice care, I felt like a weight had been lifted off my shoulders because I didn’t have to do anything I didn’t want to, like go to appointments or do other treatments,” Randy said. “Our sole focus was my quality of life.”

Thanks to the expert team of clinicians, Randy’s health stabilized, making him one of the rare patients to transition from hospice care back to palliative care so the team could continue managing his symptoms. BCN not only continues to support Randy but also helps Karen and their children with caregiver education, respite support and grief services to address the full spectrum of physical, emotional and spiritual needs.

"They’ve been so supportive, not just with pain management, but also in giving me the space to talk about what I’m going through," Randy said. “The care team has made sure that I can live on my terms and has given me comfort in my final stages without unnecessary interventions.”

As Randy and Karen reflect on their experiences, they emphasize the importance of early care and the value of having a team that listens and adapts to their needs. As part of BCN’s grief care services, the Conns meet with a grief counselor once a month, or more if needed, for family or individual sessions.

"Hospice doesn’t just support the patient; they support the whole family," Karen noted. "BCN helped us process our grief, manage our fears, and make the most of the time we have left."

Through their partnership with Bluegrass Care Navigators, Randy and Karen have found a path to navigate the complexities of Lewy Body Dementia with grace, love, and support.

Established in 1978, BCN provides hospice care in 32 counties across northern, central and eastern Kentucky. As a mission-driven, nonprofit agency, BCN supports those facing serious illness or chronic disease with both long and short-term hospice care, palliative care, transitional care, home health, PACE (Program for All-Inclusive Care for the Elderly), integrative medicine and grief counseling services. For more information on services available by county, visit bgcarenav.org or call 855.492.0812.

BCN Volunteer and Patient Inspires Others by Giving Back

Wed, 05 Mar 2025 14:16:54 GMT

Volunteering isn’t just something I do; it’s who I am. My name is Rich Haley, and for me, service is a way of life. I’ve spent years helping others. Even now, as a current hospice patient at Bluegrass Care Navigators (BCN), I continue to find my purpose by volunteering as an 11 ^th hour volunteer, offering companionship to patients in their final moments when no family is nearby.

Volunteer work has provided me with an opportunity to give back some of the blessings I have received throughout my life. And accepting help as a patient in need myself has shown me a new dimension of gratitude for BCN that I would otherwise not have experienced.

In the summer of 2023, I was diagnosed with a rare, aggressive cancer. Before becoming a hospice patient, I knew about the care our hospice teams provided. Now I know the depth of their support firsthand. BCN is not just about the individual, but about the family. They are also supporting my wife with grief counseling and will continue to support her after my passing.

As a donor, you make this care possible! Just like volunteering makes me who I am, I know that donating to BCN isn't just something that YOU do - it's intrinsic to who you are. Together, we are creating something greater than any of us could achieve alone.

At Bluegrass Care Navigators, we believe we are Better Together. Patients and volunteers like Rich inspire us, and your support allows us to continue providing compassionate care to thousands of people like him each year. Together, we can make a difficult journey better for those we serve!

Bluegrass Care Navigators Announces 2025 Board of Directors

Thu, 27 Feb 2025 14:57:49 GMT

Bluegrass Care Navigators is pleased to announce its board leadership and welcome new members for 2025.

The nonprofit’s slate of officers for 2025 includes: Mark Day of HDR Inc., Chair; Jennifer Madden, retired attorney, Vice Chair; Bo Cofield of Northern Arizona Healthcare, Treasurer; and Jennifer Taylor, Senior Managing Consultant, FORVIS, Secretary.

BCN also welcomed four new members to its governing board for 2025. Bill Wilson, Rachael Chamberlain, Shirie Hawkins and Robert Edwards began their three-year appointments this month.

“These distinguished professionals join a team of individuals dedicated to enhancing our commitment to providing exceptional, end-of-life care,” Liz Fowler, President & CEO, said. “Driven by their passion for service and unique expertise, this group brings invaluable perspectives that will lead us into the future and enable us to continue to provide innovative, compassionate care to all Kentuckians.”

Rachael Chamberlain, partner at Frost Brown Todd, practices in the area of tax law with an emphasis on state, local and nonprofit taxation. She has assisted numerous nonprofits with the formation of new entities, providing guidance on various issues, such as internal governance, ongoing reporting, excise taxes and exemptions. She also currently serves as the Chair of the Taxation Section of the Kentucky Bar Association.

Rob Edwards serves as vice president and chief strategy and growth officer for UK HealthCare. Previously, he served in various positions appointed by Kentucky’s Governor in the Cabinet for Health and Family Services, including chief of staff, budget director and legislative director.

Shirie Hawkins, president of Everything Equity is part of the management team at Community Ventures that assists small businesses that were unable to access funding through conventional banks to achieve their goals. In this role, she seeks to improve the quality of life for Kentuckians. Whether her clients need access to education or financial resources, Shirie empowers these individuals to succeed, improve their quality of life and grow their economic impact. Prior to serving in this role, she served as a commercial lender at Community Trust Bank.

Bill Wilson, retired vice president for development and major gifts at Kentucky State University, enjoyed a diverse career in many sectors, including as a history teacher, public television executive, and executive director of the Thomas Hunt Morgan Institute of Genetics, where he focused on genetic counseling and educational programs on sickle cell disease. After a stint with Cambridge Publishing Company in New York and Esquire Magazine, he returned to Kentucky and KET to become the deputy executive director of education outreach. This led to a KET-produced distance learning program for 3,000 students from all over the U.S. and was the first program of this kind to exist. He retired from Kentucky State University as the associate vice president for development and major gifts.

2025 Board Members include:  

Mark Day, HDR, Inc., Senior Aviation Consultant / Office Principal, Chair

Jennifer Madden, Retired Attorney, Vice Chair
Bo Cofield, Northern Arizona Healthcare, Treasurer 

Jennifer Taylor, Senior Managing Consultant, FORVIS, Secretary
Liz Fowler, President & CEO, Bluegrass Care Navigators  
John Austin, Whitaker Bank, SVP Sr Commercial Lender

Lena Bakun, Owner, Fugate Family Chiropractic

Rachael Chamberlain, Partner at Frost Brown Todd
Johnathon T. Davis, Managing Principal, JT Davis Asset Management

Robert Edwards, Chief of External Affairs and AVP, Health System Administration, University of Kentucky

Shirie Hawkins, President, Everything Equity   

Amanda Henson, University of Pittsburgh Medical Center, VP Operations for Hillman Cancer Center and US affiliates

Richard Hopgood, R etired Attorney
Jeff Koonce, Market President, Community Trust Bank
Mark Meade, Former Senior Vice President for Shared Services, NV5 Geospatial
Ron Ring, President, Ring Financials

Giovanni Romero, Good Shephard Painting, Owner
Robert Rosenstein, RD Property Group
Joan Tyra, Chief People Officer, PepperPointe Partnerships
Lawrence W. Wetherby, III, Senior Business Banker and Senior Vice President for Commercial Lending, Republic Bank  

Bill Wilson, Retired Vice President for Development and Major Gifts, Kentucky State University

Bluegrass Care Navigators provides hospice care in 32 counties across Kentucky, as well as specialized care for aging Kentuckians including palliative, PACE, home health, integrative medicine, transitional and grief care. For more information about our services or volunteer programs, visit  www.bgcarenav.org or call 855.492.0812. 

BCN Expands Community Grief Care and Integrative Medicine with Grant

Wed, 12 Feb 2025 14:00:44 GMT

Saint Joseph Hospital and Saint Joseph East have awarded Bluegrass Care Navigators (BCN) $50,000 to support grief services and integrative medicine programs. This funding will help BCN provide essential care to more than 1,000 diverse individuals across Lexington, Frankfort, and Cynthiana and address significant health challenges in 2025.

Our Community Grief Services include individual and group counseling, Camp Hope for children and adults, and crisis response. With this grant, we anticipate being able to serve more than 800 individuals through community grief counseling.

Our Integrative Medicine offerings—music, art, massage therapy, and mindfulness—expand to be able to support approximately 300 patients with 800 visits, enhancing physical and mental health. By integrating evidence-based practices, BCN anticipates improvements in patient outcomes such as reduced anxiety and enhanced emotional expression.

"We are deeply grateful for this funding that will help ensure that our patients and their families in Central Kentucky continue to receive holistic, patient-centered care through integrative medicine therapies, such as art, music and massage therapy, and that anyone in need can continue to access our community-based grief care services. Together, we are creating a meaningful impact in the community and improving the mental health and well-being of those we serve,” said Liz Fowler, president and CEO of BCN.

BCN was one of eight local nonprofit organizations selected to receive grant funding to improve well-being and health equity within the Lexington area.

“At CHI Saint Joseph Health, we are committed to a healthier future for all and addressing the unique needs of our neighbors,” said Matt Grimshaw, MBA, market president, CHI Saint Joseph Health. “Our mission calls out a special focus on serving the vulnerable, and the work of these eight incredible nonprofit organizations in Lexington is essential in advancing well-being and health equity across the area. Together, we can make a meaningful impact and create a brighter, healthier future for all.”

This opportunity was part of the CommonSpirit Health Community Health Improvement Grants program. CHI Saint Joseph Health, Saint Joseph East and Saint Joseph Hospital are part of CommonSpirit Health, which was created in 2019 when Catholic Health Initiatives and Dignity Health came together to create a national health system.

BCN Volunteer Honors Chaplains with Handcrafted Stoles

Wed, 05 Feb 2025 20:28:01 GMT

For almost 20 years, Paige Prewitt has embodied the spirit of selfless giving as a volunteer with Bluegrass Care Navigators. From therapy dog visits with Lilly to sewing masks during the pandemic, Paige has consistently found ways to meet others’ needs and give back to her community. Recently, she volunteered her time to handcraft 28 stoles to honor and celebrate our chaplains at Bluegrass Care Navigators.

“This project was a unique opportunity to combine creativity with making a meaningful impact,” Paige shared. “Often, I never know how my sewing projects resonate with others, but this time was especially rewarding. I got to see firsthand how it uplifted our chaplains, who tirelessly support our patients and their families.”

As part of the annual chaplain education day, Chaplain Team Lead John Culbertson built in additional time for spiritual renewal and connection. Recognizing the physical, emotional and spiritual challenges that embody the work his team does daily, he wanted to offer the chaplains a meaningful gift that was practical and symbolized the sacred role they hold for their patients and community. That’s when Paige stepped in.

Paige spent about 100 hours sewing and donated the materials to handcraft these stoles in BCN colors. At the retreat, each chaplain received an affirmation and blessing as the stole was placed on their shoulders by a colleague.

"Receiving this stole is deeply meaningful," said Chaplain Dawn Montgomery. "To each of us, it’s more than just fabric—it’s a tangible validation of the sacred work we are called to do. It reminds us that we are seen and supported, and it carries a sense of love and care that we can pass along to the patients and families we serve."

For Paige, this project was another way to say “yes” to helping others, inspired by her own experiences with hospice and a lifetime of service.

“I want people to be as comfortable as they can be and to feel like they’re part of something bigger,” she shared.

The stoles now serve as both a blessing and a reminder of the enduring impact of one volunteer’s extraordinary gift. Paige’s work exemplifies the power of compassion and creativity in lifting spirits and strengthening community.

“When chaplains wear these stoles, I hope they’re reminded they’re exactly where they need to be,” John said. “It’s a symbol of their ministry and of the gratitude we have for them.”

From Caregiver to Volunteer: Ron’s Mission of Compassion in Action

Wed, 05 Feb 2025 20:14:36 GMT

Ron Reaguer has devoted his life to helping others, but in 2016, the tables turned when his wife, Joyce, suffered the first of three falls that left him needing help to care for her.

For four years, Ron was her full-time caregiver, navigating the challenges of hospitals, nursing homes, and rehabilitation centers. By 2019, as Joyce’s condition worsened, hospice care became essential. Bluegrass Care Navigators (BCN) stepped in, providing medical equipment, emotional support, and a level of care that deeply touched Ron. At nearly 90 years old, Ron, an Eagle Scout, Army medic, and former insurance executive, carries forward his service-minded outlook by volunteering at BCN.

“The team at BCN was as supportive of me as they were of Joyce,” he said. “Not only did they get me through the process of the last months of Joyce’s life, but they counseled me and supported me.”

With their help, Ron ensured Joyce felt loved until her peaceful passing in 2020.

Even during this difficult season, Ron was grateful for the care his family received and knew he wanted to volunteer with BCN in the future. Shortly after Joyce passed, he suffered a stroke but worked hard on his recovery to be able to help others.

“I volunteer because of her and because of the care we received,” he said. “Their compassion made them my first choice as a place to give back."

For more than two years, he has dedicated more than 400 hours to making weekly care and bereavement calls. During these calls, he asks current patients and families what supplies they need to get them through the weekend, provides companionship and directs individuals to other services BCN offers, such as grief care.

Recently, he comforted a grieving family member who started crying when he asked how she was doing after her loved one’s passing. He listened and was able to guide her to BCN’s complimentary grief counseling services.

"The feeling of helping people is truly self-fulfilling,” he said. “It’s a two-way street—I often find that I receive just as much as I give, but helping others isn’t about doing it for yourself; it’s about making a difference. It reminds me that I’m part of something good."

Ron’s generosity extends beyond his time, as he also donates financially to Bluegrass Care Navigators as well.

“I have a leaf on one of the memorial trees in the garden in Lexington,” he said. “I visit it every once in a while, and think about Joyce, the care she received and the good her legacy left in the world.”

Bluegrass Care Navigators is dedicated to delivering expert care with compassion, ensuring each person receives the care they would want for their own family. Our mission thrives through the combined efforts of generous donors and selfless volunteers. By giving financially or volunteering your time, you can help us provide vital services to our community and ensure that no one passes alone.

Bluegrass Care Navigators Honors Dr. Martin Luther King Jr.'s Legacy through Health Equity

Fri, 10 Jan 2025 21:52:21 GMT

Health equity at Bluegrass Care Navigators (BCN) is more than just a concept—it’s our commitment to ensuring that all individuals, regardless of their background, have the opportunity to achieve their best possible health. This commitment means actively addressing systemic barriers such as discrimination, unequal resource distribution, and limited access to quality care. By embracing tailored approaches that address each person’s unique needs, BCN strives to create fair opportunities and equitable outcomes for all.

Dr. King spoke out against the disparities in healthcare access as early as the 1950s, emphasizing that quality care should be a fundamental right, not a privilege determined by race or economic status. His powerful words at the March 1955 Convention for the Medical Committee for Human Rights challenged the nation to confront systemic health disparities and ensure all communities receive fair and dignified treatment. His leadership and vision laid the foundation for many modern health equity movements that continue today.

As a healthcare organization, it is important that we honor Dr. King's legacy by continuing to address barriers to care within our own communities. Embracing health equity requires us to examine our policies, practices, and attitudes to identify and address areas where disparities may exist. Every member of our team has a role to play in this work, whether through direct patient care, community engagement, or how we support one another as colleagues.

“Dr. King's advocacy extended far beyond civil rights and voting equality—he was a passionate advocate for equitable healthcare access, believing that injustice in health was among the most shocking forms of inequality in America,” Daryl Love, Health Equity and Engagement Officer, said. “By prioritizing health equity, we not only stay true to BCN’s mission, but also contribute to stronger, healthier communities where everyone has access to healthcare services. Together, we can make a lasting impact.”

Serving Kentuckians for more than 40 years, BCN provides hospice care in 32 counties across central, eastern and northern Kentucky.  In addition, the agency supports those facing serious illness or chronic disease with private duty nursing, home primary care, transitional care, adult day health care, adult and pediatric palliative care services and through specialized programs such as integrative medicine, dementia care and telemedicine. 

High School Senior is a Hero for Hope for Hospice Patients

Thu, 12 Dec 2024 21:43:24 GMT

Shelby Valley High School senior Mahala Honaker discovered the hope found in hospice care through her involvement with Family, Career, and Community Leaders of America (FCCLA). After attending a presentation at her high school with the Pikeville Volunteer and Community Liaison, Mahala and her peers recognized an opportunity to raise awareness about the importance of hospice services in their community and felt a strong calling to care for those in need.

“When people hear about hospice, they often think of death,” Mahala said. “But there’s so much more—comfort, peace, and support for families.”

As part of her FCCLA chapter’s community service project, titled Heroes for Hope , Mahala surveyed the community to find out what item would bring the most comfort. The overwhelming response was blankets. Mahala led her group in creating more than 50 fleece, tie blankets for BCN hospice patients. One particularly touching moment came when a blanket was given as a 99th birthday gift. The recipient couldn’t believe such a thoughtful item came from local high school students.

The project resonated even more deeply with Mahala after her own grandmother entered hospice care during the FCCLA competition season. She realized firsthand how meaningful hospice services are and how the care that the hospice team provides eases not only a patient’s suffering but also the emotional burden on families.

“It means a lot not just for me but for the people in my community,” she said. “I hope this project helps them get the love and comfort and support they need.”

After earning silver at Nationals in 2024, Mahala hopes to continue advocating for hospice care and wants FCCLA chapters across the state to join in supporting this vital cause. By combining her passion for community service with hospice care, Mahala is making a lasting difference for patients and families.

Hospice Care at Bluegrass Care Navigators Highlighted on Lexington’s WKYT-TV

Tue, 10 Dec 2024 15:02:25 GMT

When it comes to care that truly matters, November's National Hospice and Palliative Care Month shines a light on the difference Bluegrass Care Navigators (BCN) makes every day. In an exclusive interview with WKYT, Liz Fowler, President and CEO of BCN, shares how this organization, founded over 45 years ago by compassionate volunteers, continues to honor its roots while embracing innovative ways to provide comfort and dignity. Watch the video below to discover why their mission matters and how it could touch your life or the lives of those you love.

In the interview, Liz highlights the difference between hospice and palliative care and the benefits that each can provide a patient and family. Hospice care is for patients who have chosen to focus on quality of life rather than curative treatment and provides a team of nurses, social workers, aides, and chaplains to support hospice patients and families wherever they call home. Family members are educated on the best way to care for family members and have access to 24/7 support from their clinical team, including virtual doctor visits and advanced in-home treatments to enhance the care experience.

Palliative care focuses on pain and symptom management at any stage of illness, whether dealing with a new diagnosis or the side effects of treatment. Our palliative care team works with your doctors to understand what’s most important to you and develops a plan to help manage your most troublesome symptoms. Our goal is to reduce emergency room visits, hospital admissions and improve your longevity and quality of life.

Bluegrass Grief Care Helps Child Find a Brighter Outlook

Thu, 05 Dec 2024 17:00:14 GMT

Alice, a young bereavement client, experienced profound loss at a very early age. Alice herself had been diagnosed with leukemia at just 2 1/2 years old and underwent more than two years of treatment before her cancer went into remission. Then, at the age of 10, Alice’s mother passed away under the compassionate care of Bluegrass Hospice Care after her own prolonged battle with cancer.

In the aftermath of her mother's death, Alice’s father sought grief counseling support for both him and Alice. During Alice's first session, she was tearful and withdrawn, struggling to cope with the overwhelming emotions. By the second session, there was a glimmer of change. Alice brought a family photo, including her mom and their dog. Together, the counselor and Alice decorated a photo frame. During the activity, she excitedly shared the memories encapsulated in the photo, and by the end of the session, she was eager to show her creation to her dad and siblings.

Alice continued to progress each session. She began sharing her feelings more openly, reflecting on cherished stories with her mom, and learning to distinguish between healthy and unhealthy coping mechanisms. Through relaxation and breathing exercises, journaling, art, and memory-making activities, Alice found new ways to navigate her grief. She created a memory bracelet and a memory box, filled with items that remind her of her mom, treasures she will hold dear for years to come.

After six months of dedicated grief counseling with BCN, Alice transformed remarkably. She evolved from a withdrawn, quiet child to one who eagerly attended her sessions, filled with smiles, laughter, and a willingness to share both past and present memories. Talking about her mom became easier, and Alice's resilience and strength shone through. Bluegrass Grief Care guided Alice through this season and is helping her emerge with a lighter heart and a brighter outlook on life.

Learn more about our grief care services at bgcarenav.org/grief-care .

11th Hour Volunteer Provides Vital Support for Patients and Caregivers

Tue, 26 Nov 2024 18:26:31 GMT

Vicky Schriml volunteers at the 11 ^th hour because she believes that no patient should pass alone. In this role, Vicky offers comforting companionship to patients in our Lexington region who are in their final moments, providing additional support to the patient and family.

One evening, Vicky received a call to sit with the husband of a Bluegrass Care Navigators’ patient who couldn’t bear to be alone as his wife passed. The moment gave her pause, as she had been calling this family for weeks during her Thursday care calls to make sure the couple had the supplies they needed for the weekend.

When Vicky arrived, the man recognized her voice immediately and said, “I know you.” It was a powerful experience for Vicky, as it highlighted what she loves most about her role as an 11th-hour volunteer—the opportunity to care for both the patient and their caregiver.

“This moment made me realize how deeply connected all of our efforts are,” she said. “Everything we do is important, whether it be volunteering at the 11 ^th hour, making care calls, writing anniversary notes or working administratively, everything works together to provide extra support for our families.”

Bluegrass Care Navigators is committed to providing expert care with compassion. Our team of clinicians and volunteers work together to ensure that each person receives the care they would want for their own family members. Your generosity today will help us continue to serve friends and neighbors in our communities and ensure that no one passes alone.

11th Hour Volunteer Brings Comfort and Peace to Patients in Their Final Moments

Tue, 26 Nov 2024 18:19:38 GMT

Jill Conway serves as an 11 ^th hour volunteer to give back to her community. In this role, Jill offers comforting companionship to patients in their final moments, especially those without family nearby.

In her first 11 ^th hour experience, she sat with a patient at the Eastern Kentucky Veterans Center in Hazard. When she arrived, the patient was unresponsive, but comfortable. As Jill spoke softly, expressing her gratitude for his service, she noticed that his hand moved toward her voice. Without hesitation, she asked if she could hold his hand. As he relaxed his hand into hers, a palpable sense of peace filled the room.

“It was such a touching moment for me, and it was one of the great honors of my life to sit with that man,” she said.

Jill sat with the patient until his family arrived. With tears in his eyes, the son thanked her for sitting with his dad. Both the son and his wife shared the peace they felt while driving, knowing that their loved one wasn’t alone.

“I hope others will consider volunteering their time or their resources to support the work we are doing to help make such an important difference for future patients of Bluegrass Care Navigators,” Jill said.

11th Hour Volunteer Provides Comfort During Life’s Final Moments

Tue, 26 Nov 2024 18:14:34 GMT

Connie Miller began volunteering with Bluegrass Care Navigators in the Frankfort region just over a year ago while completing her certification as an end-of-life doula. Initially seeking volunteer hours, Connie quickly realized that this work was her calling and decided to continue volunteering long-term.

“I see dying as being born into spirit,” she reflects, “and I want to help people not be afraid.”

Connie’s role as an 11th-hour volunteer is to provide a compassionate presence for patients in their final moments, offering support when family cannot be by their side. Recently, Connie sat with a patient in her final hours, talking with the woman and playing soothing music. Using gentle touch, she reminded the woman that she wasn’t alone and that she was going to be okay as she transitioned.

For Connie, volunteering is about honoring her mother’s memory and giving back to her community.

“Being able to do this for other people makes me feel that I’m repaying the good things that have been given to me,” she said.

11th Hour Volunteer Offers Patient the Gift of Comfort and Advocacy

Tue, 26 Nov 2024 18:07:37 GMT

After serving as a chaplain in the Cynthiana region at Bluegrass Care Navigators for 13 years, Rick Snyder chose to become an 11 ^th hour volunteer in retirement. In this role, Rick gives back to his community by offering comfort to patients in their final moments, especially those without family nearby.

For Rick, the greatest gift of volunteering is the privilege of being invited into someone’s life during such a critical time to provide comfort, dignity, and a reminder that each person is known and loved. Recently, Rick provided the gift of presence and advocacy to a patient in their final moments.

When Rick entered the hospital room, the patient was slumped in bed, moaning, and looked uncomfortable. When the hospital staff came to do vitals and personal care, Rick asked if the patient could be repositioned more comfortably. Afterwards, the patient seemed more relaxed and at peace.

In this situation, Rick knew the patient’s denominational background, so he was able to incorporate appropriate prayers and scripture readings from the patient’s tradition, along with gentle touch.

“At the end of my vigil with the patient, they were resting very peacefully,” he said. “It was very satisfying to see how the whole team had worked together to bring peace and comfort.”

11th Hour Volunteer Provides the Gift of Family

Fri, 22 Nov 2024 14:25:59 GMT

After Julie’s parents passed when she was a teenager, she grieved for years. Twenty years ago, she saw a newspaper ad asking for volunteers at Bluegrass Care Navigators and felt compelled to help others in ways she hadn’t been able to provide for her own parents. Now, as an 11 ^th hour volunteer in our Northern Kentucky region, Julie provides a comforting presence to patients in their final moments without family nearby.

It's a calling,” she said. “It’s such a sacred gift that the Divine has entrusted me with being present with people who are on the threshold, and I can’t say no to that.”

One of her most memorable 11th-hour experiences was with a Catholic gentleman. After she had introduced herself, Julie sat by his side, offering words of comfort and singing "You Are My Sunshine." Since she knew the patient’s religious preferences, she was able to offer appropriate prayers and a comforting touch. As his breathing grew irregular, she gently reassured him, reminding him that he was loved and safe in God's embrace. Within minutes, he passed away peacefully.

Although Julie volunteered to provide compassion to others, through her sacrificial service, she found healing, both for herself and the patients and families she supports.

“Volunteering is the best thing I’ve done because I feel like I’ve honored my parents by being with other people’s parents at their time of need,” she said.

11th Hour Volunteer Provides Calming Presence

Fri, 22 Nov 2024 14:17:47 GMT

For Milly Burkhart, being an 11th Hour Volunteer is a sacred and holy honor. In this role, she provides the comfort of presence to Eastern Kentucky patients in their final moments who don’t have family nearby. Milly, and her fellow 11 ^th hour volunteers, answer the call, no matter the time of day or night to sit with patients when it’s needed most.

"Each one of our patients, they are my friends, and they are my neighbors, and I think we ought to take care of each other,” Milly said.

Milly recently sat with a patient suffering from terminal restlessness who was very agitated. Although the staff at the nursing home had done everything they could, the patient remained agitated. Since the patient’s family couldn’t be present around the clock, Milly sat with him to provide a comforting presence. As Milly rubbed his back and sang some well-known songs, the patient calmed and seemed more at peace.

“I felt good knowing that I had helped this gentleman through a very difficult time,” she said.

11th Hour Volunteer Connects with Patients and Families to Provide Comfort

Fri, 22 Nov 2024 14:13:35 GMT

Jenny Brown, a dedicated 11th-hour volunteer at Bluegrass Care Navigators in our Northern Kentucky region, has spent 13 years volunteering with BCN in a variety of ways, but her favorite is 11 ^th hour. In this role, Jenny offers comforting companionship to patients in their final moments, providing additional support to the patient and family.

One of Jenny’s most profound experiences was during an early morning 11th-hour visit with a couple who had been together for 58 years. While the patient’s partner rested in the other room, Jenny sat quietly by the patient’s bedside, offering prayers and a gentle, comforting touch. As the first light of dawn broke, the partner returned, and Jenny softly encouraged him to speak to his loved one. With tender affection, he stroked his partner’s face and whispered, “I love you.” In those sacred moments, Jenny not only brought comfort to the dying man but also connected deeply with his partner, listening to stories of their beautiful life together.

“Life and death are hard,” she said. “Whatever impact I can make on a family or individual to ease their journey during their lifetime, I want to do it.”

For Jenny, these moments are a blessing, a way to use her own journey for good, and a testament to the power of love and companionship at the end of life.

Volunteers Provide Compassion to Patients at the 11th Hour

Thu, 14 Nov 2024 14:30:06 GMT

Our team goes above and beyond to provide expert, compassionate care at just the right time to our patients and families. But we provide more than compassionate healthcare. At Bluegrass Care Navigators, we believe that no one should pass alone.

Our 11th Hour Volunteer Program epitomizes our commitment to delivering the right care at the right time. These dedicated volunteers are trained to be by the side of patients without family nearby who might otherwise face their final moments alone. These individuals answer the call, no matter the time of day or night, to provide a caring presence when it’s needed most.

“Our volunteers are the heartbeat of our organization, providing the extra support and care that patients and families need,” Kelli Callihan, Volunteer Services Manager, said. “Whether providing respite care, 11th hour visits, veteran pinning ceremonies, care calls, transportation, bereavement calls, companionship visits, gift bag deliveries and more, volunteers help patients feel like family.”

Bluegrass Care Navigators celebrates its many volunteers and the compassionate care that they provide to patients each day. In the videos below, our volunteers share why they chose to be with others in their precious final moments.

Honoring Compassion During National Hospice & Palliative Care Month

Wed, 06 Nov 2024 16:33:04 GMT

Bluegrass Care Navigators (BCN) is joining organizations across the country in celebrating National Hospice and Palliative Care Month this November. As a leading provider of compassionate, high-quality care, BCN recognizes the positive impact hospice and palliative care have on patients and families, providing comfort, dignity, and support during life’s most challenging moments.

This year, BCN has extra reason to celebrate: the organization recently ranked sixth in Overall Quality among the 50 largest hospices in the United States. This recognition underscores the dedication of the BCN team to exceptional, patient-centered care, ensuring that every person receives the attention and compassion they deserve.

"National Hospice and Palliative Care Month is a time to acknowledge the critical role hospice care plays in our healthcare system," Liz Fowler, President and CEO of Bluegrass Care Navigators, said. "We’re proud to be part of a compassionate movement that helps patients and families live each day to the fullest. This recognition of our quality of care affirms the unwavering commitment of our team to support and comfort those we serve."

For more than 45 years, Bluegrass Hospice Care has helped provide interdisciplinary, supportive care to thousands of people, allowing them to spend their final months surrounded by their loved ones wherever they call home. Our team of doctors, nurse practitioners, nurses, social workers, chaplains, personal care aides and volunteers work with the patients and caregivers to craft individualized plans of care. These plans ensure that pain and symptom management, therapies and treatments all center on the goals and wishes of the patient and their loved ones. Bluegrass Hospice Care also helps family members become confident caregivers and navigate their grief journey with bereavement services for up to a year.

“They were always there,” April Evans, a family member of one of our patients, said. “Anytime I made a phone call, the nurse never, ever did not answer me. She even left her child’s ball game just to bring me the supplies that I needed.”

Bluegrass Palliative Care is a time-limited consultative service for home-limited patients who suffer from an advanced illness. Our team of experts works with patients and their physicians to understand the patient’s goals. Together, they develop a long-term plan to manage the symptoms that often accompany illness or aggressive treatment to improve quality of life for patients and caregivers. BCN offers palliative care in hospitals, nursing homes and in-home settings.

BCN also offers assistance to complete advanced directives , including a living will, healthcare surrogate and medical instructions for care for those patients unable to speak for themselves. These documents help communicate a patient’s medical, personal, emotional and spiritual wishes and allow them to give the gift of security and love to their family.

Throughout November, BCN will host several events that focus on honoring those who have been part of hospice care journeys, whether providing ways to remember loved ones or celebrating our dedicated team. Educational sessions will help raise awareness within the community about the benefits of hospice and palliative care, and opportunities for involvement as volunteers or supporters.

About Bluegrass Care Navigators

Established in 1978,B CN provides hospice care in 32 counties across northern, central and eastern Kentucky. As a mission-driven, nonprofit agency, BCN supports those facing serious illness or chronic disease with both long and short-term hospice care, palliative care, transitional care, home health, PACE (Program for All-Inclusive Care for the Elderly), integrative medicine and grief counseling services. For more information on services available by county, visit bgcarenav.org or call 855.492.0812.

WHAS Crusade for Children Awards Grant to Bluegrass Care Navigators

Mon, 28 Oct 2024 15:51:00 GMT

WHAS Crusade for Children awarded Bluegrass Care Navigators (BCN) a $6500 grant to purchase a Trilogy Evo Ventilator to better support children and teens in our hospice care. This ventilator is a cross-functional machine that is designed for use in multiple environments. With 15 hours of battery life, it allows patients an increased level of mobility to achieve a higher quality of life during treatment.

“Our team is committed to providing expert care to all of our patients, and we are grateful to once again be awarded funds to better serve and improve the quality of life for our younger patients,” Laura Klumb, VP of Philanthropy and Marketing, said. “We know that a serious illness, especially when it is a child, is difficult to handle, and this grant will allow us to better serve and support these patients and their families.”

WHAS Crusade for Children is committed to making life better for children with special needs by inspiring generosity with community partners to provide necessary resources for these children and their families. We extend our heartfelt gratitude to the WHAS Crusade for Children and its dedicated Board of Directors and Advisory Panel. We are deeply grateful for their commitment to the work we do at BCN. Together, we are transforming futures and creating a world where every child’s smile shines a little brighter.

Bluegrass Care Navigators Ranks 6th in Quality Among Largest US Hospices

Fri, 27 Sep 2024 17:43:29 GMT

Bluegrass Care Navigators (BCN) has been ranked sixth in Overall Quality among the 50 largest hospices in the United States, according to a recent study published in the American Journal of Hospice & Palliative Medicine. The ranking is based on three key quality indicators: caregiver surveys (CAHPS scores), caregiver and employee satisfaction scores, and sentiment scores from Google reviews and Glassdoor ratings. The study assessed both non-profit and for-profit hospices across the nation.

“These scores don’t happen without the commitment of our entire team to provide the best possible care to our patients and families at just the right time,” Liz Fowler, President and CEO of BCN, said. “As a non-profit hospice provider, our focus is on more visits to patients and families whenever they need them over profit margins. We have earned this Quality ranking because our team has built a culture of compassion, respect, dignity and focusing on what matters most to patients and their families.”

This prestigious ranking reflects BCN’s dedication to providing high-quality, wholistic care for patients and their families. The study’s evaluation of patient and caregiver experiences, as well as staff engagement and satisfaction, highlights BCN’s role nationally as a leader in end-of-life care.

BCN Offers Language Services to Provide Care for All

Tue, 03 Sep 2024 20:44:21 GMT

Our Northern Kentucky Team recently provided dignity and the comfort of hospice care to a non-English speaking family with a terminally ill baby. After being born with a heartbreaking prognosis, the baby was expected to survive only two weeks.

Working through a language barrier and the family’s culture that discouraged talking about death, our hospice team compassionately utilized our language service to communicate and provide physical and emotional support to the family. Through an interpreter, our team guided the family through critical end-of-life discussions in a culturally appropriate way, and the family expressed genuine appreciation for the compassionate support provided by our hospice team during such a devastating time in their lives.

Thanks to the unwavering support Team BCN provided for the family, the baby was able to live comfortably at home for over two months.

Bluegrass Care Navigators walks hand in hand with the community to ensure that every individual receives the care they deserve, regardless of insurance status, ability to pay, language proficiency or cultural background. Your generosity today will help everyone we serve have access to the compassionate care and support they need.

BCN Provides Compassionate Care for an Uninsured Patient in Eastern Kentucky

Tue, 03 Sep 2024 20:39:47 GMT

Our commitment to provide compassionate care to all, regardless of financial situation, is exemplified in the care we recently provided to a hospice patient with COPD, who had no insurance, Medicare or Medicaid.

Our commitment to provide compassionate care to all, regardless of financial situation, is exemplified in the care we recently provided to a hospice patient with COPD, who had no insurance, Medicare or Medicaid.

When the patient arrived at the Greg and Noreen Wells Bluegrass Hospice Care Center, he was unresponsive, without immediate family nearby. Despite the distance, our team communicated daily with the patient’s sister to ensure she was updated on his condition, actively involved in his care, and supported emotionally.

Throughout his journey, our team remained dedicated to keeping the patient comfortable and provided him with companionship during his final days. After his peaceful passing, Team BCN guided the patient’s sister through burial plans and affordable cremation options. We are proud to have delivered the same level of care to him that everyone deserves at no cost, all thanks to the generosity of our donors.

BCN Provides Compassionate, Culturally Aware Care for Muslim Refugee Family

Tue, 03 Sep 2024 20:36:04 GMT

Our central Kentucky hospice team recently cared for a Muslim refugee patient and her family as she faced a terminal diagnosis along with numerous challenges, including language barriers, financial struggles and food insecurity.

The hospice team compassionately utilized our telephone interpreter service to provide physical and emotional support to the patient and family, as well as write medication instructions in her native language so that she could understand her care plan.

Our team helped the patient receive Medicaid assistance and support from a local clinic, while our volunteers delivered donated items such as fruit, blankets, socks and personal supplies.

As her journey came to an end, our team worked with the Islamic Mosque to ensure the family’s faith and cultural burial considerations would be respected, and we provided further support to the family through our Burial with Dignity fund.

Bright Path Patient Lives Like a Superhero

Thu, 29 Aug 2024 20:17:57 GMT

TJ Buckles shows all who know him how to live with resilience, courage and superhuman strength.

Born at 24 weeks gestation with only an 11 percent chance of survival, he spent the first 250 days of his life in the neonatal intensive care unit (NICU) at UK Healthcare. Diagnosed with cerebral palsy, TJ had to learn to live with the challenges of a tracheostomy, ventilator and the constant risk of respiratory complications. In the face of adversity, the Buckles family responded like superheroes, with unwavering love and advocacy.

Amidst the whirlwind of medical appointments and treatments, Liz, TJ’s mom, found herself navigating a maze of uncertainty. But she refused to let adversity get in the way of TJ’s care. With the help of BCN’s Bright Path Pediatric Palliative Care Program, she embraced her role as an advocate for TJ and has used her knowledge and influence to help other medically complex children and families.

“Bright Path helped us find resources and connected us with appropriate providers, as well as helped us find and fill out necessary waivers,” Liz said. “Every step that the parent of a medically fragile child must go through, they’ve walked me through. I can be the advocate for TJ, but they are the advocate for me!”

Prior to Bright Path, the Buckles family struggled with many daily challenges. Inconsistent nursing care meant that Liz often had to juggle her responsibilities as a vet clinic manager with caring for TJ, sometimes carrying him around in a backpack carrier while she worked.

With support from Bright Path, TJ receives tailored healthcare, resources and education that has improved his quality of life. TJ turned three this spring and will have his trach closed and removed, marking a significant milestone in his journey.

"Hope shines brightest in the face of adversity,” Lauren Samuels, Bright Path LPN, said. “TJ's journey embodies the essence of hope, reminding us that even in the darkest moments, there is light.”

Bluegrass Care Navigators Brings Hand Massages to Our Veteran Patients

Fri, 23 Aug 2024 19:11:06 GMT

At Bluegrass Care Navigators, we continuously seek ways to provide meaningful, compassionate care to those we serve. Our integrative medicine team recently provided hand massage training to both staff and volunteers at our Hazard office. This training was designed to equip our staff and volunteers with the skills needed to offer comforting, therapeutic touch to Veterans in our care.

Following the training, Team BCN took these new skills on the road to the Paul E. Patton Eastern Kentucky Veterans Center, where we had the honor of providing hand massages to both Veteran residents and staff members. In just two hours, our dedicated team delivered 28 massages, offering much-needed relaxation and connection.

Volunteer Judy Cornett recently went through the hand massage training, but this event was her first time working with patients.

“The first person I gave a hand massage to was celebrating his 85th birthday,” Cornett said. “He was so happy to be alive and to have another birthday. For me, the best part was just being a small part of his day and sharing in his joy.”

For many Veterans, especially those facing health challenges, this simple act of touch can bring immense comfort, alleviating stress and promoting well-being. The feedback from the Veterans and staff was overwhelmingly positive, with many expressing gratitude for the experience.

“It humbles me greatly that I can go in and maybe say something uplifting to someone and be there if they need a smile or just talk to them about their experiences,” volunteer Cynthia Gooch said. “It really humbles me to able to do that and give back to our Veterans in a small way.”

Events like this are made possible thanks in part to a recent grant from the Disabled Veterans National Foundation (DVNF) that allows us to focus our Integrative Medicine therapies on serving more of our Veteran patients across our service lines.

Bluegrass Care Navigator's Medical Respite Program Gives Patient Hope

Fri, 23 Aug 2024 15:27:23 GMT

Since 2017, Bluegrass Care Navigators’ (BCN) Medical Respite Program, in partnership with the Lexington Fayette Urban County Government (LFUCG), has offered short-term, medical hotel stays to hundreds of Lexingtonians experiencing homelessness. When Mistey Cobb entered this program in November of 2023, she not only received the medical care she needed, but also had access to resources that provided permanent housing and the hope of a more stable, brighter future.

“We wouldn’t have made it through last winter without BCN,” Mistey said. “BCN let me know that there’s someone who cared about me besides just us. When you’re going through that many surgeries, and someone is coming to check on you and urging you to take care of yourself, it makes you want to care for yourself more.”

When Mistey entered BCN’s care, she and her life partner had just been evicted. She also had a serious infection and needed several surgeries. Because our medical respite program offered a safe place to recover, she was able to undergo the medical procedures and receive the post-operative care she needed. BCN’s team of nurses and social workers addressed her health needs and connected her to the appropriate resources.

As a result of the care and support she received, Mistey was able to secure permanent housing, along with necessary medical equipment and disability insurance that allowed her to remain in her home and community.

BCN’s medical and winter respite programs provide a range of essential, patient-centered services within Fayette County, offering short-term lodging in a hotel and transitional support for individuals experiencing homelessness. Services include discharge planning, arranging post-acute care, transportation assistance, food provision, medication reconciliation, and care coordination to facilitate discharge to a safe setting.

*This program was made possible thanks to support from the Lexington-Fayette Urban County Government through federal award numbers SLFRP0292/SLFRP3418 granted to LFUCG by the U.S. Department of Treasury.

Bluegrass Care Navigators Transforms Lives with Compassion and Support

Thu, 22 Aug 2024 19:31:45 GMT

Bluegrass Care Navigators (BCN) provides comprehensive care and support to the most vulnerable members of our community. In partnership with the Lexington Fayette Urban County Government (LFUCG) and private funders, we have offered short-term, medical respite hotel stays to hundreds of Lexingtonians experiencing homelessness since 2017.

Recently, a mother who had just been discharged from the hospital was referred to our program for medical respite care at BCN. Along with her, we also supported her adult son with intellectual disabilities and, later, the rest of their family as part of our comprehensive care. Both mother and son had been sleeping outside, and the son had experienced significant weight loss due to food insecurities following the family’s recent eviction. The family’s only income was approximately $150 a week from the mother's job at a local fast-food restaurant.

BCN responded swiftly. Within two hours of the referral, we had secured a safe hotel room, getting them out of the extreme heat, and provided a hot meal. Further discussions revealed that a third family member, who had been admitted to a local hospital, was missing. Our team located this individual, who had been hospitalized as a “Jane Doe” and reunited all three family members. The family remained safely housed together in temporary hotel medical respite while the two women recovered.

During their stay, BCN assisted with SNAP benefits applications, Medicaid reinstatement, and provided immediate food supplies, nurse visits, and transportation for medical needs. Additionally, we connected the family with a housing case management service to help them secure the necessary documentation for long-term housing solutions and provided bus passes to facilitate transportation to secure clothing, meals, and enable the mother's continued employment.

Stories like this would not be possible without the generous support of our Caring Community of donors and community partners. Thank you for helping us ensure that the most vulnerable among us receive the care, dignity and support they deserve!

*This program was made possible thanks to support from the Lexington-Fayette Urban County Government. We are grateful for the way your continued support benefits our patients and families.

HDR Foundation Awards $18,000 Grant to Bluegrass Care Navigators for Bluegrass PACE Care

Tue, 06 Aug 2024 13:50:35 GMT

The HDR Foundation has awarded an $18,000 grant to Bluegrass Care Navigators (BCN) to support Bluegrass PACE Care.

This grant will be used to acquire two mobile and four portable wheelchair stairlifts, supporting the safe transportation of medically frail seniors with mobility restrictions and allowing participants to age safely in their homes for a longer time.

"We are excited to support Bluegrass PACE Care with this HDR Foundation grant,” said Mark Day, board chair at BCN and Senior Aviation Consultant/Office Principal at HDR, a global firm specializing in architecture, engineering, environmental and construction services. “BCN's unwavering commitment to compassionate and culturally sensitive care is truly inspiring. These funds will allow PACE to greatly reduce transportation challenges for participants."

In our central Kentucky community, there is a shortage of housing that is both affordable and accessible for senior adults with mobility issues. Senior adults that are wheelchair bound or face other mobility limitations often find themselves restricted to their homes without the ability to leave for medical appointments or other healthcare related activities, including socialization for their mental health well-being.

The HDR Foundation grant focuses on promoting healthy living at the community level by funding initiatives that encourage active lifestyles, wellness education, and preventative care. The purchase of mobile wheelchair stair lifts and portable stair lifts will provide PACE drivers and team members with essential tools to safely transport participants from their homes to medical appointments and the PACE Center.

“Bluegrass Care Navigators is incredibly grateful to organizations like the HDR Foundation that award funding to support our services to seriously ill or medically frail individuals,” Liz Fowler, President and CEO of BCN, said. “This grant will greatly improve accessibility and mobility for our PACE participants, enhancing their quality of life and enabling them to receive the care they need.”

Bluegrass PACE Care, or Program of All-Inclusive Care for the Elderly, keeps adults aged 55+, who need help with activities of daily living, such as meals, dressing, bathing or toileting, living safely at home. PACE provides a dedicated healthcare team including a primary care provider, an all-inclusive care plan and all services to support that plan, and transportation to and from the Bluegrass PACE Center and all authorized medical appointments. Participants also receive meals and can engage in social activities at the Bluegrass PACE Center.

For more information about Bluegrass Care Navigators and Bluegrass PACE Care, visit bgcarenav.org .

About HDR

HDR is a 100% employee-owned professional services firm. Founded over a century ago to bring electricity to a changing world, we are now a global company specializing in architecture, engineering, environmental and construction services. Our success in built and natural environments continues as we collaborate to solve our clients’ and communities’ most complex challenges.

About the HDR Foundation
The HDR Foundation provides grants to qualified organizations that align with HDR’s areas of expertise: education, healthy communities and environmental stewardship. As an employee-funded and employee-driven foundation, preference is given to organizations located in communities in which HDR employees live and work, and those with strong employee involvement. Since its inception, the HDR Foundation has provided more than $9 million in grants to over 350 organizations.

About Bluegrass Care Navigators
Established in 1978, Bluegrass Care Navigators is a nationally recognized, leading nonprofit provider of expert care for the frail and elderly in 32 counties across northern, central, and eastern Kentucky. Our compassionate team of over 700 employees and 300 volunteers supports more than 16,000 patients annually with transitional care, home health, PACE (the Program for All-Inclusive Care for the Elderly), palliative care, integrative medicine, hospice care, and grief counseling services. For more information on Bluegrass Care Navigators’ services, visit www.bgcarenav.org or call 855.492.0812.

Bluegrass Care Navigators Receives Grant Award from Disabled Veterans National Foundation

Wed, 24 Jul 2024 14:27:39 GMT

Bluegrass Care Navigators (BCN) is honored to announce it has received a grant from the Disabled Veterans National Foundation (DVNF) for $18,000 which will allow us to focus our Integrative Medicine therapies on serving more of our veteran patients across our service lines.

“Thank you, DVNF, for your generous support,” Liz Fowler, President and CEO of BCN, said. “This grant empowers us to continue serving our veteran patients with integrative medicine therapies like art, music, and massage sessions. Your kindness ensures that all veterans, regardless of financial means, receive the holistic care they deserve."

Joseph VanFonda (USMC Sgt.Maj. Ret.), CEO of the Disabled Veterans National Foundation, said, “At DVNF, we are committed to ensuring that veterans receive the comprehensive care they need and deserve. Supporting BCN's integrative medicine therapies is a vital step in addressing the complex physical and psychological challenges that many veterans face. We are proud to partner with BCN to enhance the quality of life for our nation’s heroes.”

BCN offers comprehensive healthcare services with a special focus on veteran patients. We provide personalized medical care, including hospice and palliative care, grief counseling services, and specialized treatments tailored to the unique needs of veterans. Our dedicated team of healthcare professionals and volunteers are trained to address the physical and psychological challenges faced by veterans, such as PTSD and chronic pain. We also offer a Vet-to-Vet Companionship program through which we match veteran patients with volunteers who served in the same wars or time periods, seeking to provide social and emotional connections that only another veteran could provide to the patient.

As veterans approach the end of life, those still grappling with unresolved military traumas may exhibit anxiety, agitation, nightmares, and behaviors that reflect their vigilant military service. Such challenges may include drug or substance abuse and interpersonal difficulties, necessitating guidance in navigating estranged relationships and fostering compassion and trust. Our BCN integrative medicine clinicians understand and recognize the need to continue using discipline-specific interventions and resources related to art, music, and massage therapy to address veterans' complex needs as they develop individualized care plans. Support from this DVNF grant will provide the resources necessary to ensure our veteran patients continue to receive the highest quality of care and support they deserve.

About the Disabled Veterans National Foundation

Disabled Veterans National Foundation exists to provide critically needed support to disabled and at-risk veterans who leave the military wounded—physically or psychologically—after defending our safety and our freedom.

DVNF achieves this mission by:

Offering direct financial support to veteran organizations that address the unique needs of veterans, and whose missions align with that of DVNF.
Providing supplemental assistance to homeless and low-income veterans through the Health & Comfort program and various empowerment resources.
Providing an online resource database that allows veterans to navigate the complex process of seeking benefits they are entitled to due to their military service and additional resources they need.
Serving as a thought leader on critical policy issues within the veteran community and educating the public accordingly.

About Bluegrass Care Navigators

Established in 1978, Bluegrass Care Navigators is a nationally recognized, leading nonprofit provider of expert care for the frail and elderly in 32 counties across northern, central, and eastern Kentucky. Our compassionate team of over 700 employees and 300 volunteers supports more than 16,000 patients annually with transitional care, home health, PACE (the Program for All-Inclusive Care for the Elderly), palliative care, integrative medicine, hospice care, and grief counseling services. For more information on Bluegrass Care Navigators’ services, visit www.bgcarenav.org or call 855.492.0812.

Media Contacts:
Disabled Veterans National Foundation: Meredith Fick, Communications Team, communications@dvnf.org

Bluegrass Care Navigators: Aimee Hiller, Marketing Director, ahiller@bgcarenav.org

Bluegrass Care Navigators Nurse Finds Calling in Hospice

Wed, 10 Jul 2024 15:24:42 GMT

Laken Smith, RN in our Pikeville region, has worked at Bluegrass Care Navigators for three years and believes she has found her calling in hospice care. After her grandmother and best friend experienced the comforting support of hospice, Smith was able to transform her grief for good. Now she uses her empathy and understanding to support others in their final stages of life.

“I always knew I wanted to be a nurse,” Smith said. “My grandmother’s death was the hardest thing I’ve faced so far, but I feel like it’s allowed me to take a little bit of what I experienced alongside her and now make good come out of it.”

Prior to working at BCN, Smith had already amassed diverse experience in nursing, having worked in the operating room, cardiac care, and medical-surgical units. However, she found her true purpose in hospice care, a field she once perceived as filled with death and despair. Instead, she discovered it was about offering hope, companionship and a peaceful transition.

"It's the families and the patients I get to meet and the relationships I get to build," she said. “Through BCN, I get to offer peace to my community during an inevitable part of life.”

Smith learns something about life from each of her patients. She recalls a 92-year-old woman who shared a rich history of the area, deepening Smith's connection to her community. Another patient, Dan Thornbury, reminds Smith to live each day with an appreciation for life. Thornbury’s ALS diagnosis in 2020 upended his professional career. While the illness robbed him of his mobility, voice and ability to travel, it could not squelch his spirit. With the help of BCN, Dan adapted to these challenges, supported by the unwavering care of his family and his Tobii, a speech-generating device.

"The legacy I wish to share is to live every day to the fullest," Thornbury said. "Take the trip of a lifetime because one day you won’t be able to."

Dan's positive outlook on life, despite his debilitating illness, is inspiring. He often jokes with Smith and his family, demonstrating a remarkable acceptance of his situation. His perspective on life and death is one of peace and acceptance, a state he says he reached through prayer.

"Dan's resilience and humor remind me to be grateful for every day," Smith said. “His positive attitude, despite being impacted by ALS, teaches me that every day is a good day.”

Smith's work at BCN is not just about medical care; it's about providing emotional support through human connection, sharing a laugh, and listening to stories. She ensures her patients never feel alone, transforming the end-of-life experience into a journey of peace and dignity. Through her compassionate care, Smith shows that even in the face of life’s most challenging moments, there is room for hope, peace and the celebration of a well-lived life.

BCN’s primary goal is to provide compassionate physical, emotional and spiritual care to patients and their families coping with serious illness. If your personal goals align with ours, we’d love to have you apply to join our team! View our open positions and apply at bgcarenav.org/careers .

Bluegrass Care Navigators Selected by Centers for Medicare & Medicaid Services to Test Medicare Dementia Care Model

Wed, 10 Jul 2024 15:02:14 GMT

Guiding an Improved Dementia Experience (GUIDE) Model Aims to Increase Care Coordination, Support for Caregivers

Bluegrass Care Navigators (BCN) is participating in The Guiding an Improved Dementia Experience Model (GUIDE) and Bluegrass Dementia Care is provided through that program. BCN was recently selected by the Centers for Medicare & Medicaid Services (CMS) to participate in this new Medicare alternative payment model designed to support people living with dementia and their caregivers. Under CMS’ Guiding an Improved Dementia Experience (GUIDE) Model, BCN will be one of almost 400 participants building Dementia Care Programs (DCPs) across the country and one of three in Kentucky, working to increase care coordination and improve access to services and supports, including respite care, for people living with dementia and their caregivers.

“CMS is excited to partner with Bluegrass Care Navigators under the GUIDE Model,” said CMS Administrator Chiquita Brooks-LaSure. “GUIDE is a new approach to how Medicare will pay for the care of people living with dementia. The GUIDE participants are envisioning new ways to support not only people living with dementia, but also to reduce strain on the people who care for them, so that more Americans can remain in their homes and communities, rather than in institutions.”

Launched on July 1, 2024, the GUIDE Model will test a new payment approach for key supportive services furnished to people living with dementia, including comprehensive, person-centered assessments and care plans; care coordination; 24/7 access to an interdisciplinary care team member or help line; and certain respite services to support caregivers. People with dementia and their caregivers will have the assistance and support of a care navigator to help them access clinical and non-clinical services such as meals and transportation through community-based organizations.

“BCN is excited to be part of the GUIDE model through Bluegrass Dementia Care, providing another vital resource to help Kentucky patients and caregivers living with dementia,” said Liz Fowler, President and CEO of Bluegrass Care Navigators. “Our goal is to ensure they live safely and with the support they need in their communities, and Bluegrass Dementia Care will allow us to address specific challenges through comprehensive care coordination, caregiver education and respite services.”

Bluegrass Dementia Care will help people living with dementia and their caregivers have access to education and support, such as training programs on best practices for caring for a loved one living with dementia. Bluegrass Dementia Care also provides respite services for certain people, enabling caregivers to take temporary breaks from their caregiving responsibilities. Respite is being tested under Bluegrass Dementia Care to assess its effect on helping caregivers continue to care for their loved ones at home, preventing or delaying the need for facility care.

GUIDE Participants represent a wide range of health care providers, including large academic medical centers, small group practices, community-based organizations, health systems, hospice agencies, and other practices.

This model delivers on a promise in the Biden Administration’s Executive Order on Increasing Access to High-Quality Care and Supporting Caregivers and aligns with the National Plan to Address Alzheimer’s Disease. For more information on CMS’ GUIDE Model, please visit: https://www.cms.gov/priorities/innovation/innovation-models/guide .

About Bluegrass Care Navigators

Established in 1978, Bluegrass Care Navigators is a nationally recognized, leading nonprofit provider of expert care for the frail and elderly in 32 counties across northern, central, and eastern Kentucky. Our compassionate team of over 700 employees and 300 volunteers supports more than 16,000 patients annually with transitional care, home health, PACE (the Program for All-Inclusive Care for the Elderly), palliative care, integrative medicine, hospice care, and grief counseling services. For more information on Bluegrass Care Navigators' services, visit bgcarenav.org/dementia-care or call 855.492.0812.

Celebrating Juneteenth at the BCN PACE Center: A Day of History, Fun, and Unity

Fri, 21 Jun 2024 14:03:16 GMT

Bluegrass PACE Care hosted a Juneteenth celebration. This memorable event, skillfully organized by our dedicated team members Gerri Stuart, PACE Outreach Coordinator; Ashley Holt, Health Equity and Engagement Manager; and Shalanda Smith, LPN, was a vibrant blend of education, entertainment, and community bonding, truly reflecting the spirit of Juneteenth—a day commemorating the end of slavery in the United States and celebrating freedom and equality.

The day commenced with a heartfelt welcome from Gerri, setting a tone of anticipation and belonging for participants, staff, and visitors alike.

The celebration kicked off with two captivating musical selections by Ken Stuart, whose performances instantly captured everyone’s attention. His music brought people together through voice, rhythm, and tune, evoking pleasant memories, uplifting moods, and fostering increased social interaction among attendees.

Holt then provided an insightful historical overview of Juneteenth, educating attendees on the significance of June 19, 1865, when the Emancipation Proclamation finally reached the last enslaved African Americans in Galveston, Texas—more than two years after it was signed. This history lesson deepened our collective understanding of the day’s importance.

The event’s atmosphere lightened with an engaging arts and crafts activity led by our very own Volunteer Niyah Holt, which encouraged playfulness and self-expression, building a powerful sense of camaraderie and community among participants.

No celebration is complete without delicious food, and ours was no exception. A scrumptious lunch, prepared by dietary aides, Angela Coleman and Shannon Baker, featured a variety of dishes that reflected the rich culinary traditions of African American culture. The meal was a highlight, bringing everyone together to share in the joy and significance of the occasion.

As we continue to recognize and celebrate Juneteenth each year, events like this remind us of the importance of unity, education, and community spirit. We look forward to many more celebrations that honor our shared history and strengthen our community bonds.

Bluegrass Care Navigators Receives Grant from Honorable Order of Kentucky Colonels

Thu, 20 Jun 2024 13:02:01 GMT

Bluegrass Care Navigators is proud to announce that we have received a generous grant from the Honorable Order of Kentucky Colonels (HOKC) to purchase four portable oxygen concentrators. These essential medical supplies will bring comfort and ease to our hospice patients, allowing them to cherish life’s special moments with their loved ones while in our care.

“On behalf of our organization, I extend heartfelt gratitude to the Honorable Order of Kentucky Colonels for their unwavering support and dedication,” Laura Klumb, Vice President of Philanthropy and Marketing, said. “Your generosity profoundly enhances the quality of life for our patients. Thank you for being steadfast partners in our mission to provide exceptional care."

HOKC awarded $2.5 million in grants, supporting 325 non-profits and impacting more than 3.9 million Kentuckians. Grants are made possible through donations from Kentucky Colonels from throughout the Commonwealth and around the world who chose to exercise the honor of being named a Kentucky Colonel in a meaningful way.

According to Commanding General Gary Boschert: “2023 / 2024 was a challenging year for fulfilling Grant Requests, with over $5 million in total requests. We were able to distribute $2.5 million through the Good Works Program that each of you generously supports. Every dollar you contribute to the Good Works Program goes out to nonprofits in the Commonwealth. Thank you for your support!”

About Bluegrass Care Navigators

Established in 1978, Bluegrass Care Navigators is a nationally recognized, leading nonprofit provider of expert care for the frail and elderly in 32 counties across northern, central, and eastern Kentucky. Our compassionate team of over 700 employees and 300 volunteers supports more than 16,000 patients annually with transitional care, home health, PACE (the Program for All-Inclusive Care for the Elderly), palliative care, integrative medicine, hospice care, and grief counseling services. For more information on Bluegrass Care Navigators' services, visit bgcarenav.org or call 855.492.0812.

About the Honorable Order of Kentucky Colonels

The Honorable Order of Kentucky Colonels is a 501(c) (3) entity dedicated to supporting charitable activities throughout the Commonwealth of Kentucky. The organization is governed by an all-volunteer Board of Trustees. The “Kentucky Colonel” commission is an honorary title granted by the Governor of the Commonwealth of Kentucky. Since 1951, the organization has pursued its mission through annual grants totaling $68 million to more than 1,700 nonprofits. Of those Colonels’ contributions, each grant is thoroughly vetted by the trustees and staff. Though the corporate name is The Honorable Order of Kentucky Colonels, most know it by its long-term trademark, KENTUCKY COLONELS. Visit kycolonels.org to learn more.

Bluegrass Care Navigators and Hosparus Health announce landmark affiliation agreement

Tue, 18 Jun 2024 16:48:25 GMT

Today marks a significant milestone as Bluegrass Care Navigators and Hosparus Health announced that their respective boards of directors have signed a Memorandum of Understanding (MOU) to begin working toward a formal affiliation between the two organizations.

The affiliation is rooted in the organizations’ shared mission of providing compassionate, high-quality care to those facing serious illness and end-of-life. It aims to enhance service delivery, improve operational efficiencies, and bolster long-term sustainability - all while preserving the unique identities and local operations of both organizations.

A Unified Vision for Compassionate Care

David Cook, Hosparus Health President and CEO, said, "This formal affiliation is designed to strengthen and improve resiliency for our organizations. Rest assured, we will continue to honor and maintain the distinct identities and local presence that our communities have come to cherish. This affiliation is a testament to our shared commitment to working together and enhancing care for our communities."

“Both Bluegrass Care Navigators and Hosparus Health share a joint mission: to provide exceptional, compassionate, high-quality care to those facing frailty, serious illness and end-of- life,” added Liz Fowler, President and CEO of Bluegrass Care Navigators. “Our long histories of service, innovation, and excellence make this affiliation a natural and exciting next step.”

Formation of A New Parent Organization

While a name has not yet been selected for a new parent organization, its name will be representative of Bluegrass Care Navigators’ and Hosparus Health’s new shared mission and announced soon. The yet-to-be-named new parent organization will oversee the combined operations of Bluegrass Care Navigators and Hosparus Health, while both organizations will retain their names and maintain locally delivered healthcare services of the highest quality. The new parent organization will allow Bluegrass Care Navigators and Hosparus Health to share resources and combine synergies to better serve their respective communities.

Key Highlights:

New Parent Organization: Bluegrass Care Navigators and Hosparus Health will join under a new nonprofit joint parent organization. Both organizations will retain their names and maintain locally delivered, high quality healthcare services.
Leadership Transition: The boards of Bluegrass Care Navigators and Hosparus Health have appointed the new parent organization’s initial joint leadership team of Liz Fowler/CEO and David Cook/President, with David Cook transitioning into the CEO role, expected January 1, 2026.
Governance: As a nonprofit organization, the new parent organization will be governed by a board of directors with equal representation from Bluegrass Care Navigators and Hosparus Health.
Operational Timeline: Pending regulatory approvals and final board endorsements, the affiliation is expected to become effective in early 2025.

Benefits of the Affiliation:

Enhanced Patient Care: The affiliation aims to sustain the highest quality and reach of patient care services by combining best practices and resources.
Financial Efficiencies: The affiliation will enable the organizations to achieve economies of scale, particularly in resource management to sustain Bluegrass Care Navigators’ and Hosparus Health’s long-term financial sustainability.
Career Growth Opportunities: Employees will have access to new professional development opportunities and career pathways within the larger, new organization.
Stronger Advocacy: A unified voice will enhance the ability to advocate for hospice and palliative care services at the state and national levels.

Next Steps

Over the next several months, board members and senior leaders from both organizations will collaborate to establish the mission, objectives, and strategic directions of the new parent organization. They will keep staff, volunteers, and community partners informed and engaged by providing regular updates throughout this process.

Media Contacts

Bluegrass Care Navigators: Laura Klumb, lklumb@bgcarenav.org , 859-684-5605

Hosparus Health: Dyan Duncan, dduncan@hosparus.org , 502-814-5439

About Bluegrass Care Navigators

Established in 1978, Bluegrass Care Navigators is a nationally recognized, leading nonprofit provider of expert care for the frail and elderly in 32 counties across northern, central, and eastern Kentucky. Our compassionate team of over 700 employees and 300 volunteers supports more than 16,000 patients annually with transitional care, home health, PACE (the Program for All-Inclusive Care for the Elderly), palliative care, integrative medicine, hospice care, and grief counseling services. For more information on Bluegrass Care Navigators services, visit www.bgcarenav.org or call 855.492.0812.

About Hosparus Health

Established in 1978, Hosparus Health is one of the nation’s largest and most respected community-based, nonprofit care providers for those facing serious illnesses. For over 45 years, the mission-driven organization has championed equitable healthcare access by delivering specialized programs and holistic services across 41 counties in Kentucky and Indiana. Through the support of nearly 700 employees and over 500 volunteers, Hosparus Health’s person-centered approach is focused on improving the quality of life for over 14,000 patients and families annually. Its interdisciplinary teams provide support for serious illnesses across the continuum, including

medical care, symptom and medication management, grief counseling, hospice care, and palliative medicine. For more information about Hosparus Health, please call 800-264-0521 or visit www.HosparusHealth.org .

Bluegrass Care Navigators Named as Prestigious 2024 Hospice CAHPS Honors Award Recipient

Mon, 03 Jun 2024 13:26:37 GMT

Bluegrass Care Navigators (BCN) has been named a 2024 Hospice CAHPS Honors Award recipient by HEALTHCAREfirst, a leading provider of CAHPS and bereavement survey programs for home health and hospice agencies.

This prestigious annual review recognizes agencies that continuously go above and beyond in providing high-quality care for patients and compassionate caregiver experiences. It acknowledges the highest performing agencies by analyzing the performance of the Hospice Consumer Assessment of Healthcare Providers and Systems (CAHPS) survey satisfaction and quality measures.

To be considered for this award, the hospice agency must have scored above the HEALTHCAREfirst National Performance Score on the Hospice CAHPS Willingness to Recommend question. If that criteria is met, performance is evaluated utilizing a set of 23 additional quality indicator measures. These scores are then compared on a question-by-question basis to a national performance score calculated from all partnering hospices contained in HEALTHCAREfirst’s Hospice CAHPS database.

“We began our Annual Hospice Honors Award program more than ten years ago as a way to highlight those agencies that are truly leading the way in providing and demonstrating quality patient care,” said Jeremy Crow, Head of RCM and CAHPS Survey, Home Health and Hospice. “We congratulate Bluegrass Care Navigators on this recognition and are so proud and honored that they have chosen to partner with us in helping drive success for their agency.”

"We at Bluegrass Care Navigators are deeply honored to receive the 2024 Hospice CAHPS Honors Award from HEALTHCAREfirst,” Fowler said. “This recognition highlights our unwavering commitment to delivering high-quality care and compassionate experiences at the right time. It reflects the dedication and excellence of our team to continually go above and beyond to provide the best quality of care and support for our patients and their families."

Bluegrass Care Navigators Remembers its Community in Different Ways

Fri, 17 May 2024 12:57:39 GMT

In the fast-paced world of healthcare, it’s easy to lose sight of the human stories that unfold within our walls. However, at BCN, we recognize the importance of remembering those we have loved and lost. It’s woven into the very fabric of our team and the care that we provide. Through a variety of intentional moments, we honor the memory of our patients and those in our community, ensuring their legacy continues.

“As active participants in the stories of resilience, love, and grace that unfold each day, every patient and family we serve leaves an indelible mark on all of us,” Liz Fowler, President and CEO of BCN, said. “As a result, we are inspired to continue providing even more compassionate, family-centered care.”

During our monthly staff meetings, care teams at BCN remember each patient with writings, ribbons, glass beads and other meaningful rituals. Through these moments, we pay homage to the profound connections forged within our community and reaffirm our commitment to honor each individual journey.

One of the most poignant symbols of remembrance at BCN is our memorial garden. This serene space designed by Jon Carloftis serves as a tranquil sanctuary where loved ones can reflect and pay tribute to those who have passed away. With carefully tended flowers, tree sculptures designed by Maynard Studios, and tranquil seating areas, it offers solace and comfort to grieving hearts.

BCN’s "1,000 Touches Memorial" serves as a tribute to those we have loved and lost during the pandemic. Each hand and thumbprint symbolize the power of connection amidst isolation. Together, we honor, celebrate, and cherish those we've lost and those we serve at each of our seven locations.

As BCN remembers each patient and family served, we also honor our community in unique ways. Each spring, irises bloom in memory of those lost on the Comair Flight 5191 crash at Bluegrass Airport on August 27, 2006. Their vibrant hues remind us of cherished memories and the enduring spirit of our community.

Join us in honoring the lives of individuals we have loved and lost, whether in hospice care or in other ways. Donate at bgcarenav.org/donate and share the name of your loved one with us. We will remember with you at a special ceremony. If you’d like a more permanent way to remember your loved one, reach out to our Philanthropy Department at give@bgcarenav.org to learn about the options we have available.

Susanne Johnson Receives 2024 Volunteer President's Award

Mon, 13 May 2024 18:58:42 GMT

In the realm of hospice care, where empathy and kindness reign supreme, individuals like volunteer Susanne Johnson shine brightly. Her unwavering commitment to Bluegrass Care Navigators (BCN) has not only transformed the lives of countless patients and their families but has also earned her the prestigious 2024 Volunteer President's Award.

Johnson's journey with BCN began in May 2023. After she experienced the support and the deep value hospice provided to her parents, Johnson felt a calling to give back. Immediately immersing herself in training, including specialized 11th Hour training, her dedication knew no bounds.

As a new volunteer, she adopted a nursing home, Bourbon Heights, where she pledged weekly visits to all hospice patients. Despite encountering a particularly grumpy patient known for pushing people away, Johnson remained steadfast. With patience and empathy, she gradually broke through his tough exterior, forging a bond over shared interests, particularly horses. Johnson's persistence and compassion provided him with a friend who refused to give up on him, especially during his declining health.

Johnson's outreach extended beyond Bourbon Heights, as she started providing respite care to a dementia patient so that the patient’s caregiver could take a break, grocery shop, or attend personal appointments. Although the diagnosis mirrored her mother’s, Johnson embraced the opportunity to offer solace and support. Her empathetic presence not only comforted the patient but also served as a lifeline for the caregiver, since Johnson could empathize from her own experiences.

Johnson continued to expand her volunteer efforts by becoming a trained 11th Hour volunteer. Her dedication ensures that no patient faces their final moments alone. By volunteering for shifts to sit with patients, she exemplifies the essence of compassion and companionship in the face of adversity.

When BCN began to revise their volunteer training program, Johnson actively participated in refining the onboarding process, offering invaluable insights as a relatively new volunteer. Her unwavering belief in the transformative power of volunteerism underscores her commitment to excellence and the enduring legacy of compassion she seeks to cultivate.

Join us in congratulating Susanne Johnson as the recipient of the 2024 Volunteer President’s Award. She stands as a beacon of hope and humanity, embodying the spirit of selflessness and empathy that defines BCN's mission. Her journey exemplifies the profound impact one individual can make through acts of kindness and unwavering dedication to serving others in their time of need.

If you are interested in finding out how to volunteer with Bluegrass Care Navigators, please go to  bgcarenav.org/volunteer.

Bright Path Program Improves Patient’s Quality of Life

Mon, 06 May 2024 15:51:00 GMT

Facing a serious illness in the family is undeniably challenging, especially when it involves your child. Bright Path, a pediatric palliative care program offered by Bluegrass Care Navigators, provides tailored medical assistance for medically fragile infants, children, adolescents and young adults living with serious illnesses to improve their quality of life through enhanced resources, education and support.

As a nurse case manager for Bright Path patients, Lauren Samuels (LPN) plays a vital role in supporting families facing serious illness. Samuels and her co-workers provide home visits that offer personalized care and connect families with essential resources. Additionally, Bright Path staff collaborate with other healthcare providers to effectively manage symptoms and ensure comprehensive support for both patients and parents.

“As a nurse within Bright Path, I'm committed to understanding the distinct challenges each family faces,” Samuels said. “I provide personalized education and care coordination, advocating tirelessly for single-income or single-parent households, as well as grandparents and great-grandparents raising children. By being a voice and advocate for our patients, I aim to elevate the quality of life for every child in our care, offering a beacon of hope amidst their journey.”

Katie* is one of many who have had a transformative experience because of the care they received through Bright Path. Diagnosed with a genetic disorder, Katie struggled with severe pain, cognitive disabilities, and other symptoms associated with her disease. With the support of Bright Path, Katie now attends a day care program where she has found companionship and receives additional resources through a waiver program. With the guidance of her nurse practitioner, her pain is effectively managed, allowing her newfound energy to pursue activities she enjoys. Recently, during a home visit, her nurse noticed that the atmosphere was vibrant, with Katie and her family actively participating in crafting activities—a stark contrast to previous encounters.

Bright Path specializes in managing symptoms associated with various pediatric illnesses and chronic conditions, such as progressive cancer, neuromuscular disorders, genetic or congenital diseases, neurodegenerative disorders, cardiovascular conditions, and pulmonary disorders.

“Hope is hard to define sometimes,” Samuels said. “While we've seen significant success with many in our Bright Path program, it's vital to recognize that success looks different for each family. Bright Path guides families to discover their individual path to hope, and Katie’s story reminds me that I’m privileged to be part of this amazing journey every day as I watched her make remarkable progress and improve her quality of life despite her diagnosis.”

Bright Path's effectiveness stems from our direct engagement with patients in their homes, transcending the role of mere healthcare providers to become allies alongside families. We advocate for essential services and facilitate access to necessary resources, equipment, and treatments vital for our young patients' well-being. Enhancing communication among various specialists fosters a cohesive support network, enveloping each child and family in a seamless web of care.

Bright Path is made possible through the support of donors from our Caring Community, like the  RC Durr Foundation . Through this grant, our Bright Path program serves as a beacon of hope for many families and is committed to delivering comprehensive and compassionate care with expert navigation of the healthcare system. To learn more, call 859.492.0812 or visit bgcarenav.org/bright-path

*Katie’s name has been changed to protect her privacy.

Bright Path Program Provides Hope to Chronically Ill Children and Families

Mon, 29 Apr 2024 15:19:46 GMT

Bright Path, a pediatric palliative care program, provides specialized medical support for medically fragile, chronically ill children and families.

Focusing on individual needs over prognosis, the program offers home-based services, tailored care coordination, symptom management, and shared decision-making. Each child receives personalized assistance, comfort and guidance through their unique journey, ensuring they and their families receive the support they need during this challenging time.

"Hope is hard to describe sometimes," said Lauren Samuels, Bright Path LPN. "We have had a lot of success with this program, but it’s important to understand that success looks different for each family. Bright Path helps families find their unique path to hope.”

The true magic of Bright Path lies in our presence in the homes of our patients. This allows us to be more than just health care providers; we become advocates with the families for services and connect them with the resources, equipment and treatments our youngest patients need to thrive. By improving communication between different specialists, we ensure that everyone is on the same page, creating a seamless web of support around each child and family. 

"Every day, I witness the transformative power of our work. Whether it's helping children access Medicaid waivers, overcoming insurance denials for crucial equipment or medications, securing waivers for families to provide care at home, or arranging daily nursing support, we're not just providing services; we're igniting hope. By connecting families with resources they couldn't pursue alone, we're making a tangible difference in their lives.”

Samuels shares the story of Abbi*, now 14, who battles a rare genetic disorder that causes chronic migraines, among other symptoms that leaves her bedbound, with limited physical abilities and speech difficulties. Her mom serves as her primary caregiver, while also caring for Abbi’s younger siblings. Abbi is bedbound and prior to enrolling in Bright Path, her family struggled with inconsistent nursing support and only left home for necessary medical appointments. Since enrolling in Bright Path, the team helped Abbi’s family secure approval for home and community-based waivers that allow her mom to be compensated as a caregiver and receive the support of consistent nursing care. A nurse practitioner now effectively manages her chronic migraines, offering her an improved quality of life and peace of mind to her family.

“Our goal is to improve the quality of life of for your family, by providing comfort to your child while building your confidence with education and support, and I love seeing the difference that we make in the lives of these children every day,” Samuels said.

Bright Path can help manage symptoms for many pediatric illnesses and chronic conditions, including progressive cancer, neuromuscular disorders, genetic or congenital diseases, neurodegenerative disorders, cardiovascular conditions, pulmonary disorders and more.

*Abbi’s name has been changed to protect her privacy.

Empowering Peace: Navigating Life Beyond the Present with Advance Directives

Fri, 12 Apr 2024 19:43:11 GMT

April 16th marks Healthcare Decisions Day, a day dedicated to promoting advance care planning (ACP), ensuring individuals' medical preferences are honored, even when they can't communicate them. Diagnosed with chronic kidney disease at 35, Ashley Holt had to learn to navigate and accept her new reality, as well as prepare for life after now. Through her journey and current role at Bluegrass Care Navigators (BCN), she intertwines personal experience with advocacy for ACP, particularly within communities of color and support groups, highlighting the importance of planning for life beyond the present.

“My purpose is to make sure people have access to things that they can benefit from!” Holt, Health Equity and Engagement Manager for Central Kentucky, said. “This one is personal to me because I understand a lot of the barriers that are there, especially for the black community as it relates to our end of life. For me, when there’s not a plan, there’s a lot of dysfunction, but if there is a plan, there is function. I utilize ACP education to bring the function back into our families for generations. Advance care planning can help these conversations reflect a true celebration of your life and give the gift of life to your loved ones.”

Holt underwent a variety of evaluations and tests to prepare for the transplant she needed to survive. During one appointment her social worker gave her a Five Wishes booklet. The social worker explained that advance directives, such as a living will, healthcare surrogate, power of attorney and the Five Wishes booklet, are legal documents that provide instructions for your family and healthcare team.

These words resonated with Holt, but it wasn’t until she accepted her current role at BCN that she took the next step and made her plan. As she did so, Holt realized that these documents allowed her to continue to have control over her medical treatment and continue to care for her loved ones, especially her daughter who was 11 at that time.

“I did a deep dive into advance care planning and long-term care and realized this was a way that I would be able to talk about plans for life after now with the communities I would be serving,” Holt said. “In order for me to have those conversations, I needed to do my own plan so I could speak authentically and use my own story and experience to help others.”

Holt found the Five Wishes Booklet to be literally as easy as filling in the blanks. Five Wishes facilitates conversations around end-of-life options with a more personal touch and guides you to additional documents, such as a living will or power of attorney that you need to fill out.

“That’s what happened for me,” Holt said. “It provided me with the encouragement that I actually completed something that is going to be beneficial for my life after now. I was truly excited because I knew that I still had the power and had the final say. I was still the boss of my own life, even when I may not have been able to vocalize that. And I gave my family a plan that they could literally follow line by line.”

As a young, black, educated, female, Holt reminds the millennial and gen x communities the importance living life abundantly through advance care planning. Although at first these discussions can be daunting, she has found that these moments spark conversations, laughter and allow you to learn things from your people through their lived experiences.

“I would start by sitting with whoever you consider family to talk and figure out the plan,” Holt said. “Embrace the raw emotions and know that this will be an ongoing conversation. If you need a place to start, you can start with BCN. We have a whole team who can walk you through that and support you. But you can also start with your medical provider or employer.”

If you would like assistance with creating Advance Directives, contact Bluegrass Care Navigators at 855.492.0812 or  visit   our website.   

Art Therapy Helps Patient Communicate in New Ways

Fri, 05 Apr 2024 20:53:46 GMT

I always take a deep breath when I get a visit request for a patient who is an artist. Sometimes it is difficult to bridge the gap between art making and art therapy, and not every artist at the end of life needs or benefits from art therapy. Sometimes the ability to make art is one of the losses being grieved by a patient and arriving with simple supplies such as oil pastels and colored pencils feels like an insult when the home is filled with stunning oil paintings or drawings. Often, it feels like a caregiver is hoping I can help them reclaim something lost to illness and decline.

Recently, I had just such a moment when visiting a patient. The nurse was completing an assessment, and I spent time with the patient’s husband as we waited. He had curated an amazing exhibit of drawings his wife had made and told me about the ways her creativity had formed their home and impacted the community. I had read the chart. It seemed unlikely that this patient would even interact with art materials, and I was not sure what art therapy might bring to her. I took a deep breath.

I introduced myself to the patient, who is now bed bound and speaks only a few words at a time. I shared with her my admiration for the work she had created and introduced the idea of art therapy. We worked together to find a comfortable position, and I provided easy to hold materials with intense contrast. Little by little, the patient took control of the pastel, and I watched as her eyes focused and her breathing became rhythmic. Just circles on a page, but it felt like so much more. She was communicating with us in a way that she could no longer manage with words. She titled the piece "Circles in Motion” and we hung it on the wall. It is very different from the art she made during her life- not representational or meant to be sold. But it is meaningful for her, and for her husband. I hope we will be able to work together to curate a new, and very different, collection of pieces.

Art therapy is part of the integrative medicine program at Bluegrass Care Navigators and is generously supported by donors. This patient is one of many who have found hope because of these therapies. If you would like to join us in giving to help future patients like this, please visit bgcarenav.org/integrativemedicine or call 855.492.0812.

Art Therapy Gives Bluegrass Care Navigators Patient a New Lease on Life

Mon, 04 Mar 2024 21:06:20 GMT

Ronnie Stinnett, a patient at Bluegrass Care Navigators (BCN), discovered a unique way to find a new purpose through the transformative power of art therapy.

Stinnett battled a variety of physical and mental health issues. To provide the best physical and emotional care, his clinical team referred him to integrative medicine. Using a wholistic approach, Tiffany Rose, art therapy intern at BCN, used creativity to help him cope with his anxiety and find color in a world that had previously been all gray.

“Art puts me in another world and keeps me from thinking about the bad,” Stinnett said. “It helps me block things out and I can enjoy the time I’m making art.”

Through painting and drawing, Stinnett developed healthy coping mechanisms to manage his anxiety that was exacerbated by shortness of breath. As Stinnett used discarded items to create something new, his newfound creativity helped him find renewed meaning in his own life. For example, as he turned boards discarded from heating and air contractors into a vibrant solar system he called Finale , he remembered that even overlooked people have purpose.

“When Ronnie and I first met, he said that he always liked art in school and enjoyed looking at it, but never thought he could make art himself,” Rose said. “I encouraged him to try it and he said that really helped him get started and get to a better place.”

At the beginning Rose guided Stinnett through a variety of exercises that specifically focused on using art as a coping skill. Stinnett created a magic wand as a talisman that he could focus on and use to get rid of his anxious thoughts. Each project built on the one before, until by the end of their time together Stinnett had lots of tools and resources that he could use to move toward a calmer and more empowered place.

“Using complimentary medicine techniques such as art, music or massage therapy can help doctors manage anxiety disorder without as much reliance on medication,” Whitney Clay, Integrative Medicine Program Coordinator, said. “Doctors are able to deprescribe and offer a more holistic way of managing that anxiety disorder. It’s also a tool that I think Ronnie will continue to be able to use and it gives him a sense of control, purpose and participation in his own wellness.”

As Rose and Stinnett created together, Stinnett shared that he never felt celebrated. Rose wanted to change that and helped Stinnett identify six pieces that he especially liked and created title cards so he could have an art gallery in his own home. Rose knows he can continue to use these skills in the future.

“My hope is to be happy, to associate better with people and to understand the life I didn’t used to care too much about,” he said. “I realized there’s more to life than working, which I can’t do anymore. I didn’t have hope until I started with Bluegrass Care Navigators, and they helped me change for the better.”

Art therapy is part of the integrative medicine program at Bluegrass Care Navigators and is generously supported by donors. Stinnett is one of many patients who have felt isolated and found hope because of these therapies. The impact of art therapy extends far beyond the confines of a canvas; it touches the hearts and souls of individuals like Stinnett, who have discovered newfound strength and resilience through the process of creation.

If you would like to join us in giving to help future patients like Stinnett, please visit bgcarenav.org/donate or call 855.492.0812.

Music Therapy Brings Patients Comfort and Joy

Mon, 19 Feb 2024 21:13:49 GMT

Holidays can be a hard time for hospice families, especially if their loved one suffers from dementia and has difficulty communicating in the way they used to. Recently, I had the opportunity to work with a patient who has end-stage dementia. When I arrived at the facility where she lives, I happened to run into the patient and her family out in the hallway.

They were headed to a common living area to look at the Christmas decorations. We used the opportunity to engage the patient in singing some of her favorite Christmas songs. Throughout the session, the patient became increasingly alert and engaged, smiling, reporting enjoyment of the music and eventually even singing along as the music began to prompt her memory.

At the end of the visit, the patient’s son noted, “That’s the most engaged I’ve seen her in a long time.” I love witnessing the power of music therapy any time of year, but it feels especially valuable during the holiday season, when making memories with loved ones in hospice often feels more difficult.

Our Integrative Medicine program is entirely funded through private support, including grants and philanthropic donations. No BCN patient is ever turned away from receiving Integrative Medicine therapies due to their insurance status, and there is no charge to the patient for these services. Without the dedication and care made possible through the generosity of donors patients would not have enjoyed the same quality of life or dignity in navigating their end-of-life journeys.

Navigating Grief at Valentine’s Day

Tue, 13 Feb 2024 21:48:54 GMT

Valentine's Day is just another 'special day' grieving spouses may dread. It can be especially difficult for the recently widowed. The potential load of emotional pain, such as loneliness, sadness, and isolation may depend upon whether Valentine's Day had special meaning for you as a couple. Grief can be intensified by triggers or flashbacks of special memories. Loss of identity and self-confidence can further promote a perception of awkwardness, especially in a world pushing a couple mindset. This is only heightened by media and stores advertising the upcoming special day.

So how does a grieving spouse approach this heartwarming day? First, by acknowledging that this day is possibly going to be difficult. Ongoing grief can increase vulnerability, especially if painful feelings are minimized or denied. I'd like to offer a few possible options other than completely ignoring Valentine's Day's.

Allow yourself to have a plan in place. Ask yourself what would help you feel better. You may want to engage in an activity that honors your spouse's memory or recognize your need to self-pamper, or both.

Here are a few options to choose from:

HONOR

Make a Valentine heart
Glue hearts on a frame with your spouse's photo
Write a letter to your spouse
Make a heart pillow out of your spouse's clothes
Cook a favorite meal you both loved
Decorate the grave/cremains
Wear your spouse's jewelry

PAMPER

Buy 'fancy’ take-out, such as shrimp, ice cream or snacks
Treat yourself to a bouquet of flowers
Buy gifts that your spouse would have given to you
Spend the day without any demands
Consider creature comforts, such as a bubble bath, manicure, walk, exercise, sleep or music.

Trust that your grief is normal and will take time to pass. Grief for a spouse is expected to last for two to three years. What may be painful this year, will eventually become more tolerable over time. Your heart and head will finally be able to cope by thinking of comforting memories of your love on Valentine's Days in the future.

Bluegrass Grief Care is a unique and free counseling service of Bluegrass Care Navigators. We provide grief care to anyone in the community who has experienced loss. Learn more about how Bluegrass Grief Care can help you and your family by calling 855.492.0812, or visit our website to discover free grief care offerings in your area.

Massage Therapy Relieves Stress and Gives Joy to Patient and Clinician

Fri, 26 Jan 2024 16:58:33 GMT

Recently, Bluegrass Care Navigators (BCN) massage therapist, Sarah Steele, had the opportunity to provide massage to a patient, relieving her stress and giving joy. In the article below, she shares how this intervention helped her patient, who lived at a memory care center with her husband, find hope.

My last patients were a husband and wife who live together in the same room. The wife did not require the same degree of care as her husband but chose to stay there with him so they could be together. Upon my arrival, the wife was immediately thrilled. She said she had been depressed lately about feeling socially isolated in her current environment. She had also been experiencing physical pain in her legs from a fall several weeks prior.

While I gently massaged her legs and feet, I could see the stress melt away from her. She told me about an old Boggle buddy of hers (whom she had never met in person) who had contacted her earlier that day to tell her to remember to be grateful for the little moments of joy throughout her day. She expressed such immense gratitude for the small service I had provided her and said, “You are my angel today.” I think she was mine, too. I left her with my heart full and grateful for the opportunity to provide her with some comfort. I try to remember these kinds of moments whenever possible so that, whenever my cup feels empty, I can always refill it with love.

Massage therapy is part of the integrative medicine program at Bluegrass Care Navigators and is generously supported by donors. Many patients who have felt isolated have found hope because of this therapy. Massage therapy touches the hearts and souls of individuals, who have discovered newfound strength and resilience through the power of touch.

Massage Therapy Provides Transformative Care

Thu, 21 Dec 2023 14:47:54 GMT

In the hushed hallways of a hospice center, Bluegrass Care Navigators (BCN) massage therapists introduced a transformative form of care - comforting touch for the hands. A seemingly simple concept, it evolved into a profound tool, touching lives when they were most vulnerable.

Volunteers and staff were trained to provide warm hand pressure and mindful movements. What emerged were stories of profound connection, especially in the moments before a patient's final breath. The volunteers often reported that the patients' relaxation was palpable when they received comforting touch to their hands.

The philosophy was simple but potent: No one should die alone.

BCN created its Integrative Medicine program in 2019 with a clear goal: to enhance and support excellent palliative and end-of-life care for our patients and families by complementing and coordinating conventional medicine and treatments with non-traditional practices. This allows for a fuller, holistic, patient-centered approach to health and wellness, including mental, emotional and physical functioning, plus spiritual, social and community aspects.

Our Integrative Medicine program is entirely funded through private support, including grants and philanthropic donations. No BCN patient is ever turned away from receiving Integrative Medicine therapies due to their insurance status, and there is no charge to the patient for these services. Without the dedication and care made possible through the generosity of donors like you, patients would not have enjoyed the same quality of life or dignity in navigating their end-of-life journey.

Music Therapy Helps Patient Find Solace and Connection

Thu, 21 Dec 2023 14:41:39 GMT

In the realm of hospice care, there are often hidden heroes – family members who, in the shadow of a loved one's illness, carry the weight of caregiving. The story of Mark and his mother Anne epitomizes the love and dedication that often go unnoticed. Anne had reached the final stage of her battle with vascular dementia, a journey fraught with pain and confusion. The move to Bluegrass Care Navigators (BCN) for hospice care was a challenging transition.

For Mark, it was not just the emotional strain of witnessing his mother's decline but also the financial stress, the worry of making ends meet and the growing sorrow of impending loss.

Emma Powers, music therapist at Bluegrass Care Navigators, played an important role during this important time. Her first visit was an awakening, not only for Anne, who found comfort in music, but also for Mark, who discovered an unexpected source of emotional solace. Music became a bridge between them, a way for Mark to connect with his ailing mother and find respite from the overwhelming responsibilities of caregiving.

Music therapy is part of the integrative medicine program at Bluegrass Care Navigators and is generously supported by donors. Anne is one of many patients who have felt isolated and found hope because of these therapies. The impact of music therapy extends far beyond the confines of a song; it touches the hearts and souls of individuals, who have discovered newfound strength and resilience.

Our Integrative Medicine program is entirely funded through private support, including grants and philanthropic donations. No BCN patient is ever turned away from receiving Integrative Medicine therapies due to their insurance status, and there is no charge to the patient for these services. Without the dedication and care made possible through the generosity of donors like you, patients like Anne would not have enjoyed the same quality of life or dignity in navigating their end-of-life journey.

Art Therapy Helps Dementia Patient Combat Anxiety and Depression

Thu, 21 Dec 2023 14:27:01 GMT

In the final chapters of her life, an elderly patient named Margaret embarked on an unexpected and heartwarming journey as part of her care with Bluegrass Care Navigators (BCN).

Margaret's days were increasingly marked by confusion as she grappled with the cruel reality of dementia. Her cherished memories slipped away, yet she clung to pens and markers, which became her steadfast companions.

In their first art therapy session, Margaret and the art therapist from BCN’s Integrative Medicine Team explored different art media. Margaret's preferences were clear: she loved vibrant, intense colors. Her sketchbooks soon filled with radiant pots of flowers, each stroke a testament to her determination to cope with her ever-present anxiety and depression.

Margaret's family played an essential role in her transformation. They framed and displayed her artwork on the walls of her room, turning the sterile environment into a colorful oasis. As weeks passed, Margaret's mental state deteriorated. But even at the end, Margaret requested her markers and sketchbook. She created fluid forms in bright colors, reminiscent of people dancing, an activity she had once cherished. Margaret, now mostly silent, remained focused on her creations through the end of her life.

Art therapy is part of the integrative medicine program at Bluegrass Care Navigators and is generously supported by donors. Margaret is one of many patients who have felt isolated and found hope because of these therapies. The impact of art therapy extends far beyond the confines of a canvas; it touches the hearts and souls of individuals, who have discovered newfound strength and resilience through the process of creation.

Our Integrative Medicine program is entirely funded through private support, including grants and philanthropic donations. No BCN patient is ever turned away from receiving Integrative Medicine therapies due to their insurance status, and there is no charge to the patient for these services. Without the dedication and care made possible through the generosity of donors like you, patients like Margaret would not have enjoyed the same quality of life or dignity in navigating their end-of-life journey.

Bluegrass PACE Care Helps Kentuckian to Walk Again

Fri, 15 Dec 2023 20:18:37 GMT

Barbara Harris, current participant in Bluegrass PACE Care, believes that enrolling in PACE is the best decision she ever made for her physical, mental and emotional health. At the Bluegrass PACE Center, she’s found a new community outside of her home, made new friends and receives patient-centered medical care. As a result, she’s learning to take her first steps post-amputation.

“The Bluegrass PACE Center is wonderful because I love my home and I want to be there, but at the same time, you get tired of sitting in the house with nowhere to go and nothing to do,” Harris said. “So they pick you up and bring you to the Center where you have all day to socialize, can eat a good meal and get your medicine.”

Transportation is provided by the Bluegrass PACE program to and from the Center, as well as to and from any appointments arranged by the PACE team. At the PACE Center , participants receive primary care, therapy, meals, recreation and personal care, as well as meals and the opportunity to engage in social activities.

At the Bluegrass PACE Center, participants receive the full continuum of medical care, social care, long-term services and support needed by elderly adults so they can live safely in their homes. Upon enrollment in PACE, participants and their caregivers meet with an interdisciplinary healthcare team that includes doctors, nurses, therapists, social workers, dietitians, personal care aides and van drivers among others. This team develops an individualized care plan that addresses the participant’s needs 24 hours a day, seven days a week, 365 days a year.

“Bluegrass PACE Care has improved my quality of life by being able to get out of the house and socialize,” she said. “I feel younger, and I haven’t had this much get up and go in quite a few years,” she said.

Several years ago, Harris’s leg was amputated due to poor circulation. She was unable to walk because her prosthesis was too heavy and didn’t fit correctly. The team at Bluegrass PACE Care measured Harris for a new prosthesis and the therapists are working to strengthen her legs to prepare her to walk when the new leg arrives.

“Bluegrass PACE Care is having a new prosthetic leg made for me, and they’re also giving me therapy to learn to walk with it, which is a big help,” she said. “I’m proud of my progress because the other leg, I couldn’t use; it was just a door stopper.”

Bluegrass Care Navigators was the first PACE program to enroll participants in Kentucky and currently serves Fayette, Jessamine, Franklin, Woodford and Anderson counties; participants must live in these counties to qualify.

For those with Medicaid and Medicare, PACE services are 100 percent covered. For Medicare only, private insurance or private pay, contact Bluegrass PACE Care to discuss associated fees. To qualify, PACE participants must be aged 55 or older, qualify for a specific level of care that may otherwise require a nursing home, live in the service area of Bluegrass PACE Care, and be able to continue to live safely in the community with the help of PACE services.

To schedule a free consultation with a member of Bluegrass PACE Care to discuss eligibility and services, ask questions, tour the PACE Center and meet the team, please call 859.687.9410, toll free at 866.422.6722 (TTY 800.648.6056). For more information, visit bgcarenav.org/PACE.

Patient Leaves Lasting Legacy Through Heartbeat Song Thanks to Music Therapy

Wed, 06 Dec 2023 16:48:14 GMT

Irene Thomas faced many challenges as the result of her dementia diagnosis. Her family struggled to provide care, and they believe that Bluegrass Care Navigators (BCN) was an answer to their prayers. Team BCN coupled expert, compassionate clinical care with support from our integrative medicine team that helped boost Irene’s physical, mental and emotional wellbeing and allowed her to leave a meaningful legacy for her family.

“The professionalism, the details, the persistent care for my mother from BCN had a huge impact on my mother's life, and I honestly believe that BCN helped my mother live longer because of their care,” Troy Thomas, Irene’s son, said.

From bluegrass melodies to old-time tunes, music embodied the essence of Irene’s life. The songs she loved weaved together tales of her Eastern Kentucky heritage, community, resilience and traditions. As a clogger and square dancer, Irene taught dancing lessons for more than 65 years. She appeared on Country Music Television, played on a country music video and performed at the Grand Ole Opry twice. She also served as an “extra” in the iconic movie Coal Miner’s Daughter, depicting the life of music legend and Eastern Kentucky native, Loretta Lynn.

“The day that BCN played music for my mother, her demeanor and the expression on her face changed noticeably, and you could see the joy and happiness on her face,” Troy said. “She moved her head back and forth, and you could tell for a moment that she was in her element listening to the guitar music and singing. It was a pure joy seeing her smile and relive her life.”

Like many in the region, Irene lost treasured heirlooms, irreplaceable photographs and memories spanning a lifetime in the devastating Eastern Kentucky flood in 2022. Afterward, it seemed impossible for her to leave a legacy to her family, but our integrative medicine team stepped in to help. The team recorded Irene’s heartbeat, combined it with an original recording of Loretta Lynn’s “Coal Miner’s Daughter,” and created a Heartbeat Song for Irene and her family to cherish for generations to come.

“Irene’s story reminds us that the legacy we all leave behind is not about the possessions we accumulate, but the lives we touch and the memories we create,” said Whitney Clay, Integrative Medicine Program Coordinator. “Our integrative medicine program is funded through the generosity of our Caring Community, and we are grateful for the timeless impact this program has on our patients and families.”

As Irene’s family listened to Irene’s heartbeat song, they received a new kind of heirloom.

“I am so grateful and so appreciative to BCN for going above and beyond to help people like my mother and to leave a legacy for me and my family as well,” Troy said.

As with all our legacy making services, the Heartbeat Song program is not reimbursed through insurance, and is only made possible through the support of our Caring Community of donors. Irene is one of many patients who has found hope and left a legacy through these therapies. If you would like to join us in giving, please visit https://www.bgcarenav.org/donate or call 855.492.0812.

Listen to Irene's Heartbeat Song, below.

Bluegrass Grief Care Helps Survivors Heal

Wed, 29 Nov 2023 21:22:04 GMT

October 28, 2015, was the worst day of my life. That was the day that my 18-year-old son, Tom,

died by suicide after a long struggle with depression. The grief was crushing, and I was plunged

into a world that was totally different from my life up until then, with no clue of what to do next or

if there even was a life after Tom’s death.

Bluegrass Care Navigators (BCN) gave me a way forward. On a friend’s advice, I called BCN and asked about grief counseling. A counselor called me back immediately and set up an appointment that same week. My counselor listened to me with kindness and compassion. She gave me practical information about how to take care of myself during this horrible time. Most importantly,

she let me know I was not alone and reassured me that what I was feeling was normal and I wasn’t going crazy. I will be forever grateful for that.

BCN’s monthly child loss support group connected me with other parents who had also suffered this unimaginable loss. I started attending shortly after Tom died and attend it to this day. We support each other, share our experiences, laugh together and cry together. Grief isolates you, and many of the people closest to us are scared by it and back away. The child loss group is a safe

space where each of us knows that we are truly understood and where we can say what we feel without any fear of judgment. I am so grateful to BCN and the counselor who volunteers time each month to lead this group. Because of it, we are healing.

BCN helps us survivors heal in other ways. At the holidays, there are sessions on how to deal with this difficult time of year. We get together to make ornaments and pillows in honor of our lost loved ones. We send our other children to grief camps. That ongoing support is so important to those of us who are grieving and who often feel the world is moving on and forgetting the people

we have lost.

Eight years after my loss, I can say I am in a better place than I ever thought I would be. I’m taking joy in life and beginning to remember my son with joy, too. I know I have support from BCN when I need it.

Bluegrass Care Navigators remembers.

Learn more about the complementary services Bluegrass Grief Care offers on our website or call 855.492.0812.

Medical Respite Program Connects Underserved Communities to Care

Fri, 17 Nov 2023 20:19:13 GMT

During the holiday season, we often find warmth and joy at home in the company of loved ones. Yet for a 75-year-old veteran who had experienced homelessness, this was a distant dream. After undergoing a life altering above-the-knee amputation and spending over two months in a rehab facility, he faced an uncertain future. No longer in need of intensive medical care, he was referred to a medical respite program.

This brave individual had developed a painful pressure ulcer, requiring wound dressing to be changed three times a week. He needed a safe, clean place where home health nurses could facilitate his recovery. Our dedicated medical respite team stood by him through this challenging journey, working in close collaboration with his healthcare providers.

At one point, the client hesitated to attend a crucial follow-up appointment with his physician. In that critical moment, our team went the extra mile. They provided the client with essential education and unwavering support, inspiring him to take charge of his health once again. We arranged for food, transportation to medical appointments, and even a heartwarming holiday meal with gifts.

This patient continued to heal during his two-week stay in our medical respite program. We didn't stop there; our team reached out to the VA Homeless Outreach program, and the result was beautiful. After 16 days in our care, the client found a safe place to call home. It was more than just a home; it was a new beginning.

The Medical Respite program at Bluegrass Care Navigators provides an environment to safely recuperate after hospital discharge for patients experiencing homelessness. Additionally, this program allows patients to connect to permanent housing options, reunite with their families and receive referrals to ongoing support services. The program is entirely funded through private support, including grants and philanthropic donations. Join us in giving at bgcarenav.org/give.

Carrying on Legacy of Love: Bringing Smiles to Children's Faces

Fri, 17 Nov 2023 19:54:21 GMT

Recently we received a heartwarming donation that embodies the profound impact one individual can have on the lives of others. This donation tells a story of love, generosity, and the enduring legacy of a remarkable woman.

In February of this year, Janice Barker of Mize, Ky., unexpectedly passed, leaving behind her adoring family and a legacy of love for others. She possessed an immeasurable wealth of compassion and kindness, which she freely shared with everyone she encountered. “Our mom was truly one of a kind. She was not a wealthy person…but she was a millionaire when it came to love,” said her daughter, Misty Allman.

Amidst their grieving process, Janice’s three daughters and husband of 43 years made a remarkable discovery, nearly one-hundred brand new toys in all varieties stored in her home. While they knew she collected toys for her eight grandchildren, a great grandchild, and many other children in the community, they didn’t realize how many she actually had stored in her home.

“She always seemed to have a toy on hand for every kid she knew, and graciously gave them away to those she didn’t. She truly loved children,” said Misty.

So, in honor of their mother's memory, Misty and her family chose to donate her collection of toys to Bluegrass Care Navigators. This decision was driven by their desire to perpetuate her spirit of generosity and ensure that her love would continue to touch many more lives.

“As we are grieving the loss of our mom, it is our hope that this donation can honor her and bring a smile to the children of Eastern Kentucky. Just as she would have wanted,” said Misty.

Since receiving this donation, our team has been able to provide these toys to children throughout Southeastern Kentucky who are also grieving the loss of a loved one. Some of the toys have found a home at the Greg and Noreen Wells Hospice Care Center for children to enjoy while their families visit loved ones. Others were provided to campers at Camp Hope this year, where they ended their day by selecting a special toy of their own to take home with them. It is a true honor to carry on Janice’s legacy through this compassionate donation from her family.

Bluegrass Care Navigators' Donors Leave a Legacy of Compassion for Others

Wed, 15 Nov 2023 14:02:21 GMT

Bluegrass Care Navigators was proud to recognize Stephen and Steve Drayton as our honorees at the 2023 National Philanthropy Day luncheon in Lexington on November 8. Throughout their 24 years together, the Draytons have focused much of their time on volunteering and fundraising for a variety of causes and nonprofits, including Bluegrass Care Navigators.

Through their loyal volunteer work for Bluegrass Care Navigators, the Draytons are dedicated to making a significant impact on the health of our community.

“We chose BCN because we were new to Lexington, and we heard about the organization's reputation in the community. We have neighbors who are nurses at BCN, and Steve is a former Volunteer Coordinator at a hospice in New Jersey,” said Stephen.

In addition to having a personal connection with our team members and with hospice volunteer needs, Stephen and Steve know first-hand how essential hospice care is for individuals in our community.

“Steve, in his past, was diagnosed with several potentially terminal diseases, leading him to elect hospice care at one point. New treatments restored his health, but the impact inspired him to dedicate much of his time to healthcare in support of those who are medically frail,” Stephen said.

Steve added that, “Hospice is important to us because we know how easily one's health can quickly change and how vital it is to have access to quality symptom management and pain control as one prepares for the end of life.”

Recently, the Draytons decided to take the next step in their commitment to hospice by naming Bluegrass Care Navigators as a beneficiary to a legacy gift.

“Leaving a legacy gift has always been our intent. We don't have any children, and we feel that it is better to leave a gift to an organization that is important to us, rather than leaving smaller gifts to friends and extended family,” said Stephen and Steve.

“We are tremendously excited to welcome Stephen and Steve as the newest members of our Sara Kaufmann Society, “ said Laura Klumb, Vice President of Philanthropy. “Stephen and Steve aren’t just leaving a legacy gift, they are leaving a legacy of compassion for others, helping to sustain our hospice services well into the future and ensuring that no one is ever turned away from hospice care, due to being un-insured or underinsured.”

Join Our Sara Kaufmann Society!

Named after one of Bluegrass Care Navigators’ most generous supporters, the Sara Kaufmann Society recognizes those who have included Bluegrass Care Navigators in their will or estate plan or have contributed a life-income gift.

If you have already included Bluegrass Care Navigators in your will or estate plan, please let us know by contacting us at 859.296.6865 or at the link below. We would be honored to thank you and welcome you into the Sara Kaufmann Society.

By letting us know, we can ensure that we fulfill your gift exactly as you intended. Information you share will be kept confidential and we respect any desire to remain anonymous.

Navigate Grief with Compassion at the Holidays with support from Bluegrass Care Navigators

Mon, 13 Nov 2023 14:57:25 GMT

The holiday season represents a time of joy, celebration and togetherness. However, for those who have lost a loved one, it can be a challenging and lonely period. Bluegrass Care Navigators (BCN) provides extra support during this time to our patients, families and community members.

Through individual grief counseling, support groups and holiday workshops, we help those in grief learn to express their emotions, remember their loved ones in meaningful ways and develop effective coping skills to find connection and community. All grief care services are complimentary and open to anyone in the community.

“The lights, the music, the laughter, even the smells of Christmas, can evoke memories that intensify our feelings of loneliness, isolation and, at times, hopelessness,” Susan Houston (LCSW), bereavement counselor, said. “During my time with BCN, I have seen the difference our memorial programs have made in the lives of those we serve in our community. These services provide an opportunity to embrace memories of shared stories and past traditions and help people find the hope of healing as they navigate their grief journey.”

At BCN, we understand that there is no one-size-fits-all solution to the complexities of grief. Licensed bereavement counselors employ a multifaceted approach to help individuals and families throughout the year, but especially during the holidays. These offerings include:

Individual Grief Counseling : Trained grief counselors provide a safe space for individuals to express their feelings and thoughts. These professionals offer guidance, coping strategies and a listening ear to those dealing with loss.

Support Groups : BCN hosts a variety of grief support groups, including parent and partner support groups, where people can connect with others who have experienced similar losses. These groups provide a sense of community and a feeling of not being alone on their journey of grief.

Holiday Workshops : The first holiday without a loved one can be exceptionally difficult. BCN helps attendees understand the grieving process, know what to expect and learn ways to cope with the myriad of emotions associated with grief. As part of the workshops, participants often create an ornament or other meaningful object by which to remember their loved one.

“BCN’s monthly child loss support group connected me with other parents who had also suffered this unimaginable loss,” Janet, a participant in Bluegrass Grief Care, said. “I started attending shortly after my son died and attend it to this day. We support each other, share our experiences, laugh and cry together. Grief isolates you, and many of the people closest to us are scared by it and back away. I am so grateful to BCN and the counselor who volunteers time each month to lead this group. Because of it, we are healing.”

Learn more about how Bluegrass Grief Care can help you and your family by calling 855.492.0812, or visit our website to discover grief care offerings in your area.

Music Therapy Helps Patient Find Hope

Fri, 10 Nov 2023 16:26:03 GMT

Recently, Bluegrass Care Navigators (BCN) music therapist, Emma Powers, had the opportunity to work with a patient who is living with late-stage dementia. In the article below, she shares how this intervention helped her patient find hope.

The patient’s symptoms have progressed to the point where he’s forgotten most activities of daily living, including how to feed himself, how to walk and how to speak. Due to this, the majority of the patient’s time is spent lying in his bed at the facility where he lives and watches television all day long.

During her visits with him, however, the patient has the opportunity to remember a vibrant life prior to his dementia, one filled with many activities, including playing saxophone.

“As I play and sing for him, he watches me and smiles tearfully, sometimes attempting to speak, but mostly just listening. I can see in his expression how validating it is for him that I play songs he used to play on the saxophone. The music brings back memories of a happy time in his life,” Emma explains.

Sometimes it can provide meaning in a way nothing else can.

“During our sessions, he feels, I hope, like a person again, and not just a hospice patient," she said.

Bluegrass Care Navigators Celebrates 20 Years of Providing Training as a Palliative Care Leadership Center

Tue, 07 Nov 2023 20:53:40 GMT

For 20 years, Bluegrass Care Navigators (BCN) has served as a Palliative Care Leadership Center (PCLC), a designated center of excellence through the Center to Advance Palliative Care (CAPC).

As a PCLC, BCN provides technical expertise and mentorship to organizations developing or expanding palliative care programs across the U.S. BCN is one of eight leadership centers and the only hospice organization in the U.S. that is also part of PCLC. Since 2004, BCN has trained and mentored more than 270 healthcare organizations from 40 states.

“Bluegrass Care Navigators is proud to support organizations in advancing palliative care programs,” Turner West, Vice President of Health and Policy Strategy at BCN and lead BCN faculty with PCLC, said. “Being part of the PCLC initiative has not only allowed us to share our learnings with other organizations, but it has also provided unique insights for us as we hear the ways others approach palliative care in their communities.”

In 2003, CAPC and the Robert Wood Johnson Foundation established a network of Palliative Care Leadership Centers. These centers are nationally recognized centers of excellence and provide training in a variety of areas, including team skills and complex program design. Health care organizations can choose to train at the leadership center that is the best fit for them based on their stage of program development and growth, as well as their goals. As part of the program, organizations receive assessment tools, customized training and a full year of mentoring designed to meet that organization's specific challenges and needs.

BCN is a national leader in delivering high-quality care and a pioneer in developing new programs that respond to the evolving needs of seriously ill patients and their families. BCN provides hospice care in 32 counties across Kentucky, as well as specialized care for aging Kentuckians including palliative care, PACE, home health, transitional and grief care. BCN offers guidance on effective strategies for building hospital-hospice partnerships, insight into opportunities for palliative care in a value-based healthcare delivery system, best practices on serving a largely rural population, and more.

"The demand for palliative care services has increased exponentially, so it remains vitally important that we continue to build and expand successful, sustainable palliative care programs. We are grateful for Bluegrass Care Navigators’ work as a Palliative Care Leadership Center. For two decades, they have played a crucial role in providing a necessary foundation of practical knowledge and coaching for so many new and growing palliative care teams," said Brynn Bowman, chief executive officer at CAPC.

PCLC is part of the Center to Advance Palliative Care and uses their proven training methods, coupled with the unique experience that each leadership center offers, to provide customized training and mentoring for palliative care programs of every setting, size and stage. CAPC is a national organization dedicated to increasing the availability of quality, equitable healthcare for people living with a serious illness. As the nation’s leading resource in its field, CAPC provides healthcare professionals and organizations with the training, tools and technical assistance necessary to effectively meet this need. To learn more about PCLC or to apply visit capc.org/pclc

Empowering Patients and Families in Times of Need: Bluegrass Care Navigators Celebrates National Hospice and Palliative Care Month

hwilcox@bgcarenav.org (Heidi Wilcox) — Mon, 06 Nov 2023 13:55:24 GMT

Bluegrass Care Navigators (BCN), a leading provider of hospice and palliative care services, joins organizations across the nation to celebrate National Hospice and Palliative Care Month in November (HAPCM). During this time of reflection and appreciation, we honor our dedicated team members and seek to raise awareness about the benefits of hospice and palliative care, along with advanced directives.

"We are honored to serve our community and celebrate National Hospice and Palliative Care Month, " Monica Couch, Vice President and Chief Hospice Officer at Bluegrass Care Navigators, said. “Our mission is to provide compassionate and patient-centered care to those facing life-limiting illnesses. We recognize that it's not only the patients who require our support but also their families and caregivers. Grief care, integrative medicine, and advanced directives play a vital role in our approach to ensure that the physical, emotional and spiritual needs of everyone involved are met."

“The most important thing I got from Bluegrass Care Navigators was their commitment to excellence,” Lynne Keller, a patient’s wife, said. “I never felt like I was one of a whole bunch of people. I felt like they put us first and no matter what the need was, Bluegrass Care Navigators found a way to help and to meet our needs.”

Bluegrass Care Navigators also offers assistance to complete advanced directives , including a living will, healthcare surrogate and medical instructions for care for those patients unable to speak for themselves. These documents help communicate a patient’s medical, personal, emotional and spiritual wishes and allow them to give the gift of security and love to their family.

“National Hospice and Palliative Care Month provides an opportunity for patients, providers, and community members alike to engage in advance care planning and other important discussions about the care they wish to receive when facing a serious illness before the time of crisis,” said Ben Marcantonio, COO and interim CEO of the National Hospice and Palliative Care Organization (NHPCO). “We believe everyone deserves a good death, and the way to get there is through courageous conversations.”

For more information about hospice, palliative care, and advance care planning, call 855.492.0812 or visit our website at bgcarenav.org.

Bluegrass PACE Care Makes Living at Home Your Goal Our Priority

Fri, 27 Oct 2023 12:55:36 GMT

Bluegrass PACE Care is all-inclusive healthcare that keeps Kentuckians 55+ safely at home. Bluegrass PACE Care provides a healthcare team and a customized plan for your individual needs. PACE participants receive medical and personal care, along with transportation, meals and social activities at the PACE Center. Bluegrass Care Navigators was the first PACE program to enroll participants in Kentucky and currently serves Fayette, Jessamine, Franklin, Woodford and Anderson counties; participants must live in these counties to qualify.

At the Bluegrass PACE Care Center, participants receive the entire continuum of medical care, social care, long-term services and support needed by elderly adults so they can live safely in their homes. Upon enrollment in PACE, participants and their caregivers meet with an interdisciplinary healthcare team that includes doctors, nurses, therapists, social workers, dietitians, personal care aides and van drivers among others. This team develops an individualized care plan that addresses the participant’s needs 24 hours a day, seven days a week, 365 days a year.

“PACE helped me not waste a day after my disability,” Maxine Myler-Cook, current Bluegrass PACE Care participant, said. “I believe in life before death, and you can’t stop living. Every day has to be a new adventure. PACE was my adventure. That was my new path in life because you never know what hand you’re going to be dealt, but you have to sit at the poker table and play the best hand you’ve got, and PACE is definitely helping me do that.”

Transportation is provided by the PACE program to and from the Center, as well as to and from any appointments arranged by the PACE team. At the PACE center , participants receive primary care, therapy, meals, recreation and personal care, as well as meals and the opportunity to engage in social activities.

For those with Medicaid and Medicare, PACE services are 100 percent covered. For Medicare only, private insurance or private pay, contact Bluegrass PACE Care to discuss associated fees. To qualify, PACE participants must be aged 55 or older, qualify for a specific level of care that may otherwise require a nursing home, live in the service area of the PACE organization, and be able to continue to live in the community with the help of PACE services.

Patient Celebrates a Century of Life with the help of Bluegrass Care Navigators

Fri, 29 Sep 2023 19:12:30 GMT

On July 22, Ruth Manning gathered with more than 60 children, grandchildren, nieces and nephews to celebrate her 100th birthday two days after being admitted into hospice care.

She was unable to sit in her wheelchair safely due to her disease progression, and her family was concerned that she wouldn’t be able to attend her party. Upon learning of her family’s goal, Manning’s Bluegrass Hospice Care team collaborated to move up her admission date. Less than 24 hours after her admission, they coordinated the delivery of a Broda chair that provides supportive positioning so that Manning could safely attend and celebrate at her birthday party

“Thank you from the bottom of our hearts,” Patricia, Manning’s daughter said. “The chair was a lifesaver because it allowed Mom to attend her party and celebrate this milestone with us. The staff at Madonna Manor where Mom stays also used the chair for the next few days to take her to the dining room and engage with her community at the Manor.”

Although battling dementia, Manning seemed genuinely happy to see her family, even taking a bite of her favorite lemon cake.

“My favorite memory is of me bending over Mom’s wheelchair with her cake and the candle while everyone sang happy birthday and her looking at the cake sort of in awe,” Patricia said. “That was a moment that just struck me that this is really happening.”

Her party doubled as a family reunion, where relatives greeted Manning and visited with each other. A few gave toasts that shared memories of what her 36,525 days of life have meant to them. Patricia recounted how her mom grew up during the Great Depression and learned to make do with very little. Manning made Patricia’s dresses out of feed sacks, and she remembers her friends telling her they were the best dresses they’d ever seen. Although not formally educated, Manning was a person with the utmost common sense and was a homemaker and caregiver for her and her husband’s families. She loved gardening, especially her rose bushes. Always a swimmer, she joined a synchronized swimming team with friends at her local YWCA in her 60s.

During the celebration, Manning even got to hold the newest member of the family, her 6-month-old great grandnephew. Everyone left the party with memories they’ll hold for a lifetime and a king-sized Baby Ruth candy bar: Like Ruth Manning, Baby Ruth was created in 1923.

“Getting to be part of celebrations like this is just so rewarding,” Suzanne Rineer, Manning’s nurse said. “My job is to help patients end their lives well, and it’s nice to celebrate something lifegiving to help the family find joy. Those little memories of happy, joy-filled moments help with the sorrow and the grieving process after their loved one’s passing.”

“I always try to be a rainbow in someone’s cloud,” Angela Gray, Department of Medical Equipment Office Manager, said. “I’ve learned that what Maya Angelou said is true: people will forget what you said, people will forget what you did, but people will never forget how you made them feel. I’m so grateful to have been able to help facilitate this celebration for the Manning family.”

Bluegrass Care Navigators provides hospice care in 32 counties across Kentucky, as well as specialized care for aging Kentuckians including palliative, PACE, home health, transitional, home primary care and grief care. For more information about our services or volunteer programs, visit  www.bgcarenav.org . 

Certified Nursing Assistant Connects Patients with Comforting Care at the Right Time

Thu, 28 Sep 2023 18:29:45 GMT

Christina Nyamai, a Certified Nursing Assistant (CNA) at Bluegrass Care Navigators, partners with hospice patients and families on their end-of-life journey, providing the comfort of personal care. After working as a marriage and family therapist for ten years, she felt it was time for a change. Although she knew the work of a CNA would be challenging, she has found peace, happiness and purpose in her new career. For Nyamai, being a CNA is about offering the comfort of presence and relationship in a difficult time.

“I’m willing to be a partner in your dying process,” she said. “I’m willing to stand with you in this vulnerable moment and walk alongside you and your family. I love helping patients and families have what they need to get through this last leg of the journey and beyond so they don’t have to walk alone.”

As a CNA, Nyamai gives a lot of baths. For her, giving a bath is an entry point.

“It’s not just a bath,” Nyamai said. “It’s being present in a vulnerable time. The families know you’re there and trust you to take care of their person. And there’s nothing like a bath to make a person feel human again.”

Nyamai uses some of the skills she learned as a therapist, such as empathy and active listening, to help her patients feel seen, heard and valued. She recalls one patient who was a veteran and lived alone without any family. He trusted few people, but by providing compassionate care, Nyamai and the clinical team built a relationship with him and helped him maintain his best quality of life.

“BCN is the only place I’ve ever worked that really cares about the empathy part,” Nyamai said. “You actually have time! We are allowed an hour with each person, which is unheard of. But it’s great because all my patients are unique, and I get to build a relationship with each of them.”

Nyamai carries a caseload of six to eight patients and sees them three to four times per week. She and her fellow CNAs serve as the eyes and ears for the nurses and relay patient updates so the team is fully informed to provide comfort and care.

“When it comes down to it, we’re the connectors,” she said. “Sure, I’ll help you feel clean, which is nice, but I’m also going to listen to you talk. If you’re in physical, emotional or psychological distress, we’ll find a way to fix it and connect you with the nurse, chaplain or social worker to give you the care you need.”

Memorial Garden Honoring Loved Ones is Dedicated at Bluegrass Care Navigators in Lexington

Thu, 21 Sep 2023 14:33:37 GMT

On August 29, Bluegrass Care Navigators (BCN) gathered with our Caring Community of donors, friends, teammates, local artists Matthew and Karine Maynard of Maynard Studios, and landscape designer Jon Carloftis to dedicate the newly installed memorial tree sculptures in our Bluegrass Care Navigators Memorial Gardens. Together, we celebrated life, honored memories and left with renewed determination to continue to make a positive impact in the lives of those we serve.

“Through our work in hospice care, we have learned that every life is a story worth celebrating, and every memory is a treasure to be cherished,” Liz Fowler, President and CEO, said. “These memorial trees and our garden stand as symbols of the lives we have cared for and the lives we continue to touch. They stand as a tribute to the resilience of the human spirit and the enduring connections that bind us together.”

Maynard Studios custom designed these inspiring memorial tree sculptures to honor the memory of those who have touched our lives and celebrate their contributions to our community. Each leaf, animal and flower on our memorial trees is inscribed with a tribute message from the bricks located at our previous location, and each represents a life cherished and remembered.

These trees ornament the BCN memorial garden designed by Jon Carloftis whose skillful creativity has transformed the space into a sanctuary of reflection, hope and peace. Carloftis created a haven that is beautiful in every season, where team members can come to rejuvenate and where caregivers and those bereaved can find solace.

“The natural world around us teaches us that life begins, withers, ends and then life can begin again,” Kathryn Perry, Executive Director at our Lexington location, said. “A garden teaches us of the interconnectedness of life, both the majesty and the fragility, the dependence on caretakers and resilience of even the smallest plant.”

Care teams at BCN remember each patient with writings, ribbons, glass beads and other meaningful rituals. When BCN moved to its new headquarters in 2020, we wanted to take these individual reminders with us, and these have been buried in our garden. Irises grow around the parking lot nearby. These bulbs are from the field where Flight 5191 crashed at the Lexington Airport on August 27, 2006, and honor the 49 passengers and crew who perished that day.

“The support and dedication of our donors, community partners, team members and volunteers serve as a shining example of how we can create positive change when we come together with shared purpose,” Laura Klumb, Vice President of Philanthropy, said. “Your generosity enables us to provide comfort, compassion, and solace to families during their most challenging times, and our memorial garden stands as a testament to the love and respect we hold for every life we touch.”

You can leave a legacy in honor of a family member or friend by adding to our memorial tree sculptures at our headquarters location. To place a memorial tree tribute call 855.492.0812 or visit bgcarenav.org/tribute.

Bluegrass Care Navigators Addresses Healthcare Disparities Faced by the Hispanic/Latinx Community in Northern Kentucky

Wed, 20 Sep 2023 15:46:51 GMT

Bluegrass Care Navigators (BCN) continues to build a more equitable and inclusive healthcare system for our Hispanic/Latinx Community. With the support of a Duke Energy Foundation Local Impact Grant received last year, we are walking hand in hand with the community to ensure every individual receives the care they deserve, regardless of their cultural background or language proficiency.

BCN established advisory committees composed of individuals engaged within or connected to the community. The committee focused on healthcare issues that affect Hispanic/Latinx populations and advised BCN on outreach and treatment strategies tailored to this underserved community. Through this group, we learned more about various healthcare issues and received feedback that shaped BCN’s strategies to better serve this community and foster a more inclusive and culturally competent healthcare environment.

Through listening sessions, our team heard about distressing realities regarding discrimination when accessing various healthcare systems and language barriers in care settings. We also learned that the community has limited knowledge of hospice or the importance of advance care planning.

As a result of our learning, BCN has been able to provide targeted support to the Hispanic/Latinx community by developing a care model to train our clinicians. BCN also developed cultural programming to educate and create awareness of hospice care, advance care planning and resources for the Hispanic/Latinx population. By translating educational and marketing materials into Spanish, our team improved communication with the Spanish-speaking community. Additionally, our team used Spanish commercials with captions across BCN’s social media platforms to more effectively bring awareness about our services.

These dedicated efforts have truly helped to foster increased trust and engagement from the Hispanic/Latinx community. Thank you to the Duke Energy Foundation for supporting our mission and enabling us to reach more individuals who can take advantage of our expert, connected care.

Training and Teamwork Offer Expert Care

Fri, 15 Sep 2023 21:10:43 GMT

After deciding to study nursing in college, Korinne Rolf knew she wanted to work in geriatrics. When she was in nursing school, Rolf’s grandfather passed away. After experiencing the expert, compassionate care of the hospice team, Rolf determined that hospice nursing was her niche. She began her career at Bluegrass Care Navigators (BCN) as a flex nurse in our Northern Kentucky region in 2019 and transitioned to her current role as a clinical educator in 2022.

“I like working for BCN because of the community feeling,” she said. “I consider the people I work with to be my work family. I think this is because I work so closely with so many people on so many different tasks, and we all get along very well. We all support each other because we all have the same goal in mind: to provide the best care possible to our patients and families.”

Rolf’s field experience allows her to set new team members up for success from day one by preparing the training curriculum and creating the onboarding schedule. She trains new staff on how to properly document in the electronic medical records (EMR) system, how to set up their IT equipment, access their email, use Zoom and Microsoft Teams, and get the most from BCN’s intranet.

She and her fellow clinical educators stay up to date on any Centers for Medicare and Medicaid Services (CMS) changes. The team works closely with professional development and other departments to cascade that information to others in the field who need it for ongoing education.

As part of the orientation process, new team members do ride alongs and interviews with other clinical disciplines, including social workers, chaplains, CNAs and nurses. This allows new team members to see what a typical day looks like and better understand the scope of BCN and their roles within it. Rolf loves that “lightbulb” moment with team members as new topics and procedures begin to make sense.

“There is no better feeling than knowing that I helped a new hire to find their passion and continue to learn and grow as a clinician and a person,” she said. “Also, I know that the time and effort that I put into training our new hires gets carried forward to our patients and families and that results in better care.” 

Rolf especially appreciates BCN’s core value of teamwork and the interdisciplinary group that works together to offer holistic patient-centered care.

“When you’re out in the field, teamwork is so important because you have to remember you’re not alone, you always have other folks to help you, whether that’s other nurses, CNAs, social workers or chaplains,” she said. “From my experience in the field as a nurse, sometimes it’s important to take a step back and think it might not be a physical problem, it might be something social or spiritual. Everyone is just a phone call away.”

BCN provides hospice care in 32 counties across Kentucky, as well as specialized care for aging Kentuckians including palliative, PACE, home health, transitional, home primary care and grief care. BCN’s primary goal is to provide compassionate physical, emotional and spiritual care to patients and their families coping with serious illness. If your personal goals align with ours, we’d love to have you apply to join our team! View our open positions and apply at   bgcarenav.org/careers.   

WHAS Crusade for Children Awards BCN Grant for Bright Path Pediatric Palliative Care

Fri, 15 Sep 2023 20:59:57 GMT

A serious illness in a family is difficult to handle. When it is a child, families need special support and care through this trying time. Bright Path, a pediatric palliative care program, offers specialized medical care for infants, children, adolescents and young adults who are living with a serious illness.

At the heart of our Bright Path program’s philosophy is the belief that the needs of the patient, not their prognosis, should shape the care they receive. Through home-based services, the program offers specialized care, comfort and resource navigation to those facing unimaginable challenges. Every child is unique, and their journey is met with tailored care coordination, symptom management, shared decision-making and anticipatory guidance.

The true magic of Bright Path lies in our presence in the homes of our patients. This allows us to be more than just health care providers; we become advocates with the families for services, resources, equipment and treatments our youngest patients need to thrive. By improving communication between different specialists, we ensure that everyone is on the same page, creating a seamless web of support around each child and family.

This incredible impact is made possible through the support of donors from our Caring Community, like the WHAS Crusade for Children . Building on a long-standing partnership, which has seen cumulative investments exceeding $100,000, a recent grant of $9,000 from the WHAS Crusade for Children has been pivotal in fulfilling our mission. Through this grant, our Bright Path program perseveres as a beacon of hope for more than 65 families each year, spanning 12 counties in Kentucky. Our program is committed to delivering comprehensive and compassionate care with expert navigation of the healthcare system.

As we celebrate the difference that this program makes in the lives of our patients and families, we extend our heartfelt gratitude to the WHAS Crusade for Children and its dedicated Board of Directors and Advisory Panel. We are deeply grateful for their commitment to our cause. Together, we are transforming futures and creating a world where every child’s smile shines a little brighter.

Bluegrass Care Navigators Helps Pikeville Couple Celebrate 55th Anniversary

Fri, 08 Sep 2023 15:25:14 GMT

Matilda Newsome jokingly says that she and Eddley lied about their ages to get married, and it lasted 55 years. The couple met in high school and knew after five months that they wanted to spend their lives together. Their parents didn’t agree, so they eloped to a neighboring state, told the judge they were 20 and 21 and tied the knot on March 23, 1968. Throughout their marriage, the couple seldom celebrated
milestones, but on their 55th anniversary, the Bluegrass Hospice Care Team surprised them with cake, ice cream, card and decorations.

“This anniversary was magical because without them none of this would have happened,” Matilda said. “We’d have had an anniversary, but they made it special for us.”

Although only 16 and 19 when they got married, the Newsome’s knew the best thing they had in life was each other. The couple grew up together, becoming best buddies and confidants. Matilda believes that the secret to their marriage was their faith and commitment to fix something if it broke.

“If I had it to do it all over, I would do it again,” Matilda said. “I would not have done anything differently if I had those 55 years to do over. We had rough times and things we had to work through, but we never gave up on each other.”

Matilda cherished her role as full-time mom and enjoyed creating a home to which her family wanted to return. While Matilda raised their three children, Eddley worked in construction and mining, as well as pastored Faith of Christ Church in Virgie, Ky., for more than 40 years. Eddley served as a father-figure to those in the community, providing food and answering the call for help no matter the time. He preached countless revivals and funerals, and baptized many at a deep spot in a nearby creek known as Eddley’s Hole. People knew if they saw Eddley, Matilda was going to be right next to him, helping however was needed.

Eddley passed five days after the anniversary celebration and Matilda is grateful for the years God gave them.

“I know in my heart that he held on because he wanted to spend that anniversary with me,” she said. “It was so heartfelt and wonderful that we got to spend it together.”

“With hospice work, we want to squeeze out every bit of celebration of life we can,” Andrea Tackett, Chaplain in the Pikeville Office, said. “When we’re journeying with someone toward the end of life, every accomplishment is a milestone and everything is worthy of a celebration, but it’s pretty rare to get to celebrate something this significant with a couple.”

Age in Place with PACE: Bluegrass PACE Care Celebrates One Year Serving the Elderly in Central Kentucky

Fri, 01 Sep 2023 13:52:44 GMT

Bluegrass PACE Care, or Program of All-inclusive Care for the Elderly, celebrates one year of assisting Kentuckians who may otherwise need nursing home care to live safely at home. Bluegrass Care Navigators was the first PACE program to enroll participants in Kentucky. Since its opening, PACE has served 37 participants in our service area of Fayette, Jessamine, Franklin, Woodford and Anderson counties.

Bluegrass PACE Care offers an all-inclusive plan that provides the entire continuum of medical care, social care, and long-term services and support needed by elderly adults both in their homes and at the PACE Center. PACE is available to Medicare or Medicaid recipients aged 55 or older who qualify for a nursing home level of care, who live in the service area of the PACE organization, and who can continue to live independently with the help of PACE services.

“Being the first comes with a lot of responsibility, and I am proud of our interdisciplinary team who has led the way for Kentucky in providing this type of innovative and quality care,” Liz Fowler, president and CEO of BCN, said. “We are grateful to our participants and their caregivers who have trusted us to provide expert, connected care in a new way.”

Upon enrollment in PACE, participants and their caregivers meet with an interdisciplinary healthcare team that includes doctors, nurses, therapists, social workers, dietitians, personal care aides, transportation drivers and others. An individualized care plan is developed to respond to all the participant’s needs 24 hours a day, seven days a week, 365 days a year.

Many services take place at the PACE Center, with a convenient location in Lexington. Transportation is provided by the PACE program to and from the centers, as well as to and from any appointments arranged by the PACE team. At the PACE center , participants receive primary care, therapy, meals, recreation, socialization and personal care . Many PACE participants have Medicaid or both Medicaid and Medicare. For those who are eligible, contact Bluegrass PACE Care for more information on insurance coverage for this unique program.

As the PACE program continues to grow, Bluegrass Care Navigators (BCN) is delighted to welcome back Chad Helton as the new Executive Director of Bluegrass PACE Care. Helton’s many years as a long-term care administrator and established relationships in the community will serve our team well. During his previous time at BCN, Helton served as the Executive Director Post Acute Care Facilities Services for four years and was an integral part of the clinical operations team that prepared PACE for a successful State Readiness Review in July 2022. He brings invaluable knowledge and expertise of long-term care settings, kitchen operations and in-center patient care.

“Sometimes you have to leave home to know it’s where you want to be, and I’m delighted to once again be part of Team BCN,” Helton said. “I’m proud to have contributed to the start and initial success of the PACE program and look forward to reconnecting with teammates as we continue to set the bar for innovative, quality healthcare in Kentucky.”

For more information, call 855.492.0812 or visit www.bgcarenav.org/PACE .

Six Awards for Excellence Recognize the Team and Partners at Bluegrass Care Navigators

Mon, 28 Aug 2023 15:29:51 GMT

Each year, the Kentucky Association of Hospice and Palliative Care (KAHPC) honors hospice team members from across the state in eight categories. On August 22, five team members from Bluegrass Care Navigators (BCN) and one of our partners at UKHC received an award at the KAHPC annual conference. These awards are peer-nominated and selected by a KAHPC committee. They recognize an individual’s commitment to providing expert, compassionate and patient-centered care.

BCN winners include:

Monica Couch, Vice President and Chief Hospice Officer—Pioneer Category

With more than 25 years of experience in the hospice industry, Couch has dedicated her life to ensuring that the most vulnerable individuals are provided with the best possible end-of-life care. Her career has spanned on-call nurse, case manager, nursing supervisor, executive director and now vice president and chief hospice officer. Couch is a staunch advocate for Eastern Kentucky and works tirelessly to ensure that this underserved population receives standardized, excellent care. Her efforts were instrumental in the design and opening of a state-of-the-art, free-standing, in-patient hospice care center in Eastern Kentucky. Although personally affected by the flooding in Eastern Kentucky in 2022, she collaborated with a community group to distribute food door-to-door and worked with BCN to provide financial assistance, drinking water, cleaning supplies, clothing and other necessities to employees affected by the flooding.

Dave Carper, Counseling Resource Officer—Innovator Category

Carper not only supports the clinical team to maintain high-quality patient care, but he is also committed to the communities BCN serves. In the aftermath of the Eastern Kentucky flood, Carper set up a Hope Table at recovery sites in Hazard with games and activities to entertain children while their parents filled out flood-recovery paperwork. Carper helped other chaplains and social workers set up tables at other sites. Carper has served as a hospice ambassador with the National Hospice and Palliative Care Organization, serves as co-chair of the Hospice Ethics Committee, and is part of the Clinical Ethics Consult Group.

Samantha Craft, Social Worker—Above and Beyond Category

Craft goes above and beyond to meet not only patient and family needs, but also those of her team members and the community. During the Eastern Kentucky flooding in 2022, she volunteered to locate all available resources and become the BCN Resource Point person for her co-workers and BCN patients. She provided county specific information and offered regular communication about resources to patients, co-workers and community members. She has used her skills and knowledge to help victims of natural disasters in other states as well. Craft represents the core values of our BCN mission in all that she does and all that she is.

Cindy Cummings, Director of Health Information Management—Distinguished Leader Category

For almost 30 years, Cummings has overseen the evolution of BCN’s Health Information Management (HIM) Department. She is committed to the hospice mission and has touched more than 100,000 lives in her tenure at BCN. Her goal is to streamline processes to increase staff efficiency, while at the same time offering accessible, yet secure, patient data both internally and to external partners. Among many accomplishments at BCN, she recently played a pivotal role in successfully implementing an electronic medical record (EMR) change that consolidated BCN's service lines into a single platform. Through efficient systems, Cummings ensures that every patient is cared for with dignity, respect and integrity.

Dianna Madden, Executive Director of Inpatient Services, and Manpreet Datta, Nurse Practitioner, PA-C, MPAS —Champion Category

Madden and Datta are an exceptionally dedicated team and together have made significant contributions to the hospice industry. They partnered to successfully implement the innovative scatterbed hospice program at UK HealthCare and collaborated with healthcare teams to educate ICU bedside care teams about the benefits of hospice care. By tirelessly working to educate others, Madden and Datta have impacted more than 750 ICU patients in Kentucky and demonstrated their commitment to advancing the industry and its principles. Their work has influenced renowned hospitals, such as Johns Hopkins and Tampa General. By sharing their expertise and success, they have made a difference to hospice care well beyond their immediate community.

“Our goal is to provide expert, connected care to our patients and families throughout Kentucky,” Monica Couch, Chief Hospice Officer, said. “Our team works tirelessly to provide excellent, holistic care to our patients and families. We are grateful and humbled as individuals and a team when we are recognized for serving our communities with compassion, expertise and kindness.”

The Kentucky Association of Hospice and Palliative Care is a state non-profit organization representing hospices and palliative care organizations. Kentucky's hospices cover all 120 counties in the state and are comprised of free-standing hospice programs, hospital-based programs and programs that are in conjunction with home health programs.

Bluegrass Care Navigators provides hospice care in 32 counties across central, eastern and northern Kentucky. Hospice care provides physical, personal, emotional and spiritual care to patients and families who are no longer receiving treatments to cure a terminal illness and instead choose to improve comfort and quality of life.  As a nonprofit organization, no one is turned away from Bluegrass Care Navigators based on ability to pay for hospice services.

Therapy Dog Grace Gives Puppy Love

Mon, 28 Aug 2023 15:27:38 GMT

This summer Bluegrass Care Navigators celebrated all the love and quiet calm that Grace, our therapy dog in the Hazard region, gave to hundreds of patients, families and teammates throughout the pandemic. Although she retired this summer, we are grateful for the hope and healing Grace brought to everyone who knew her. She is loved by those she served.

“Thank you for bringing such a kind, gentle spirit to us over a really difficult time,” Whitney Clay, Integrative Medicine Program Coordinator, said in a message to Grace. “You were a rockstar in puppy training, and you are a teacher and an amazing therapist. Thank you for the lives that you touched, including my own, and for all that you taught us. I hope that the rest of your days are spent with folks loving on you and giving you as much care as you have given to all of us.”

As unit secretary at the Greg and Noreen Wells Hospice Care Center (HCC), Amanda Weber knows that Grace was loved by many and will be missed by all. Many family members would stop at Weber’s desk to ask if Grace was in that day so they could see her and give her a treat. No matter where Grace went, she wanted to be with those who needed her the most. Sometimes she was the only thing that brought a smile to the spouse of a passing patient; her presence even helped diffuse disagreements between family members in some cases.

“When people are faced with loss, I think we get used to the platitudes that people speak to us,” Scotty Caudill, social worker at the HCC, said. “But when a dog comes up to you and sticks her nose right to your hand and wants to be touched and petted, just that contact alone, that unconditional love means significantly more to families than maybe just words can do.”

During the COVID-19 pandemic, Hazard teammates Kelli Callihan and Amy Gabbard took Grace to the Hazard Appalachian Regional Hospital to support staff. Everyone petted and smiled at Grace, but one nurse ran up to her, dropped to her knees and hugged her. Grace snuggled the nurse while she cried, licking the tears from her face.

“That’s where Grace is,” Sonya Joseph, RN and handler for Grace, said. “She’s with that person who needs her the most. Whether it’s to get extra cuddles or just sit at your feet and let you know she’s there, that’s where she wants to be.”

Shortly after Grace arrived at the HCC, Monica Couch, vice president and chief hospice officer, watched Grace in action. With what seemed to be a sixth sense, Grace approached a nurse and leaned her head on her leg. After petting Grace, the nurse told Monica that Grace somehow knew she was having a hard day because she didn’t normally engage with her in that way.

“It just resonated with me how impactful Grace’s care is not only to our patients, but also to our staff,” Couch said. “She has brought love and compassion and has made a lot of hard days better just by being there.”

Grace has been a vital member of our integrative medicine team. Thank you for all the love you gave to our patients, families and team members! We wish Grace all the best in her retirement!

Program of All-Inclusive Care for the Elderly

Fri, 25 Aug 2023 15:30:52 GMT

Originally published by the Lexington Medical Society on July 14, 2023 and MD-Update in November 2023.

PACE, which stands for “Program of All-Inclusive Care of the Elderly,” is perhaps the most well-kept secret in healthcare. Although PACE has been in existence in the United States since the 1970s, Kentucky’s first PACE program started operating in 2022. PACE is a program primarily designed for patients with Medicare/Medicaid (the “dually eligible”), whose needs traditionally require skilled nursing home care. The ultimate goal of PACE is to allow participants to “age in place,” avoiding nursing home or other long-term care. Federal and state governments recognize that placing such patients into skilled nursing facilities is the most expensive option for care provision and often not the best plan for maintaining an acceptable quality of life for these patients.

Services are 100 percent covered for participants with both Medicare and Medicaid who transition completely to PACE program care. The physician at PACE becomes the participant’s primary care physician. All non-emergency care, including primary care and specialist services, must be provided by the program or an authorized entity to be covered by PACE. Other costs and restrictions apply to individuals who only have Medicare or are paying privately.

PACE programs must have a facility capable of providing health evaluations, adult daycare, meals, transportation to and from the center or other healthcare providers and facilities, and any other services to provide optimal healthcare. It is typical for PACE patients to be seen in the Center 2-3 days per week. This allows PACE staff to become familiar with all aspects of each patient’s healthcare needs. Participants are also visited in their homes when needed by PACE staff who are equipped and empowered to determine appropriate interventions in order to maintain their health and quality of life in their homes and thus avoid moving them to an inpatient facility. PACE staff members work to anticipate problems before they grow more complex and difficult to manage. Although concierge Medicare care has become a luxury offering to some people in the community, the holistic care provided by PACE serves an historically medically underserved and marginalized population.

Evidence shows that, compared with age and morbidity-matched cohorts treated in traditional care models, PACE participants fare better by several important measures. Cited in Leavitt’s 2009 interim report to Congress, a U.S. Department of Health and Human Services study found that PACE participants reported better self-rated health statuses, better preventive care involving vision and hearing screenings, higher rates of seasonal vaccine administration, and fewer cases of depression. A 2010 study in The Journals of Gerontology by Wieland et al reported the five-year survival in a PACE population compared with alternative institutional and home- and community-based care. Despite PACE participants being older and more cognitively and functionally impaired than those in an otherwise matched cohort, PACE participants had a substantial long-term survival advantage after five years of follow-up. The benefit was especially apparent in moderate- to high-risk participants.

PACE centers serve as adult daycare centers where medical personnel get to know each participant on a personal level to provide any needed medical evaluations, including both wellness and acute care visits, physical and occupational therapy, nutritional assessments, meals, and the socialization that is so essential to the person’s sense of well-being. Transportation to and from the PACE Center and other medically related visits is provided by PACE if transportation is a barrier.

To be most effective, the PACE team assumes primary care for the patient and oversees all aspects of their healthcare, including that provided by specialists. Although specialty care remains available, contracted specialists understand that the PACE physician and PACE Center teams will give as much specialty care as they are qualified to provide.

When fully understood and implemented, PACE offers relief to all parties involved: the patient, patient’s family, and the patient’s primary care physician struggling to manage the care of someone with inadequate healthcare infrastructure to prevent the frequent pleas for help represented by a chaotic healthcare experience. These patients are often characterized by frequent emergency room visits, hospitalizations, missed appointments due to lack of transportation, or inadequate social support.

To qualify for the program, a patient must be at least 55 years old, live within counties assigned to active PACE programs, be able to live safely in the community with PACE services at the time of enrollment, and meet state-defined criteria for skilled-nursing home care.

It is critical to share with prospective PACE participants the restrictions and fees, particularly for those who are not dually eligible with both Medicaid and Medicare coverage. Individuals who have only Medicare are eligible for PACE but must pay a fee. Other participants may pay privately for PACE services and have different payment structures.

For all PACE participants, all healthcare must be received at or coordinated by the PACE Center. Participants may be fully or personally liable for the cost of services not authorized by PACE. PACE participants may voluntarily disenroll from the program without cause at any time. The disenrollment date will be coordinated between Medicare and Medicaid for a participant who is dually eligible.

As of July 2023, there are three approved PACE programs in Kentucky. If you have dually eligible or Medicare-only patients whose healthcare needs you are struggling to meet, consider whether PACE may be an option. PACE personnel can evaluate the patient to see if they meet the required criteria for acceptance.

For patients residing in Anderson, Fayette, Franklin, Jessamine and Woodford counties, contact Bluegrass Care Navigators at 855-492-0812 for more information. For the counties of Barron, Clinton, Estill, Jackson, Laurel, Madison, McCreary, Pulaski, Rockcastle, Warren, and Wayne, contact Horizon PACE at 877-589-3053. Residents of Jefferson County can contact Senior CommUnity Care of Kentucky at 502-314-2059.

Medical Student Volunteers at Bluegrass Care Navigators; Expands Experience

Fri, 25 Aug 2023 12:52:04 GMT

While pursuing a career in medicine, Brigette Blacker volunteered at Bluegrass Care Navigators (BCN) to provide support, companionship and other basic services to hospice patients.

Blacker is strongly considering a career in palliative medicine and volunteering at BCN has broadened her scope of experience. In her time at BCN, she participated in a variety of volunteer activities, including respite care, companionship visits and making birthday deliveries. She has also baked cookies and hosted the comfort cart with treats and support items for patients and their families.

Her favorite activity is taking her therapy dog, Walt, to visit patients at the Bluegrass Hospice Care Center at UK Healthcare. She recounts stories about Walt interacting with patients at the Care Center. Blacker says volunteering at hospice has been one of her most rewarding experiences, and she has gained new insights that she didn’t get from her clinical experiences.

“It’s a lot more personal than I realized and it is so special going into patient homes and spending time with them,” she said.

Blacker recently completed the 11th hour training program. With this program, volunteers offer the gift of presence to patients who may not have a family or whose family cannot be with them so that they don’t pass alone.

“We are so happy to have Brigette as a volunteer,” Jennifer Curtis, Volunteer and Community Liaison in Lexington, said. “It’s wonderful to see how she has pursued so many new opportunities in less than a year. At BCN we offer many ways to serve and help our volunteers find the right fit for them, and Brigette has certainly done that.”

Learn more about volunteering at Bluegrass Care Navigators on our website .

President Carter Reaches Six Months in Hospice. Hospice Care Leaders Salute his Contributions.

Thu, 17 Aug 2023 17:01:07 GMT

Pictured above: Susan Lloyd, CEO of Delaware Hospice: Liz Fowler, CEO of Bluegrass Care Navigators; Kristen Yntema, CEO of Authoracare Collective

Nearly six months ago, President Carter and his family chose hospice care for his end-of-life journey. By sharing that choice publicly, the Carters have sparked a national conversation and countless private ones about end-of-life care choices.

To commemorate President Carter’s milestone of six months on hospice, the National Hospice and Palliative Care Organization (NHPCO) invited an intimate group of members to gather in New York City to thank him for lighting a way for all of us. Brief remarks were given in front of the Nasdaq screen by hospice and community leaders coming together in one of America’s most well-known public squares to express gratitude for President Carter’s leadership and the courageous conversations he has inspired.

President and CEO of Bluegrass Care Navigators Liz Fowler attended the event. An active member of NHPCO, Bluegrass Care Navigators serves patients in 32 counties across Kentucky, providing personalized end-of-life care to bring moments of joy and peace and patients and families.

Speakers included: Ben Marcantonio, Interim CEO of NHPCO, Susan Lloyd, CEO of Delaware Hospice, Jacqueline Lopez-Devine, Chief Clinical Officer (CCO) of Gentiva.

This event took place August 17, 2023 in Times Square, NY. Video of the event is available here: https://facebook.com/events/s/president-carter-times-square-/325315389924117/?mibextid=RQdjqZ

Improve Quality of Life with Palliative and Hospice Care from Bluegrass Care Navigators

Mon, 14 Aug 2023 12:57:43 GMT

When battling a serious illness, you will face complex situations, unpronounceable medical terms, stress and uncomfortable symptoms. Bluegrass Care Navigators (BCN) is here to help guide you through these challenges with Bluegrass Palliative Care and Bluegrass Hospice Care . While both service lines manage symptoms with patient-centered care, each provides different types of support based on the patient’s goals.

Bluegrass Palliative Care is a consultative service for home-limited patients who suffer from an advanced illness. Our team of experts works with patients and their physicians to understand the patient’s goals, and together they develop a long-term plan to manage the symptoms that often accompany illness or aggressive treatment. These symptoms can include pain management, constipation, insomnia, difficulty breathing, anxiety and others. Our goal is to improve quality of life for patients and caregivers. Research has shown that palliative care can reduce emergency room visits, hospital admissions, improve quality and sometimes even lengthen life. BCN offers palliative care in hospitals, nursing homes and in-home settings.

“We as a department are very proud to be experts in symptom management so that we can help you deal with a serious illness,” Katherine Lotzer, department of medicine clinical manager, said. “Because palliative care is a consultative service, we collaborate and have built strong relationships with healthcare providers to serve as the eyes and ears for their patients. They trust us to provide expert, compassionate care to treat the whole patient and improve symptoms.”

In contrast, Bluegrass Hospice Care provides end-of-life care for patients who no longer receive treatments to cure a terminal illness, but instead choose care that improves comfort and quality of life. Many are surprised to learn that hospice is for weeks and months of care, not just for the last days of life. That time often begins when a physician expects a patient to live six months or less if their illness runs its expected course.

Bluegrass Hospice Care provides patient-centered care wherever the patient calls home, whether a house, apartment, hospital, nursing home or assisted living facility. Our interdisciplinary team of doctors, nurses, social workers, chaplains and personal care aides develop an individualized care plan to meet the patient’s goals, manage symptoms, assist with activities of daily living, offer emotional and spiritual support, manage medication, and provide caregiver support.

“Hospice and palliative care are a gift to the entire family, not just the seriously ill loved one,” Lizzie Eubank, executive director of the department of medicine, said. “Not only does palliative care help improve one’s quality of life, but it also gives them the resources needed to understand their choices when it comes to medical treatment. Our team provides the best quality of care for our patients and families with such dedication and compassion, and I hope we can serve even more families in the future.”

Throughout our 45 years, BCN has cared for more than 150,000 patients and their families across our service lines, serving almost 15,000 Kentuckians in 2022. Although the patients, services and locations have expanded, BCN has maintained its commitment to continual growth and patient-centered care, serving patients in 32 counties in Northern, Central and Eastern Kentucky. For more information about our services, visit  www.bgcarenav.org.

Bluegrass Care Navigators Names Dr. James Borders as PACE Medical Director

Mon, 31 Jul 2023 14:38:01 GMT

Dr. James Borders is the new Medical Director for Bluegrass PACE Care. PACE stands for Program of All-Inclusive Care for the Elderly. In this role, Borders will lead the day-to-day operations of our PACE program, overseeing clinical staff and ensuring high-quality patient care.

Dr. Borders brings more than four decades of experience to Bluegrass PACE Care. After graduating from the University of Kentucky College of Medicine in 1979 and completing residency in internal medicine at Baylor University Medical Center in Dallas, Texas, he held a private practice in Dallas for six years. In 1988, he joined his twin brother John in internal medicine practice in Lexington, where he continued until becoming Chief Medical Officer of Baptist Health Lexington, a role he held from 2015-2022.

At Baptist Health, Dr. Borders co-led the ethics committee and was heavily involved in case management. As he encountered complex situations involving patient care, often in underserved communities, he realized these challenging circumstances facing many patients could be improved through programs like Bluegrass PACE Care. PACE assists aging Kentuckians to remain independent at home, by coordinating all aspects of participants’ care through a comprehensive team of clinicians and services provided in the home and at the PACE Center. 

“Dr. Borders brings many years of experience and expertise, and we are delighted to have him join our team,” Liz Fowler, President and CEO of Bluegrass Care Navigators, said. “He embraces the mission of Bluegrass Care Navigators to deliver comforting care to all at the right time and we look forward to continuing to support participants and families with high-quality care under his leadership.”

Leading PACE represents a natural evolution in career path, according to Dr. Borders. He considers PACE to be a calling and ministry to this population and greatly looks forward to this new chapter.

Bluegrass PACE Care opened in July of 2022 as the first  Program of All-Inclusive Care for the Elderly  in Kentucky. This program is available to Medicare or Medicaid recipients aged 55 or older who qualify for a nursing home level of care, who live in the service area of the PACE organization, and who can continue to live independently with the help of PACE services. 

For more information, call 855.492.0812 or visit www.bgcarenav.org/PACE .

Massage Therapy Helps Patient Cycle from Anxiety to Relaxation

Fri, 21 Jul 2023 12:44:10 GMT

Massage can sometimes agitate patients who have confusion. It makes sense; it could be confusing to be touched by a stranger. I have a patient right now who loves massage but needs to come to that conclusion several times during our treatment.

I saw her recently, and she spent some time trying to remember who I am, what massage would be like, and then slowly relaxing into the treatment. She asked me if I knew her daughter or family members and then stopped to say, “That feels so good!” Then she cycled back, trying to see if we knew anyone in common or how I might know her family. Then a pause and she said again, “Wow, that feels great.” We followed this pattern throughout her treatment until she started getting more generally relaxed. By the end, she was closing her eyes and trusting that she would enjoy the treatment. She even dozed off. When I see her next, I will re-introduce myself and hope that I can gain her trust again to help ease her into a comfortable and relaxed state by the end of that treatment.

Andrea “Andy” Soltan is a massage therapist at Bluegrass Care Navigators (BCN). After finishing a B.A. in Psychology at the University of Kentucky, she pursued massage therapy school and believes that working at BCN is a calling for her. She especially enjoys teaching loved ones ways to care for their family members and has been known to make hand massage circles in the home so that everyone gives and receives a massage. Learn more about our integrative medicine services on our website: https://www.bgcarenav.org/integrative-medicine .

Bluegrass Home Health Care Celebrates One Year Supporting Healing and Convenience for Patients in their Homes

Thu, 20 Jul 2023 20:36:17 GMT

There is no substitute for the comfort of home, especially when recovering from illness or injury, or when managing a chronic condition. Since 2022, Bluegrass Home Health Care has cared for more than 850 patients and families, helping them to recover and maintain their best health at home. BCN began offering home health in the region last year following an acquisition.

“I couldn’t have asked for a better team to adopt and build upon,” Carma Potts, Executive Director of Home Care Services, said. “Working for BCN is more than a job to this team, it’s an investment in their community. We have put a lot of thought into the many changes over the past year, and we are taking steps to ensure our clinical staff is practicing at the top of their license with hands-on trainings and education.”

Bluegrass Home Health Care offers a range of in-home medical services tailored to the patient’s needs. Services include traditional home health, Early Periodic Screening Diagnosis and Treatment Special Services (EPSDT), Home and Community-Based Waiver Services and Outpatient Incontinence Supplies. As part of Bluegrass Home Health Care, patients have access to skilled nursing care, aid services, medical social services, and physical, occupational and speech therapy to restore patients to the best quality of life possible.

Last year, a local farmer decided to try home health. He had not been actively farming for about a year due to significant health problems and needing to use oxygen. Home health providers worked with him for several months, the team equipped him with a portable oxygen device, and the occupational therapist even rode with him on a tractor to help him safely return to his daily activities.

“Our home health staff joined the BCN team from various healthcare backgrounds, and all have banded together to form a dedicated team,” Holly Webb, Home Health Clinical Manager, said. “We continue to learn, grow and provide the best, patient-centered care. I am eternally blessed and thankful to help lead and shape the Bluegrass Home Health Care Team!”

“We are so grateful to the patients and families in the Cynthiana region who have allowed us to serve them in other service lines for more than 30 years and now through our home health services,” Liz Fowler, president and CEO of BCN, said. “We value the trust these families give us by allowing us into their lives and homes and appreciate our team members who consistently provide expert and compassionate care.” 

Anyone who is interested in home health services provided by Bluegrass Home Health Care should speak to their physician or healthcare provider about their care needs. More information about Bluegrass Home Health Care and other services offered by Bluegrass Care Navigators can be found at www.bgcarenav.org/Home-Health-Care

Massage Therapy from the Heart

Wed, 19 Jul 2023 14:42:15 GMT

I have always been a massage therapist at heart! Even in my younger days, I would always trade massages with my friends and offer hand massages to family members who had worked a long day. Yet it wasn’t until I was backpacking around the Big Island of Hawaii that I decided to go to school to learn massage.

I saw many job listings for massage therapists needed at resorts, and I realized that I needed to pursue a certification to do the work I had always loved. When I returned to Kentucky, a friend who had recently graduated from the Lexington Healing Arts Academy (LHAA) gave me a massage as a birthday gift. It was the most amazing massage I had ever experienced, and I knew that I would need to go to the same school if I wanted to be able to return the favor. I enrolled at LHAA a few months later, and my life has never been the same!

While in school, we broached the subject of hospice massage, and something lit up inside me at that moment. I didn’t know how to go about it then, but I knew I had a calling to give the gift of massage to this very special population. It took almost ten years, but eventually I learned how I could serve this community. I am thankful now that it took me so long to find my way to Bluegrass Care Navigators (BCN). My previous experience has provided me with the background necessary to facilitate different personalities and bodies. Over the past few years of doing this work, I have seen massage provide immeasurable benefit for patients, from the most basic results, like physical relief, to more deeply felt experiences, such as emotional acceptance of one's body and the need to be cared for.  I cannot fully express my gratitude for being able to provide massage to the folks who need it most, patients and caregivers alike.

If I wanted to tell BCN team members one thing about massage, it would be that massage is so much more than just a way to treat physical pain. Massage is a way to connect with our patients and our own bodies both physically and emotionally. Massage provides a space for healing that is unlike any other modality. It is wordless and infinitely profound in the transformation that can take place in a gentle atmosphere of acceptance and support. Without a doubt, EVERYONE needs a massage! At least once in a lifetime - preferably, at least once a month!

Bluegrass Care Navigators Partners with Spark Café to Feed Patients

Thu, 06 Jul 2023 13:20:49 GMT

Since 2020, Bluegrass Care Navigators (BCN) and Spark Café in Versailles in Central Kentucky have been working together to feed food insecure hospice patients and families in the area.

Twice a week BCN volunteers call each patient to get their order from a menu selection and deliver the food to their home. This service allows patients to retain autonomy and independence while accepting the generosity of friends and the community.

“Our patients are in the last days, weeks or months of life so we want to help them have things that they need, but also the things that they want, so I'm really grateful for the partnership with Spark Café,” Jennifer Hubbard, volunteer and community liaison in the Frankfort Office, said.

Executive Director of Spark Café Kyle Fannin knows firsthand the value and dignity that hospice services provide to patients and families. When the opportunity to partner with BCN arose, he thought it was a no-brainer.

“The partnership with BCN is a natural because you don’t do that work unless you care about people,” Fannin said. “Prior to the passing of my mother and father, I knew the work that hospice did, but before you deal with hospice, you have no idea the work they do and how much it helps.”

Currently volunteers deliver meals to a few patients and families but hope to be able to grow this service to feed even more. BCN volunteers aren’t required to meet a certain number of volunteer hours per month, and meal deliveries involve a minimal time commitment of about two hours per week.

“This partnership with Spark allows our patients to enjoy food that they used to enjoy when they could go to restaurants,” Rachel Moody, social worker in the Frankfort Office, said. “It gives these patients a sense of normalcy and contact with our volunteer.”

Volunteers play a vital role in patient and family care. Our Medicare participation requirements state that 5% of patient care hours must be completed by volunteers.

“Our volunteers have beautiful hearts and provide extra support and care to patients and families,” Shellie Brown, director of volunteer operations, said. “We don’t focus a lot on that number because if you are meeting the need, you’re going to meet that requirement. We’re just here to love on our patients and support them.”

Volunteers come from varied backgrounds, bringing rich, diverse experiences and talents that support patients, often in unexpected ways. BCN is always looking for more volunteers to fulfill a variety of needs with warmth and compassion. All volunteers receive training on best practices within the healthcare setting. To learn more about volunteering and to sign up, visit our volunteer page.

Spark Café opened March 2019 in Versailles, Ky., with the mission of alleviating food insecurity in Woodford County by providing nutritious, farm-to-table meals in a community space that educates, entertains and accepts all who enter. To date, they have served more than 40,000 meals throughout Central Kentucky. Spark Café operates on a pay-it-forward, pay-what-you-can or volunteer model. Learn more about Spark on their website at sparkcommunitycafeky.org.

Saying I Love You with a Song

Wed, 05 Jul 2023 18:20:37 GMT

Recently I have had the joy of working with Mrs. A. She is a lovely, sweet-spoken woman who always has a smile on her face, but the smile often hides the grief and pain she deals with daily. Mrs. A has struggled with feelings of loss regarding an estranged relationship with two of her children.

In the words of her daughter, she “knows she is dying and is sad that she will never have closure or get to say goodbye.” I was initially referred to help with coping and emotional processing, but quickly discovered that verbal processing was difficult and frustrating for Mrs. A.

A previous stroke prevented her from stating everything she wanted to concisely, and our first several sessions consisted of blundered attempts from both of us to get to know one another and explore her feelings of grief. Knowing that she still had a need to express emotions and that verbalizing them was often frustrating, I suggested a songwriting project to communicate a message to her children.

Mrs. A loved the idea of sharing her feelings and hopes for her family’s future in this way. With help from her daughter and sister, she composed a lovely message which I helped her to adapt for a song. I plan to record the finished song for Mrs. A to enjoy and to share with any family members she chooses. Through this process, I have seen Mrs. A find a sense of lightness and peace within a difficult situation. I’m so glad that she has been able to express her emotions through songwriting and I feel lucky to have been part of the process.

Camp Hope Helps Children in Grief with Peer Understanding

Mon, 03 Jul 2023 14:12:22 GMT

Camp Hope, a free one-day children’s bereavement camp for ages 6-17, helps children and caregivers know they are not alone.

From the moment campers arrive, they are welcomed by a community that knows what it’s like to love and to have lost. Bereavement counselors, social workers, volunteers and integrative medicine specialists provide an opportunity for participants to express their grief and develop effective coping strategies in a fun, safe and supportive environment. At the end of the day, campers report a sense of lasting community and inner healing.

“Children in grief often feel alone,” Holly Bender (LCSW), bereavement counselor, said. “They may not think that anyone else gets it or know that other people are experiencing similar situations. When you see those kids come together, and they see that other kids are going through what they're going through, they know they're not alone anymore. Throughout the day, we see them build that peer connection and learn that it is okay to talk about and express their feelings, often building friendships that last."

Children and their caregivers engage in a variety of physical, mental and social activities to process their loss and find a way of expression that is a good fit for them. Campers start the day together with family activities before being divided into peer groups. Each age-appropriate activity is tied to a grief support objective, such as sharing their personal grief story, learning healthy coping strategies, developing communication skills to share feelings, and understanding the importance of remembering loved ones.

“You see the connection that kids have made with other kids and the guardians have made with other guardians and the impact that Camp Hope has in just that day to help people find things in common that they can’t necessarily talk about with their neighbor or close friend,” Pam Dixon (MSW), regional counseling supervisor, said.

In 2023, Eastern Kentucky’s Camp Hope will take place on September 16 at Four Star Village in Redfox. This camp offers peer group and family activities, music therapy and an emoji game. Central Kentucky’s Camp Hope will take place on October 21 at the Life Adventure Center in Versailles. In addition to activities, this camp also offers equine therapy, a giant swing and a variety of low ropes activities. Families are welcome to select either camp to attend based on their preferred date or location.

In the adult peer group, parents or guardians also participate in activities, process emotions and learn how to guide children through their grief. The hope is that healing will occur not only within peer groups, but also enable families to discuss experiences and difficult subjects moving forward. Each activity is led by a bereavement counselor or a social worker who is trained to help others fully process their grief, provide education and give permission and tools to express feelings.

“Camp normalizes that I am not the only person to experience this,” Susan Houston (LCSW), bereavement counselor, said. “The ages are congruent, so they’re all on the same level in reacting and understanding their loss, and they know they’re not alone. You can see from the hesitancy in the morning, and it’s just this beautiful transformation by the end of the day.”

Bereavement counselor, Dr. Lisa King (PsyD) was especially moved by a young camper in first grade. In the morning, the girl hid behind her guardian and wouldn’t approach the therapy dogs. By the end of the day, she was running around, giggling, had made a best friend and was hugging the dogs.

Some campers make lifelong connections. In 2018, two 11-year-old boys attended Camp Hope after each experienced the sudden, traumatic loss of their father/father figure. The boys immediately connected and two weeks later attended a camp reunion. They ran into the room so happy to share that they discovered they go to the same school and are neighbor and get to see each other every day.

“A few months ago, I ran into one of the mothers and she said the boys are still best friends,” Bender said. “Just to know that they have this lifelong connection where they can continue to help each other heal as they grow, that to me is what camp is all about!”

Space is limited, so reserve your spot today! Southeast Kentucky Camp Hope is September 16 with a registration deadline of August 1. Central Kentucky Camp Hope is October 21 with a registration deadline of September 1.

The Bluegrass Grief Care program is available to anyone in the community who has experienced the loss of a loved one, and offers various programs, including camps, support groups and individual grief counseling. The Grief Care program and Camp Hope are possible due to the kindness and generosity of donors who support the program. Learn more and join us in supporting others through their grief.

Massage Therapy Helps with Shortness of Breath

Wed, 28 Jun 2023 16:22:41 GMT

I specifically don't quantify results from my massages because I want the experience to be far removed from the other medical visits where the patient might be poked and prodded. I have been working on some techniques that really help with shortness of breath. After giving one of these treatments, I excused myself to the bathroom to wash my hands. When I came back, the patient had found her pulse oximeter and was holding it up for me to see. Her breathing was much better, and it made her curious about her oxygen saturation and heart rate.

She said, "I can’t believe it! My O2 is never this high and my heart rate is never this low." Our patients have been so helpful with feedback on my techniques to help with their breathing. It was exciting to see concrete results after lots of learning and tweaking my protocol for shortness of breath.

Patient Leaves Legacy of Perseverance

Thu, 22 Jun 2023 14:38:30 GMT

Teresa Thornton was born with the odds stacked against her. As a low-weight twin at 4 lbs. 11 oz., and the oldest and often “mom” figure in a dysfunctional family, she learned to survive from the start. Although she was diagnosed with life-threatening asthma and dyslexia, somehow she never lost her desire to learn. After a high school teacher gave her the time, skills and learning opportunities she needed, Thornton went on to become a paraeducator at Dry Ridge Elementary School where she worked for 17 years, helping children like herself excel at reading, writing and mathematics. As a current hospice patient, Thornton hopes her story inspires others to never give up no matter their situation.

“Her story is inspiring to me because no matter what came her way, most of which was not of her own choosing, she has more than survived, she’s thrived,” Phillip Moody, Chaplain in the Cynthiana office, said. “She went past everyone’s expectations including her parents, but once they understood that they celebrated and supported her.”

Thornton was misunderstood by teachers and students. As a first grader, she was often put in the corner while the teacher worked with the rest of the class. Another teacher taped her dominant left hand to her desk to try to force her to become right-handed. She suffered severe asthma attacks that put her in the hospital for weeks at a time. Yet, she was determined to persevere.

“I knew I wasn’t a dummy, and I knew something was wrong, even as a child,” she said. “Overcoming my struggles helped me decide I wanted to work with kids because if my teachers could teach me, then I could teach others.”

In high school, her freshman English teacher gave her the chance she needed, helping her learn to write letters and numbers and even working with her on Saturdays. Thornton learned to read by placing a red dot on the left side of the paper to train her eyes to start reading from left to right. That teacher helped other teachers understand how to help Thornton learn.

As a paraeducator at Dry Ridge Elementary, Thornton supported students’ confidence by helping them succeed at small things so they could tackle bigger challenges. She made index cards with cutouts so students could see only one word at a time. She shared her red-dot trick, and she worked with dyslexic students to help them learn to “flip words” based on context. Most of all, she inspired them to never give up.

“I’d tell my kids you have to keep doing it over and over and over again,” she said. “It may take a while, but it will get in there. In fact, one of my students told me he could hear, ‘Just keep trying’ in his sleep.”

As a hospice patient, Thornton continues to teach. She reminds team members to cultivate a spirit of gratitude by challenging them to build their bucket list at the end of each day. For her, this is a way to appreciate the moments that occurred and acknowledge that every day is a win.

"She’s given me the gift of hope in that it’s never too late to continue living and because of God’s grace and mercy, we can live again," Moody said. "Witnessing her determination has also reminded me to create space, when possible, for patients and their families to persevere through what has come their way."

Team members who care for Thornton are reminded and inspired to look at the positive and develop a healthy perspective.

“Teresa pushes through whatever issues or symptoms that she encounters involving her illnesses,” Kimberly Lewis, RN in the Cynthiana office, said. “She does it with such grace and peace. It’s been a blessing for me to be involved in her care.”

Massage Therapists Helps Manage Pain

Wed, 21 Jun 2023 15:58:07 GMT

As we go about our days, in and out of patient homes, we get to see some of the most intimate details of our patients’ lives and relationships. We see the way they decorate their homes and how they interact with their partners and families. We meet their pets and children and are sometimes even made to feel included as part of the family ourselves. This is such a special aspect of our profession that fills us with love and compassion for our patients, but it can also make it difficult to say goodbye when the time comes to do so.

Recently, I began seeing a patient who I already know is going to be difficult for me to let go. He and his partner are a lovely young couple, so loving and sweet to one another, as well as to anyone entering their home. On my first visit, the patient talked joyfully and openly about all the love and care he had experienced since moving to Kentucky. Both he and his significant other were so grateful for this first massage session, marveling at how much it helped to ease discomfort in his affected leg.

My second visit was of a different nature, made in urgency to help alleviate severe pain in the same area. I remember looking at the artwork hanging in the bathroom prior to this session and wanting to ask the patient about it. The patient’s partner said he had acquired it during time in New Orleans. Once I began the treatment, it was immediately clear that the patient would not be able to discuss any specific topic at length. I noticed that the patient had dots marked in pen along his right leg, which he said he had drawn to indicate the location of the pain. This was such a wonderful guide tool for me to be able to work on the areas that were of most concern to the patient, without requiring additional input, which would have been difficult for him at the time. I told his partner how brilliant I found that simple act to be. She asked if there was anything else she could do to help and so we spent some time reviewing simple massage techniques that could be used to help the patient in between integrative medicine massage visits.

I left that day feeling like I had done everything I could for this family and yet feeling like I couldn't do enough. I know this will not be an easy passing for the family, but also for myself. Although I feel like there is a cadence to this work of life and death, it is difficult to know how to “let go and let God” in these emotional circumstances. It sometimes feels like being introduced to new friends without having the chance to really get to know them. At the same time, I am so grateful for the opportunity to meet these wonderful people and, hopefully, provide some relief during such a profound and solemn moment in their lives.

Bluegrass Care Navigators Offers Free, Grant-Funded Dementia Program

Fri, 16 Jun 2023 12:28:31 GMT

According to the Alzheimer’s Association, six million Americans live with Alzheimer’s or a related dementia, and by 2050 that number is expected to rise to nearly 13 million. Bluegrass Care Navigators (BCN) offers Transitional Care Dementia, a free, grant-funded program, to provide in-home care and support for families living with this disease. This service offers education and resources for patients and caregivers that include coping skills, home-based interventions and companionship opportunities.

“The great thing about Transitional Care Dementia is that not only will patients and caregivers receive monthly visits and telephonic support from our home coaches, but we also have funding built into the grant that allows many of our patients to be able to access some respite or personal care services through agencies we work with in the communities,” Jamie Cody, Transitions Program Manager, said.

Funded by a grant from the Administration for Community Living under the U.S. Department of Health and Human Services, Transitional Care Dementia is designed to support and educate not only the patient, but the caregiver as well. The six-month, home-based program includes monthly visits by a Transitions home coach, telehealth support, and companionship from volunteers as needed. A team of nurses and social workers develops a patient-centered plan of care using the Resources for Enhancing Alzheimer’s Caregiver Health (REACH) model of care.

REACH is an evidence-based, caregiver skill-building program that educates the caregiver on what to expect in the moment and helps them to be knowledgeable of disease progression. Home coaches tailor the plan of care to each situation and, using REACH, help caregivers learn to manage problem behaviors, develop communication techniques, reduce and manage stress, and access the tools needed to support long-term caregiving. Caregivers can also attend a virtual, monthly caregiver support group.

“A diagnosis of dementia is not required to be eligible for the program, so if someone has symptoms but not a formal diagnosis, just call and learn more. If the dementia program isn’t the right fit, we likely have another service that would best serve the patient,” Cody said.

Recently, BCN’s Transitional Care Dementia program provided care to a couple in which the husband suffered from dementia. While caring for her husband, the client’s wife was diagnosed with cancer and needed weekly chemotherapy treatments. At first, she took her husband with her for the eight-hour treatment, but when the pandemic hit, visitors were no longer allowed. The client was referred to the Transitional Dementia Care Program who met with the couple, assessed their needs and were able to provide respite care while the wife received her treatment.

“It was really great because the respite caregiver worked with the client and really engaged him,” Cody said. “The client benefitted from the care and socialization while his wife received much needed medical care and respite. A great outcome!”

To learn more about Bluegrass Transitional Care or the Dementia program, call 855.492.0812 or visit https://www.bgcarenav.org/dementia.

Therapy Dog Grace Retires

Wed, 14 Jun 2023 14:40:03 GMT

Hi everyone! I have some bittersweet news. While I love my job as the therapy dog in the Hazard region, I’ll be retiring this summer. I want to thank my co-workers and handlers for training me and giving me the opportunity to bring comfort to our patients, families and clinicians during the pandemic.

Nothing has given me a better feeling than when I see someone’s face light up with joy or share a hug with someone. I love knowing that I’ve made a difference in their lives, especially during a difficult time.

While I have so many wonderful memories, one that sticks out to me is when my Hazard teammates, Kelli Callihan and Amy Gabbard, took me to the Hazard Appalachian Regional Hospital to support staff during the pandemic. Everyone got excited when they saw me, and I enjoyed all the pats and smiles. One nurse ran up to me, got on her knees and hugged me. Sometimes there are no words, so I just snuggled her while she cried and tried to carry some of her sadness by licking the tears off her face. Kelli told me on the drive home that she was in awe of me. I’m not sure what that means, but since she gave me a treat, I know she was proud.

One family in our Hospice Care Center told me that I had given their mom her only smile since her husband passed away. It warms my heart to know I’ve lightened someone’s load and made their day a little bit better.

Whitney Clay, my integrative medicine program coordinator, offered me these sweet retirement wishes:

“Thank you for bringing such a kind, gentle spirit to us over a really difficult time . You were a rockstar in puppy training, and you are a teacher and an amazing therapist. Thank you for the lives that you touched, including my own, and for all that you taught us. I hope that the rest of your days are spent with folks loving on you and giving you as much care as you have given to all of us.”

Hearing those kind words is even better than peanut butter and bacon! (Well, almost!) I will miss everyone, but I’m looking forward to catching up on my sleep, taking long walks and playing outside.

Corbin Couple Feels the Love on Valentine’s Day and Beyond

Fri, 09 Jun 2023 14:20:54 GMT

When Lee and Lynne Keller said “I do” 42 years ago, they never anticipated needing hospice care. When Lee suffered a traumatic brain injury in January 2021, the couple knew life would never be the same. At their doctor’s recommendation, they signed up for hospice care with Bluegrass Care Navigators (BCN). In the fall of 2022, Lynne was diagnosed with breast cancer. BCN not only cared for Lee, but also provided daily respite care for two months so Lynne could receive treatment.

“I think it was more for me than for Lee,” Lynne said. “I did not miss a single appointment in two months because there was always somebody here. That’s worth more than anything I can put value on because I worry about him if I can’t be here, and I knew he would be well taken care of.”

Lynne took care of Lee on her own for a year prior to hospice care. Lynne describes that time as “extremely challenging,” as Lee suffered hallucinations, seizures and uncontrollable behaviors. The Kellers averaged two trips to the emergency room per month for six months. After signing up for hospice care, the clinicians adjusted Lee’s medications to balance his moods and behaviors and offered 24/7 nursing support.

“The most important thing I got from Bluegrass Care Navigators was their commitment to excellence,” Lynne said. “I never felt like I was one of a whole bunch of people. I felt like they put us first and no matter what the need was, Bluegrass found a way to help and to meet our needs.”

Milly Burkhart, a BCN volunteer in the Barbourville region, became the Keller’s regular volunteer in December of 2022. She brought magazines to share with Lee, and Lee, an accomplished pianist, played her piano concerts.

As Valentine’s Day approached, Burkhart saw an opportunity to play cupid. Although she’s been volunteering with BCN for 12 years, she says it’s not often that she sees a couple so much in love. She decided to help them celebrate in style with a card, flower delivery and their favorite meal.

“I wanted the wife to have all the wonderful things that encompass a Valentine’s Day from her husband,” she said. 

Burkhart got Lee to sign the card, which she mailed to arrive for Valentine’s Day. She also arranged for Lynne’s favorite flowers to be delivered first thing Valentine’s morning, and she personally delivered the couple’s favorite meal of spaghetti and meatballs, salad and dessert that evening. 

Lynne, who had no Valentine’s Day expectations, was completely surprised.

“I was blown away and so surprised,” Lynne said. “I felt so loved because I knew that Milly and Lee had collaborated to get it organized and I really, really felt special.”

Lynne and Lee met at church after her first husband passed and Lee had divorced. On their first date, he opened the passenger door for her, and she found daisies on the front seat. For her, that was an “ah ha” moment that this man was special.

“I still think she’s the most beautiful, intelligent and caring person I’ve ever spent time with,” Lee said.

After dating for a while, Lee suggested that they get married. Lynne went into a deep funk and finally told him that because of how difficult her first marriage was, she never wanted to be anyone’s wife again.

“He said, ‘You won’t be my wife, you’ll be my girlfriend,’ and here we are 42 years later, and we still call each other ‘boyfriend’ and ‘girlfriend,’” Lynne said. “There’s just a different mindset when you think back to how you met your husband and how you felt like there was nobody else in the whole world.”

Although life will never return to the way it was before Lee’s injury, BCN helped this couple learn to live in the aftermath of tragedy. Lynne feels blessed to get to live each day with her husband at her side.

“I give credit to BCN that Lee is as healthy, as far along and as stable as he is,” she said. “I believe that between prayer, the knowledge that we have and to be able to be at home, all those things contribute to his well-being.”

Navigating Through the Journey of Grief with Bluegrass Grief Care

Fri, 09 Jun 2023 13:53:20 GMT

Life’s most difficult moments require the most compassionate care, and your generosity makes this possible for so many in our community. At Bluegrass Care Navigators, we are dedicated to ensuring that no one faces the end of life alone, including the accompanying feelings of grief impacting all involved.

Losing a loved one — even an expected loss — is often overwhelming. So, when someone needs additional support, Bluegrass Grief Care can provide a continuation of our expert, compassionate care by helping individuals navigate their journey with grief as they learn to cope with their loss.

But did you know that Bluegrass Grief Care is not limited to hospice patient families? With the support of donors like you, our Grief Care services are available to anyone in the community who has experienced the loss of a loved one. Like Milo, who was only 13 years old when he lost his father to a sudden heart attack in 2017. For Milo and his mother, Yanya, our Grief Care services gave them a sense of belonging as they dealt with their grief in a compassionate and supportive setting.

“People wanted to help, but they didn’t really know what to say or do. I felt like an outcast from my peers,” Milo recalls.

That changed when Milo attended the Bluegrass Care Navigators Camp Hope, a free bereavement camp for children in our service area who have lost a loved one. Camp Hope offers a safe environment for kids and teens to express their grief, learn how to cope with difficult feelings and to support one another.

“At Camp Hope, I felt like I had a home, a refuge,” Milo remembers. “I’m still in contact with some friends that I made there.”

Milo’s mother, Yanya, says she felt the same sense of belonging, after joining a support group for adults.

“Our loss was so sudden. I felt lost and hopeless. The group is like a big, wonderful family. It’s a place you feel welcome no matter how you lost your loved one,” Yanya says. “And Milo and I would share our experiences with each other, which helped us deal with the grief together.”

Since his time at Camp Hope, Milo found a way to give back to Bluegrass Care Navigators by donating gifts for other kids who are grieving the loss of their loved one. Now, a freshman at Stanford University, Milo continues his mission to instill hope and confidence to children in need through his charity efforts and support for Bluegrass Care Navigators.

“Despite the demands of college, I am committed to this cause and believe that everyone can make a difference in their own way,” Milo says.

Your support today is much more than an act of charity. Like Milo, you are offering comfort for our patients, their loved ones, and many more in our community who are benefitting from the support and care they need to find peace and heal.

Thank you for helping us continue to make a difference in each of their lives.

Working at BCN is the Best. Decision. Ever.

Fri, 09 Jun 2023 13:42:39 GMT

Autumn Wilson says that working for Bluegrass Care Navigators (BCN) is the best decision she ever made. Not only does she appreciate the patient-centered care that BCN provides, but she also appreciates the family-first atmosphere that BCN promotes. After coming to work for BCN almost a year ago, she has been able to spend more time with her family and now feels that she can be truly present when she is with them.

“Our care is very patient-oriented, which is what I believe all healthcare should be like, instead of worrying about length of stay and the dollar,” she said. “At BCN we’re actually taking care of the patient and family in a holistic way with our team of social workers, chaplains, nurses and CNAs.”

Prior to her time here, Autumn worked on an oncology floor at a hospital and sent a number of patients home with Bluegrass Hospice Care services. Several of her co-workers transitioned to BCN and encouraged her to follow.

“I thought it was too good to be true, but I absolutely love it here,” she said. “If my son has an event during the day, I can arrange my schedule with my boss to attend and still see my patients. This company is so family-oriented and actually cares that we have a family.”

Wilson saw two positions open at BCN before she applied. Since she had never done any type of nursing except bedside nursing, she didn’t want to make a transition she regretted. She prayed for the Lord to lead and guide her before applying and knew it was the right next step when she was offered the job.

“It was just meant to be, and I have loved every day of working for BCN,” she said. “It really was meant to be for me to be here, and I have never wished I hadn’t come.”

As a full-time flex nurse, Wilson describes her role as a “substitute teacher” for nurses from 8 a.m. to 5 p.m. For example, if a nurse has a large caseload, Wilson will see four patients per day to help lighten that nurse’s load. Whether at a patient’s home for one hour or four hours, she and the rest of the nursing care team make each of their patients feel like the only one.

“I just love brightening my patients’ days until their last day,” Wilson said. “I get to comfort the families with our knowledge and let them know what to expect. We are a calm in the storm, and I love that.”

Wilson wanted to be a nurse since childhood when she suffered from severe asthma and was in and out of the hospital. She saw the difference a good nurse can make, and she determined to become a good nurse. After her papaw gave her a nurse’s cap to play with, she couldn’t see herself doing anything else. She earned her CNA license in high school and worked as a CNA while earning her RN degree at Big Sandy Community and Technical College in Prestonsburg.

Bluegrass Care Navigators Achieves National Recognition through ‘Quality Connections’ Program

Mon, 22 May 2023 15:10:08 GMT

Demonstrating commitment to providing the highest quality care for the hospice community

Bluegrass Care Navigators (BCN) has achieved recognition by earning four rings in the 2023 Quality Connections program of the National Hospice and Palliative Care Organization (NHPCO). BCN is the first to achieve this national recognition this year and the only hospice in Kentucky to be recognized. Quality Connections is the only national program designed to support hospice and palliative care provider delivery of high-quality, person-centered care.

“This award recognizes and honors the work of our nurses, physicians, nurse practitioners, aides, chaplains, social workers and volunteers, as well as our team’s daily commitment to provide excellent, holistic care to our fellow Kentuckians,” Monica Couch, Chief Hospice Officer, said. “I commend my team for their continued excellence and their commitment to serve our communities with compassion, expertise and kindness.”

Quality Connections is structured around four fundamental pillars represented by four rings: Education, Application, Measurement and Innovation. Quality Connections participants must achieve milestones within defined timeframes by taking part in activities such as quarterly data reporting and benchmarking, educational courses, case studies, and engagement on emerging issues; all of which serve to promote high-quality care delivery and service excellence. Achievement in the program is measured by completing activities within each of the four foundational areas, culminating in the closure of up to four rings.

“We are committed to providing expert, compassionate care to those in need wherever they call home, whether that is in a private home, a nursing home or even a hospital,” said Bluegrass Care Navigators CEO Liz Fowler. “We are proud of this recognition and commend our team of clinicians and staff who work tirelessly every day to provide excellent care to Kentuckians in the 32 counties that we serve.”

By taking part in the Quality Connections program in 2023, BCN has earned the highest achievement possible by closing four rings and has enhanced its quality improvement program, plus is up to date on the newest and best practices in serious illness and end-of-life care.

“Achieving this recognition reflects BCN’s strong culture of quality and safety,” Joanne Luke, Director of Quality and Patient Safety Officer, said. “We continue to be committed to providing the highest quality of care for our patients and their families. The quality team at BCN appreciates the collaboration and support from administrative and clinical team members to ensure that we remain a leader in providing hospice care for those we serve.”

“NHPCO is committed to helping hospice and palliative care providers deliver the best care possible to patients and their loved ones. Quality Connections was created to make the ongoing journey of excellence possible," said NHPCO COO and interim CEO Ben Marcantonio. “The Quality Connections program continues to grow and include broader content and learning opportunities like compliance, palliative care, equity and inclusion that serve our patients and communities across the continuum of serious illness and end-of-life care.”  

Learn more about BCN at bgcarenav.org .

Music Therapy Brings Patient Peace

Thu, 18 May 2023 14:42:02 GMT

Maggie Scheppman, music therapist, shares how music therapy helped a patient find peace.

Recently, I was asked to make an urgent music therapy visit for end of life. When I arrived, I observed the patient moving restlessly in their bed and attempting to remove their clothing. At the time of my visit, the patient was alone, but thanks to the information from the referring team member, I knew that the patient was a musician herself and playing for her church community was a big part of her life.

I was able to provide relaxing instrumental music, as well as sing and play several hymns. As the visit progressed the patient appeared to become more relaxed and comfortable, especially in response to the hymn “It is Well with My Soul.” By the time I concluded my visit, the patient was resting with her eyes closed and exhibited minimal restless movements. While it is helpful to work with patients who can verbalize their music preferences, that is not a requirement for music therapy. I am grateful to the Bluegrass Care Navigator team member who was able to provide music preferences on behalf of the patient so I could address the end-of-life restlessness as successfully as possible.

Learn more about our Integrative Medicine services: https://www.bgcarenav.org/integrative-medicine

Volunteers Bring Comfort with Bereavement Bears

Tue, 16 May 2023 14:18:40 GMT

In 2006, after her own experience with Bluegrass Care Navigators, Shirley Bubany took the incredibly difficult loss of her husband and chose to give back by becoming a volunteer with BCN.

"I decided to become a volunteer with BCN because it helped with my grieving process; relating to other people, and knowing that everyone is going through it. It is hard for me to think how my life would not have been as rewarding if I did not volunteer with BCN. It really got me out of myself."

Two years later, in 2008, she was approached with the idea of putting her sewing skills to use by making bereavement bears for family members who had recently lost a loved one. These hand-sewn bears are made with the clothes and fabric from the loved one who has passed away and help to provide comfort to those grieving.

Having now made over 600 bears, Shirley continues to create these comforting keepsakes for our patients’ families, each one unique and personalized to honor the memory of a loved one. In addition to donating the materials for the bears she makes, Shirley's dedication to this program and the families it serves is evident in the care and attention she puts into each bear. She takes the time to get to know the loved one through their clothes and hobbies to create a special, lasting memento.

"Making the bears is a way to give back to the families and support them in their grief journey. I could go buy a new purse, but I would rather buy poly-fil for the bears. My own experience caring for my husband and the support I received from BCN motivates me to continue making the bears and give back to others."

Shirley has heard countless stories of how the bears have brought comfort and solace to families during their time of mourning.

"One of my favorite memories is while being recognized as the National Hospice and Palliative Care Volunteer Award recipient, I was approached by a gentleman who brought the bereavement bear I had made using his wife's robe. He explained to me that his daughters requested a bear for him because he was unable to sleep since his wife's passing. He told me that after he received the bereavement bear, he was finally able to sleep again with it by his side."

The program continues to grow so much that other volunteers, such as Jean Smith in Lexington, are also making the bereavement bears to help keep up with the needs of our bereaved families.

"I know what it is like to lose a loved one, and to be able to provide others with something that brings comfort and lightens their load is a great feeling," said Jean.

Shirley hopes to encourage more volunteers to help continue this program and carry on this important work to support families through grief and loss.

Thanks to volunteers like Shirley and Jean – and donations from our Caring Community – the bereavement bear program has had a profound impact on those who receive them and serves as a reminder that Bluegrass Care Navigators is here to support families even after their loved ones have passed.

If you are interested in finding out how to volunteer with Bluegrass Care Navigators, please go to  www.bgcarenav.org/volunteer .

Cynthiana Therapy Dog and Volunteer Bring Joy

Mon, 15 May 2023 19:31:50 GMT

Vicky Thomason and Sola, a seven-year-old Doberman Pinscher, put their paws together to provide comfort, conversation and emotional support to patients and families in the Cynthiana region.

Recently, Thomason and Sola visited Terri Wiedemer at Edgemont Healthcare. Prior to the visit, Wiedemer hadn’t seen a dog in 10 years and never stopped petting Sola during the hour-long visit.

“Sola is the best Bluegrass Care Navigator,” Wiedemer said. “She made my day!”

Sola’s presence held space for Wiedemer to reflect on her family and grandmother’s Doberman, Carl. Wiedemer fondly recalled how she would lay on or next to Carl as a child, and he never minded. During the visit, Wiedemer and Thomason talked about grandchildren, favorite pets and life events.

“I think our visit really benefited her,” Thomason said. “Terri said that she was having a rough day, but this brightened her day, so hopefully the rest of the day will be better for her.”

As an oncology patient, Thomason saw first-hand the gift of joy and healing the therapy dogs brought to patients. As she recovered, she wanted to give that gift to others, so three years ago, she and Sola went through the certification process with Love on a Leash.

“I think it will be a really good thing,” Thomason said. “I volunteer through Love on a Leash, but I think the hospice part of it is really neat.”

Medicare-certified hospice programs require providers to use volunteers for at least five percent of their patient care hours. Volunteers are required to undergo training to gain understanding of the goals for hospice care and their role and function as a volunteer. 

If you are a therapy dog handler or have another special skill that could help a hospice patient, we could use your talents! Learn more about volunteering at Bluegrass Care Navigators on our website  www.bgcarenav.org/volunteer.

Falling in Love with Hospice Care

Thu, 11 May 2023 14:27:18 GMT

As a high school student and hospice volunteer, Lindsay Kampfer discovered the beautiful paradox of death. Through volunteering at Hospice of Northwest Ohio, she experienced the peaceful comfort that hospice care brings to patients, caregivers, families, staff and volunteers. As she helped landscape patient gardens, arranged flowers, filled water glasses and sat bedside with patients, she learned death wasn’t something to fear and that she wanted to be one of the network of individuals shepherding patients through the end of life.

“I fell in love with end-of-life care,” Kampfer, Assistant Vice President of PACE, said. “The energy of hospice is just so peaceful, warm and welcoming. It spoke to me in a way that tapped into a part of my psyche and soul that hadn’t been touched yet. It sparked a curiosity in me to see the tender care that was provided, the nurturing and the shepherding, and it gave me peace.”

After graduating with a degree in psychology from the University of Kentucky in 2008, Kampfer took a gap year and worked at the Center for Drug and Alcohol Research with a focus on intimate partner violence. Kampfer realized that social work combined her love of working with people, counseling and research into one job. She earned her Master of Social Work in 2012, later completing additional clinical hours to become a licensed clinical social worker (LCSW).

Kampfer started her career at Bluegrass Care Navigators (BCN) almost 10 years ago with a year-long practicum in palliative care and bereavement services. Although she has held several roles at BCN, she started her career as a flex social worker.

“There never was a job that was cooler or more perfect for me,” she said. “It gave me the ability to travel and familiarize myself with Kentucky, and not being from here, it gave me cultural experiences that I couldn’t have gotten otherwise. It was a beautiful learning lesson as people welcomed me into their homes at the end-of-life and I learned to navigate the intricacies of that.”

Kampfer has gone on to hold several roles during her time at BCN. These include executive director of the Frankfort office, counseling resource officer, and currently assistant vice president of PACE, our program of all-inclusive care for the elderly. Kampfer says that she has “grown up inside BCN,” but her curiosity and commitment to lifelong learning have served as a huge asset to BCN as she continued her personal and professional growth.

During COVID-19, Kampfer knew many faced death in isolation. She wanted to help teammates, patients and families better navigate this time and earned her certificate as a death doula. Just as a birthing doula shepherds life into the world, a death doula shepherds life out of the world and seeks to create the environment that the patient desires. A death doula guides the family through this transition by facilitating necessary, helpful conversations and helping to overcome any barriers to ultimate peace.

“Doulaship can also take into account the dynamics of traditional families and chosen families and empower advocacy of the patient and ensure alignment of all the people who are walking them to their ultimate demise,” she said.

Doulaship allows her to offer guidance to teammates so that they can hold space and presence for those they serve and create peaceful experiences for their patients and families with simple, practical, non-clinical skills.

“A lot of the role is educating or normalizing the experience,” Kampfer said. “Death provokes anxiety and fear, so when you can normalize the changes someone is facing, it helps decrease fear and increases the calm, peace and understanding.”

Kampfer will continue her career as Vice President of Hospice and Palliative Services at Hope West in Colorado. Her last day at BCN is May 23.

“For me, the best part of working here is the people,” she said. “I’m leaving an agency that I love to broaden my own horizon and have a new adventure. And yet, I’m leaving an agency where I’ve been able to wake up every single day committed to doing the right thing for the right reason always. It’s pretty empowering.”

Local Chef Touches Others From the Heart

Mon, 01 May 2023 14:27:41 GMT

For the past seven years, Chef Angelia Drake with From the Heart Catering has been helping women in recovery feel seen, heard and valued on Good Friday.

Through the generosity of sponsors and more than a dozen vendors, Drake hosted 25 women at the Lyric Theater for a day of pampering, complete with new clothes, hair styling, manicures, delicious food and inspirational speakers. This year, Bluegrass Care Navigators (BCN) partnered with Drake to offer hand massage, art intervention and a gift bag at the event.

“When we’re going through addiction and things, we don’t take care of ourselves, whether hair, feet or clothing,” Drake said. “You look at some of the ladies and think ‘she’d be really pretty cleaned up,’ and this is the day they get to see where they’ve come from and where they can go.”

During Drake’s 25-year struggle with addiction, she felt like she was not only the black sheep of the family, but a wasted person without worth or purpose. While still incarcerated, her fellow inmates started calling her Sister Holy Water to make fun of her, but they would call her to pray when going to court or when family members were sick. Although it started as a put-down, she realized God had given her a gift to touch others, not just physically, but to leave a lasting spiritual impact.

“I believe the scripture that says, ‘whatever you do, do it from the heart,’” she said. “I wanted to give them a touch, but I wanted them to know it was coming from the heart.”

In 2016, she started her signature Good Friday event, Touching from the Heart, to help other women feel good, know that someone cares and that they are loved by others and a power greater than themselves. Drake also brings her granddaughters to help serve others and hopes the Good Friday event is a way to give back to Christ who so freely gave to her.

“I couldn’t be part of my granddaughters’ lives if I didn’t change my life,” Drake said. “I want them to know the importance of not looking down on people for things and to appreciate their parents and the life that they have.”

As part of the event, members of BCN’s integrative medicine team and volunteers offered hand massages and an art project. Each woman was given a stone as a remembrance of the day and could paint a word or a picture on the stone that would remind them of the gift and hope in each day.

“The women were so open, and we really saw the power of positive touch,” Whitney Clay, Integrative Medicine Program Coordinator, said. “Many of these women have likely experienced threatening touch or been viewed as less than. You could almost feel the nervousness in the women’s hands, but as we massaged, you could watch it melt away. It was beautiful.”

From the Heart Catering is committed to serve the community, provide nutritious meals and educate others on how to cook healthy without sacrificing flavor. Drake also offers a 6-8 week training program, Teaching from the Heart. As part of this program, women in recovery are given the opportunity to learn job skills and receive a job reference. Drake also pays for them to earn a food handler’s permit to give them the tools to live a life without addiction.

“Food is an avenue of healing because it brings people together and companionship is a big part of healing,” she said. “Loneliness is just as bad as being sick, and food brings people together. It brings happiness and laughter. It relieves stress by coming together. Even if it’s just bringing food to someone, you don’t feel alienated.”

Drake works with local churches, businesses and organizations to supply food to those in need throughout the year. To learn more about From the Heart Catering or to partner with Drake, visit fromtheheartcateringky.com.

DME Driver Finds Purpose at BCN

Mon, 24 Apr 2023 15:02:14 GMT

After working as a truck driver for 28 years, Ken Oglesbee knew it was time for a change. As a Department of Medical Equipment (DME) Service Technician, Ken Oglesbee delivers and sets up hospital beds, wheelchairs, walkers, oxygen and other medical supplies to patient and family homes. For Oglesbee, helping others is more than a job; it’s given him a sense of purpose.

“This is the first job that I can honestly say that when I wake up in the morning, I look forward to coming to work,” he said. “I enjoy my job, what I do and serving people. I enjoy putting other people’s needs before mine, and that sums up the statement of what I mean by a sense of purpose.”

Depending on the patient’s needs and continuum of care, Oglesbee may see a patient only once or multiple times. But that’s enough to build a relationship, and often patient’s families comment on the quality of his care.

“But they don’t understand that they have probably impacted me more than I have impacted them,” he said.

Oglesbee tries to give each family 110 percent and to build a rapport with the patient and family during his delivery. He remembers one patient who really wanted to visit an apple orchard. The family requested portable oxygen tanks for the trip. When Oglesbee delivered the supplies for the trip, the family wasn’t sure they would be able to go due to the patient’s declining health.

One month later, Oglesbee received the ticket to pick up the supplies at this patient’s home after his passing. As he was leaving, the patient’s wife flagged him down in the driveway because she wanted to show him pictures of their visit to the apple orchard that Ken had helped facilitate. The wife told Ken that over the past several months as he had made deliveries, he had also become part of the family.

“To me this job is not just a job,” he said. “This to me is a sense of ministry. I’m getting paid to serve people and to make people happy and comfortable. I would do that for free, but don’t tell anyone that!”

Bluegrass Hospice Care Center at UK Healthcare Celebrates 5 years; Honors Legacy at Saint Joseph Hospital

Mon, 24 Apr 2023 13:39:14 GMT

In April, the Bluegrass Hospice Care Center (HCC) at UK Healthcare celebrates its fifth anniversary of serving patients and their families. During their five years, the team has provided expert, compassionate care to more than 2,200 patients and their families.

As we celebrate the anniversary of the UK HCC, we also honor the legacy of the Bluegrass Hospice Care Center at Saint Joseph Hospital in Lexington, which provided unit-based care for 30 years before beginning the process of establishing a scatterbed model, which is decentralized hospice care throughout the hospital, in 2023.

“Happy Anniversary to our team!” Dianna Madden, Executive Director of Inpatient Services, said. “In the three years that I’ve been here, I’ve seen the care center grow and transform, and that is all because of the team. The entire team -- every nurse, every nursing assistant, every unit secretary, our nurse manager, nurse practitioner, our medical director -- deserves all the accolades. The five years that we’re celebrating is really celebrating the team there!”

Dr. Natalie Houghton and Dana Benedict, nurse practitioner, are proud of the teamwork, friendships and interdisciplinary care that they provide patients and families every day.

“We feel privileged to have partnered with an amazing organization and are grateful for the support that UK Healthcare provides,” Houghton said. “The UK HCC is a truly special place filled with extraordinary people called to serve an even more extraordinary population. The unit is "home" not only for those of us who work there, but also to the many patients and families who allow us into their lives and entrust us with their care.”

For them, the keys to successful growth are the high-quality care and endless compassion that they and their teammates are privileged to provide to patients and families during a vulnerable time.

“Great teamwork stems from great relationships, and Natalie and I are both so grateful not only for our current team and the friendships we have formed, but also for those who have come and gone over the years,” Benedict said. “In addition to the personal relationships that will last a lifetime, we are also grateful for the patients and families who have touched our lives while allowing us to care for them during one of the most vulnerable times in their lives.”

Clinicians at the care center provide 24-hour care to each patient and family, offering a home-away-from-home with a wholistic, patient-centered care approach. The inpatient unit provides a sense of calm and peace, allowing an unlimited number of visitors and providing a place for family members to sleep, shower, eat meals and wash and dry clothes.

“The level of support and that we put the patients first really does stand out from any place I’ve ever been,” Jacqueline Arvin, Nurse Manager at the UK HCC said. “It is never a question of insurance, but always what is right for the patient.”

Nurses are experienced with end-of-life care, educating patients and families on disease progression and making patients and families as comfortable as possible. Social workers and chaplains offer emotional and spiritual support as needed, and volunteers donate snacks, drinks and regularly bake cookies within the unit to provide the comforts of home. One evening a week, Rosie, Bluegrass Care Navigators’ (BCN) therapy dog, and handler Matthew Moffett visit the care center to bring joy and comfort to patients and families.

“They know that the dog is there, and it’s really hard not to get emotional,” Moffett said. “It’s neat to see them light up with happiness and gives them something to look forward to.” 

In addition to the inpatient unit, Bluegrass Care Navigators also staffs a scatter-bed model within UK Hospital to serve more patients. This model allows fragile patients to remain in their original room and spend more time with family while still receiving hospice care.

“I am so grateful for the team members that we have in place right now,” Tamara Namowicz, registered nurse at the UK HCC, said. “Hospice is part of who they are. It is in their hearts and every single one of them is focused on what our patients and our families need and how to continually improve the unit.”

As we celebrate, we also honor the legacy of the tenured staff at the Bluegrass Hospice Care Center at Saint Joseph Hospital in Lexington. This team paved the way for our additional inpatient units at UK and the Greg and Noreen Wells Bluegrass Hospice Care Center in Hazard and provided compassionate care for more than 8,400 patients and families for nearly 30 years.

“We are grateful for the lives that we touched and what we did,” Rhoda Cheggeh, a chaplain at the UK and Baptist Health locations, said. “I worked at the Saint Joe location for 13 years, and I know I did all I needed and touched all the lives I could touch. There’s nothing I can regret about it.”

In March, members of the Bluegrass HCC at Saint Joseph Hospital gathered to celebrate and honor the work they had done and the countless lives touched. Whitney Clay, integrative medicine program coordinator, invited the attendees to remember the gifts of giving and receiving in community. Each attendee was asked to do a drawing, cut it up and place the pieces on a table. Each person then recreated their picture using pieces from other people.

“We all give and take something,” Madden said. “That was a physical image of something that had been going on within the care center for almost 30 years and reminded me that our accomplishments were not just about patient care, but included the family, too.”

Counseling Resource Officer, Dave Carper visually reminded the room of their impact on the community by dropping pebbles representing patients into a jar. With each pebble, people were reminded of the impact the team made every day.

“Let’s go forward with the same spirit of meeting people where they are and walking with them,” Cheggeh said. “Let’s go with the same spirit of supporting, helping and being present because that’s our calling to support patients and families.”

Bluegrass Care Navigators provides hospice care in 32 counties across central, eastern and northern Kentucky. Hospice care provides physical, personal, emotional and spiritual care to patients and families who are no longer receiving treatments to cure their terminal illness, but instead choose to improve comfort and quality of life.  As a nonprofit organization, no one is turned away from Bluegrass Care Navigators based on ability to pay for hospice services. 

For more information, call 855-492-0812 or visit  www.bgcarenav.org.  

Bluegrass Care Navigators’ Celebrates Volunteers During National Volunteer Month

Thu, 20 Apr 2023 14:31:49 GMT

Bluegrass Care Navigators (BCN) celebrates its more than 200 volunteers and the compassionate care that they provide to patients each day. Whether providing respite care, 11th hour visits, veteran pinning ceremonies, care calls, transportation, bereavement calls, companionship visits, gift bag deliveries and more, volunteers help patients feel like family.

“I volunteer at Bluegrass Care Navigators because I wanted to give back to an organization that did so much for my family when my parents were sick,” Cynthia Gooch, a volunteer in the Hazard office, said. “The best part of volunteering is the peace that I get when I walk into the care center and knowing that maybe I can give peace and comfort to a family there.”

At the organization’s founding in 1978, and well into the 1980s, volunteers and fundraisers were critical, as very few insurance companies, including Medicare and Medicaid, paid for hospice. Although that has changed, volunteers still play a vital role in patient and family care. BCN is unique in that our Medicare participation requirements state that 5% of patient care hours must be completed by volunteers.

“Our volunteers have beautiful hearts and provide extra support and care to patients and families,” Shellie Brown, Director of Volunteer Operations, said. “We don’t focus a lot on that number because if you are meeting the need, you’re going to meet that requirement. We’re just here to love on our patients and support them.” 

Josh Hoffman, one of our volunteers with autism, works out of the Pikeville office to help in whatever way he’s asked. Whether putting together admission packets, decorating the bulletin board or visiting a patient, he uses his gifts and talents to bring smiles to others daily. He believes that no matter your situation, anyone can volunteer to help people in need.

“I would recommend them just to try it out because it’s a good thing, not only for yourself, but for other people,” he said. “It’s a great thing to do.”

Sherry Terlau, a volunteer in the Northern Kentucky office, volunteers with therapy dog Molly because she wanted to give back to the organization who had taken care of her mom. At least twice a month, Terlau and Molly, a seven-year-old Goldendoodle, visit long-term care facilities.

“I like to volunteer because I love people, especially the elderly,” Terlau said. “They don’t get as many visitors, and I just love to see them smile.” 

Lexington volunteer hairdresser, Meg Demaree, was looking for a meaningful way to help others after recently becoming an empty nester. Typically, Meg sees three to four patients per month and gives them the full treatment of a cut, blow dry and style.

“I feel like I am making these patients’ last moments on earth a little more enjoyable,” Demaree said. “They feel more like themselves when I leave rather than when I came, and I feel like I’m doing a good thing.”

Frankfort volunteer Pete Croswell has volunteered with BCN for more than 15 years. He has participated in administrative support, marketing and fundraising events, compassion bag delivery, as well as direct patient contact.

“The best part is the personal satisfaction I get from doing the work,” he said. “I know I’ve done something to help somebody and that keeps me going.”

Barbourville volunteer Nick Liford is a veteran of the Iraq war and enjoys connecting with other veterans. Liford has found that veteran experiences transcend generations, helping him break barriers and build relationships with others. He delivers gift bags, helps cut grass and leads Veteran Pinning Ceremonies to honor our patients.

“Being able to serve those who have served is a privilege that you can’t find anywhere, and Bluegrass Care Navigators has afforded that opportunity to me,” Liford said.

Hospice volunteers are a valuable part of the patient care team and volunteer opportunities are available in our Northern, Central and Eastern Kentucky regions. Volunteers work with a clinical team of a doctor, nurse, aide, chaplain and social worker. Because they spend time with the patient, volunteers who provide direct patient care can often give the team valuable feedback about issues that may arise during their visits. 

“This is a great opportunity,” Dave Clark, volunteer in the Cynthiana office, said. “If you want to get into a program where you know you are doing good, this is where you really ought to take a look.”

If you are interested in finding out how to volunteer with Bluegrass Care Navigators, please go to  www.bgcarenav.org/volunteer.

Therapy Dog Handler Spreads Pawsitive Vibes

Tue, 18 Apr 2023 20:29:53 GMT

Although his doctors didn’t give him one, Matthew Moffett believes that everyone deserves a chance. After diagnosing him with autism and cerebral palsy, his doctors told him he would never walk or talk.

Through therapy, determination, prayers, hard work and positive thinking, Matthew defied the odds and today, not only walks, talks, drives and has a job, but also is the handler for Rosie, our inpatient therapy dog in the Lexington area. His goal is to bring joy to everyone.

“The gift of getting to help people means so much, especially with my story because I can teach people that it will get better,” he said.

Rosie joined the Moffett family at their home in Woodford County almost three years ago when Matthew’s mom Patty, a nurse at Bluegrass Care Navigators (BCN), learned about BCN’s pet therapy program. She thought it would be perfect for her son since he loves animals and helping people. Matthew became the handler for Rosie and one evening a week, the Moffetts take Rosie to visit patients at the Bluegrass Hospice Care Center at UK Healthcare.

“It’s basically become my family’s mission,” Patty said. “We enjoy doing that together and it’s just neat to watch my child, who has autism and cerebral palsy, and that I was told would never walk or talk, go out and minister to these families and patients of ours.”

Every visit is different, but Patty and Matthew remember one patient specifically. The patient was in respiratory distress, non-verbal and missing their dog. After entering the room, Matthew asked if he could put the patient’s hand on Rosie’s head. The patient calmed immediately, and Matthew and Patty know that being able to pet Rosie gave that person a sense of peace.

“They know that the dog is there, and it’s really hard not to get emotional,” Matthew said. “It’s neat to see them light up with happiness and gives them something to look forward to.”

Matthew says that his mom, who has worked for BCN almost nine years, has inspired him to help patients, give kindness and love to others and be a role model. After participating in the Special Olympics for almost 4 years, he was accepted into the Athlete Leadership Program to develop leadership skills and become a program ambassador for the Special Olympics.

“Everyone deserves a chance to do anything they can set their mind to,” he said. “It’s not fair not to give them a chance and tell them you can’t. Honestly, you can. I don’t like hearing ‘you can’t’ because you can.”

With Special Olympics, Matthew has played basketball, softball, ran track, bowled and skied. He appreciates the extra playing time that has helped him improve, the patience of his coaches and making friends.

“People with disabilities are just like us,” he said. “They’re smart and deserve a chance because everyone is special in their own way.”

Matthew’s goal is to become safely independent. His life coach Bo Denny, who works with Marion Health, is helping him achieve that goal. Together Denny and Matthew cook, clean and run errands. During their time together Matthew has not only learned life skills, but has also learned to stop and think before reacting, to let go of the past and to focus on the positive.

“The best part about working with Matthew is to see his growth and his progress,” Denny said. “We bonded so well, and he connected with me so well that we’re almost like friends and enjoy each other’s company through the day. It’s almost not like work.”

Barbourville Volunteer Shares the Love at Valentine’s Day and All Year Long

Mon, 17 Apr 2023 14:05:39 GMT

Milly Burkhart, a volunteer at our Barbourville location, has been spreading joy to patients and families for 12 years, but this year she decided to play cupid. On February 14, she helped a couple who had been married for over 40 years celebrate Valentine’s Day in style with a card, flower delivery and their favorite meal.

“I saw an opportunity,” she said. “I don’t often have this kind of opportunity where I have a couple who is in love, acknowledges it and are able to receive such a gift, so I thought ‘this is my opportunity to do something lovely for a lovely couple.’”

Burkhart worked with the husband, who had suffered a traumatic brain injury, to sign the Valentine card, which she mailed to arrive for Valentine’s Day. Burkhart arranged for the wife’s favorite flowers to be delivered first thing Valentine’s morning and personally delivered the couple’s favorite meal of spaghetti and meatballs, salad and dessert that evening.

“I wanted the wife to have all the wonderful things that encompass a Valentine’s Day from her husband,” she said.

When she’s not playing cupid, she usually provides respite care while caregivers run errands or attend appointments. She also helps with light housekeeping, such as vacuuming, doing the dishes and grocery shopping.

“If you want to serve your fellow man, your brothers and sisters, hospice is an excellent way in whatever capacity that you’re able to serve, that you’re able to volunteer, please consider BCN,” she said.

If you’d like to learn more about volunteering with us, visit bgcarenav.org/volunteer .

Give Your Family the Gift of Advanced Directives on April 16

Fri, 14 Apr 2023 14:29:24 GMT

The only certainties in life are death and taxes. National Healthcare Decisions Day, annually held on April 16 or the day after taxes, gives patients, families and providers the opportunity to discuss and document final wishes using advanced directives. Advanced directives are legal documents that include a living will, healthcare surrogate and medical instructions for care if a person is unable to speak for themselves.

“These documents are a final act of love,” Kristi Yahn, Lexington Provider Liaison, said. “If we were getting married, we wouldn’t tell our most precious people we were getting married in three days and leave all the planning to them without guidance as to our wishes. Likewise, we shouldn’t leave our people to figure it out without guidance after our passing.”

No matter your age, Yahn believes everyone should have a living will that states wishes for end-of-life medical care and designates a healthcare surrogate to make health care decisions if you become unable. A living will also document specific wishes around choices involving CPR, intensive care and other advanced therapies.

Sometimes used in addition to a living will, the Five Wishes document facilitates and records conversations around specific end-of-life options with a more personal touch. This document offers a space for preferences regarding room environment, touch, music, visitors, burial options and more.

The MOST form interprets medical decisions into medical orders based on the preferences of Kentucky patients with a progressing serious illness and is kept on file by your doctor.

Although starting these conversations can be difficult, Yahn believes the peace and comfort they provide is truly a gift for your family. Katherine Lotzer, Clinical Manager in the Department of Medicine, couldn’t agree more. As the granddaughter of a mortician, Lotzer’s mom was comfortable with death and the conversations surrounding it. She gave Lotzer her first will when she was 11 and helped her process the thoughts, feelings and facts surrounding this each year. Although Lotzer’s mom is still healthy, mother and daughter review her end-of-life wishes annually to make sure nothing has changed.

“This is a gift that my mother is giving to me because when I show up at her funeral, whenever that time comes, I can be the grieving daughter,” Lotzer said. “I don’t have to be the nurse or the director. I can just show up and be the daughter and if that’s not a gift, I don’t know what is.”

If you would like assistance with creating Advance Directives, contact Bluegrass Care Navigators at 855.492.0812 or visit our website.

Bluegrass Care Navigators Celebrates Women of CARE

Fri, 31 Mar 2023 15:19:11 GMT

Bluegrass Care Navigators celebrated five Women of CARE during Women’s History Month this March. Award recipients include Jennifer Curtis, Sue Snider, Ann Gililland, Rhoda Cheggeh and Kathy Yates for the way they exemplify compassion, accountability, respect and excellence. Each was selected by peer-nomination to receive this award.

Curtis, CVA, and Volunteer and Community Liaison for the Bluegrass Hospice Care Center in Lexington, began working at BCN 19 years ago as a medical records clerk. Four years ago, she accepted her current role and the challenge to grow volunteer services within the hospice care center. She enjoys nothing more than seeing volunteers loving patients, families and teammates. For the past several years, Curtis has spent her Thanksgiving serving meals to the hospice care center staff. Curtis embodies what it means to serve all patients with excellence and compassion. As a result of Curtis’ advocacy for and inclusivity of the LBGTQ community, BCN participated in its first Pride Festival in 2022. 

Snider worked as the chief nursing officer at BCN for 17 years and is a pioneer of hospice care, dedicating her life to advancing hospice care across the state. She has worked in hospice care since 1992 and has been a Certified Hospice and Palliative Care Nurse since 1994. In 2019 she received the MediStar Nurse of the Year award. After transitioning to PRN status in 2020, she has continued to support front-line clinicians and operational initiatives. Throughout her life, Snider has demonstrated respect to others and has frequently been a voice for equity and inclusion. She compassionately pushed against societal pressures and 40 years ago began her lifelong commitment to her wife, Sandy.

Gililland, RN and Bluegrass Transitional Care Screener, has worked at BCN for six years. In her current role, Gililland works with patients and families to offer compassionate care daily. Whether she’s connecting a patient experiencing homelessness to BCN’s medical respite program, ensuring a patient with limited English proficiency has access to interpreter services, or listening with compassion to a parent whose infant is facing significant health challenges, Gililland collaborates with Team BCN to provide the best care. Her engaging bedside manner coupled with deep professionalism helps patients and families feel comfortable during a serious illness.

Cheggeh has worked at Bluegrass Care Navigators for almost 15 years. As a chaplain at the care centers at UK and Baptist Health locations, Cheggeh helps patients and loved ones navigate the spiritual challenges of end-of-life care. In a hospital setting, families have neither the comforts of home nor their full support systems, including their faith community nearby. Cheggeh brings a comforting touch, prayer and wisdom to all faiths and those without faith with profound respect and empathy. She not only supports and cares for patients and families, but also offers comfort and encouragement to team members, supporting those around her with grace, dignity and love.

Yates has worked at Bluegrass Care Navigators three years, first as the Executive Director for Lexington Hospice and currently as the PACE Center Director. Bluegrass Care Navigators opened the first Program of All-Inclusive Care for the Elderly (PACE) in Kentucky in Fall 2022. Her goal is to treat people with kindness, compassion, respect and honesty. As the PACE Center Director, she and her teammates wear many hats. Whether cooking, cleaning, working with participants or helping in the clinic, Yates will assist in any role without hesitation. She especially enjoys spending quality time with the participants and doing their nails each week.

Join us in celebrating Women’s History Month and honoring these BCN Women of CARE! 

Memory Heart Group Remembers Loved Ones

Mon, 27 Mar 2023 17:57:14 GMT

Bluegrass Care Navigators’ (BCN) Memory Heart Group restarted its February support group this year after missing three years due to COVID-19 precautions. Held at the Cynthiana office for 14 years, this group offers a healing link to anyone grieving a loss.

Group members arrived carrying a special article of clothing that was once worn by their deceased loved one. Each shared a special memory that the article of clothing evokes before transforming the fabric into a heart-shaped pillow.

One lady talked about her husband's biker shirt. Two sisters and a mother revealed how their t-shirts had been Christmas gifts from their deceased sister and daughter several years ago. One member brought her mother’s old robe, showing the cigarette burns marking the material. She added, "It never kept me from wearing it for years." This activity provided the opportunity to talk about the reality of their loss as they cut their material into heart-shaped pillows.

While shirts are usually a major selection for the group, any type of clothing is honored. One year a baby blanket became a heart pillow. Most often, widows bring their spouse's flannel shirts, which can still retain the pocket after it is styled.

Using a paper heart pattern and pins, each person cut their material into a heart shape. Jane Wechman, Bluegrass Care Navigators Volunteer seamstress, patiently helped each member with final touches on her machine. As the sides were turned outward and the pillows were stuffed, Tiffany Rose, Integrative Medicine Program Art Intern, mingled within the crowd to further encourage sharing.

To make the project even more meaningful, the grief counselor suggested that each person write a note to the deceased loved one. Each note was placed deep into the heart just prior to sewing it closed, symbolizing the continued deep, emotional connection. The shirts no longer evoked only memories, they had become pillows that contained feelings of the survivor as well.

To learn more about Grief Care Services and upcoming events, visit bgcarenav.org/grief-care .

Used with permission from The Memory Heart Group as a memorial to their loved one. This group is a ritual of remembrance and is for all ages .

Not Well, but Home…

Mon, 13 Mar 2023 19:02:15 GMT

This article was originally published in "The Courier Journal Magazine," August 6, 1978, and written by Sylvia Wrobel.

…A woman in Lexington has been the first patient in Kentucky to use Hospice, a program that helps when a person’s days are numbered.

The cards that 8-year-old Ann drew for her hospitalized grandmother read “Get well soon.” And then one day they simply read, “I’m glad you are coming home soon.”

Not well. But home.

Because of the Ephraim McDowell Community Cancer Network program called Community Hospice, Ann’s grandmother, Mrs. Gladys Dotson, was given the chance to leave the hospital where she had been receiving chemotherapy and constant medical attention and go home to live as long as possible.

So did all our grandmothers face their deaths a century ago. If they lacked the benefits of present-day drugs, radiation therapy, surgery, and other knowledge that has improved the prognosis for the large group of diseases called cancer, they nonetheless had the strong emotional and practical support of large families and communities.

Mrs. Dotson, as the first patient accepted into the Community Hospice, has had it all.

In medieval Europe, hundreds of hospices opened their doors to the hungry wayfarer, the woman in labor, the weary traveler – or the traveler at the end of the most hazardous journey, life itself. Unlike today’s hospitals, which are rightly intent on curing, the hospice offered protection, refreshment, fellowship and cherishing, even in the face of death.

This old idea reappeared in England in the late 1960s, chiefly at the hands of Dr. Cicely Saunders, who founded St. Christopher Hospice for the Dying. Hospice itself was a realization that the terminally ill patient had not had enough attention and help, says Dr. David Goldenberg, executive director of Ephraim McDowell. (The non-profit corporation received a $320,343 federal grant in mid-July to assist in the establishment of a cancer research center at the University of Kentucky.)

Crossing the ocean, the hospice movement grew rapidly, with more than 100 American programs firmly established – among them the Lexington program and another in Louisville. They allow a patient – like Mrs. Dotson – to go home to receive health care and counseling by a team of health professionals and other volunteers.

The first patient in Kentucky to enter a hospice program was born in Whitley County in 1905 and moved to Hazard in 1919. Her father was the undertaker there.

Clayton Dotson, a traveling salesman of tailor-made clothes, married this pretty local girl. In 1936 he bought Goad’s Hardware Co. in Hazard but continued to travel. He never bothered to put his own name on the sign. Gladys kept the books and helped out in the store when he was on the road.

They had two daughters, Doris and Lois. They kept a garden, went to the Baptist church whenever it held service or social. Their best friends were often family as well.

The girls grew up. Lois moved to Illinois, became a reporter, had two children. Doris, a schoolteacher, had a child.

Dotson retired, first from traveling, then from the store. He and his wife sat on the porch shelling peas and talking the evenings away.

“They never had a single argument I can recall,” says a daughter.

“Well, I never once saw anything about Mother I didn’t like,” says Dotson.

In short, they have led a calm and happy life, the kind perhaps no longer easy to have. Dotson was about 10 years older than his wife, and because his diabetes was becoming more difficult, the couple thought she would outlive him. After all, Gladys was the healthier as well as the younger; the woman – tougher – according to the actuarial table.

But in 1972 Mrs. Dotson had a threatening lump in her breast treated by mastectomy removal.

In November last year, she fell ill again and in December fractured a shoulder that was weakened because cancer had spread into her bones. Hormone treatment failed: chemotherapy was begun.

In February this year, she telephoned to cancel an appointment with Dr. John Cronin, a Lexington, oncologist, a specialist in cancer. She had found she couldn’t use her feet. Ger her here immediately, he ordered, and she went into surgery that night to relieve the spinal compression caused by the growing cancer.

Surgery, together with a brace, restored her to her feet. But at that time, it was obvious to Cronin and his colleagues that the cancer was in her bones and progressing despite chemotherapy. It had also moved to her skin. Mrs. Dotson was nearing the end of her life.

About the same time last November that Mrs. Dotson had her first relapse, a group of physicians, nurses, educators, ministers and others met at the Ephraim McDowell Community Cancer Network Offices in Lexington to discuss the possibility of providing hospice care to terminally ill patients. The prime mover and organizer of this meeting was Dr. Ann Blues, assistant director for cancer education at McDowell. Her concern for the care of cancer patients in central and eastern Kentucky had taken focus. This was the result of visits and correspondence with Dr. Saunders, the director of London’s St. Christopher Hospice, and as the result of the number of requests on the statewide Cancer Hopeline telephone – what can I do with and for my dying husband, wife, parent, child to make it easier?

What emerged during this first meeting, and those that followed, was a group of persons who had been interested in hospice, and in some cases providing bits and pieces of it. Among them:

A surgeon who said at the first meeting, “I practically run a hospice now. I let the whole family around the hospital bed, sleep there, eat there. I come in and do what I can, what at some point or other becomes just a needle to stop the pain. It has to be made easier on all of them.”
Doctors like Cronin, making their Saturday and Sunday home visits.
Nurses at the local Health Department, already providing care in the home.
Priests, rabbis, ministers, counselors of all kinds, including a successful financial consultant who has worn a beeper on his belt for the past two years. This enabled him to abandon briefcase and tickertape at an instant’s notice to be at the bedside of the terminally ill patients with whom he works at various hospitals, or with their relatives in the hard weeks following a patient’s death.
Episcopal nuns who ran St. Agnes House, where mostly Eastern Kentucky residents can live inexpensively and in community while in Lexington to undergo radiation therapy for cancer.

And there were others, such as Mrs. Binnie Bailey, the cheerful and energetic patient representative here at St. Joseph Hospital in Lexington. Mrs. Bailey’s work with hospital patients and family members, sometimes located throughout the world, had made her an advocate of family-oriented health care, including hospice. She was elected chairwoman of the newly designated Community Hospice of Ephraim McDowell Community Cancer Network, Inc.

The McDowell program provides clerical help, educational workshops for physicians and volunteers, and the vital training for a family involved in hospice. It was not financially feasible to build a hospice like St. Christopher or even to outfit a special hospital wing. But the philosophy that grew out of Dr. Blues’ meetings was the need for a home care program. The terminally ill cancer patient for whom this first hospice was being designed would not enter yet another institution. Instead, the hospice would go home with the patient.

In the next few months, committees dealt with problems of home care and services for the terminally ill. And each meeting drew in a larger number of volunteers: physicians, nurses, clergy, other counselors, dieticians, dentists, psychologists, volunteers concerned with ways to modify the home (widen a doorway for a wheelchair, alter the bathtub or toilet, rearrange furniture for easier movement). A laundry committee of one was formed by a hospital worker experienced with dealing with the drainage caused by some kinds of cancer and the stains and smells that result.

McDowell, true to his promise to provide research and technical expertise, along with Mrs. Bailey, began compiling what has become one of the largest collections of materials on hospice and home care for the cancer patient. (This is available free to hospice members, at photo-copying costs to others.)

Last March, the Lexington organization was ready to take on a patient, ready to help someone, and equally ready to learn how better to do its job.

“When they told me,” says Mrs. Dotson – no once asks what, but that is a politeness on the part of the listeners rather than shyness on the part of the Dotsons – “We didn’t know what to do. We didn’t want to stay in the hospital. It was hard on Clayton, there all the time. Hard on us all. We didn’t know what we should do.”

Dr. Cronin suggested hospice.

By then, the physicians’ committee, headed by Dr. Phillip DeSimone, an oncologist and chief of hematology at the Veterans Administration Hospital, had established four criteria for admission.

First, the patient should have only weeks to live, and know that and accept it.

Second, the patient must bring his or her own physician to the program, a physician willing to endorse hospice concepts. These include emphasis on symptom control, willingness to work within the medical direction of the program and with volunteers and other professionals on the committee and to be available to the patient and family when needed. This was easy for Cronin, who was already available, and who, as chairman of the hospice home care committee, had helped set up those concepts.

Third, and more difficult, was the requirement that Community Hospice patients live within the geographic limits of the Lexington-Fayette County Health Department with which it is also affiliated. The Dotsons were from Hazard, where a similar hospice group was forming, also under the auspices of McDowell, but was not yet ready for patient care. (The Hazard group presently is preparing to admit a patient.) This problem was solved by the quick offer of the Dotsons’ daughter Doris Curtis and her daughter Ann. The house at Hazard could be closed up, at least for a while, and home would be in Doris’s brick house on a pleasant tree-shaded street off Versailles Road in Lexington.

Fourth, even more difficult, but the true heart of the home-care hospice program – the patient must have his or her own primary-care provider. This will most often be a spouse or other family member, trained by members of the hospice team.

Who could do this for Mrs. Dotson? She would be moving away from her neighbors and brothers and sisters in Hazard. Daughter Lois could not leave husband, job, and small children in Illinois. Daughter Doris left home early each morning to work. Not only was she gone all day, but she also came back to the responsibility of a young daughter and as drained as only an English teacher in a room full of junior-high students can be.

“But I’ll be home all day,” said Mrs. Dotson’s husband. He never doubted he could manage it.

Others in the family did. Not that he didn’t love his wife dearly, but he was born in the previous century, after all. He had diabetes, was hard of hearing. He was unaccustomed to housework. He had been a pampered husband; he was the first to admit. His daughter Doris was particularly dubious. “I remember when Mother felt bad, Daddy swept the rug, but…”

“No, I wasn’t any expert on cooking or washing dishes,” Dotson says cheerfully. But he was right. He could do it, as well as the physical care and attention his wife needed.

When Mrs. Dotson was accepted as the first hospice patient and moved home, hospice volunteers came out to work with Dotson. They helped with meal planning and cooking, because Dotson would have to prepare breakfast and lunch during the week. They helped lift his wife from bed to wheelchair and back again. They helped bathe her, administer medication, and teach Dotson how to know when he needed to call someone on the hospice team for help.

Someone was at the door often: Cronin and a physical therapist and a nutritionist. A nurse appeared almost immediately: Shelley Boatwright, a perky young woman who looked barely old enough to be the babysitter, but whose self-confidence and expertise immediately put the Dotson’s minds to rest. The nurses are wonderful, they all agree. They do “the hard part,” making the rest possible.

Boatwright, a home-care program nurse, is the Lexington-Fayette County Health Department’s contribution to the hospice. She goes to the Dotson’s at least once a week, sometimes three.

Eventually, through grants and donations, the Community Hospice hopes to hire its own registered nurse to organize and direct the home-care team.

Apart from regular visits, nursing care is never more than a telephone call away. It’s available through the Cancer Hopeline (1-800-432-9321) a toll-free telephone number that anyone in Kentucky can call with questions and pleas for help. Hospice also has a line at McDowell. And local nurses volunteer their time – from a few hours to an entire day – to go if a call comes that they are needed. In Mrs. Dotson’s case, no one has ever gone, although the Dotsons did call the number once after hours for advice on a broken partial dental plate.

The telephone service embodies one of the most important ideas in hospice care: You are never alone. Hospice will teach you to manage. But if the moment comes when you can’t, someone will be there who can. Plans are also being made for back-up beds in the Veterans Administration or other hospitals.

Dying is a personal experience, but waiting for death within the framework of the McDowell hospice program has been, for Gladys Dotson and her husband and daughter and grandchild, a little like being adopted by an entire family. The health professionals and hospital administrators, like Mrs. Bailey stopped by to give advice and get it – and then went by again as friends. In addition, there have been at least two non-health professionals in frequent attendance.

Joan Crowe, a graduate student in counseling and a volunteer on the Cancer Hopeline, was trained as a hospice worker. It was she who gently led Dotson into the mysteries of the kitchen and housekeeping in general, took him to the grocery store when Doris was in school, spelled him for walks around the neighborhood, popped in with lettuce and strawberries, even sprayed the apple tree in the backyard. When the Dotsons’ daughter Lois came for a long visit, Joan brought a tape recorder and encouraged Mrs. Dotson to speak of the children’s growing up in Hazard.

And Jay Pierce, the head of the clergy committee of hospice, had been seeing Mrs. Dotson since she entered the hospital. When she went home, he built the ramps on the front and back steps with his own hands. Three times a week he says morning prayers, brings books, discusses the garden, religion, dying, death not as a punishment or a failure, but as a part of the cycle obvious in the garden outside the window.

The Dotsons could have requested a Baptist (or any other) minister or counselor, but they had met Pierce already. And he and they amalgamate Baptist and Episcopal prayers and tenets. He prays for a cure, but the emphasis in hospice, as in his visits, is not on the cure, but on living out the gift of days.

And a death like this is a gift, too, says Pierce. It gives a person a chance to look back over a lifetime and see it in perspective, to make judgements about the satisfaction they have had, what they have done and known. In many ways, it helps to have a stranger with you, someone you can tell it to.

In many ways, too, this seems also to have made this close family closer, he says. Mrs. Dotson’s grandmother Ann has learned about life, what few children her age do. She has seen her grandparents and mother coping with an extremely difficult time, and coping well. And she knows death to be an ending – she says often she worries because “Nanaw” and “Dada” can’t do all the things they used to, like back in Hazard, and she knows that death is a time for an outpouring of love and support.

Since Mrs. Dotson’s entry into the program, the telephones in Ephraim McDowell and in Mrs. Bailey’s St. Joseph office have been ringing with people who want to bring their wives or husbands, parents or children home. McDowell is setting up training programs in various towns and is trying to help other communities form their own volunteer groups as a regional Cancer Network. Patients are being accepted in Danville, Hazard and Lexington.

In Louisville, a volunteer group entirely apart from the McDowell network, although cooperating with it, opened an office in June and has begun visiting patients dying from any cause, not just cancer. Headed by A. Robert Crawford, director, and Patricia Webb, R.N., head of volunteers, The Hospice, Inc., sees patients at home, in the hospital or elsewhere. There is no charge for the work of the Hospice itself. The Hospice, Inc., number in Louisville is 1-502-584-4834.

Through hospice, explains Dr. David Goldenberg, executive director at McDowell, communities have been told something they can do to combat cancer, which claims about 6,000 Kentucky lives each year and accounts for almost a fifth of all deaths in the state. He thinks that hospice can lead to increased community involvement elsewhere, just as it has in Lexington.

Our Lexington physician and specialist in community medicine, Dr. Mac Vandiviere, has given much time and effort to coordinating hospice programs across the state. Patients who go to Lexington or other medical centers thus would be able to return to their own communities in a local hospice program. At present, Vandiviere himself provides such referral help and has been known to spend as much as eight hours straight with a patient who called the Cancer Hopeline.

Goldenberg, a research pathologist nationally noted for his work in radio-active tracing tumors, was heavily involved in creating a Kentucky Cancer Commission. He says he has two goals. The first is to make Kentucky, through McDowell, UK, and the University of Louisville, as capable of managing cancer as any place in the world. For 99 percent of all cancers, this is already true, he says.

The second is to see that research finds ways to reduce the death rate from that vast collection of diseases called cancer, until eventually no one dies from it at all. If he’s successful, hospice for cancer patients will no longer be needed.

But now, at the end of July…

Mrs. Dotson rests a lot. As the workers at St. Christopher tell their patients, it’s hard, tiring work, dying. She had hoped to go with her brother in his trailer to visit her daughter Lois in Illinois, but it takes increasingly more energy simply to go to meals at the table. In the afternoons she sits on the patio and watches Clayton garden or plays with Ann. People visit. Cards arrive daily in the mail.

Gladys Dotson recalls her 73rd birthday in May. The house was filled with family, people from Hazard, new neighbors in Lexington and many members of the Hospice team. It was a happy celebration.

“Yes, the days pass on right well,” she says.

“In fact,” says her doctor, “she’s done far better than we ever expected. We thought her condition would continue to deteriorate at the same rate in the hospital, and it hasn’t.”

Why?

“Maybe the hormone therapy is working better than we thought. Maybe it’s part of the impossibility of predicting life span.”

Mrs. Dotson views it more simply. “I knew I felt better the minute I got home.” She has nothing but good to say of hospice. “Everybody has been wonderful. We’re so grateful for this program. It’s made it possible for me to remain near the people I love. It’s made everything easier for me and for Clayton. It was hard on him in the hospital.”

(Expensive, too, incidentally. Some of the expenses of hospice are paid by Medicaid and other third-party payers, while other bills are covered by the volunteers themselves and donations. But the hospice services are free to patients, many of whom are expected to have nothing left after the heavy costs of the illness that takes them to the hospice.)

Doris Curtis in particular feels her mother has done well in part because of an intensely strong religious faith, in part because she dreads leaving her husband alone, and because she has been at peace at home.

“Yes, attitude is important,” Dr. Cronin says. “I don’t know what all has gone into her remarkable lasting power. Her hospice experience has been a great success.”

The success of the hospice movement is not the cure, of course, but in the triumph over pain and fear and loneliness.

Dr. Cicely Saunders, who began in London the movement that Mrs. Gladys Dotson and her family have made a reality in Kentucky, tells her patients: “You matter because you are you. You matter to the last, and we will do all we can not only to help you die peacefully, but also to live until you die.”

And that is what Mrs. Gladys Dotson has done. The hospice program – and many people who have forgotten what our grandmothers knew – are grateful to her for showing that it can be done.

Bluegrass Care Navigators Celebrates 45 Years of Expert, Connected, Care

Mon, 13 Mar 2023 19:02:12 GMT

In 1978, Bluegrass Care Navigators, then known as Community Hospice of Lexington, was founded by a group of healthcare professionals and volunteers to provide quality care to patients in their homes.

In 1982, Community Hospice hired Gretchen Brown as their first executive director. At the time, they cared for 18 patients with 38 volunteers. For more than three decades, Brown advanced end-of-life care in Kentucky and set the standard across the country, followed by Liz Fowler’s tenure as CEO which began in 2014.

“Having recently experienced caring for my mother following cancer treatment, I was personally motivated to address the needs of patients and families,” Brown said. “Additionally, I had a baby and a preschooler and was looking for a less demanding job! Little did I realize for the next 32 years my job would be more challenging and rewarding than I could have imagined.”

The organization cared for its first patient, Mrs. Gladys Dotson, in 1978 when her cancer diagnosis became terminal.

“When they told me [it was terminal], we didn’t know what to do,” Gladys said in a 1978 interview with The Courier Journal Magazine. “We didn’t want to stay in the hospital. It was hard on Clayton [my husband], there all the time. Hard on us all. We didn’t know what we should do.”

After transitioning to in-home hospice care, volunteer doctors, nutritionists, physical therapists, and nurses helped with meal planning and cooking, as well as bathing, patient care and caregiver education. The Dotson’s also received care from Joan Crowe, a graduate student in counseling, volunteer on the Cancer Hopeline and a trained hospice worker. Not only did she help with household chores, but she also stayed with Gladys frequently so Clayton could take a break. She helped the Dotson’s make memories by bringing a tape recorder so Gladys could share about her life with her family. A member of the clergy also visited the Dotson’s three times a week to offer prayer, discuss life, religion and death and dying.

Gladys outlived doctor's expectations after returning home. Although no medical explanation exists, Gladys “knew she felt better the minute she got home.” She appreciated the way hospice allowed her to remain near the people she loved and made those final days easier for her family.

At the organization’s founding, and well in to the 1980s, volunteers and fundraisers were critical, as very few insurance companies, including Medicare and Medicaid, paid for hospice. Although that has changed, volunteers still play a critical role in patient and family care. To maintain Medicare eligibility, volunteers must compose 5% of BCN’s workforce.

BCN’s more than 200 volunteers bring joy to our patients and families daily. During the COVID-19 pandemic, volunteers left sunshine bags on patient’s porches to maintain supportive contact from a distance. Volunteers also provide respite care, 11th hour visits so patients don’t pass alone, veteran pinning ceremonies, care calls, transportation, bereavement calls, companionship visits and more.

Throughout our 45 years, Bluegrass Care Navigators has cared for more than 150,000 patients and their families in all our service lines, serving almost 15,000 Kentuckians in 2022. In 2017, the organization changed its name from Hospice of the Bluegrass to Bluegrass Care Navigators to better encompass the growing continuum of care provided. Although the patients, service lines and service areas have expanded, BCN has maintained its commitment to continual growth and patient-centered care, serving patients in 32 counties in Northern, Central and Eastern Kentucky.

Susan Ware, former vice president of philanthropy for BCN and current senior director of donor engagement at Transylvania University, appreciates the diverse environment for personal and professional growth. During her 26 years with BCN, she helped fundraise for the Frankfort, Cynthiana and Northern Kentucky regional offices and the Greg and Noreen Wells Bluegrass Hospice Care Center in Hazard. In addition, she raised funds to help build the grief and loss center that expanded grief care services.

“Watching the clinicians and volunteers provide exceptional care is the ultimate job that we do,” Ware said. “But I got to see from a fundraising perspective how grateful those families were through their memorial gifts and donations to make sure other patients and families receive the care they received. As a fundraiser, that’s a wonderful thing to see!”

For 45 years, BCN has been a national leader in providing expert and compassionate care for patients and families. In addition to hospice care, our service lines have expanded to include PACE care, palliative care, home primary care, home health care, adult day, transition care, dementia care, bright path, grief care and integrative medicine.

“Although our service areas and service lines have increased, our heart for hospice and patient-centered care has remained the same,” Liz Fowler, current President and CEO of Bluegrass Care Navigators, said. “We are grateful for our clinicians, administrative staff and volunteers who have played a vital role in our growth and continued excellence in patient care. We are also especially proud of the national honors we’ve received that reflect praise from consumers, our staff and the health care community.”

In 2017, the American Hospital Association presented a Circle of Life Award™ to Bluegrass Care Navigators “for innovation in palliative care and for improving the care of patients near the end of life.” That same year, BCN was named a Hospice Elite recipient, placing us among the best in the nation, and Modern Healthcare named us one of its prestigious “Best Places to Work.”

For more information about our services, volunteer programs or careers visit  www.bgcarenav.org .

Historical Timeline

1978: Community Hospice of Lexington began providing care to Fayette County residents.
1986: The program expanded to include Scott and Woodford Counties and the organization became Hospice of the Bluegrass.
1986-1989: The agency added Franklin, Bourbon and Anderson Counties to its service area.
1991: Services extended to Harrison and Nicholas Counties.
1995: Merged with Mountain Community Hospice in Hazard to provide services to Breathitt, Knott, Letcher, Leslie and Perry Counties.
1995: Established the Hospice of Northern Kentucky office in Fort Thomas to serve Boone, Campbell, Carroll, Gallatin, Grant, Kenton and Owen Counties.
1996: Opened our first hospice care center, a 12-bed, inpatient unit at Saint Joseph Hospital, Lexington, Ky.
1998: Merged with Hospice of Jessamine County to provide care to Jessamine County residents.
1999: Opened The Palliative Care Center of the Bluegrass, Inc.
1999: Merged with Mountain Heritage Hospice in Harlan, extending services to Harlan and Bell Counties.
2001: The Bluegrass Center for Grief Education and Counseling opened in Lexington.
2003: Extra Care, a private duty nursing service, opened.
2003: The agency established a 7-bed inpatient unit at St. Luke’s Hospital in Northern Kentucky, but due to the merger of St. Luke’s with St. Elizabeth, the unit closed in 2010.
2007: Hospice services expanded to Wolfe and Morgan Counties and Durable Medical Equipment was brought in house.
2008: The Eastern Kentucky service area expanded to Clay, Laurel, Knox, Pike, Floyd and Magoffin Counties.
2011: The agency brought pharmacy services in-house, and the Greg and Noreen Wells Hospice Care Center, a 12-bed inpatient unit in Hazard, opened.
2012: Kentucky Appalachian Transitions Services (KATS) program was developed and pharmacy services in Central and Northern Kentucky were transitioned to the pharmacy in Hazard.
2013: Two intake centers opened in Hazard and Frankfort.
2017: The agency rebranded as Bluegrass Care Navigators to better encompass the growing continuum of care provided. Each service line was rebranded to follow suit – Bluegrass Hospice Care, Bluegrass Extra Care, Bluegrass Transitional Care and Bluegrass Grief Care.
2018: Bluegrass Care Navigators opened Bluegrass Adult Day Health Care, a daytime program in Frankfort for patients needing assistance but not ready for long-term care. BCN partnered with the University of Kentucky to open a 10-bed inpatient unit at the former Markey Cancer Center location in Lexington.
2019: BrightPath Pediatric Palliative Care and the Integrative Medicine programs begin. The Bluegrass HEALing Community Study also begins.
2020: New Headquarters opened in Lexington, Ky., at 1733 Harrodsburg Road.
2021: The Support Center opens.
2022: The PACE Center opens in Lexington, Ky., and the Pikeville office opens.

Bluegrass Care Navigators Celebrates 25 Year of Providing Hospice Care in Jessamine County

Mon, 13 Mar 2023 14:32:27 GMT

In March, Bluegrass Care Navigators (BCN) celebrates its 25th anniversary of providing hospice care to Jessamine County residents. Since January 1, 1998, BCN has provided expert, connected care to nearly 4,500 patients in Jessamine County.

“Thank you to the patients and families of Jessamine County who have put their trust in us to provide end-of-life care to so many individuals, to offer bereavement services and provide support to the community,” Kathryn Perry, Executive Director of the Lexington regional office, said. “We’re committed to continued service and providing expert, compassionate care at just the right time.”

In 1978, a group of volunteers began a hospice service in Lexington. After growing into then-named Hospice of the Bluegrass throughout the 1980s, the non-profit merged with Hospice of Jessamine County and began providing hospice care to patients and families in Jessamine County in 1998.

“Seeing firsthand how BCN staff care for those individuals that are seriously ill or at the end of their life, is a perfect example of true compassion,” Ronda May, Executive Director of the Jessamine County Chamber of Commerce, said. “Tending to the family’s needs, all while caring for their loved ones, takes a special type of person and that is exactly who the BCN staff are, special people.  The care, support and attention to detail they bring provides such ease to families during these difficult times.  We are so blessed to have BCN providing care to our families in Jessamine County when they need it most.” 

Bluegrass Care Navigators provides hospice care to approximately 270 families in Jessamine County each year. In addition, the organization provides free grief care services to anyone in the community who needs support after a loss, as well as PACE Care, home primary care, transitional care, dementia care, adult and pediatric palliative care, and integrative medicine.

The services provided from BCN’s Lexington regional office, which supports both Fayette and Jessamine counties, are made possible by more than 75 local clinical and administrative team members and over 100 local volunteers.

“We are so grateful to the patients and families in Jessamine County who have allowed us to serve them during a difficult season,” Liz Fowler, President and CEO of BCN, said. “We value the trust these families give us by allowing us into their lives and homes and appreciate our team members who consistently provide expert and compassionate care.”

Bluegrass Care Navigators provides hospice care in 32 counties across central, eastern and northern Kentucky. Hospice care provides physical, personal, emotional and spiritual care to patients and families who are no longer receiving treatments to cure their terminal illness, but instead choose to improve comfort and quality of life. As a nonprofit organization, no one is turned away from Bluegrass Care Navigators based on ability to pay for hospice services.

For more information, call 855-492-0812 or visit www.bgcarenav.org.

Hospice Nurse Honors Dad Through Her Work

Mon, 13 Mar 2023 12:58:24 GMT

Evette Hill, RN in the Frankfort regional office, worked as a CNA for 12 years before her dad and a few friends convinced her to pursue a career as a nurse. While still in school, her dad became seriously ill and passed away. During his short hospital stay, an interaction with her father’s nurse solidified her goal of pursuing her nursing degree.

Hill recalls that her dad’s nurses were very helpful and informative. After her dad expressed his wishes to remain comfortable, all the drips and IVs were removed. Instead of discussing her father’s vitals, the night nurse was present with her and her family, singing and praying with them, and making them as comfortable as possible in the moment.

“Becoming a nurse fulfilled my dad’s dream, but I took it a step further and am honoring my dad in the job that I do,” Hill said. “Being able to give to others the care and compassion I received from my dad’s nurse is very rewarding.”

Hill graduated nursing school in 2015 and worked in a hospital and a nursing home prior to finding her home at Bluegrass Care Navigators (BCN). She currently carries a caseload of 13-17 patients and sees 4-5 patients per day. Her goal is to embody the words of Ralph Waldo Emmerson, “To know even one life has breathed easier because you have lived that is to have succeeded.”

Hill provides expert and compassionate care to make the patient as comfortable as possible and maintain a good quality of life. For her, it’s rewarding to know she’s helped someone, even if it’s as simple as giving them a smile.

“The best part is getting to meet families and patients and build relationships, and my co-workers are awesome,” she said. “They’re always there if you need them.”

This year, Hill is participating in BCN’s Clinical Ladder, a professional development program that rewards hospice and palliative care team members for excellence in clinical practice, quality and safe care, service excellence, cultural awareness and professional development.

“It’s rewarding,” she said. “Not just for the monetary reward, but for the knowledge you gain.”

45 Years of Compassionate Care…Thanks to You!

Fri, 10 Mar 2023 14:58:36 GMT

This year marks our 45th anniversary of providing expert and compassionate care to individuals who are experiencing serious illness and going through their end-of life journey.

Today, as Bluegrass Care Navigators, we apply our deep expertise and best practices in hospice care to help people through many different health care challenges in an expanding variety of ways. But we don’t do this alone.

It is thanks to the support from our Caring Community that we continue to grow.

“The world would be a darker place without the light that Bluegrass Care Navigators’ team brings to those that need it.”

When Connie’s aunt began to reach the final stages of her illness, Connie’s care focus shifted to providing her aunt with the quality of life and level of comfort that she deserved.

So, Connie turned to Bluegrass Care Navigators confidently knowing that we would provide compassionate care and help make her aunt’s transition peaceful and dignified.

Your generous support for our mission is what makes it possible for us to shine our light on our patients, and their families, as they approach their end-of-life journey.

Connie’s note of thanks…

This was not my first engagement with Bluegrass Care Navigators. Both my mother and father were cared for in the early 2000s.

The entire team contributed greatly to my aunt’s quality of life in her final months. It gave me great comfort to know that her hospice team was looking out for her in every way.

The services Bluegrass Care Navigators provides are lifechanging in that they allow the patient dignity to live their final days as they choose and give the family support to endure it. My goal was to keep my aunt comfortable, and I believe we accomplished that.

“Thank you” does not adequately convey my appreciation.

For the last 45 years, families across the Commonwealth and beyond have come to see Bluegrass Care Navigators as a steadfast and trusted friend providing expert, compassionate care to generations of loved ones.

As we commemorate this milestone together, we hope that you will consider helping us continue to be the leader in delivering comforting care at the right time by making a special gift today, so that our team may reach more patients and achieve new levels of patient-centered care for generations to come.

Thank you for helping us provide those at the end of their lives with the comfort and dignity that we all deserve.

www.bgcarenav.org/donate

Volunteer Therapy Dog and Handler Provide Emotional Support

Mon, 06 Mar 2023 20:01:20 GMT

Sherry Terlau’s warm smile and conversations, coupled with Molly’s wagging tail and gentle presence, helps patients know they are not alone. At least twice a month, Terlau and therapy dog Molly, a seven-year-old Goldendoodle, visit long-term care facilities in the Northern Kentucky region.

“I like to volunteer because I love people, especially the elderly,” Terlau said. “They don’t get as many visitors, and I just love to see them smile.”

Terlau and Molly have been a team since Molly was eight weeks old.

“I was interested in volunteering with Bluegrass Care Navigators because they were taking care of my mom,” Terlau said. “I wanted to give back to them because I wouldn’t have been able to take care of my mom otherwise and honor her wish to die at home.”

Molly started training to be a therapy dog at six months and completed her Good Canine Citizen testing and therapy dog testing at one year. In October of 2022, Molly became a certified Hope dog and is trained to provide comfort and emotional support during a crisis, such as a school shooting or natural disaster.

“One of the benefits of being a volunteer with a dog, is that it really has a tendency to calm the patient down,” Terlau said.

She shared an encounter with a patient who was extremely agitated. Terlau and the health care team put Molly where the patient could see her. The patient started petting Molly, crying happy tears and visibly calmed.

“Dogs are able to do things that people can’t do,” Terlau said. “Having her gives me more confidence, so in some ways, she’s my therapy dog, too.”

Bluegrass Care Navigators Announces 2023 Board of Directors

Tue, 28 Feb 2023 20:25:21 GMT

Bluegrass Care Navigators is pleased to announce board leadership and new members for 2023.

The nonprofit’s slate of officers for 2023 includes: David Brennen of University of Kentucky, Chair; Mark Day of Bluegrass Airport, Vice Chair; Zach Moore of Traditional Bank, Treasurer; and Jennifer Madden, retired attorney, as Secretary.

Chairperson Brennen has served on the board since 2014. He also served as dean of the University of Kentucky J. David Rosenberg College of Law for more than a decade. With decades of service as an educator, Brennen is considered an innovator in the field of nonprofit law as it relates to taxation. He has been a member of the Florida Bar – Tax Section, American Bar Association – Section of Taxation and the National Bar Association. In addition, he has served on several boards and held many special appointments, including leadership roles with the Council of the American Bar Association Section on Legal Education and Admission to the Bar, Southeast Association of Law Schools, and AccessLex.

The nonprofit agency also welcomed four new members to its governing board for 2023. Johnathan T. Davis, Joan Tyra, Lawrence W. Wetherby, III and Mark Meade began their three-year appointments this month.

Johnathan T. Davis comes to the board as the Managing Principal at JT Davis Asset Management. Davis has been a licensed member of the financial services community since 1992. Throughout his career, he has served in several different capacities, including vice president and commercial lender with a Fortune 500 bank. While attending the University of Kentucky, Davis was a three-year letter winner with the UK Wildcat basketball team.

Joan Tyra, chief people officer at PepperPointe Partnerships, manages all aspects of human resources for the PepperPointe team and the practices it serves. Tyra and her team currently provide human resources and payroll services for over 1,000 employees and more than 150 dentists in Kentucky, New York and Virginia. With more than 26 years of experience managing the White, Greer & Maggard Orthodontics team, she has a track record of company growth, while ensuring efficient processes and developing a healthy culture in which employees feel valued, develop company loyalty and achieve personal goals.

Lawrence W. Wetherby, III, senior business banker and senior vice president for commercial lending at Republic Bank, has 20 years’ experience in the financial services industry. He served as an ombudsman for the county and city governments of the Commonwealth of Kentucky under Governor Paul Patton and the Lexington Management District under Lexington Mayor Linda Gorton. He is past chair and current member of the Executive Board for Downtown Lexington Partnership and is on the board of directors for both Camp Horsin’ Around and The Well.

Mark Meade, former senior vice president for shared services at NV5 Geospatial, brings more than three decades of experience in the civil engineering, surveying and geospatial professions. He’s published more than 100 technical articles in state, national and international professional journals and has taught more than 100 professional development courses to audiences across the globe. He was recently appointed to the National Geospatial Advisory Committee by the U.S. Secretary of the Interior, advising Congress on geospatial matters across all Federal agencies. He is a member of the ECMO advisory and mentoring team at the University of Kentucky Gill Heart Institute.

2023 Board Members include:

David Brennen, Chair
Mark Day, Vice Chair
Zach Moore, Treasurer
Jennifer Madden, Secretary
Liz Fowler, President & CEO
John Austin
Anne Bolton
Bo Cofield
Johnathan T. Davis
Laura Feltner
Steve Fryman
Amanda Henson
Jeff Koonce
Rhonda Love
Mark Meade
Ellen Miller
Greg Milward
Zachary Murray
Ron Ring
Robert Rosenstein
David Royse
Joan Tyra
Lawrence W. Wetherby, III
Richard Hopgood

To learn more about Bluegrass Care Navigators, call 855.492.0812.

Hospice Patient Leaves Legacy of Flying and Faithfulness

Mon, 20 Feb 2023 20:25:21 GMT

Calvin Pitts flew for more than 30 years as a commercial pilot for DHL Worldwide Express. Throughout his life, Pitts also served as a flight instructor, educator and inspiration to others to chase their dreams.

Although his most notable accomplishment is likely flying around the world in 1981 to commemorate the 50 ^th anniversary of the first flight around the world by Wiley Post and Harold Gatty, the legacy he hopes to leave focuses on God’s faithfulness.

“The Lord has been good to me,” he said.

Pitts was born with a love of flying. But that love grew wings when his mom paid for him to take a joyride in an airplane when he was 10 years old. He paid for his own pilot lessons and worked as a public relations representative for NASA in the 1960s. In the late ‘60s, he taught flying lessons at the Santa Monica Airport to the personnel director for the Culver City School District. Impressed with his teaching ability, Pitts was invited to teach a summer program for students.

Later, he helped establish an aeronautics program that allowed students to explore their own interests in flying. Extra-curricular activities, such as Youth Air Day, allowed students to interact with NASA officials and see an airshow. According to a 2014 article in the Culver City News , one of Pitts’ students went on to work as a manager to the Mars Landing Project.

On June 23, 1981, the same day as the original Post-Gatty around-the-world trip in the Winnie Mae , he took off in The Spirit of the Winnie Mae . He describes this trip as the greatest adventure of his life. The commemorative flight was sponsored by the Oklahoma Air & Space Museum and replicated the first around-the-world flight in 1931. He and his crew encountered many challenges during the trip, including mechanical delays, flight reroutes, bribes, nearly getting shot, and having a bushman think Pitts wanted to buy his wife.

Long-time friend Steve Purtell met Pitts in 1993, the year he had to stop being a pilot due to age-forced retirement at age 60. Pitts and the Purtells, Nelsons and the Williams became “chosen family,” sharing meals and attending the same church in Indiana for several years. Pitts taught their Sunday night Bible study and became a grandfather-figure to all the children, inspiring three of the boys to become pilots.

“The main thing I learned from Cal is the importance of faith and hanging in there during the hard times,” Purtell said. “There’ll be times when things are looking bleak, and God brings us through.”

Cynthiana volunteer Dave Clark met Pitts in 1989 while working together at DHL Worldwide Express. In fact, Clark served as flight engineer on Pitts’ last flight from JKF Airport to Cincinnati in a Boeing 727. The crew lovingly referred to this plane as a “three-holer” because it had room for a captain, co-pilot and flight engineer.

“He was such a class act and had pearly white hair,” Clark said. “He was a real presence and such a gentle giant. As a captain Calvin was smooth, confident, situationally aware and managed a good crew.”

Although forced to retire as a captain at age 60, Pitts worked as a flight engineer into his early 70s, and Pitts and Clark shared several more flights. Clark also recounted Pitts’ lived-out faith.

“There are two kinds of people in the world – those that try to save you and those that influence you,” Clark said. “Cal’s life was a clear reflection of his faith.”

Clark recently visited with Pitts, reading his personal logbook of their last flight together. During their time together, Pitts cried tears of joy and “lit up like a Christmas tree.”

“This has just been one of those uniquely special days for me,” Clark said in a conversation immediately following his visit. “If I can lighten someone’s load for just a few minutes while they’re in their last stages of life, I have done what I was put here to do.”

Since then, Clark has visited Pitts several time, sharing a cup of coffee and the ministry of presence.

In the video below, Clark, reads from his personal flight log about his last flight with Pitts as his pilot.

Pikeville Chaplain Gives Patients Pet Peace of Mind

Wed, 08 Feb 2023 15:58:36 GMT

After more than 20 years in the theater as a writer and an actress in Houston, Texas, Andrea Tackett returned to Pikeville, Ky. Currently she works as a chaplain out of the Pikeville regional office and creates safe spaces for patients to share emotions, process grief and celebrate life. As an animal lover, she also connects patients and their furry family members with Pet Peace of Mind, so that these animals will always have a home.

“For people who have pets and are animal lovers, their pets are part of their family,” Tackett said. “Some people may think it’s just a dog, cat or horse, but to the patient, it’s a big deal. When facing an end-of-life situation, patients are worried about what will happen to that animal when they’re gone.”

Pet Peace of Mind is the only national program providing a care model for the pets of seriously ill patients, and Bluegrass Care Navigators (BCN) operates the Pet Peace of Mind program for our patients throughout Kentucky. Tackett, as well as other team members and volunteers, use the Pet Peace of Mind program at BCN to re-home pets, update shots and occasionally spay, neuter or groom.

Tackett recalled one patient whose family had exiled the patient’s dog from the house because it was dirty. The family, patient and BCN team decided that if the dog went to the groomer, the dog could return to her owner’s bedside.

“When I returned with the dog smelling like shampoo, the patient grabbed her and held her to her chest, while the dog whimpered and cried happily,” Tackett said. “It was such a precious moment, and one of the patient’s family members even stepped up and adopted the dog."

Tackett has served as a chaplain at BCN for almost seven years. She jokes that she came to chaplaincy in a round-about way, through theater and her grandmother. While working in the theater in Houston, her grandmother, who lived in Pikeville, became ill. Tackett came home to be with her, living in her hospital room for two weeks. During that time, the chaplains visited daily, building a relationship with them. Tackett was drawn to that work and moved back to Pikeville to take a chaplaincy job.

“The best part of my job is getting to know people,” she said. “Anytime someone trusts me with their deep hearts, stories and life review, it’s such an honor to me, and I hold these stories as sacred.”

BCN also helped Tackett fulfill her goal of becoming a Board-Certified Chaplain. Tackett completed her certification in 2020, but initially wasn’t sure about going back to school while continuing to work full-time.

“BCN is incredible with their education program,” she said. “They gave me education assistance and supported me throughout the entire process.”

BCN’s Pet Peace of Mind program is supported by donations and volunteers. To learn more about Pet Peace of Mind at BCN or make a charitable donation to this important program, please call 855.492.0812 and ask for the Philanthropy Department or visit https://www.bgcarenav.org/give . To volunteer, visit https://www.bgcarenav.org/volunteer .

Chaplain Esther Sapp Helps Walk Patients Home

Mon, 06 Feb 2023 15:43:19 GMT

Esther Sapp, chaplain in the Cynthiana regional office, has worked at Bluegrass Care Navigators (BCN) since December 2014. Through active, reflective listening, she offers patients and families a calm, unhurried presence at the end of life, helping them to process losses, physical decline and identify a lasting legacy.

“My mission is to embrace and model BCN’s goal of easing pain and relieving stress to those nearing the end of life,” Sapp said. “I stand beside patients and loved ones with sincerity, respect and offer a hand to guide them through these difficult times. I like to say that I’m walking my patients safely home.”

As a chaplain, Sapp serves as a professional spiritual counselor and a significant contributing member of the clinical interdisciplinary team. She collaborates with local clergy, administers sacraments and provides worship opportunities to patients. She appreciates the professional respect and autonomy her colleagues and BCN offer her.

“No two days are the same, and I love variety,” she said. “I work with the most professional, compassionate, dedicated team members. Not only do I work with them, but I feel valued and honored by them. I love hearing my colleagues say, ‘Esther’s my chaplain!’”

Sapp’s patients have taught her that every day is a gift to cherish, and everyone has a story to tell. She recalled one woman she met in November 2021 who had suffered a stroke. At the time, the patient could slowly feed herself, but expressed that she felt trapped by the situation. Despite her changed physical abilities, she requested Count Your Blessings when Sapp asked for a favorite hymn.

Given her circumstances, Sapp wondered about her choice, but sang it anyway. The disease progressed until the patient became confined to bed. In late January 2023, Sapp visited the woman for what would be the final time. She told her patient she would never forget her because of her choosing to sing Count Your Blessings on the first visit and for many other visits.

“Afterwards, I realized that I didn’t know if she was reminding me to count my blessings for myself or if she really felt like she still had enough blessings to count them,” Sapp said. “That is just one way that my patients inform my life.”

Before feeling a call to ministry, Sapp worked as a teacher in Michigan. She earned her M.Div. from Nazarene Theological Seminary and has served in pastoral ministry, as a hospital chaplain, and a chaplain for a hospice group in Michigan prior to her role at BCN.

Meet Bluegrass Care Navigators’ DEI Team

hwilcox@bgcarenav.org (Heidi Wilcox) — Fri, 27 Jan 2023 17:07:34 GMT

Bluegrass Care Navigators’ (BCN) Diversity, Equity and Inclusion (DEI) team gives us the opportunity to understand the value that diversity brings to our work, patients and team.

Members of the DEI Team, David Butts, Ashley Holt and Krizia Cabrera Toro, strategically work to create a culture of equity and inclusivity throughout our organization, as well as to our patients and families through education, outreach and engagement opportunities in underserved communities.

“From a business perspective, as our environment changes, we have to change with it or we will cease to exist,” Butts, Diversity, Equity and Inclusion Officer, said. “But there’s a piece that’s much more important. We have a moral responsibility to try to help the communities that we live in exist in a more peaceful, more connected and more supportive society. Though we do this within the context of an organization, I think the work we do impacts the larger society.”

Butts engaged in DEI work before it was a defined field. His mother marched on Washington with Dr. Martin Luther King Jr. in the Civil Rights Movement, and she was arrested while protesting in Orangeburg, S.C. His grandmother was a chief complainant on a class action lawsuit to integrate the city council.

He’s inspired by a picketing application his mother sent him from 1968. Protestors were required to fill out a notarized form to protest, complete with names, addresses and parents’ addresses. This form had to be submitted to the sheriff’s office prior to protesting or those participants would be arrested immediately. In college, he joined Dr. Martin Luther King Jr.’s fraternity, Alpha Phi Alpha. He saw the passion and connection to create change and move resources to increase the opportunities for black and brown students.

“Growing up, this was just part of the conversation,” he said. “I didn’t know DEI was a field. I thought it was just a passion, but DEI concepts were just baked into everything that I did. As a DEI practitioner, my personal passion now has a place daily, and I am committed to paying back all the people that I owe for everything they did.”

Butts’ primary responsibility is to support his team members and oversee the development of strategies that creates a culture of diversity, equity and inclusion that permeates the organization. As DEI Regional Managers for Central Kentucky and Northern Kentucky respectively, Holt and Cabrera Toro, work to connect those in underserved communities to BCN services.

With an undergraduate degree in cellular molecular biology, Cabrera Toro considers herself a scientist turned educator. Her dream was to be a research scientist, but that changed when she came to the U.S. from Puerto Rico at 22. On the mainland, she became one of the few and sometimes the only one with a different culture and language. Discrepancies in STEM education and healthcare led her to shift gears and pursue a career in education. Prior to BCN, she worked at the University of Cincinnati, helping racially and ethnically diverse students prepare for their first year of college.

“Diversity brings together everyone with different values and differences, whether those are racial, ethnic, religious, gender, people with different abilities or sexuality,” Cabrera Toro said. “It creates representation, and when people see themselves, it creates a better sense of belonging.”

Currently, Cabrera Toro is reaching the Hispanic community in Northern Kentucky by helping to translate resources into Spanish and by shooting a Spanish commercial. This commercial talks about who BCN is, the type of care provided and that our patients are our priority.

“It’s important to acknowledge that BCN treats Hispanic families and recognizes the cultural differences,” Cabrera Toro said. “We also have to become part of the community so that people know us and will trust us enough to come to us for hospice or grief care.”

Butts noted the important difference between equality and equity. To illustrate equality, he shared an example picturing three different people figures of different sizes. One is short. One is tall. One is in a wheelchair. While each has access to the same bike, one person can’t reach the pedals. One person is too tall to fit on the bike, and the person in the wheelchair can’t get on the bike.

“Equity is a more nuanced way of thinking that takes into account the needs of people,” he said. “Based on those needs, we provide resources so that they have the best opportunity to be successful because everyone has different barriers to success.”

Inclusion is how we embrace diversity and put equity into practice. The DEI team works to create a culture that starts within the organization and expands to the type of care offered to patients.

Holt started her career doing community work in extension and making people aware of research-based education. She realized that other people of color didn’t have access to these resources, so she wanted to connect others to the wealth of knowledge.

“I didn’t realize that I was making a dent into a systemic issue and was helping to achieve the goal of having equity and inclusivity,” Holt said. “Now I get to do this work with communities and fill that gap of health disparities and connect with people who look like me.”

In the Lexington area, Holt is working on the 40508 Project to do just that. This project charters partnerships to promote health equity on the north and east sides of Lexington. It seeks to better understand the barriers that prevent African Americans from accessing care and develops appropriate models to make BCN services more accessible to patients in that area.

“Our hope is that we will use this care model in these particular populations, but that this will also help us develop appropriate care models for other underserved communities as well,” Holt said.

The DEI team is committed to offering Team BCN brave and safe spaces to have conversations and explore our humanity together. You’re invited to join them in a conversation or an outreach event. Contact them anytime by calling 859.492.0812.

Celebrate 2023 with a Song

Thu, 12 Jan 2023 20:25:53 GMT

As we begin 2023, the Integrative Medicine team is curating a Bluegrass Care Navigators (BCN) Spotify playlist to motivate, inspire and connect team members as we journey throughout the new year.

Team member song choices ranged from anthems for the front lines, messages of solidarity with oppressed people or “blues” busters. To date, Bluegrass Care Navigators’ team members have submitted about 50 songs to listen to throughout the year.

“Music is powerful because it sometimes says things in ways that words can’t and can connect with emotions, spirituality and people in a way that words sometimes can’t,” Emma Powers, music therapist, said.

Since music can offer sacred space, access to childhood memories, help us process struggles or lift us to celebration, the Integrative Medicine team has used Spotify playlists with patients to provide different types of music listening experiences. With the start of the new year, it seemed like a good time to invite Team BCN to engage in music listening as a form of self-care.

“This is really an opportunity to practice what you preach,” Maggie Scheppman, music therapist, said. “So often team members are helping family members and explaining self-care practices, but they don’t take care of themselves. Yes, we provide this to our patients, but we can also use these tools to take care of ourselves because our wellness matters.”

So far, the Integrative Medicine team has received almost 50 theme songs. The team hopes this playlist encourages team members and reminds us that we’re all in it together.

“These songs say, ‘We’re rooting for you!” Whitney Clay, Integrative Medicine Program Coordinator, said. “As people have submitted their theme songs for 2023, it’s also allowed me to learn something new about a team member by the song that they chose.”

Listen to the 2023 Inspiration Playlist on Spotify!

Words Left Unsaid

Mon, 09 Jan 2023 16:32:46 GMT

I see two kinds of patients—those who have had massages previously, and many who have never experienced it before. It is always wonderful to provide massage for those who have gone their entire lives without and to see the unexpected and immediate sense of relief that can often be felt afterwards. It is something that I personally feel that every person should try, at least once. But for patients who have had massage prior to their time in hospice, the experience can provide a kind of familiar comfort. Recently, I had the privilege of providing massage for a patient who had enjoyed massage all over the world. She told me about her favorite kinds of massage that she had tried and was very clear about what she needed worked on during our sessions. During my last session with this spirited and dignified woman, she was unable to communicate with me verbally. But even in the last days of her life, she was still offering me her hand or her foot, with eyes closed. The family said that it was the most she had moved in days and that massage was one of the most beneficial therapies she had received during her time in hospice. I find it fascinating how the body knows and can communicate its needs without a single spoken word. This experience taught me how to better listen to those unspoken messages, both from my patients and my own body. We all know what we need if we can only be still and quiet enough to listen. Afterall, it is often those words left unsaid that say so much more.

New Tools in the Toolbelt

Tue, 03 Jan 2023 18:28:30 GMT

Just shy of two years ago when I started working for Bluegrass Care Navigators (BCN), one of the first things I noticed is how much families enjoy learning new ways to help their loved one through massage. A lot of family members like to work side-by-side with me, learning new techniques to use between visits. It became clear early on that having these new massage tools was very valuable to these families.

Another thing that started early on was my interest in working with respiratory issues. I had experience with COPD, emphysema, etc., but had much more to learn about their progression. Through some trial and error, and invaluable patient feedback, I’ve been able to develop a new protocol for easing respiration.

I see a gentleman for two goals that I especially appreciate working on: family support and improving patient respiration. This patient has a particularly good response to gentle massage of all the muscles that help him breathe. I still remember his face that was full of surprise after our first treatment when he felt his shortness of breath ease and felt his ribs have a smoother motion. During every session, his wife watches these techniques closely and puts them into practice between our sessions, which they both love. It is so rewarding to watch his wife's confidence grow as she learns new skills to ease his specific symptoms.

The Story of Yellow Dog

Tue, 20 Dec 2022 16:12:25 GMT

We are truly grateful for the thoughtful donation of nearly 200 stuffed animals that will be given to children impacted by the Eastern Kentucky Flooding. This gift was inspired by the personal experience of the donor, Theo, and his daughter who lost her favorite stuffed animal, “Yellow Dog.” Here is the story of Yellow Dog:

One bright and sunny day, a baby girl named Karyn was born. She was the delight of her parents, Theo and Christine. They bought her a little yellow stuffed dog which Karyn named Yellow Dog. Yellow Dog went EVERYWHERE with little Karyn – to daycare, preschool and even church. Karyn could often be found reading stories to Yellow Dog, her best friend in the whole wide world.

One day when Karyn was 10 years old, the family drove far, far away to visit Karyn’s grandparents. Suitcases were loaded, coloring books were packed, hairbows were collected – all set for the big trip.

The family stopped for the night since the journey was LONG. Pajamas were put on and books were brought out for the bedtime story. But where was Yellow Dog? Theo and Christine searched the hotel room and Yellow Dog could not be found. They called the restaurant where they stopped for lunch. No Yellow Dog. Karyn became very upset and couldn’t be comforted by her parents. Yellow Dog was her security, her best friend!

Theo believes that every child should have a “Yellow Dog” of their own to talk to and read stories. He hopes the stuffed animals he has shared will bring a smile to the faces of those kids who have lost so much, and provide some comfort and security to them, just like Yellow Dog did for his daughter.

Part of a Team

Tue, 20 Dec 2022 14:35:03 GMT

The transition to hospice services is sometimes overwhelming for our patients, especially the flurry of new people that come in and out of the home. For patients with cognitive/memory impairment, these new faces can be especially overwhelming. I was touched when I received a referral for music therapy to provide social interaction and engagement with a preferred coping skill for a patient who had been fearful of letting new people into her home. For her, music was such an important part of her life that she was willing to allow me into her home even though she was nervous about welcoming strangers. The first time we met, we sang together, and she immediately lit up. We spoke about how she learned to sing and play instruments in church and at the end of our visit, her daughter made a comment to me about how much our visit seemed to improve her mother’s mood. We continue to sing together every few weeks and joke about how we will make a record and have it played on the radio. It has been wonderful to see how this patient and her daughter have opened to the hospice team because of our visits. They are slowly allowing more team members to visit, and the patient is always excited to practice singing in anticipation of visits from both the chaplain and me.

Hospice Volunteer Celebrates 20+ Years of Caring for Patients and Families

Fri, 16 Dec 2022 14:13:45 GMT

“I truly believe in what hospice does for people and everyone should do something.” As a volunteer with Bluegrass Care Navigators, Mary Ann Perraut understands why hospice volunteers are so important.

For over 20 years, Mary Ann has been a volunteer in the Cynthiana area. As a former nurse, she saw firsthand how hospice can be a valuable resource for patients living with a serious illness. For many of those years, she visited patients in their home providing companionship, respite care for their caregivers and 11 ^th hour visits.

“I visited patients weekly for many, many months. Some visits were much more to help the caregiver than the patient,” said Mary Ann. “So often the caregiver just needs someone to talk to, to connect with, and that’s what I try to give. I try to help them find peace.”

Mary Ann recalls one special patient. “We connected because he was from New York, and that is where I am from. I used to sit with him while his wife went to work or went shopping. He was the nicest gentleman. Most of the time he slept, but we would talk occasionally. I told him he didn’t have to wake up.”

“One day, his nurse called me to say he was dying and not going to make it. I drove out there, and he had been nonresponsive. I walked into the house, and when he heard my voice, he sat up in bed and said ‘Mary Ann, come give me a hug,’” she said. “He raised up, said hi and gave me a big hug. He passed a couple of days later. He was a sweet man and I really liked him.”

“I have admired Mary Ann a great deal for many years and for a multitude of reasons,” Amy Cox, Executive Director of the Cynthiana Office, said. “I respected her first because of her knowledge and dedication to the profession of nursing and now for her compassion for others and commitment to her faith. Mary Ann has an amazing work ethic whether she’s gardening, cooking or exercising, but she also knows the value of her work as a volunteer and how her work, talent and skills benefit others. She is genuine in her concern and support and our families can sense that.”

Medicare-certified hospice programs requires providers to use volunteers for at least five percent of their patient care hours. Volunteers are required to undergo training to gain understanding of the goals for hospice care and their role and function as a volunteer.

“After my husband Albert passed away around 2006, I wasn’t able to continue visiting patients, but I really miss it. I started then doing bereavement and care calls. I try to do anything I can,” said Mary Ann.

Pam Rowe, then Community Engagement Coordinator for the BCN Cynthiana office, recruits, trains and matches volunteers with organization needs. “Mary Ann is always willing to take the time to provide much needed support, care and compassion to patients and their families,” said Rowe. Rowe has since transitioned from her role as Community Engagement Coordinator and currently works as an Intake Specialist with Bluegrass Care Navigators.

In 2021 alone, Mary Ann volunteered over 120 hours. This includes over 800 care calls to patients as well as over 300 bereavement calls to family members who lost their loved one. She even took the time to learn how to use an iPhone to be able to reach more patients through care calls from home.

Mary Ann said, “If there’s something I can help with, I want to do it. I have always approached each day and each volunteer activity with the mindset that it is in the hands of the Lord. I will start each day and pray, 'help me help someone today.'”

If you are interested in finding out how to volunteer with Bluegrass Care Navigators, please go to www.bgcarenav.org/volunteer.

A Moment of Clarity

Tue, 13 Dec 2022 15:05:03 GMT

Music therapy unlocks beautiful memory for dementia patient.

I often receive music therapy referrals for patients who are experiencing advanced dementia. It is never a certainty that music will be effective in breaking them out of the “shell” that so often forms as a person reaches the last stages of the disease. However, when music is effective, it is usually very effective.

I saw a new patient recently who was referred for increased confusion, restlessness and anxiety due to the progression of her dementia. On the day that I arrived for my assessment, she was wandering in the dining room of her locked memory unit, ignoring the staff calling to her to sit and muttering to herself. With some gentle encouragement from myself and another staff member, we were able to assist her in sitting down for a music therapy assessment. She did not respond to my greeting or my offer of music. She did not make eye contact with me but kept her gaze down and her posture withdrawn. As I pulled out my guitar, she began to show some interest, but still avoided turning in my direction or looking at me. As I began to play and sing, however, a transformation occurred. Slowly, the patient started to smile. First to herself, with her head still bowed, and then to me, in quick, laughing glances. As the session progressed, her uncertainty melted away and her engagement increased. She began making direct eye contact with me, laughing and smiling.

When I paused to share a quiet moment with her and ask her how she liked the music, she started to hum. “Do you know that tune?” she asked me quietly. I recognized it as a song I had just finished playing. I played it again and we sang together. Suddenly, I saw everything click into place for the patient. “I remember my mother,” she said. “Presents at Christmas. And songs.” I played a Christmas song, and she sang along with me. Then another. As I wrapped up my visit, she smiled at me. “Beautiful,” she said. I wasn’t sure if she was talking about the memory, the music or the moment we had shared together, but I hope it was all three.

Dementia is a difficult diagnosis. While our session cannot eliminate this patient’s anxiety or confusion, seeing music therapy unlock memories and provide a moment of clarity to this patient and others, who are so often locked in their own minds due to their disease, is one of the best parts of my job. I’m so glad I had the opportunity to connect with this woman and give her back a beautiful memory.

Volunteer Hairdresser Helps Hospice Patients Smile

Mon, 12 Dec 2022 18:21:24 GMT

As a recent empty nester, Meg Demaree found herself looking for a meaningful way to help others. In spring 2022, she joined Bluegrass Care Navigators as a volunteer hairdresser.

After working as a nurse for 17 years, Meg Demaree decided it was time for a change. As a nurse, she’d been offering beauty services on the side since 2014. In 2021, she opened Classic Beauty Salon on Lexington’s eastside. She loved her work, but as a recent empty nester, she found herself looking for a meaningful way to help others. In spring 2022, she joined Bluegrass Care Navigators as a volunteer hairdresser.

“This was a perfect fit!” she said. “Everyone loves a fresh haircut, so the smiles on the patient's and family member's faces brightens my day every time! It's been a very rewarding experience, and I feel appreciated at every visit. Thanks for giving me this opportunity that I never knew I needed!”

Typically, Meg sees three to four patients per month and gives them the full treatment. Meg and the patient look in a mirror together, talk about what haircut they would like and look at pictures together, if needed. From the comfort of the patient’s home, Meg cuts, blow dries, hair sprays and curls. For some, it’s their first haircut in months.

“I feel like I am making these patients’ last moments on earth a little more enjoyable,” Meg said. “They feel more like themselves when I leave rather than when I came, and I feel like I’m doing a good thing.”

“Meg provides our patients with dignity by offering this basic activity of daily living that we all take for granted,” Melanie Hagan, Volunteer and Community Liaison in the Lexington office, said. “I love the idea that many requests can go through me. I’m one person, but my job is unique in that it allows me to connect with our dedicated volunteers to meet needs and use their time, skills and talents to help our patients. I have a belief system that we’re all here to help others, and in this job, I get to do that.”

Ordinarily, licensed cosmetologists are required by state law to practice in licensed establishments. However, the law makes an exception for hospice patients receiving care either at home or in an in-patient unit.

If you are a hairdresser or have another special skill that could help a hospice patient, we could use your talents! Learn more about volunteering at Bluegrass Care Navigators on our website www.bgcarenav.org/volunteer.

Seeing through the Pain

Fri, 09 Dec 2022 15:55:42 GMT

Art therapy helps patients and families share feelings and connections.

While my experience working in hospice care frequently addresses physical symptoms and legacy-making needs for our patients and families, art therapy is primarily a mental health profession. An art therapist’s goal is to use active artmaking, creative process, psychological theory and human experience within a psychotherapeutic relationship to enrich lives and build coping skills for our clients.

A recent referral from Northern Kentucky provided an opportunity to see the ways that these two areas of art therapy can blend seamlessly to address patient care goals. The patient was referred by the team with a goal of legacy making for her young grandchild. During the art therapy assessment, I asked about this goal, but the patient spent much of the visit sharing her struggle with transitioning to hospice care after an active life. She described depression and pain that made it difficult to interact with her family. We decided to continue art therapy visits with goals of symptom management and emotional expression before addressing legacy making.

When I arrived for my next visit, the patient’s daughter-in-law joined us at the table. The art invitation was to trace their hands on the page and to use the art materials to depict things they had touched or been touched by. The instructions included the use of their non-dominant hands. This practice requires participants to use both sides of the brain, which often elicits surprising feedback. As the women worked side by side, they talked about their shared experiences, with the daughter-in-law expressing gratitude for the ways she had been nurtured by the patient. The patient’s art image was striking. She had worked to identify people and experiences that had touched her during her life, but they were hidden behind long lines radiating through the traced hands. She was tearful as she explained that the lines depicted her pain and was stunned when I verbalized her experience of not being able to see the things she loved because it was hard to look through the pain. She cried as she processed this simple observation. We talked about advocating with her care team to manage symptoms and about techniques such as mindfulness that might allow her moments of connection. She asked if our next session could be scheduled so that her husband could participate, hoping that they might both be able to share feelings and connections through art.

I look forward to continuing to work with this patient and family. While I hope that we will create a piece of legacy artwork, I feel that the true legacy will be supporting the strong and loving relationships in the family by offering her moments to “see through the pain.”

Bluegrass Grief Care Helps Eastern Kentucky Children Find Hope

Tue, 29 Nov 2022 16:29:44 GMT

When there are no words, Bluegrass Grief Care helps children affected by the devastating floods in Eastern Kentucky express their loss, thoughts and feelings through art and story.

With the help of a grant from the Foundation for a Healthy Kentucky, bereavement counselors from Bluegrass Care Navigators (BCN) will be visiting 10 schools in counties affected by the flood from now through the end of 2022. During their visit, BCN’s bereavement counselors will read books about grief to classrooms, donate books to the school library and do a grief art activity at each school visit.

The Eastern Kentucky team identified a few schools in each of the Hazard and Pikeville service areas. However, after reaching out to schools, the team received an overwhelmingly positive response and decided to expand the project.

“I am so grateful for the ways my team serves the Eastern Kentucky region every day, but especially with this project at this time of year,” Pam Dixon (MSW, CSW), Regional Counseling Supervisor, said. “Our area was devastated by the floods, but my team is helping these children and their families process this tragedy and build back emotionally. We can’t erase what has happened, but we can help these children find hope.”

On November 16, Susan Houston (LCSW), bereavement counselor, and Samantha Craft (LCSW) and Anneke Walker (MSW), both social workers, visited Marie Roberts Elementary in Breathitt County. Throughout the day, they met with grades K-6 for an hour each to talk about feelings, find ways to cope, and learn healthy ways to express those feelings.

To help facilitate the conversation, Houston’s team read In My Heart A Book of Feelings that explores the full range of emotions within the body and gives readers ways to articulate those. When the BCN team gave space to express feelings, the children named sadness, happiness, anger, confusion, devastation, gratitude and guilt.

When it was difficult to use words, the children were invited to draw their feelings. Each child had lost something, whether pets, houses or loved ones. For some, it was the first time they had talked about their experiences in the aftermath of the flood.

“It always amazes me that kids get it and they so openly shared,” Houston said. “These children are very resilient, and we ended our time together with laughter.”

Each child also created a mandala using coffee filters, markers and water. Each child traced a pattern on a coffee filter with washable markers and spritzed it with water. As the colors bled into each other, it created a kaleidoscope. While these projects dried, the team read There’s No Such Thing as a Dragon , which talks about the importance of expressing your feelings and noticing other’s feelings.

Despite the devastating loss, one of the emotions the children expressed was hope.

“They got it, but they couldn’t express what hope meant very easily,” Houston said. “But one little boy, very low, put it this way when he said, ‘I have the hope that we’ll get a house and not have to have to continue to live in an apartment.’”

“In Eastern Kentucky, our counseling team is working to support so many children impacted by both the pandemic and this year’s flooding,” Liz Fowler, President and CEO of Bluegrass Care Navigators, said. “With the support of a grant from the Foundation for Healthy Kentucky, our team is partnering with local schools to provide education, therapeutic and fun activities for children across the region who have lost so much through COVID and flooding. Thank you to our Eastern Kentucky team and our counselors across the communities we serve who are honoring Kentucky kids and supporting families every day as they live with grief and loss.”

Children’s Grief Awareness Day is held annually on the third Thursday of November. This day is designed to help us all become more aware of the needs of grieving children — and of the benefits they obtain through the support of others.

In this podcast, Samantha Craft, LCSW, and Susan Houston, Bereavement Counselor and LCSW, both out of the Hazard office, shared the work they are doing to help children affected by the recent flooding in Eastern Kentucky. During their visits, BCN’s bereavement counselors read books about grief to classrooms, donate books to the school library and do a grief art activity.

Listen to the podcast:

Bluegrass Care Navigators Expands Presence in Pikeville Region

Thu, 17 Nov 2022 20:07:10 GMT

Bluegrass Care Navigators is proud to designate its seventh regional office in Kentucky, serving residents of Pike, Magoffin, and Floyd counties through its new location at 163 Longview Drive.

Bluegrass Care Navigators has provided hospice care to the area since 2008. The regional office, along with dedicated executive leadership and a durable medical equipment distribution facility, gives the organization more opportunities to partner with healthcare organizations in the community and connect patients with needed care at home.

“Our goal is to provide compassionate, expert care to those who need it wherever they call home, whether that is in a private home, a nursing home, or even in the hospital,” said Bluegrass Care Navigators CEO Liz Fowler. “As our local nurses, physicians, aides, chaplains and social workers continue to serve more Kentuckians in these counties, this expanded location gives us more opportunity to provide excellent care at home.”

To oversee services provided from the Pikeville Regional Office, Jennifer Starr has been selected as the Executive Director for the region. Starr’s appointment marks a return to Eastern Kentucky after 20 years of nursing in Kingsport and Knoxville, Tennessee, including 15 years as a hospice nurse and various nurse leadership roles. Starr is a native of Hazard, Kentucky, a graduate of Hazard High School, and currently lives in Prestonsburg.

“I am so proud to return to Eastern Kentucky to lead our hospice team in serving patients and families,” said Starr. “The need for high quality end-of-life care is growing, and my goal is to connect more families to the unique support and comfort that only hospice care can provide.”

For Chief Hospice Officer Monica Couch, the office expansion marks an important milestone in serving Eastern Kentucky. “There is a growing need for comprehensive care for seriously ill and aging Eastern Kentuckians,” said Couch. “The expansion of our regional office affirms our commitment to working with other healthcare providers to deliver the right care at the right time to patients and families right here in our home community.”

Hospice care provides physical, personal, emotional and spiritual care to patients and families who are no longer receiving treatments to cure their terminal illness, but instead choose to improve comfort and quality of life. As a nonprofit organization, no one is turned away from Bluegrass Care Navigators based on ability to pay for hospice services.

Bluegrass PACE Care Earns Dementia Friendly Designation

Mon, 14 Nov 2022 20:37:45 GMT

Bluegrass PACE Care, a service of Bluegrass Care Navigators has been designated by the Lexington Dementia Friendly Advisory Board as a Dementia Friendly organization.

To earn the recognition, businesses must complete a training course and additional requirements. The goal of the designation is to create a Dementia Friendly community that is informed and respectful of individuals with the disease, their families and caregivers and provides supportive options to foster quality of life.

Bluegrass PACE Care opened in July of 2022 as the first Program of All-Inclusive Care for the Elderly in Kentucky. The PACE program assisted aging Kentuckians to remain independent at home, by coordinating all aspects of participants’ care through a comprehensive team of clinicians and services provided in the home and at the PACE center.

“The designation of Dementia Friendly aligns with our goal of providing personalized care to PACE participants in our community, with the goal of being able to age in place at home. Our PACE team is proud to have partnered with Dementia Friendly Lexington as we provide this specialized care,” Kathy Yates, PACE Center Director, said.

“This movement to make our city Dementia Friendly has been a dream of Lexington native, 99-year-old Virginia Bell,” Amber Lakin, Chairperson of the Dementia Friendly Lexington Advisory Board, said.

Virginia Bell, who opened the Best Friends Day Center, is an author and world-renowned speaker on dementia. She has been a pioneer in supporting dementia for the last 50 years. This movement is also supported by Lexington Mayor Linda Gorton, many volunteers and businesses. Not only is Lexington fortunate to have Virginia Bell and so many Lexington citizens supporting persons living with dementia, but Lexington is also home to the Sanders-Brown Center on Aging. The Sanders-Brown Center on Aging works to improve the health of older adults in Kentucky through research, education and outreach dedicated to understanding healthy brain aging and age-related brain diseases. Lexington is paving the way to become one of the best dementia friendly cities in the Dementia Friendly America network.

Any business can register to become Dementia Friendly. Once the business has fulfilled all the requirements, they will receive a Dementia Friendly logo window cling to be displayed at the business location and become part of the Dementia Friendly Lexington network. We hope to plant the Dementia Friendly seed and watch the Dementia Friendly Lexington logo start blooming across our city.

For more information about Dementia Friendly, visit their website.

About Bluegrass Care Navigators

Headquartered in Lexington, Bluegrass Care Navigators provides hospice care in 32 counties across northern, central and eastern Kentucky. In addition, the agency supports those facing serious illness or chronic disease through PACE, private duty nursing, home primary care, transitional care, adult day health care and palliative care services. For more information, visit www.bgcarenav.org or call 855-492-0812.

Bluegrass Care Navigators Installs 1,000 Touches Memorial

Fri, 11 Nov 2022 16:41:16 GMT

Staff thumb prints remember a person who brought meaning to that individual during the isolation of the pandemic. These prints cascade into plaster-cast hands of our clinicians, capturing the enormity of our work.

Bluegrass Care Navigators paused on November 8 to remember the lives that team members touched - and were touched by - throughout the COVID-19 pandemic with the installation of a 1,000 Touches Memorial. Located in the atrium in the Lexington office and at each regional office, the hands are meant to display the feelings held by many staff members. The thumb prints are cast from staff members as a remembrance of held space for those we lost, those we serve and those we work alongside.

“During the last two-and-a-half years, we all realized the power of touch, whether physical, emotional, spiritual or virtual,” Dave Carper, Counseling Resource Officer, said. “To me, this memorial shows the best of who we are as individuals, team members, and the community of Bluegrass Care Navigators. As people reflect on this exhibit, I hope it offers a healing place to remember, celebrate and honor those we serve, those who impacted us, those we love, and those we will always cherish.

Staff thumb prints remember a person who brought meaning to that individual during the isolation of the pandemic. These prints cascade into plaster-cast hands of our clinicians, capturing the enormity of our work and helping us realize the gift of giving and receiving in the community. Individually, we touch a few. Together, we change our communities.

A 1,000 Touches Memorial will be featured at each Bluegrass Care Navigators office in Lexington, Frankfort, Cynthiana, Hazard, Barbourville, Northern Kentucky and Pikeville.

Volunteer Makes Hospice Smell Like Home

hwilcox@bgcarenav.org (Heidi Wilcox) — Thu, 27 Oct 2022 15:02:10 GMT

Volunteer Makes Hospice Smell Like Home

Laura Coop, a Bluegrass Care Navigators (BCN) volunteer, makes the Bluegrass Hospice Care Center at St. Joseph Hospital in Lexington smell like home. Each week, she dons her apron and bakes cookies within the care center to deliver to patients, families and staff. Since volunteering with BCN in August, Coop has become the “cookie lady,” as she serves cookies with a smile.

“Certain smells just bring you comfort because it brings back memories,” Coop said. “It brings a little glimmer of happiness and hope because people are like ‘they’re still warm,’ and ‘you just baked these!’ To me, the Cookie Crew reflects the heart of the whole of BCN in that we are just trying to make life a little sweeter.”

Coop decided to give back after her parents’ experience with hospice a few years ago. As she delivers joy to others a couple of hours each week, she believes she receives the bigger benefit. One day, she delivered cookies to a man who had an obvious sweet tooth. She smiled, joked that he not spoil his lunch, and gave him two packs of cookies.

“I could just tell that it lifted his spirits to know that someone was there,” Coop said. “And that made me feel good, too.”

Coop says she always looks forward to cookie day and believes that this is a non-intimidating way to give back in a controlled, safe setting.

“The thought that anyone can give their time to anything, and they choose to give it to a patient and family at the end of life, it’s miraculous,” Jennifer Curtis, CVA, and the Volunteer and Community Liaison for the Bluegrass Hospice Care Centers in Lexington, said. “Most volunteers feel called to help others and by being the volunteer liaison, I help people fulfill that calling and give back.”

BCN piloted the Cookie Crew at the care center at St. Joseph and plans to offer this at the Bluegrass Hospice Care Center at UK Healthcare. Each care center offers patients, families and friends additional care in a homelike setting.

Volunteers are a vital part of the BCN team and come from varied backgrounds, bringing many rich, diverse experiences and talents that help in unexpected ways. BCN is always looking for more volunteers to fulfill a variety of needs with warmth and compassion. All volunteers receive training to prepare them to serve others. To learn more about volunteering and to sign up, visit bgcarenav.org/volunteer .

U.S. WWII Veteran Maxine Handziak Honored for Military Service

hwilcox@bgcarenav.org (Heidi Wilcox) — Thu, 27 Oct 2022 15:02:08 GMT

BCN Honors WWII Veteran with Pinning Ceremony

Maxine Hamon Handziak volunteered for the Women’s Reserve in the U.S. Navy (WAVES) in 1943. One evening after WAVES training, she met her future husband Edward at a chance encounter at a roller rink. Edward fell for her, literally, and the two corresponded throughout the war. Afterwards, he proposed, and they were married for over 70 years. On September 1, 2022, Bluegrass Care Navigators (BCN) honored her for her service with a Veteran’s Pinning Ceremony.

“It’s rare that you have a WWII vet that can still story tell with you,” Kristin Jones, social worker in the Cynthiana office, said. “Her love story was unique, and she had a sweet, pleasant and joy-filled personality, in spite of being bedbound.”

The pinning ceremony is a powerful moment for veterans and their families. Volunteer Neil Riggs, also a veteran, performs the ceremony, thanking the patient for their service and giving a certificate, blanket and flag pin in appreciation. The service concludes with a prayer, if desired, and Neil salutes the veteran.

As part of Maxine’s ceremony, her family had set up a table display with photos and memorabilia of her and Edward’s life together. This included pictures, newspaper clippings and Maxine’s military cap.

“Although she couldn’t remember a lot of stuff on that table, when Neil did the salute, her tiny, frail hand came up, and she returned his salute,” Esther Sapp, Maxine’s Chaplain who attended the ceremony, said. “Due to her hearing loss, I’m not sure what she heard, but she definitely felt honored and appreciated, and her sense of humor came out.”

Sapp described Maxine as someone who had learned to live in the present. When Neil presented Maxine with her blanket, she felt it and fiddled with the knotted ties. One of her kids approached her for a closer look. Maxine’s sense of humor shone through as she teased, “Don’t try to take my blanket!”

Upon intake, patients and families are invited to share patient care goals and are made aware of a variety of volunteer services that include veteran pinning.

“I just want people to realize that hospice is not your final days,” Jones said. “You can still make memories even though you’re at home with hospice and your legacy can continue. Hospice isn’t the end; it’s actually the beginning for a lot of things.”

BCN is a Level 4 partner in the We Honor Veterans program, a collaboration through the National Hospice & Palliative Care Organization and the Veterans Administration. BCN has been specially trained to address the unique needs of our nations’ veterans at end-of-life. As part of the program, BCN trains veteran volunteers to perform the Veteran’s Pinning Ceremonies.

“Sometimes veterans don’t feel like they receive the care and recognition that they deserve, so we make sure that all of our patients feel recognized and receive the care that they truly deserve, especially our veterans,” Kelli Callihan, Community Engagement Team Lead in Hazard, said.

Volunteers are a vital part of the BCN team and come from varied backgrounds, bringing many rich, diverse experiences and talents that help in unexpected ways. BCN is always looking for more volunteers to fulfill a variety of needs with warmth and compassion. All volunteers receive training to prepare them to serve others. To learn more about volunteering and to sign up, visit bgcarenav.org/volunteer .

WWII Veteran Celebrates 103 Birthday

Thu, 27 Oct 2022 15:02:03 GMT

WWII Veteran Celebrates More Than a Century

There’s no real secret to living to see 103! At least that’s what WWII Army Veteran Mr. Henry Ledford from Big Creek, Ky., says. Mr. Ledford celebrated his 103 birthday on September 22, 2022, surrounded by family and his dear friends from Bluegrass Hospice Care. Mr. Ledford gives all the credit to the Lord.

“Without Him, we couldn’t do anything,” he said.

Ledford was born in 1919 and had four sisters and two brothers. He was married to the love of his life for 75 years before she passed in 2015. They had four children and enjoyed the love of family as they served their community, farming and gardening for many years. After serving in WWII in Europe, he enjoyed working as an electrician and at the Red Bird Mission in Beverly, Ky.

Ledford took the WWII Honor Flight when he was 100. The Honor Flight is a nation-wide network dedicated to providing all veterans who apply a free trip to Washington, D.C., to visit memorials honoring their service. He still talks about that honor and proudly showed off his hat to those at his birthday celebration.

“I know my journey is about to end, but I enjoy every day and thank God for all He is doing for me, and I thank my hospice team for everything they do for me,” he said.

Bluegrass Care Navigators Opens Kentucky’s first Programs of All-Inclusive Care for the Elderly

Tue, 13 Sep 2022 18:30:46 GMT

Bluegrass Care Navigators today begins enrollment for Kentucky’s first Programs of All-Inclusive Care for the Elderly, also known as PACE, serving Fayette, Jessamine, Franklin, Woodford and Anderson counties.

PACE is an innovative healthcare program designed to help aging and frail adults stay independent, living at home for as long as safely possible, and supports caregivers by managing the many healthcare needs and access challenges for its enrollees.

PACE is available to Medicare or Medicaid recipients aged 55 or older who qualify for a nursing home level of care, who live in the service area of the PACE organization, and who can continue to live independently with the help of PACE services.

Bluegrass PACE Care, offered through Bluegrass Care Navigators, will provide the entire continuum of medical care, social care, and long-term services and support needed by frail and elderly adults. Upon enrollment in PACE, participants and their caregivers meet with an interdisciplinary team that includes doctors, nurses, therapists, social workers, dietitians, personal care aides, transportation drivers and others. An individualized care plan is developed to respond to all the participant’s needs 24 hours a day, seven days a week, 365 days a year.

Many services will take place at the Bluegrass PACE Center, with convenient locations in Lexington and Frankfort. Transportation is provided by the PACE program to and from the centers, as well as to and from any appointments arranged by the PACE team. At the PACE center, participants receive primary care, therapy, meals, recreation, socialization and personal care. Additional services are provided at home, including skilled care, personal care, and equipment management such as ramps, grab bars and other tools needed for safety.

“Our interdisciplinary team is directly involved in the participant’s care, interacting with them at the PACE Center and in their home frequently,” explained Liz Fowler, CEO of Bluegrass Care Navigators. “This allows us to quickly take notice of any changes to our enrollees’ physical, mental and physiological conditions, and quickly adjust their care plan to meet their changing needs.”

The PACE program serves as both the healthcare provider and the healthcare plan for its enrollees. This means that the PACE doctor works directly with patients to make decisions for a participant’s necessary care. Bluegrass PACE Care has created a high-quality network of providers to support PACE participants and is responsible for the quality and cost of all care provided, including specialist and hospital services. Participants who seek care outside of the PACE network may be personally liable for the cost of that care.

Individuals enrolled in PACE will have no copays or deductibles for services provided by the program. PACE covers the cost of all care and services normally covered by Medicare and Medicaid, as well as medically necessary care authorized by the participant’s care team that may not normally be covered by Medicare and Medicaid. Participants who are only covered by Medicare (and not Medicaid) will have a monthly premium that will be discussed upon enrollment in the PACE program.

Bluegrass PACE Care is now enrolling new participants. To schedule a consult with a member of Bluegrass PACE Care to discuss eligibility, ask questions or tour the PACE center and meet the team, please call 855-492-0812 (TTY 800.648.6056).

Bluegrass Care Navigators Supports Children and Families in the Aftermath of Catastrophic Flooding

Mon, 29 Aug 2022 17:26:53 GMT

Hope Tables Help Families Process Emotions with Art Therapy

In the month since devastating floods disrupted life as normal for thousands of Eastern Kentuckians, Bluegrass Care Navigators has actively supported employees and patients in their first steps toward recovery. But even as they helped purchase supplies and coordinate support to teammates from the organization’s headquarters in Lexington, the agency’s counselors and therapists began to plan how to give love and care to the community.

“We know families will face many stressful days ahead as they live in alternative locations, navigate the bureaucratic systems of relief aid, and deal with the grief and processing of loss,” said Dave Carper, Counseling Resource Officer for Bluegrass Care Navigators.

Carper and art therapist Whitney Clay took guidance from their teammates stationed in Hazard. Counselor Susan Houston and social worker Samantha Craft have been working with community leaders since the first day of the flooding response. They wanted to provide a therapeutic activity that could be set up where families are located, visited by families without much effort and planning, and that would provide opportunities for distraction, reflection, and even a little bit of fun in the midst of so much stress.

With that goal in mind, Bluegrass Care Navigators began the “Hope Table” project. Counselors and chaplains from the organization will be setting up tables at state parks and disaster recovery centers with activities and art projects to give children something to do while parents complete paperwork or to give families something new to do while living in an alternative setting. While participating in play and fun, counselors will guide families through discussions about their emotions, if desired. Families will also be able to write or draw a message of hope and leave it behind as an inspiration to others.

“Art and play are such mindful activities, and they can be powerful tools for allowing emotions to come out in healthy ways,” said Whitney Clay, integrative medicine coordinator for Bluegrass Care Navigators. “We want to be present with families and give them opportunity to process whatever feelings come forward at the Hope Table.”

Bluegrass Care Navigators held their first Hope Table project at Carr Creek State Park on August 24, and will travel to Buckhorn Lake State Resort Park on August 31.

Bluegrass Care Navigators to Host Radio Fundraiser for Team Eastern Kentucky Flood Relief Fund

Thu, 04 Aug 2022 17:27:59 GMT

Bluegrass Care Navigators will shift focus of annual Radio Day fundraiser in Hazard to instead request donations to the Team Eastern Kentucky Flood Relief Fund.

In response to the flooding that has devastated much of the region it serves, Bluegrass Care Navigators (BCN) will shift the focus of its annual Radio Day fundraiser in Hazard to instead request donations to the Team Eastern Kentucky Flood Relief Fund.

Listeners should tune in on August 9 from 8 a.m. to 4 p.m. to 101.1 WSGS FM, or listen online at http://www.wsgs.com by clicking on the "listen live" button!

Throughout the day, you will hear stories of compassion and courage from hometown heroes, hear messages of support from community leaders, and learn how BCN has responded to the flood and some of the extraordinary efforts we have taken to help support our patients and community.

“Every year, our friends in Eastern Kentucky are so generous to Bluegrass Care Navigators during this annual fundraiser for our organization,” said CEO Liz Fowler. “This year, we are asking everyone to turn their love and generosity to the entire region. Help us give back to a community that has shown so much care and commitment to us.”

You can start donating to the Team Eastern KY Relief Fund online today , or bring your cash or check donations, payable to "Team EKY Flood Relief Fund" to the station at 516 Main Street in Hazard on Tuesday, August 9 ^th . Any donation amount is greatly appreciated and will be read aloud unless you signify that you prefer to remain anonymous.

If you wish to continue your support of Bluegrass Care Navigators as well, you may do so here .

Bluegrass Care Navigators Begins Bluegrass Home Health Care Services

Thu, 07 Jul 2022 13:24:32 GMT

Organization Completes Purchase of Home Health Operated by WEDCO Health Department

(Cynthiana, Ky.) – Bluegrass Care Navigators has completed the purchase of WEDCO Health Department’s home health services and will assume ownership of the license and provision of care to patients starting July 1, under the name Bluegrass Home Health Care. Bluegrass Home Health Care will provide services in Harrison, Scott, Bourbon and Nicholas counties.

Patients previously cared for by WEDCO’s home health program will have the opportunity to transition their care to Bluegrass Home Health Care or choose another home health provider, according to Bluegrass Care Navigators.

Bluegrass Care Navigators has served Harrison, Scott, Bourbon and Nicholas counties for more than 30 years as the local provider of hospice care, with a regional office located in Cynthiana.

“As a local, community-based healthcare organization providing care wherever patients call home, we know how valuable home-based services are in the communities we serve,” said CEO Liz Fowler. “We are honored to expand our services in these counties and ensure continuity of care for patients and families cared for by WEDCO’s home health program.”

“We are pleased to have found a partner in Bluegrass Care Navigators in the sale of our home health license,” said WEDCO director Crystal Miller. “We have found a purchaser who shares our values and commitment in serving our community and are confident that they will continue providing excellent care to those who seek home health services.”

Patients who transition to BCN should experience little change in their care team, as many of the home health team will continue serving the community as employees of Bluegrass Care Navigators.

Anyone who is interested in home health services provided by Bluegrass Home Health Care should speak to their physician about their care needs. More information about Bluegrass Home Health Care and other services offered by Bluegrass Care Navigators can be found at www.bgcareanav.org .

About Bluegrass Care Navigators

Headquartered in Lexington, Bluegrass Care Navigators provides care in more than 30 counties across northern, central and eastern Kentucky. The agency supports those facing serious illness or chronic disease with private duty nursing, home primary care, transitional care, adult day health care, adult and pediatric palliative care, and hospice services. For more information, visit www.bgcarenav.org or call 855-492-0812.

President’s Statement on Pride Month 2022

Tue, 28 Jun 2022 13:50:10 GMT

Bluegrass Care Navigators celebrates equality for all, every day of the year.

As our nation concludes Pride Month 2022, Bluegrass Care Navigators knows the impact we can make on all patients and families we care for, by honoring each individual’s values and focusing on what’s most important to our patients every day as we provide care.

As an organization, we have dedicated intentional resources to ensuring that anyone who needs holistic, interdisciplinary end of life care feels welcomed and have access to our care. While we have much work to do, we seek to align our efforts with our mission, and lead with clarity in our commitment to serving LGBTQ+ communities.

With that long-term commitment in mind, we share this statement in recognition of Pride 2022:

Bluegrass Care Navigators (BCN) celebrates equality for all, every day of the year. We affirm our commitment to the dignity, respect, and support of the Lesbian, Gay, Bisexual, Transgender, Queer, and other communities (LGBTQ+), and we envision a world in which every member of the LGBTQ+ community has the freedom to live their truth without fear. Our organization and team members provide compassionate care to support the physical, emotional, and spiritual healthcare needs of seriously ill individuals and their families. BCN stands beside you and your loved ones with sincerity, respect, and a sure hand to guide you through difficult times, and at BCN you are loved and cherished. We are committed to walk beside you in your personal journey.

Bluegrass Care Navigators Improved Ranking Among Kentucky’s Best Places to Work

Wed, 15 Jun 2022 14:07:44 GMT

For the second year in a row Bluegrass Care Navigators ranked in the top ten large companies as a Best Place to Work in Kentucky, as designated by the Kentucky Chamber of Commerce, the Kentucky Society for Human Resource Management, and ClearPath Mutual Insurance Company.

The organization ranked #6 overall among entities in the large company category with more than 500 employees, an improvement from 2021’s ranking of #9. The selection process, managed by Best Companies Group, is based on an assessment of the company’s employee policies and procedures and the results of an internal employee survey.

“Our work does not happen without the dedication of a team who lives our values every day, for every patient,” said CEO Liz Fowler. “We have earned this designation for another year because our team has built a culture of compassion, respect, dignity and teamwork.”

The employee survey covers many factors of workplace satisfaction including leadership and planning, relationships with supervisors, work environment, corporate culture and communication, role satisfaction, training and development, and pay and benefits.

“Feedback from our team is critically important to our organization’s success,” said Vice President of Human Resources Danita Ross. “We want to know what their priorities are, what they need to feel successful at work, and what brings them satisfaction in their careers.”

As the organization continues to grow, Bluegrass Care Navigators always is seeking talented, compassionate individuals to join TeamBCN. View open jobs and learn more about working at Bluegrass Care Navigators by visiting www.bgcarenav.org/careers .

From Snake to Wave

Wed, 08 Jun 2022 15:59:54 GMT

Massage therapy can help physical pain, as well as emotional pain

Our team has recently been servicing a hospice patient with both massage and art therapy. She is a fascinating woman with a great deal of life experience. Unfortunately, part of her experience also includes past trauma that has left her with frequent panic attacks. I tend to focus on her neck and shoulders when providing massage, but we have also discussed the importance of the mind-body connection and how we can hold trauma in our tissues, which can cause anxiety and muscle tension. In our latest session, she made the connection between her regular panic attacks and the tension in her neck. “It feels like a snake constricting,” she said of the pain. During a subsequent visit for art therapy, she disclosed that she had experienced a delayed release following our last massage session. She described the release in her neck as being “like a wave” of relief that she visualizes washing over her, which has helped to subdue her panic attacks. This patient is a shining example of what it means to “give the patient back to themselves”. Utilizing the tools she received from Integrative Medicine services, she was able to create a visual representation of relief that she can use to care for herself. Through bodywork, she was able to tap into and address her physical pain, intermingled with emotional and psychological pain, without having to remember or relive any upsetting experiences that may have led to its origin. Through the collaboration of art and massage therapists, we can continue to help this patient as she continues her journey of personal healing.

“Oh goody!”

Fri, 03 Jun 2022 17:12:09 GMT

Massage Therapy Brings Joy to Patient

There's a 99-year-old sweetheart of a patient who is a favorite of mine. She doesn't remember me from visit to visit, so I always get to be a nice surprise! On our most recent session, two things stood out to me. The first one I noticed is that the staff that work with her were especially excited to hear that she was getting a massage...despite the fact that she won't remember it. The second thing that caught my attention was how appreciative this patient is and how she made me laugh by exclaiming, "Oh goody! That feels good!" I think she leaves a trail of sunshine behind her, and the staff was so happy to see her get some back.

"I've learned that people will forget what you said, people will forget what you did, but people will never forget how you made them feel." - Maya Angelou

The Hope in Hospice

Fri, 03 Jun 2022 16:48:25 GMT

Honoring the hospice journey with love truly brings comfort to those we serve.

Every day, our devoted care teams of physicians, nurses, social workers, chaplains, aides, counselors, and volunteers come together to help provide each patient with an individualized care plan that is centered around promoting quality of life.

And you are on this team with us. There isn’t a day that goes by where I don’t recognize you as a team member, playing your role, bringing hope to those who at times feel hopeless.

As a Chaplain, I treat the spiritual needs of people who are nearing the end of their life. I meet people where they are in their spiritual journey, in their emotions, and in their understanding of their illness.

I get to see the hope in hospice while walking alongside someone in their journey as they may question circumstances or find the places of gratitude and blessing. Honoring that journey with kindness, joy, compassion, integrity, humor, and love truly brings comfort to those we serve.

Making Sure Patients are Not Alone

Wed, 25 May 2022 14:22:29 GMT

Patients should not be alone at the end-of-life.

One essential purpose of hospice care is that no one should die alone without support or the presence of loved ones. Eleventh-hour volunteers are trained to keep vigil and provide that supportive presence to patients and families in the final hours of life. The 11th Hour program serves those who have no family present--whether the family are on route from states away or if the patient has no available loved ones. Visits often involve sitting quietly and holding a hand, softly reading poetry or scripture, if appropriate, or providing a calming presence so people do not feel alone.

The 11th Hour Volunteers at BCN have now returned to serve our patients and families in a wonderful way! Recently, we recently had a hospice patient who was a resident in a local nursing home. As her condition worsened, our volunteers stepped up to make sure she was not alone. Volunteers spent a total of 44 hours with her – talking with her, singing and reading to her – even though she was unable to respond.

11th Hour Volunteers provide comfort to patients who are actively dying, typically in a hospital, nursing center or assisted living facility. These volunteers work on-call, so the hours vary greatly, including some weekends. Special training is provided to ensure volunteers feel educated and comfortable in their assignments. Volunteers are contacted as the need arises, often on short notice.

If you are interested in finding how to volunteer with Bluegrass Care Navigators, please go to www.bgcarenav.org/volunteer .

Blaze and Blue: A Pet Peace of Mind Success Story

Mon, 16 May 2022 19:44:37 GMT

Meet Blaze and Blue. These feline siblings have never been separated and have always lived with the same family. When their owner came under the care of Bluegrass Hospice, she made it clear how highly she valued her cats. They were family to her. Her primary caregiver shared concerns about where the cats would live following patient’s passing.

When the patient passed, one of the highest priorities of the caregiver was that these siblings be rehomed together. Adopting cats can be a tricky process and guaranteeing two being adopted together is more complicated. Chaplain Andrea, a team member dedicated to supporting and growing BCN’s Pet Peace of Mind program, worked with the caregiver to rehome the patient’s cats. Laura, a nurse and strong advocate for the Pet Peace of Mind program, shared a rescue contact who connected Chaplain Andrea to Aspire Appalachia, a rescue group supporting animals (and humans) in need. Aspire Appalachia provided loving care for them in their transition environment.

Soon, these country cats traveled to the city for their new home in Chicago. Typically, pets are fostered prior to being adopted; however, their foster decided both cats were perfect for her home and requested to adopt them herself. Blue and Blaze are now happily rehomed. The patient’s caregiver has been able to communicate with the new owner and receive photos and videos, which has brought her comfort through the difficult transition.

Bluegrass Hospice Care understands that it is important for patients to care for their pets, and recognizes the level of comfort and peace they bring. When life is limited, a patient should not need to worry about they are going to provide care for their pets. Having the Pet Peace of Mind program available allows patients and families the peace to focus on spending time with those who matter most and taking care of themselves.

When patients say, “My pets are my family,” we as health care agents must take it to heart. Including pets in a patient’s final wishes is truly vital to a patient’s (and family’s) peace of mind. Through the Pet Peace of Mind program, we have a unique opportunity to provide comfort and support this need.

To learn more about the Pet Peace of Mind program or make a charitable donation to this important program, please call 855.492.0812 or visit https://www.bgcarenav.org/give .

Words and Pictures

Fri, 13 May 2022 18:43:41 GMT

A Happy Memory Can Help with Expressing Emotions

On a first visit art therapy visit, I often invite a patient to draw a picture of something that “brings you joy.” It’s an opportunity to learn about a patient and to build a relationship through a happy memory or wish. One hospice patient knew immediately what he would draw and set to work with the oil pastels. He created a picture of a beloved pet. We talked together about the animals he had cared for and the love they brought to him. He shared his grief about finding a new home for his cat when he was no longer able to care for him, and the neighborhood cat that sometimes visits for a treat. As is often the case during these conversations, the patient engaged with his senses as he explored memories and talked about his drawing- the soft fur and purrs, the majestic facial expressions, the funny antics… We laughed and cried a little too as we talked about the impact of the animals in our lives.

Multisensory exploration of a happy memory or environment can be a mindfulness tool during times of anxiety, a sort of guided meditation. The patient made this connection easily as we talked, and I encouraged him to use this tool in between our visits. I offered him another idea, just in passing: to write a haiku about a mindful or present moment. Haiku was new to him and he was intrigued. Haiku is a form of poetry with a long history, and is written in only three lines. One goal is to try to capture and emotion or single moment using few words. He jotted the instructions down in a notebook he keeps by his bed: First line, 5 syllables. Second line, 7. Third line, 5 again.

On our second visit, just on a whim, I wrote down a haiku I had written to share with him. Imagine my surprise when I arrived to find his cat’s portrait hanging at the foot of his bed with an eloquent haiku posted alongside! He shared that he had not only written several of these poems, but was now exchanging them with friends. After our art session together, he worked to compose a poem about the work he had created, and we posted it alongside his first work. This mindfulness practice has enriched our sessions, formed connections with friends, and provided an eloquent way for him to express his gratitude to caregivers and his faith. I look forward to seeing what he has written when I return!

Veteran Hospice Patient Receives Recognition from Veteran Volunteer

Thu, 12 May 2022 18:29:05 GMT

Heartbeat Song

Tue, 10 May 2022 13:40:41 GMT

Heartbeat songs are a popular music therapy intervention in medical settings, and a fantastic legacy project that we are now able to offer our patients and their families in Southeastern Kentucky, thanks to a grant through the Berea College Appalachian Fund Folk Arts and Cultures Initiative. With help from the Mountain Arts Center, we were able to complete our first heartbeat song with a hospice patient this Spring.

"Since joining Bluegrass Care Navigators, one of my goals has been to implement a heartbeat song program as a legacy project offering to our patients and their families. Heartbeat songs are a popular music therapy intervention in medical settings, and I first learned about them during my internship at University of Kentucky Healthcare. To create a heartbeat song, a music therapist meets with the patient and their family to record the patient's heartbeat using a special stethoscope. During this visit, the family chooses a special song that holds meaning for them. The music therapist then takes the recording of the patient's heartbeat and pairs it with an original recording of the chosen song so that the heartbeat becomes the percussion, or "beat", in the background.

"I knew this would be meaningful to our patients and families, and I was so glad when we received a grant through the Berea College Foundation to implement the project. With help from the Mountain Arts Center (MAC), we were able to complete our first heartbeat song this quarter.

"One patient had been a hospice patient for nearly two years when we met him and his wife. He had declined rapidly in the days leading up to our visit and was no longer able to interact. The patient’s wife spoke about her husband's love for music and chose a song that they had danced to at their wedding, "When You Say Nothing at All" by Alison Krauss. After several attempts and help from his nurse, Whitney, we were able to capture a clear heartbeat for the patient. We sent the heartbeat recording and the wife’s chosen song to the MAC, where it was recorded and woven together by their talented musicians and producers. The result was absolutely beautiful, and something that the patient’s wife and family will hopefully cherish for a long time.

"Completing this heartbeat song was a wonderful first step in implementing this project. While we are targeting specific referrals only in the Southeastern Kentucky areas right now, we hope to expand to all areas of service as the program grows. Witnessing the gratitude that the patient’s wife had for this meaningful project makes me excited to work with other families to build these legacy gifts that will keep the patient's memory alive forever."

Listen here .

Team Rosie Returns to Work

Thu, 28 Apr 2022 18:36:49 GMT

BCN Therapy Dog Back on the Job!

Patty, Mike and Matthew Moffett have anxiously awaited the lessening of COVID precautions that would allow them to return to patient visits with Rosemary, our BCN therapy dog. We have worried from time to time about how the pause would impact her skills. Matthew and his expert service dog Tucker have worked to help her retain her training during the break. We received the green light to schedule visits and Patty put together a calendar. With excitement and a little trepidation, the team gave Rosie a bath and bought a new collar. When she put on her work harness, would she understand that it was time to go back to work?

The report from the first night could not have been better. Patty shared a text message report: “Our girl did it!” As a BCN team member welcomed Team Rosie to the unit, a family member spotted them and asked if Rosie could visit their mom. She walked right in and put her head on the bed for the patient to pet her. In the second room, a husband sat by his wife of 65 years. He was grieving because he had recently put down a beloved pet. Rosie sat between his legs. As he stroked her head, he talked with Patty and Matthew about his loss. In rooms where patients were alone, Patty and Matthew practiced with Rosie to acclimate her to the sounds of the hospital. They paused to pray for these patients.

The team has continued to make visits, each time with a great story. Sometimes the patient connects with the human team members, other times they share stories about a patient’s pet pig. One night on the way to the unit Rosie shared some love with nursing students studying for clinicals. Each visit is different, but all are impactful After work the team stops at Starbuck’s for a treat. Rosie usually naps in the back seat on the way home. Returning to work can be exhausting.

Including therapy dog visits on our BCN units is a blessing for patients, families as well as our team members. We are so grateful for the behind the scenes work that makes this happen! As their schedule expands, we may need to put Starbuck’s gift cards on our wish list. Rosie sure does love a Puppaccino!

Bluegrass Care Navigators Names Stephanie Greene Chief Operating Officer

Wed, 27 Apr 2022 19:40:34 GMT

Stephanie Greene is now the Chief Operating Officer of Clinical Services at BCN.

In her role, Greene will oversee the operations for all clinical service lines within the organization, including hospice care, palliative care, home primary care, integrative medicine, behavioral medicine, clinical pharmacy, and clinical integration.

Stephanie joined Bluegrass Care Navigators in 2017 as the Vice President and Chief Hospice Officer. Her background began as a Radiologic Technologist after graduating from Lexington Community College. From there, she developed extensive experience in leading operations and sales strategies for multiple outpatient clinics at Saint Joseph Health system. After 15 years of hospital leadership, she transitioned to post-acute leadership, and served as the Executive Director of Operations and Sales for one of the largest home health agencies in the nation.

There, she was responsible for oversight of all clinical operations for six regional offices, covering 16 Kentucky counties, as well as developing and implementing growth strategies and initiatives for the region. This post-acute experience led her back to her non-profit roots and resulted in her joining Bluegrass Care Navigators.

“Stephanie brings many years of clinical leadership experience in a variety of settings with her to this role, with a relentless passion for supporting patients and families, and developing team members,” said President and CEO, Liz Fowler. “Stephanie embraces the mission of Bluegrass Care Navigators to deliver comforting care at the right time to the seriously ill.”

In her COO role, Greene is the successor for Cassie Mitchell, who recently became Chief Executive Officer of HopeWest Hospice in Grand Junction, Colorado.

Greene is a native of Winchester, Kentucky and is a graduate of George Rogers Clark High School. She earned her BS in Health Arts from University of St. Francis, as well as a Masters in Health Administration from Bellevue University.

For more information, call 855.492.0812 or visit www.bgcarenav.org .

Cultivating Calm

Fri, 22 Apr 2022 18:31:26 GMT

When I first met this hospice patient, it was clear she had taken her role of caregiver seriously throughout her life and continuing to embody that role is very important to her even as her dementia progresses. Each time I show up for music therapy I am not only working with the patient, but with her cherished baby doll as well.

On one particular visit, we had great success using the Calm app which is now accessible to all BCN team members. As she became more restless and anxious about keeping her baby calm and asleep, I remembered that when I was exploring the Calm app, I noticed they had a playlist of lullabies with a sweet image of a teddy bear to accompany the music. I pulled the playlist up on my iPad and began the music while showing her the image. The combination of soothing and familiar music and engaging visual stimuli quickly helped her to calm down herself and soon she was relaxed and smiling. The music and image conveyed to her that I understood her worries even if she could not find the right words to communicate them.

While most of the music I provide during music therapy sessions is live, I am so grateful to have access to technology resources such as Calm allow me to enhance my practice with patients.

For more information about our Integrative Medicine services, please visit bgcarenav.org .

Hospice Patient Marries High School Sweetheart

Wed, 20 Apr 2022 13:56:21 GMT

About Bluegrass Care Navigators

Serving Kentuckians for more than 40 years, Bluegrass Care Navigators provides hospice care in 32 counties across central, eastern and northern Kentucky. In addition, the agency supports those facing serious illness or chronic disease with private duty nursing, home primary care, transitional care, adult day health care, adult and pediatric palliative care services and through specialized programs such as integrative medicine, dementia care and telemedicine.

For more information, visit www.bgcarenav.org .

Hospice Volunteer Celebrates 20 Years of Caring for Patients and Families

Sun, 17 Apr 2022 16:50:42 GMT

“I truly believe in what hospice does for people and everyone should do something.” As a volunteer with Bluegrass Care Navigators, Mary Ann Perraut understands why hospice volunteers are so important.

“I visited patients weekly for many, many months. Some visits were much more to help the caregiver than the patient,” says Mary Ann. “So often the caregiver just needs someone to talk to, to connect with, and that’s what I try to give. I try to help them find peace.”

MaryAnn recalls one special patient she connected with. “We connected because he was from New York, and that is where I am from. I used to sit with him while his wife went to work or went shopping. He was the nicest gentleman. Most of the time he slept, but we would talk occasionally. I told him he didn’t have to wake up.”

“One day, his nurse called me to say he was dying and not going to make it. I drove out there, and he had been nonresponsive. I walked into the house, and when he heard my voice he sat up in bed and said “MaryAnn, come give me a hug,” she said. “He raised up, said hi and gave me a big hug. He passed a couple of days later. He was a sweet man and I really liked him.”

As a Community Engagement Coordinator for the BCN Cynthiana office, Pam Rowe recruits, trains and matches volunteers with organization needs. “MaryAnn is always willing to take the time to provide much needed support, care and compassion to patients and their families,” said Rowe.

If you are interested in finding out how to volunteer with Bluegrass Care Navigators, please go to bgcarenav.org/more-about-us/volunteer .

Kentucky Grandpa

Thu, 07 Apr 2022 18:10:44 GMT

Some of the most rewarding moments we share at Bluegrass Care Navigators involve hearing family members express their sincere appreciation for the care that their loved ones receive.

Recently, we heard from Cheri, whose father, Joe, was in our care. She spoke about the compassionate and professional service that was provided to her family—but also how a special bond formed between her father and his nurse Anja, that can only be described as “family”.

Cheri recalled being impressed from the start, not only with Anja’s expertise and skill as a nurse, but the warmth and compassion shown to her father and mother. “My father looked forward to each of Anja’s visits as she would engage him in thoughtful conversation, laugh at his jokes, and showed a genuine appreciation for his many stories and songs.”

When Anja began caring for Joe, she had recently moved to Kentucky from Texas. “Joe had the sweetest soul and a jovial personality with the voice of a radio spokesperson. He and his wife Mary made me feel very welcome in their home,” she remembers.

With each visit, Joe and Anja continued to develop a special connection to one another. “Anja told me that she thought of him as her ‘Kentucky Grandpa’, and I believe he considered her to be like family too,” Cheri told us.

For Anja, being a hospice nurse isn’t just about providing care. “The most rewarding part for me is forming relationships with those I care for,” she said. “As time went on, Joe became someone who brought happiness and laughter into my life, although I was supposed to be the one uplifting him.”

Cheri’s experience with us is exactly why our mission is so important. “Because of the care that Dad received, his quality of life remained high until the end. Anja gave the entire family emotional support and comfort and helped make a difficult transition something of beauty and peace”.

Whether it’s spending more quality time with loved ones, creating lasting memories together, or grieving after a loved one is gone—Bluegrass Care Navigators is here to stand alongside all of it, like family.

Thanks to the support of our caring community, Bluegrass Hospice Care provides that same level of compassionate care to nearly 1,000 patients daily throughout northern, central and eastern Kentucky. This is only possible with the help of generous donors like you.

Bluegrass Care Navigators Encourages Family Conversations on National Healthcare Decisions Day

Fri, 01 Apr 2022 17:38:40 GMT

Bluegrass Care Navigators is encouraging Kentuckians to join Americans across the country to take part in National Healthcare Decisions Day on Saturday, April 16. This day of awareness and education is focused on the importance of talking with loved ones about your health care wishes.

Community groups can request a Bluegrass Care Navigators team member to speak to their group are groups about this important topic throughout April by visiting www.bgcarenav.org and filling out the form on the Education page in the “More About Us” menu selection.

“It is so important to talk with your loved ones about your healthcare wishes, not only at end-of-life, but throughout your lifetime. Those that care about you need to know what your wishes are,” said Liz Fowler, President and CEO, Bluegrass Care Navigators. “It’s a discussion that should take place in the living room, not in a hospital room or nursing home under stress or in crisis.”

These conversations are frequently referred to as advance care planning or advanced directives. According to the National Institute on Aging, advance care planning involves learning about the types of decisions that might need to be made, considering those decisions ahead of time, and then letting others know—both your family and your health care providers—about your preferences.

“Knowing what is important to your loved ones when they are sick can give you confidence and reduce anxiety as a caregiver,” said Counseling Resource Officer Lindsay Kampfer. “By having conversations today, we can honor the patient’s final wishes while decreasing stress on family members.”

To document your wishes, legal documents such as a living will, healthcare power of attorney, and MOST form should be completed, kept with your medical records and in your home. These documents will direct medical care when a patient is unable to communicate his or her own wishes due to a medical condition. Anyone 18 years of age or older can make an advance directive.

In Kentucky, the Living Will form includes two sections – first, the Health Care Surrogate section, which allows you to designate one or more persons to make health care decisions for you, if you lose the ability to decide for yourself. Second, the Living Will section documents your wishes regarding life-prolonging treatment so your Health Care Surrogate or physician will know what you want them to do.

For more information on advance care planning, visit www.NHDD.org or the Bluegrass Care Navigators website https://www.bgcarenav.org

Journaling to Ease Grief and Loss

Wed, 29 Dec 2021 21:29:32 GMT

Grief comes to us in many forms and is an inescapable part of life. For many, grief is associated with the loss of a loved one. However, it is important to note that grief is not always associated with the death of someone you love; you may be grieving the loss of a job, a relationship breakup, loss of health, the collapse of a dream, or loss of possessions. The way we experience grief is unique to each one of us.

As human beings, we possess deep, complex, multifaceted emotions, and it’s our responsibility to learn how we individually need to cope and process with these emotions. If you are facing a season of grief, whether you’ve lost someone you loved or are experiencing some other pain, keeping a grief journal might help you to cope and process your feelings.

Grief journaling is one way of allowing yourself the space for genuine healing to take place, whether or not you are ready and willing to express yourself to others. You don’t need special skills, tools or lots of time and you don’t need to be a writer. Any notebook will do. Journal writing is an excellent coping strategy to express thoughts that may be uncomfortable, it can decrease stress, help to level out your emotions, and increase your sense of gratitude and optimism. You are writing for yourself, not others. Often, journal prompts can help get in touch with what might be showing up for you so you can better show up for your healing.

Journaling about your grief is a safe way to let out your feelings, thoughts and emotions as well as remember, taking a closer look at your grief related memories and experiences rather than avoiding them. If thoughts or memories become deeply troubling, some situations are best explored with the help of a professional grief counselor.

Here are a few journal writing prompts:
The hardest time of day is…. .
I find it helpful when….
My favorite memory of my loved one is….
The things I miss most…
The things I miss most…

“Give sorrow words; the grief that does not speak knits up the o-er wrought heart and bids it break” - William Shakespeare

- Renee Mullins, MSW, CSW, Bereavement Counselor

Supporting Grieving Children During the Holidays

Thu, 23 Dec 2021 21:27:14 GMT

Navigating the holidays after the death of a loved one can be a time of stress and challenges for children and their caregivers.

Holidays are typically associated with family, togetherness and tradition, all of which make this time of year even more difficult when a loved one is no longer present. The first holidays are usually the most difficult due to not knowing what to expect. Children often wonder what it will be like without that person. The following are tips that can help support grieving children during the holidays.

Open communication. Providing children a safe place to express their feelings and the opportunity to ask questions and get honest answers in age appropriate language are some of the best ways adults can support grieving children. Talk openly about how you both feel and how you will miss your loved one. Let them know that any feelings they may be experiencing are okay.

Plan ahead. Making a plan ahead of time helps make the holidays feel more manageable and reduces your child’s anxiety. You may want to keep previous traditions as much as possible, or this may be a good time to switch up traditions and start new ones. The best way to proceed is by talking with your child. Ask which traditions are most comforting and meaningful that should be kept and which would be better to change or omit.

Lower your expectations. The holidays can be overwhelming under good circumstances but when there is a death in the family they are even more difficult. You may not be able to do all the things you’ve always done. Consider scaling back. It’s important to do only as much as you can manage comfortably. Keep this in mind for children as well, especially teens. They may appear more irritated or even angry when they are stressed. More down time or some time hanging out with friends may be helpful.

- Holly Bender, MSW, LCSW, APHSW-C

The Physical and Emotional Impact of Massage Therapy

Thu, 16 Dec 2021 21:46:13 GMT

I have a patient who has so many different physical struggles that each session of massage has been quite different as her symptoms can quickly change. She is a tough lady and can handle more than most, but on one particular day she was physically and emotionally spent in a way I hadn't seen before. She reported to me that she was hurting all over and exhausted from not sleeping much for many days.

During our massage, she was venting about feeling irritated toward everyone and said, "I've been the one in charge and busy helping everyone else for years. Now, I just want someone to take care of me while I'm feeling so rough." Knowing that it can be soothing and grounding, I moved down to her feet for the massage, and she noticeably started to relax. Toward the end of our session, I suggested that it would be OK if she wanted to take a little rest. She curled up on her side and was out like a light. Her husband was so happy that she was finally resting and was thankful to learn how to help calm her by using light, warm touch on her feet.

- Submitted by Andy Soltan, Massage Therapist

Music Therapy Can Spark Memories for Hospice Patients

Thu, 16 Dec 2021 21:39:56 GMT

Recently, I went to northern Kentucky to complete a music therapy assessment with one of our hospice patients. I was greeted warmly by the patient and her daughter, who both shared with me their love of music. The patient lamented that she could no longer sing or play like she used to, but she was eager to hear some of her favorite songs and mouth along with the lyrics when she could. As I played and we "sang" together, her daughter's childhood memories started to come alive. She shared stories about the patient leading sing-alongs in their home, how the patient would sing songs in different voices and how much fun they had together. Before I left, the patient and her daughter shared a song that I had not heard before. We listened to the recording and the patient and daughter sang together. It was a meaningful moment that left tears in the daughter's eyes and a huge smile on the patient's face.

The patient declined quickly and passed away not too long after this visit. It was unexpected, but I was so glad that her daughter had been able to experience those moments of joy with her so close to death. I hope and imagine it will be something she holds onto as she grieves.

Creating those joyful memories for patients and families is one of the most wonderful parts about being a music therapist, and I am so thankful that I can be part of the process.

Art Therapy Helps Families Create Memories

Thu, 16 Dec 2021 21:32:32 GMT

I received a referral from one of our Northern Kentucky teams requesting support for a family who wanted to create a memory project. The team suggested that the patient was declining rapidly and that a visit “sooner rather than later” would be helpful. I had a phone conversation with the patient’s daughter who had an idea for a memory pillow for the patient’s great grandson. We made a plan for a visit, despite her observation that the patient was no longer able to engage in the project.

Upon arrival, I was greeted by the patient’s wife and daughters. They shared stories about the patient, who was resting peacefully in a hospital bed in the living room. He was a veteran, who had received his draft notice the day before his wedding. After only three weeks with his bride, he was called away for active duty. When he returned, they started a family, raising two daughters and enjoying three granddaughters. He had survived several additional health crises but was delighted when his first great grandchild was a boy!

The family had traced the hands of the great grandson and located a picture of the two great buddies. They found the shirt that the patient was wearing in the photograph and asked that we use the fabric to make a memory pillow. We worked together to gently trace the patient’s hand so that both hands could be sewn onto the pillow. As we worked, the family shared memories. The wife observed that she and the patient had loved to hold hands. We decided to take some photos of their hands together. She slipped into another room and lotioned her hands, putting on a beautiful ring that he had given her. We took several photos of their hands intertwined.

As I left, I thanked the family for allowing me to share this time with them, and promised to stay in touch about progress on our project. Our BCN team went into action to locate an appropriate volunteer to do the sewing. The patient died within 48 hours of my visit, but our connection to this family will last much longer. I am grateful for the team who listened to this family’s hope and to the collaboration of so many BCN team members to bring it to fruition.

Music Connects Patient and Family During the Holidays

Thu, 16 Dec 2021 20:39:15 GMT

It has been such a pleasure to work with my patient who is adored and supported by her family. Over the months I have primarily worked with the patient and her husband to provide music and the opportunity for them to connect and reminisce about their life together. Recently, the patient’s children were also present for a session and her son had purchased a recordable Christmas ornament. Because this patient had a recent decline, her son wanted to get a recording of his mother’s voice while it was still possible. I led the whole family in the song, “You are My Sunshine,” and eventually the patient sang along as well. Her children encouraged her to keep singing and her son was able to get a recording of his mother and father singing “You are My Sunshine” together to be cherished for future holiday seasons. The family was not sure if they would be able to get anything recorded because the patient declined so rapidly, and I am honored that they thought to bring out the keepsake during my visit due to their confidence that the music would result in a meaningful recording.

Ask For and Accept help

Thu, 09 Dec 2021 19:28:03 GMT

In a perfect world, we would never have to ask for help. People would know what we need and respond appropriately. We know the world is not a perfect place. Look for ways to allow others to give the gift of helping you during the holidays. Allow others to help you prepare for gatherings. Accept offers to help with cards or gifts. You friends and family want to help, but often need direction on how to best help you. This is a time when it is best to ask for what you need and not wait for others to offer.

Keep it simple:
Instead of… Try…
Shopping at a mall Ordering online/catalog
Cooking a big meal Purchasing prepared food
Elaborate decorations Decorate one room
Hosting the family meal Ask someone else to host

Getting Your REST During the Holidays:
R – REASONABLE AND REALISTIC EXPECTATIONS about what can and cannot be done.
E – EXERCISE. Walk daily. Eat and drink in moderation.
S – SIMPLIFY TO RELIEVE STRESS. Set a budget for time, social obligations, and gifts.
T – TIME. Set aside time for personal reflection and remembrance.

Don’t Forget the Kids
Children of all ages should be included in the discussions of holiday plans. They can offer valuable insight and suggestions. Inclusion in these discussions reaffirms their place in the family.

Melinda Simpson, LCSW, Bereavement Counselor. Taken from the article “Coping During the Holidays” by Kirsti Dyer. Bereavement Magazine. November/December 2002.

Bluegrass Care Navigators Now Offers Palliative Care in Georgetown

Thu, 02 Dec 2021 19:44:01 GMT

Bluegrass Care Navigators has expanded palliative care services to Scott County, providing services to oncology patients at Georgetown Community Hospital through the Georgetown Cancer Care clinic.

Palliative care is specialized, holistic medical care for people living with serious illness, focused on providing relief from symptoms and stresses with the goal of improving quality of life for the patient and their families. This supportive care model can help manage complaints such as nausea, pain, shortness of breath, anxiety, weakness, fatigue, gastrointestinal discomforts and much more.

Oncology patients at Georgetown Cancer Care Clinic are referred to the Bluegrass Care Navigator’s palliative care team by their oncologist. The palliative care doctor and nurse, and oncologist work together to manage the patient’s needs. Palliative care is available to patients as they continue curative treatments for their cancer diagnosis.

“Palliative care provides an extra layer of support to the patient, their family, and their oncology care team” said Bluegrass Care Navigators physician Dr. Liz Markus. “We stay focused on keeping the patient’s symptoms in check, so the patient and their oncologist can focus on treating their cancer.”

“This new partnership allows us to have Bluegrass Care Navigator’s palliative care providers embedded into our cancer care clinic, which enhances the quality of care we can provide at Georgetown Community Hospital,” said Dr. Kent Taylor, MD.

Georgetown Cancer Care patients who are interested in receiving palliative care alongside their oncology treatment should discuss the opportunity with their physician.

For more information about Georgetown Community Hospital’s oncology services, visit https://www.georgetowncommunityhospital.com/cancer-care

Music is Back in My Life

Thu, 02 Dec 2021 19:40:06 GMT

Ronn, 81, has a passion for music. He came from a musical family that gathered every Saturday night to play bluegrass and country tunes together. Ronn learned violin, banjo, guitar and mandolin, and continued to perform and play as an adult. As a Navy pilot in the 60’s, he started a string band with his shipmates on an aircraft carrier. “We played all over the world,” he said with a smile. Throughout his years of raising two sons with Carolyn, his wife of 50 years, and enjoying a successful career as a mechanical engineer and inventor, Ronn’s passion for music never wavered.

However, as his chronic pulmonary disease worsened, it became increasingly more difficult for him to play his beloved mandolin. With his ability to play music fading, Ronn felt like he was losing an old friend. Then his social worker Kaitlin asked our music therapist Maggie to pay him a visit.

A classically trained singer who loves to sing and play music with patients, Maggie uses music and the relationship she forms with each hospice patient to address their changing emotional and physical needs. She can play music to reduce anxiety, or to decrease the perception of pain. Once Maggie tuned Ronn’s mandolin, the two musicians instantly bonded. Ronn wanted to play mandolin again, so Maggie suggested songs she knew he could play, while she sang and played along on her ukulele. Although he had some frustrations, Maggie was there with help and support. Finally, Ronn could play music again!

“To have Maggie play and sing with me is such a treat,” said Ronn. “For one wonderful hour, Maggie makes me feel better and gives me a break from my everyday routine. Music is back in my life.” As a bonus, Ronn’s determination to play again inspired his social worker Kaitlin to learn the ukulele. They would even practice together during her visits, with Ronn encouraging Kaitlin and loving the opportunity to “play some strings” with her as well. He still looks forward to his weekly sessions with Maggie, especially when he feels well enough to play mandolin and sing with her. Thanks to the generous support of donors to our Integrative Medicine music therapy program, they are still making beautiful music together.

Holiday Grief Tips

Tue, 23 Nov 2021 19:45:14 GMT

Bluegrass Care Navigators has expanded palliative care services to Scott County, providing services to oncology patients at Georgetown Community Hospital through the Georgetown Cancer Care clinic.

Georgetown Cancer Care patients who are interested in receiving palliative care alongside their oncology treatment should discuss the opportunity with their physician.

For more information about Georgetown Community Hospital’s oncology services, visit https://www.georgetowncommunityhospital.com/cancer-care

Bluegrass Care Navigators Celebrates 30 Years of Providing Hospice Care in Cynthiana

Tue, 09 Nov 2021 20:03:48 GMT

In November, Bluegrass Care Navigators celebrates its 30th anniversary of providing hospice care to Nicholas, Bourbon, Scott and Harrison counties.

In 1978, a group of volunteers began a hospice service in Lexington. After growing into then-named Hospice of the Bluegrass throughout the 1980s, the nonprofit expanded north and began providing care in Harrison and surrounding counties.

Bluegrass Care Navigators provides hospice care to approximately 500 families in the region each year. In addition, the organization provides free grief care services to anyone in the community who needs support after a loss.

The services provided by Bluegrass Care Navigators from the Cynthiana regional office are made possible by more than 50 local clinical and administrative team members and 40 local volunteers.

“We are humbled and proud to have served this community for three decades,” said Executive Director Amy Cox. “Many of our nurses have worked for Bluegrass Care Navigators almost as long as this regional office has been in existence, and it is an honor to provide compassionate care to our patients in their home, or with our nursing home and hospital partners.”

Creating a Bright Path for Families

Fri, 05 Nov 2021 19:36:23 GMT

Wylie, 2, was diagnosed with Trisomy 18, a life-threatening chromosomal disorder that can cause serious developmental issues leading to various medical complications, causing Wylie to come home with a feeding tube and also develop heart failure within her first few months. Her next six months were spent with a care team from Bluegrass Hospice Care, who helped her family obtain the necessary medical equipment and navigate through many challenges. “Something that was really special at the end of her six months with hospice was that Wylie turned one, which is a very big deal with her diagnosis,” said Wylie’s mom, Karla. “Our hospice team helped coordinate with a team in Florida, so that we could take Wylie to our vacation spots for her first-year birthday celebration, which was so wonderful and special.”

Having reached this huge milestone, Wylie made the transition from hospice to our Bright Path program, a pediatric palliative care program that provides specialized medical care for infants, children, adolescents, and young adults who are living with a serious illness. “One of the first things that the Bright Path team helped us figure out was in-home nursing for Wylie. It has been so helpful having a nurse provide care for Wylie at home,” Karla said, “Without those nurses giving us some respite, it would have been really hard.”

Using a collaboration of care model, our Bright Path care team works with families to make a plan of care, identifying and treating symptoms, medication management, establishing goals of care and implementation, and fostering spiritual support and counseling. “Bright Path helped connect us with Pediatric Home Service who provides us with durable medical equipment. It’s been huge for us, and they have even shared tips on how to prime the pump faster, and about water traps in her oxygen line,” Karla said.

Our goal with Bright Path is to improve the quality of life of the family, by providing comfort to the child while building confidence with the caregiver through education and support.

During her time with Bright Path, Wylie has been able to experience the benefits of integrative medicine through our music therapy group, a six-week program designed specifically for Bright Path families. “I realized that Wylie hadn’t ever had that experience, nor the aspect of being with other kids her age. She loved it and loved music. I loved it and loved being able to see the other families. It was virtual, but even without COVID I’m not sure many other families would have been able to bring their children to an actual facility.” Bright Path also offers a support group specific for caregivers that Karla has participated in, focusing on coping with having a child with medically complex special needs. Karla shares, “We went through all these different ways of relieving stress. And it has continued to be really lifegiving and helpful.”

Bright Path families have access to our care team through a 24-hour call center for support and guidance. “We just have this general sense of knowing, like if we needed anything—if we were having trouble with anything - we could call Bright Path and it would be welcome,” Karla said. “I always have the sense when they ask, ‘What do you need? What can we do?’, that it’s so genuine. That gives us such wonderful reassurance.”

Bright Path has provided Karla and her family a new outlook on life: “I remember, right before we transitioned to Bright Path, there was something that shifted in my heart, and it was big. ‘Okay we are not preparing for Wylie’s death, she is not dying, she’s living,’ and to have a group that supports life with your child with an unknown future, I hope that people would be able to see that is huge.”

With the help of Bright Path, Wylie has been able to be at home this past year with no hospital admissions or outside appointments. “She’s growing and learning and developing. When you think your child is dying you sit beside them, and you wonder are we going to wake up today. But when you begin living, you shift your energies a little bit, and your focus,” Karla said, “And to those who’ve supported us, thank you is always too small. Your donation is not just helping the individual with the medical need, but the family—my whole family.”

Community support for Bright Path is vital to the program’s success. This important care is not typically covered by insurance. We never turn a patient in need away for the inability to pay, so your continued philanthropic contributions are crucial.

SPECIAL THANKS TO MAJOR SUPPORTERS:
WHAS Crusade for Children; Lexington-Fayette Urban County Government; and the Thomson R. Bryant, Jr. and Betty R. Bryant Fund.

Bluegrass Care Navigators Recognizes National Hospice and Palliative Care Month by Raising Awareness about Hospice Benefits

Wed, 03 Nov 2021 19:40:14 GMT

In recognition of National Hospice Month and Palliative Care Month, Bluegrass Care Navigators is raising awareness about the benefits of hospice and palliative care, and encouraging families to share their personal stories on social media.

“Families who have experienced hospice care frequently say they wish they had called us sooner,” said Liz Fowler, CEO of Bluegrass Care Navigators. “By learning more about the benefits of hospice care, we hope that families who have a loved one experiencing a serious illness can better understand how hospice can support them.”

Hospice care is holistic medical care for individuals who are no longer seeking curative treatments for an illness or disease, and instead choose to focus on care to improve comfort and quality of life. Hospice care is provided by a team of caregivers including a physician, nurse, nursing assistant, social worker, chaplain, and volunteers. This personal team of caregivers starts by understanding what is most important to the patient and family, then works to manage pain, assist with daily activities, manage medications and equipment, provide emotional and spiritual support, and give respite support to caregivers.

Hospice care is often misunderstood. It is important to know that:
- Hospice is for weeks and months of life, not just days or hours.
- Hospice is for patients with any serious illness, not just cancer.
- Hospice can keep patients comfortable with pain management.
- Hospice is covered by Medicare, Medicaid and most insurance companies.
- Hospice is able to provide many medications, supplies and equipment.
- Hospice is provided wherever home is, including private homes, nursing homes, assisted living facilities and hospitals.
- Hospice is able to include your doctors and does not replace them.
- Hospice is for families who want to create memories together when time may be short.
- Hospice care includes doctors, nurses, social workers, chaplains, home care aids and volunteers.

For more information about Bluegrass Care Navigators and our services, call 855.492.0812 or visit www.bgcarenav.org.

Bluegrass Care Navigators Seeks Support to Care for Kentuckians Through Online Event

Sun, 31 Oct 2021 15:00:47 GMT

Bluegrass Care Navigators will host an online auction event November 1 through November 19 in support of the nonprofit’s many services that make care possible for those facing serious and life-limiting illnesses.

Bluegrass Care Navigators is committed to caring for every patient and family eligible for its services, regardless of their insurance status or other ability to pay. The online event aims to gather donations to support this important work. The event was reimagined as an online auction and educational platform after being cancelled twice due to the organization’s commitment to limiting gatherings during the COVID-19 pandemic.

“Our patients still need the compassionate, holistic care that only Bluegrass Care Navigators provides, even during a global pandemic,” said vice president of philanthropy Laura Klumb. “As a healthcare organization, our top priority is keeping our patients and our employees safe, and that made hosting a large fundraising event not feasible. However, we hope our supporters will take comfort in knowing that our care has never stopped, and their donations are needed now more than ever.”

The online event will feature opportunities to bid on signature Kentucky products and experiences, including a bottle of the rare Pappy van Winkle Bourbon, a stay at the Kentucky Castle in Versailles, and an experience at the Jockey Club Suite at Churchill Downs in Louisville. Registrants will also be able to view a virtual tour of the organization’s new headquarters in Lexington, which opened in April 2020 in the early months of the pandemic.

And to help donors choose special causes to which they may lend their support, Bluegrass Care Navigator team members are featured in a series of videos highlighting many of the agency’s unique services. Donors can learn more about the organization’s homeless respite program, pediatric palliative care, Alzheimer’s program, and integrative therapies such as animal, art and music therapies offered at no cost to patients. Additionally, the Care for All Fund is available to assist Kentuckians wherever help is most needed.

Registration for the online event is open, and participants can visit the site at http://onecau.se/_dbW any time between now and the conclusion of the event at 5 p.m. on November 19 to bid on auction items, learn more about Bluegrass Care Navigators and donate to a special cause.

This event has been made possible by the generosity of many sponsors who have supported the organization through multiple event cancellations and the movement to an online format! They include Presenting sponsor Denhman-Blythe Company; Champion sponsor Jon Carloftis Fine Gardens; Patron sponsors Ball Homes LLC, Baptist Health Lexington, Godolphin LLC, G. Scott & Associates Architects, Marsh McLennan Agency and Ruggles Sign Company; and Benefactor sponsors Georgetown Community Hospital, Green & Haliburton and Wildcat Moving, among other local businesses and partners.

Volunteer Pete Croswell Delivers Compassion to Hospice Patients

Thu, 02 Sep 2021 15:04:13 GMT

Shared by Pete Croswell:

In March of 2020, Frankfort Volunteer Coordinator Jennifer Hubbard asked me if I would take on mission for hospice patients—something to augment our volunteer support, especially since the COVID pandemic curtailed a lot of our volunteer services. This mission is to deliver “compassion bags” to family and caregivers of recently deceased patients in our four-county area (Franklin, Anderson, Woodford and Owen). So without too much hesitation, I took that on and have been doing it since April 2020. These Compassion Bags are one way we do outreach and connect with families and caregivers after a loss and show our support. The standard items provided include a picture frame and insert, forget-me-not seed packet, candle, flyers and kids items when young children are involved. Early on, I decided that the bags need a few more items so I get additional things: night light, healthy snack, lip balm or hand sanitizer.

I guess I’ve done about 600 of these but I’ve lost count. I don’t keep track since I destroy the records after delivery. Jennifer and I organize the deliveries with a list and map and I always call prior to a visit. I think I’ve seen about every city street and country road in the region. In the majority of cases, I have the opportunity to talk with the person on the phone and/or at the front door (with mask and distance). Mainly I listen but try to say some comforting words and indicate our ongoing support for family members and caregivers. In some cases, there is information I convey to the Frankfort office if necessary. I need to mention also that my wife Ann has been a big help organizing/filling the bags and she is in the process of becoming a BCN volunteer so she can help me with the deliveries and make sure I don’t get lost—even with mobile navigation tools that still happens out in the rural areas.

Something all volunteers and staff can relate to is that encountering cases of death—even indirectly can be hard sometimes but I believe this does make a difference to people who are dealing with grief and challenges—knowing there is support and other thinking about them really does help. I know this because they tell me. The majority of the time, those I visit express extreme satisfaction and appreciation for the services they have received from the staff. Can’t say I have ever worked with an organization with that amount of consistent, positive feedback. So, this is a pat-on-the-back for all administrative people, medical personal, social workers, chaplains and volunteers who provide the support.

One other thing. We live in a situation today with a lot of division in terms of politics, religion, race, economics, etc. and too often this comes out in a negative way. Too much focus on what makes us different than things that should bring us together. But when I go out with that badge and extend help and support regardless of who the person is, those divisions disappear—at least that is my experience with those I have interacted with.

If you are interested in volunteering or would like more information, please visit bgcarenav.org/volunteer.

Hospice Gave Her Husband Time at Home

Tue, 24 Aug 2021 16:50:34 GMT

In February of 2019, life drastically changed for David and his wife, Debra. They were told that David had Stage 4 lung cancer, a diagnosis they did not expect. Over the past few years, David had been dealing with colon issues and hospitalized on multiple occasions, but the lung cancer diagnosis came out of the blue.

After just two treatments, the doctors told them that there was nothing else they could do. David had just weeks to live. The doctor contacted Bluegrass Hospice Care, and they came the very next day. The hospice team worked quickly to help keep David comfortable as his illness progressed, as well as making sure Debra had all the information she needed. Debra explained that they didn’t want to go back into the hospital; David wanted to stay at home.

“Everyone from Bluegrass Hospice Care that came to our home was incredibly compassionate and concerned. They were constantly offering me options and services,” said Debra. “From my standpoint, they were an emotional support, always a calming influence. They would be there when they said they were going to be there. They were checking in on me all the time to see if there was anything that either David or I needed.”

If Debra and David needed additional help between visits, Debra could call her hospice team at any time. “One day we mentioned that we needed oxygen, and it was there that day. Another time, I commented that I would like to get David outside on the deck. They brought me a wheelchair so that we could get outside to enjoy some fresh air,” said Debra.

Just two months after his diagnosis, David passed away with his family around him. In the last 72 hours of David’s life, his pain significantly increased. When Debra called for help in tears, a Bluegrass Hospice Care doctor promptly reviewed the situation and called in a prescription for pain medication that allowed David to be at peace in his final hours. Debra was also grateful that the hospice team had explained how everything would be handled at the time of David’s death. “They told me what to do when he passed - I could just call them and they would take care of everything, which they did,” said Debra.

Through it all, Debra was very thankful for the support she received from Bluegrass Hospice Care. She was especially pleased that David was able to stay at home with her during his final days. " It was such a comfort, I don’t know what I would have done without them," she said. “It was a blessing to be able to have him be able to remain in our home, surrounded by family and friends that loved him."

Art Therapy in Grief Care

Fri, 20 Aug 2021 16:53:38 GMT

Bluegrass Care Navigators is a Top 25 Finalist in the Tipping Point Challenge

Mon, 02 Aug 2021 18:39:34 GMT

They had to be side by side.

Fri, 30 Jul 2021 19:02:10 GMT

Charlene and Charles had been side by side for over 50 years, when Charlene was diagnosed with ovarian cancer. After a courageous battle, the family looked to Bluegrass Care Navigators to help make Charlene’s final weeks as comfortable and memorable as possible, with Charles at her side. Charlene and Charles celebrated their last Christmas and a surprise 51st anniversary party with their family at the Greg and Noreen Wells Bluegrass Hospice Care Center in Hazard.

After Charlene passed away, Charles placed a personalized memory stone for her in the Hospice Care Center’s courtyard. The family continued to visit there together on holidays. And Charles, a retired social worker, began to volunteer with Bluegrass Care Navigators by leading a grief support group where he formed many great friendships.

When Charles himself became ill, the family immediately contacted Bluegrass Care Navigators to provide him with in-home hospice care at his daughter Elaine’s home.

“After going through the same great hospice care with our mom, having a care team come to the house for Dad was a comfort and a relief, like getting a big hug,” said Elaine.

Charles had planned for his own memory stone to be placed next to Charlene’s in the Hospice Care Center’s courtyard, a place that meant so much to him. They had to be side by side.

On his final day, Charles signaled it was time for him to go to the Hospice Care Center, where he passed peacefully surrounded by his family, as he had wanted. “He felt close to Mom there,” said Elaine. “It was comforting for him, and for us.”

Bluegrass Care Navigators Launches Schwartz Rounds

Tue, 13 Jul 2021 19:05:26 GMT

Nationally recognized program promotes compassionate care and teamwork.

Bluegrass Care Navigators is joining an evidenced-based program for its employees to openly and honestly discuss the most challenging emotional and social issues they face in caring for patients and families. The Schwartz Rounds® program has been found to enhance compassionate care, improve teamwork and reduce caregiver stress.

Schwartz Rounds are common in hospital settings, but Bluegrass Care Navigators is the among hospice providers in the nation to join the program.

Schwartz Rounds are a program of the Schwartz Center for Compassionate Healthcare, a national nonprofit dedicated to putting compassion at the heart of healthcare through programs, education and advocacy. In contrast to traditional medical rounds, the focus of Schwartz Rounds is on the human dimension of medicine. Healthcare professionals have an opportunity to share their experiences, thoughts and feelings on thought-provoking topics drawn from actual patient cases. The goal is for healthcare professionals to make personal connections with patients and colleagues because they have greater insight into their own responses and feelings.

“Our team is called to exhibit a tremendous capacity for compassion and respect as we care for patients with chronic illness or at the end of life,” said Lindsay Kampfer, Counseling Resource Officer for Bluegrass Care Navigators. “We spend much of our practice supporting patients and families through their emotional and spiritual needs. Schwartz Rounds will give our team an intentional, clinically-driven program to make space for their own emotions and experiences.”

Studies have shown that 90% of caregivers who attended multiple Schwartz Rounds reported better communication with their co-workers, and 86% reported feeling more compassionate toward patients and families.

Schwartz Rounds were first piloted at Massachusetts General Hospital in Boston in 1997. Since then, the program has grown rapidly as the need has increased. Today, more than 500 sites across the U.S., Canada, Australia and New Zealand are Schwartz Center members and conduct the Rounds program, with another 200+ sites running the program through a partnership in the U.K. and Ireland.

About the Schwartz Center for Compassionate Healthcare

The Schwartz Center for Compassionate Healthcare envisions a world where all who seek and provide healthcare experience compassion.

We have hundreds of members in the U.S., Canada, Australia and New Zealand, including hospitals, long-term care facilities and other healthcare organizations, and more than 200 healthcare organizations conducting our programs in the United Kingdom and Ireland. Through them, we have positively impacted hundreds of thousands of caregivers and patients across nearly every healthcare setting with our programs and resources.

The Schwartz Center’s mission to put compassion at the heart of healthcare holds true no matter how extraordinary or difficult the circumstances. Since our founding in 1995, healthcare organizations rely on our programs, education and resources to support clinician well-being and mental health, enhance the quality of care, enable better outcomes, and create a more positive experience for all members of the care team, patients and their families.

For more information, visit www.theschwartzcenter.org .

To learn more about Bluegrass Care Navigators, call 855.492.0812 or visit https://www.bgcarenav.org .

Sy Leaves a Legacy of Compassion

Thu, 08 Jul 2021 19:09:20 GMT

Ed “Sy” Sypolt was what we call a full-circle volunteer. He gave his time, his kindness, to help hospice patients. And in turn, the patients helped him…changed him.

Sy’s natural love for talking to people and his drive to make the sale led to a successful career as a pharmaceutical salesman. But Sy had described himself as a bit of a jerk in those days, having an insensitive attitude towards others.

That changed after Sy retired. He decided that he’d like to make some changes, get involved in the community and do some good for others. He joined Bluegrass Care Navigators (BCN) as a volunteer in 2002.

“I remember Sy telling me that his volunteer experiences humbled him, made him appreciate the things he’d been given,” says Kimberly Heestand, provider liaison for BCN.

Sy chose to spend his time helping our hospice patients after experiencing his own heartbreak. His mother-in-law suffered with illness for several years before she passed away, and his 16-year-old daughter died suddenly in a car accident. These profound losses left Sy with a desire to help people in their final days.

As a volunteer, Sy was willing to do anything that was needed. He would visit with patients in their home or nursing home, offer respite care for family members to give them a little time away from the pressures of round-the-clock caregiving, and provide 11th hour care – sitting at the bedside as a patient is dying so they don’t die alone.

A few months before Sy passed away, he told Kimberly that he wanted to transition from actively volunteering to mentoring other volunteers. “He was seeing at least a dozen patients a week. That’s a lot, especially since he was almost 80 years old,” Kimberly says. “He was such a gift.”

In honor of Sy’s extraordinary service to our patients and families, we established the Sy Award, which is presented each year to one special volunteer who has displayed selfless, compassionate service to those in our care.

Sy’s daughter Leslie was surprised at learning all that her dad had done during his volunteer service at BCN, but she wasn’t surprised at his impact on the patients or the BCN team members. She remembers her dad as the one person she could always talk to about anything and feel understood and supported.

“Dad was especially good at listening to people when things were bad for them…when they were really down. He would just sit and listen. It was something he was really good at. I miss that,” Leslie says.

Before Sy passed away, he and his wife, Elizabeth, set up a trust to support the causes they each hold close to their heart. They made a very generous $25,000 planned gift to Bluegrass Care Navigators.

“The planned gift was Dad’s idea,” Leslie says. “He loved the time he spent with the hospice patients. He got just as much back as he was giving.”

Bluegrass Care Navigators Earns Top Healthcare Workplace Designation

Wed, 07 Jul 2021 19:12:06 GMT

Organization is the Highest-Ranked Healthcare Workplace on Kentucky’s Best Places to Work

Bluegrass Care Navigators is the top-ranked healthcare provider among the 2021 list of 100 Best Places to work in Kentucky, as designated by the Kentucky Chamber of Commerce, the Kentucky Society for Human Resource Management, and ClearPath Mutual Insurance Company.

In addition, the organization ranked in the top 10 overall among entities in the large company category with more than 500 employees. The selection process, managed by Best Companies Group, is based on an assessment of the company’s employee policies and procedures and the results of an internal employee survey.

“Our work does not happen without the dedication of a team who lives our values every day, for every patient,” said CEO Liz Fowler. “We have earned this designation because our team has built a culture of compassion, respect, dignity and teamwork.”

“Feedback from our team is critically important to our organization’s success,” said Vice President of Human Resources Danita Ross. “We already are planning for what is important to our team as we move through the end of the pandemic. We want to know what their priorities are, what they need to feel successful at work, and what brings them satisfaction in their careers.”

Bluegrass Care Navigators Marks Anniversary of Hospice Care Center in Hazard

Thu, 27 May 2021 19:15:04 GMT

This May, Bluegrass Care Navigators is celebrating the ten-year anniversary of the Greg and Noreen Wells Hospice Care Center in Hazard. Since its opening in 2011, more than 3,500 patients have benefitted from this inpatient facility for hospice care.

The care center provides a comforting place for patients and families when symptoms cannot be controlled in the home, or the family is unable to provide the care that is needed for a loved one at home. The center enables families to remain involved in the patient’s care while benefiting from the full-time nursing and physician services.

In 2011, Bluegrass Care Navigators was honored to receive a lead gift for the Hospice Care Center in Hazard. Today, the Greg and Noreen Wells Hospice Care Center provides end-of-life and respite care for patients who struggle to manage symptoms at home, in a setting designed to comfort both the patient and their loved ones.

“We are proud to celebrate ten remarkable years made possible by the generosity of Greg and Noreen Wells. We look forward to providing many more years of service to patients and families,” said Monica Couch, Associate Vice President of Eastern KY Operations for Bluegrass Care Navigators.

Located in Hazard to serve southeastern Kentucky, the hospice care center features 12 private patient suites with outdoor patios, and multiple family areas. Specially trained staff and volunteers carry out a patient-focused plan of care developed by the hospice team in collaboration with the patient, family and attending physician. Both patients and families can receive emotional and spiritual support from Bluegrass Care Navigator social workers and chaplains.

“Everyone deserves compassionate and expert care when facing a serious illness,” said Stephanie Greene, Chief Hospice Officer for Bluegrass Care Navigators. “Our care center allows us to extend that opportunity to patients who are unable to be cared for at home.”

Bluegrass Care Navigators provides hospice care in 32 counties across central, eastern and northern Kentucky. In addition, the agency supports those facing serious illness or chronic disease with private duty nursing, home primary care, transitional care, adult day health care, and palliative care services.

For more information, call 855-492-0812 or visit www.bgcarenav.org.

Transitional Care Team Helps Elderly Mom and Daughter

Thu, 13 May 2021 19:17:05 GMT

It was the first visit to assess a new patient. Jane was an elderly lady with dementia. She lived with her daughter, who was her caregiver – and was also elderly.

As the social worker entered the home, she could hear Jane crying out in pain. She was lying in bed in the fetal position, unable to move because the pain was too intense. Her daughter was distraught. She had called 9-1-1 after her mother had taken a fall. Jane refused to allow the EMS to take her to the hospital. She was at a loss as to how to help her mother, and the EMS recommended she call our Bluegrass Transitional Care Dementia Program.

The Bluegrass Transitional Care program typically helps patients make the move from hospital to home easier and safer, helping to ensure that the patient will have the resources and care they need at home to recover and to avoid another hospitalization. But sometimes, transitional care takes a different path, unique to the patient’s individualized care needs.

We recently received a three-year, $1 million grant to care for those with Alzheimer’s and related dementias and to provide resources to help caregivers manage the long-term demands of caregiving. A major goal of the program is helping both patients and their caregivers enjoy a better quality of life.

Concerned about the patient’s immediate need for medical care, the social worker called the local EMS and was able to coordinate care between the patient, her daughter and the EMS to get her transported to the emergency room where she received the care she needed.

“We assess the needs of each individual and we connect them to services in the community such as meal delivery, equipment and transportation to doctor visits,” says Jamie Cody, Transitional Care supervisor.

Transitional Care Team Helps Elderly Mom and Daughter But often, like in this case, the transition isn’t only about moving location or coordinating care. It’s about transitioning the way we think about caregiving, how we apply caregiving, how we adjust to the ever-changing needs of both the patient and the caregiver.

And for families living with dementia, these transitions can be truly overwhelming. Jane’s daughter was feeling hopeless, helpless, and guilt-ridden at the thought of not being able to care for her mother in their home like she once could. With the social worker’s help and understanding, the daughter realized her mother now needed a higher level of care than she could provide and, together, they coordinated Jane’s transition from home to a long-term care facility.

Their social worker recalls how she felt that day: “I couldn’t leave without doing something...and know that Jane would be safe – that they both would have the care they need. Tonight reminded me why I became a social worker. I cried when I got in my car. This is what God meant me to do.”

Bluegrass Care Navigators now offers a free, grant-supported program dedicated to care and support in the home for families living with Alzheimer’s disease and related dementias. Funded by a grant from the Administration for Community Living/Administration on Aging under the U.S. Department of Health and Human Services, the program makes it possible for our teams to provide care and guidance to those living with Alzheimer’s disease or dementia and their caregivers that includes coping skills, in-home health consultations and companionship opportunities.

Bluegrass Care Navigators is one of only 13 organizations in the nation awarded the grant and the only one in Kentucky. We are currently serving more than 30 counties throughout Kentucky and continuing to expand.

To learn more about Bluegrass Transitional Care or the Dementia program, call 855.492.0812 or visit bgcarenav.org/our-care-services/transitional-caredementia-program.

The Hospice Action Network Welcomes New My Hospice Ambassadors

Fri, 07 May 2021 19:20:28 GMT

The Hospice Action Network (HAN), an affiliate of the National Hospice and Palliative Care Organization (NHPCO), is pleased to announce the appointments of its new class of My Hospice Ambassadors. My Hospice Ambassadors are advocates selected by HAN to enhance awareness of hospice and palliative care among lawmakers and advance NHPCO’s legislative agenda.

My Hospice Ambassadors establish and maintain significant and continuous relationships with members of Congress and help mobilize hospice and palliative care advocates. Their efforts will help lawmakers and the public understand the value of the Medicare hospice benefit. Bluegrass Care Navigators chaplain Dave Carper, who works in Central Kentucky, was selected as part of this year’s ambassador class.

“My Hospice Ambassadors are critical allies as we work to educate lawmakers and pass needed hospice and palliative care legislation. We extend a warm welcome to this exceptional class of interdisciplinary professionals, leaders, and supporters who are committed to serving as Ambassadors on behalf of the hospice and palliative care community,” said NHPCO President and CEO Edo Banach.

“Dave Carper is very deserving of this honor. As our Chaplain Team Lead, Dave serves as a mentor to our chaplain staff and is committed to advancing the awareness of hospice and palliative care. His dedication and compassion will be an asset to the My Hospice Ambassador program,” said Liz Fowler, President and CEO of Bluegrass Care Navigators.

HAN also thanks Board Members from Axxess, Bluegrass Care Navigators, MJHS Hospice & Palliative Care Program, Sangre de Cristo Community Care, and Seasons Hospice and Palliative Care for nominating members of their interdisciplinary teams.

The following are the newest My Hospice Ambassadors:

Dr. Bruce Smith, Hospice Medical Director, Providence Hospice of Seattle (Washington).
Cheri Holdridge, Spiritual Caregiver, Home Care Hospice of Northwest Ohio (Ohio).
Dave Carper, Chaplain Team Lead, Bluegrass Care Navigators (Kentucky).
Demetress Harrell, Chief Executive Officer, Hospice in the Pines (Texas).
Emma Ward, Director of Business Operations, Seasons Hospice & Palliative Care of Oregon (Oregon).
Dr. John Turski, Medical Director, Bland CO Medical Clinic (Virginia).
Kilty Brown, Executive Director, Central Wyoming Hospice and Transitions (Wyoming).
Kristina Sanderson, Community Engagement Leader, Caring Circle/Spectrum Health Lakeland (Michigan).
Majesca Wong, Music Therapist and Best Practice Specialist, Seasons Hospice & Palliative Care of Houston (Texas).
Dr. Maya Garala, Hospice Team Physician, Visiting Nurse Services of New York (New York).
Stephanie Hopper, Director of Clinical Services, Hospice of Hope (Kentucky).
Dr. Tartania Brown, Senior Hospice and Palliative Care Physician, MJHS Hospice (New York).
Tim Ingram, Senior Vice President, Axxess (Texas).
Trysten Garcia, Marketing & PR Specialist, Sangre de Cristo Community Care (Colorado)

Learn more about the My Hospice Ambassadors program on the HAN website.

Transforming Grief Into Hope

Tue, 04 May 2021 19:23:04 GMT

Milo lost his father in December 2017 to a sudden heart attack, just before Christmas. He was only 13, and the grief left him feeling sad and isolated from those around him.

“People wanted to help, but they didn’t really know what to say or do. I felt like an outcast from my peers,” Milo recalls.

That changed when Milo attended the Bluegrass Care Navigators Camp Hope, a free bereavement camp for children in our service area who have lost a loved one. The camp offers a safe environment for kids and teens to express their grief, learn how to cope with difficult feelings and to support each other.

“At Camp Hope, I felt like I had a home, a refuge. I’m still in contact with some friends that I made there,” Milo says.

Milo’s mother, Yanya, joined a support group for adults and says she felt the same sense of belonging.

“From the very first activity, the Camp Hope experience changed my perspective,” Milo says. “I realized that we can all be leaders and contribute in a positive way. I
wanted to help others in need.”

And he is doing just that. For the past two years, Milo has organized a toy drive and donated the gifts to Bluegrass Care Navigators for kids who are grieving loss of their loved one.

Yanya agrees and also makes an annual gift. “We truly appreciate the Bluegrass Grief Care program,” she says. “We will continue to give to Bluegrass Care Navigators so we can continue to give hope, together.”

Caring For The Caregiver As Well As The Patient

Wed, 28 Apr 2021 13:53:06 GMT

“They were like family to my Dad.”

That is what Randy Bevins valued about Bluegrass Hospice Care. Randy’s father, Everett, 86, was diagnosed with prostate cancer in 2018, ultimately spreading to his leg in July 2020. It metastasized from there into small cell cancer. He was in the hospital when he was introduced to hospice - which Randy stated was a blessing. Randy was grateful for his family coming in from Ohio and other local family who assisted as well.

Randy and Everett both felt relieved with the support and care they received while Everett was in hospice care. “Betty and Jim were his nurses, the practitioners, bereavement, a minister, social worker – we were on a first name basis,” Randy said. “If I had a question, I never had to wait more than 10-15 minutes for a call back. They were always right there.”

Betty Robinette was one of his nurses. “Everett was such a sweet and humble man. He always took pride in sharing his life stories and he was so proud of his accomplishments. We would joke with each other and he would just light up with joy,” she said.

Evert also looked forward to seeing his certified nursing assistants, Alex and Taylor, who came to the house every Monday through Friday to help with his personal care needs. Randy said, “They were wonderful. My dad called them his angels. They were like his kids. He loved them all and he looked forward to the conversations. They didn’t rush…you can’t rush the process when you are taking care of someone.”

Taylor, his CNA, said of Everett, “He was a blessing to take care of because he considered us more like family than caregivers. He always told us his day never started until his “girls” got there. We loved hearing about his life stories as a truck driver. He told us we always put a smile on his face because we said or did things to make him laugh. His way of telling us goodbye at the end of our visits was to hug us, kisses on the check, and tell us he loved us...we loved him!” Alex, his other CNA, said, “Everett and his son were always so kind. Everett would always be making jokes with us. He thought us as family and would tell us he loved us every time we leave. It was a pleasure taking care of him.”

For people like Randy, who was helping his dad and trying to manage his business remotely, hospice provided vital support and help with the needs of his father’s end-of-life journey. Hospice not only takes care of the patient, but the caregivers as well. Randy acknowledges the education and support he received throughout this journey. “Bluegrass (Hospice Care) taught me, they educated me,” he says.

“My father had three goals – one, to live to his 86th birthday; second, be here Christmas Day; and third, finish out the year 2020,” Randy said. He accomplished all his goals.

And when the time came on the second day of January 2021, Randy was up all night holding his hand. “Betty helped me – her and Jim – to know what does this look like? How do I know? They walked me through the signs and everything they told me was happening." Everett passed on January 3rd with family by his side.

“At 6:09 a.m., he took his last breath. I called him my superhero. I knew he could hear me, and faintly his head turned,” Randy said. “I told him ‘Daddy, you are my superhero. It is ok to go home’.”

“My experience was remarkable with Bluegrass (Hospice). I felt a great bond, a great family. I built a relationship with them - we built a great relationship.”

Celebrating Our Volunteers During National Volunteer Week

Sun, 18 Apr 2021 13:55:35 GMT

During National Volunteer Week, we would like to give our thanks the many volunteers who give their time to Bluegrass Care Navigators!

Hospice volunteers are a valuable part of the patient care team. Volunteers work with a clinical team of a doctor, nurse, aide, chaplain and social worker. Because they spend time with the patient, volunteers who provide direct patient care can often give the team valuable feedback about issues that may arise during their visits. And this connection is a big part of what makes hospice volunteer so valuable. The companionships created provide comfort to a patient during the end-of-life process. Sometimes patients may not have any family or loved ones to visit them, and a volunteer can offer friendship and emotional support.

Volunteers also can provide assistance in an administrative setting. We have many volunteers who go into the office and perform tasks such as preparing mailings, data entry and answering phones. Some volunteers make care calls to patients and families, to see how they are doing and if they need anything.

We truly appreciate the dedication and support of our volunteers. They generously give their time to patients at the end-of-life, as well as their families and loved ones. They are an important part of our organization!

Art Therapy For Patients: Managing Anxiety with Mark Making

Fri, 16 Apr 2021 14:00:58 GMT

Mrs. E lives on the first floor of a lovely brick home, with her daughter above on the second story. Together they have traveled and collected art that hangs in her home. On our first visit, Mrs. E and her daughter shared pieces with me, each one rich with memories of a trip. We sit at the kitchen table for our visits. Her daughter has placed a container filled with exquisite pens and stencils close at hand. As we talk, Mrs. E laments that she no longer has the hand eye coordination she relied on in the past, and that her handwriting is unsteady. She explores each pen but is not happy with the quality of the lines.

Mrs. E is somewhat overwhelmed by the idea of creating art on a large page, so instead we explore a resource called Zentangles. Zentangles are small pieces created by filling structured patterns with patterns of dots and lines. Each tile is small, which is not so overwhelming, and multiple tiles can later be assembled in a mosaic to create a larger piece of art. As I modeled mark making, Mrs. E became more confident. She used the pens close at hand and then tried the felt tip “sharpie” I had been using. The sensory response of the felt tip sharpie was so positive that I later left the pen for her to enjoy! We continued to fill shapes with patterns of dots and lines. The repetitive motion of this mark making stimulates the parasympathetic nervous system which creates a relaxation response. Mrs. E exhibited less tension in her posture and smiled more often as she worked. I left additional shapes for her to work with on her own.

Recently, team members were problem solving related to this patient’s anxiety during a team meeting. They were glad to learn about this resource and planned to reinforce the use of this strategy with Mrs. E and her daughter to lessen anxious behaviors.

Bluegrass Care Navigators Encourages Family Conversations on National

Fri, 16 Apr 2021 13:58:15 GMT

Bluegrass Care Navigators is encouraging Kentuckians to join Americans across the country to take part in National Healthcare Decisions Day on Friday, April 16. This day of awareness and education is focused on the importance of talking with loved ones about your health care wishes.

“It’s understandable that people would put off discussing the topic of serious illness, but it’s essential to have this family conversation when you are healthy,” said Liz Fowler, President and CEO, Bluegrass Care Navigators. “It’s a discussion that should take place in the living room, not in a hospital room or nursing home under stress or in crisis.”

“Knowing what is important to your loved ones when they are sick can give you confidence and reduce anxiety as a caregiver,” said Counseling Resource Officer Lindsay Kampfer. “By having conversations today, we can prevent added uncertainty, stress and guilt for caregivers if they ever need to make decisions on your behalf.”

For more information on advance care planning, visit www.NHDD.org or the Bluegrass Care Navigators website at www.bgcarenav.org .

Lexington Artist Marks First Major Installation Since the Start of the COVID-19 Pandemic with Bluegrass Care Navigators

Thu, 15 Apr 2021 14:03:53 GMT

Bluegrass Care Navigators this week installed a commissioned glass sculpture, Life Spiral, in the atrium of their new headquarters at 1733 Harrodsburg Road. Artist Dan Neil Barnes, known for inspirational and seminal work, is personally managing the dynamic suspended installation.

Life Spiral is a significant achievement for Barnes, with the piece marking his first major installation since the onset of COVID-19 in the spring of 2020. “This sculpture sends a powerful message to the arts community that art is indeed vital and a much-needed part of our community," said Barnes.

Barnes drew inspiration from the intentional design of Bluegrass Care Navigators’ building renovation, through discussions with Denham-Blythe contractor Damon Durham, Nathan Zamarron at LexArts who assisted the agency in commissioning artwork for the building, and landscape designer Jon Carloftis, who created a healing garden space outside the two-story glass atrium where Barnes’ piece will be installed.

“Our new facility and garden was designed to provide an inspirational workspace that supports our core values and provides a place for clinicians to rejuvenate, rest and prepare for the care they provide to patients and families in their homes and facilities,” said Bluegrass Care Navigators CEO Liz Fowler. “The entire experience of the building, garden and surrounding artwork is also meant to be a place of hope, healing and peace for bereaved and those who have experienced a loss.”

Barnes said he hopes to inspire viewers to focus on the spiral captured in his work, as the spiral is a positive force reflected in nature, in mathematics and in the universe. “Each strand of glass represents a facet of one’s life and they join together to create the whole of a person's spirit and essence, " Barnes said.

“To have this commission for this particular organization is an honor. And to have it come along after such a tough year is truly a blessing,” Barnes concluded.

Bluegrass Care Navigators looks forward to celebrating its new headquarters later in 2021. The agency continues to limit guests to its offices as part of its COVID-19 Healthy at Work practices.

About Bluegrass Care Navigators

Headquartered in Lexington, Bluegrass Care Navigators provides hospice care in 32 counties across Kentucky. In addition, the agency supports those facing serious illness or chronic disease with private duty nursing, home primary care, transitional care, adult day health care, and palliative care services. For more information about Bluegrass Care Navigators and our services, call 855-492-0812 or visit www.bgcarenav.org.

About Dan Neil Barnes

Born to a family of builders and craftsmen, Dan Barnes experienced firsthand the satisfaction of creating something from an idea or inspiration. Henderson County served as the backdrop for his education in art and craftsmanship as he worked alongside of his father and uncles. He graduated from high school in 1976, receiving the senior superlative of most artistic in his class. He earned his BA in Human Environmental Design from the University of Kentucky having studied under Arturo Sandoval, Miles Weiner, and John Tuska. The love of creating his own designs was what led Dan to open his own business in 1986. Since then, Dan has earned an outstanding reputation in the design community for his design flair and top quality craftsmanship seen in his upholstery and furniture design business. His upholstered pieces have been featured in several interior design shows. Seeking another creative outlet, Dan began experimenting with stained glass several years ago. After studying the craft from Laura Hallock in Lexington, Dan began creating his own original designs combining light, color and texture. Dan was awarded top honors for his stained glass work and has been a juried exhibitor at many major shows throughout the United States. Learn more about Dan and his work at http://www.danbarnesglassart.com.

Music Therapy Provides Comfort To Patients in Long-Term Care

Fri, 09 Apr 2021 14:06:01 GMT

A typical day at the long-term care facility starts with Miss E. Miss E usually prefers to keep her eyes closed during music therapy, but that doesn’t stop her from belting out gospel songs at the top of her lungs. Her favorites are all about going to heaven. “Amen, amen,” she says emphatically whenever she hears a line she particularly likes. For Miss E, singing songs about dying and going to heaven is a practice in hope, and she always appears to be in better spirits by the end of her session.

For Mr. T, music therapy is little different. Each session is a space for him to let go and grieve the life he has known, especially his independence. The time is usually filled with tears and long moments of silence, allowing him to process and explore his feelings of loss. The music serves as a comfort and a release, triggering the tears but reminding him that it is okay to feel sad; then picking him back up by identifying the things he relies on: God and his faith.

The day is rounded out with a visit to Mr. D, who is a wild card every time. During his last session, Mr. D initially declined music therapy, complaining of a headache. He was agreeable to a short visit, which turned longer after he asked, “Well, are you going to play any music?” He sang enthusiastically after that and was disappointed when the arrival of his CNA meant the end of the music therapy session. “I wish you could stay longer,” he said. When asked about his headache, he paused for a moment and then looked up in surprised happiness. “It’s gone!”

These moments are brief examples of the larger impact that music therapy can have on adults in long term care facilities. In one day, music therapy was able to address spirituality, grief, anxiety, loneliness and pain for a variety of patients. The meaning that these patients receive from music therapy provides hope and comfort during a difficult time and helps to give them a sense of purpose and connection.

How Massage Therapy Can Improve Pain Management

Sun, 04 Apr 2021 18:32:35 GMT

The first time I met Ms. V, I knew right away she was a very positive and upbeat person. However, after a few weeks of being diagnosed with terminal cancer with metastases to the bone, she was experiencing severe back pain, insomnia and overall stress relating to the future progression of her illness. A member of our medical staff referred her to me and she was completely onboard with receiving massage therapy to help manage her symptoms.

After one session using light massage and relaxation techniques on the back, feet, hands and head, she began to experience diminished back pain, which in turn, lessened anxiety and caused her whole body to relax. The next day when a staff member checked in on her, Ms. V reported that her pain and anxiety levels improved as well as her sleep that night.

It was such a privilege and so rewarding to see how massage therapy can make such a difference in the quality of life for my patient.

Music Therapy and Zoom: A Success Story

Fri, 26 Mar 2021 18:39:52 GMT

Before the COVID-19 pandemic shut down much of our world, I had only ever provided music therapy services for patients in-person. I will admit that I was very nervous about trying to provide music therapy via Zoom when we first made the transition. I was very lucky and pleasantly surprised to learn just how effective music therapy can still be via Zoom for some of our patients in long-term care facilities.

I initially received a music therapy referral for “Mr. Z” to address his depression related to his loss of physical functioning because of his terminal diagnosis. I contacted the social worker at his long-term care facility, and she was more than happy to help set up weekly virtual visits. Each week I would send her a link for our session, and she would bring her laptop into his room and start the meeting. Mr. Z would engage in conversation about his preferred music and I would play it with my guitar and sing. As I played his favorite songs, Mr. Z often closed his eyes and appeared visibly relaxed as he listened, sometimes he would even sing along.

By the end of our sessions, Mr. Z was usually smiling and would express his gratitude for the music that week. Team members would also tell me about the comments he made to them about his gratitude for music therapy. Eventually, Mr. Z appeared to be doing so well that he was able to “graduate” from hospice care. We had our final session on the day of his discharge, and he had the widest smile on his face when I began to sing the melody of the Pomp and Circumstance. Our goodbye was bittersweet, but I am so grateful for our time together. Mr. Z has turned me into a true believer of the power of telemedicine.

BCN Receives Grant Award from Disabled Veterans National Foundation

Fri, 19 Mar 2021 18:42:49 GMT

Bluegrass Care Navigators will provide integrative medicine therapies to disabled veterans in Kentucky through a grant of $15,000 dollars from the Disabled Veterans National Foundation (DVNF).

Using music, art and massage therapies, Bluegrass Care Navigators will help veterans alleviate stress, reduce pain and process emotions. The organization has plans to participate in a virtual reality program that gives veterans who cannot travel the opportunity to experience honor flights to national military monuments in Washington, DC. Additionally, Bluegrass Care Navigators will expand partnerships with veterans’ organizations in Kentucky, and develop our clinicians’ expertise in providing compassionate care to our veteran patients.

“Bluegrass Care Navigators serves more than 1,000 veterans each year in hospice and palliative care,” said CEO Liz Fowler. “We are so honored to partner with DVNF through this grant to provide therapies focused on disabled veterans in Kentucky.”

Joseph VanFonda (USMC) SgtMaj. Ret., CEO of the Disabled Veterans National Foundation said, “We are very proud to support Bluegrass Care Navigators as they continue to make a positive impact in Veteran’s lives with integrated medicine therapies. We would like to congratulate and thank them for their commitment and continued service and program assistance for the men and women who served in the defense of our country”

Disabled veterans cared for by Bluegrass Care Navigators will be offered integrative medicine therapies through their care team.

About Bluegrass Care Navigators

For more information about Bluegrass Care Navigators and our services, call 855-492-0812 or visit www.bgcarenav.org.

About the Disabled Veterans National Foundation

DVNF achieves this mission by:

Offering direct financial support to veteran organizations that address the unique needs of veterans, and whose missions align with that of DVNF.
Providing supplemental assistance to homeless and low-income veterans through the Health & Comfort program and various empowerment resources.
Providing an online resource database that allows veterans to navigate the complex process of seeking benefits that they are entitled to as a result of their military service, as well as additional resources they need.
Serving as a thought leader on critical policy issues within the veteran community and educating the public accordingly.

Disabled Veterans National Foundation Contact:

Communications Team

Datamize

explore@datamize.

The Right Time for Hospice

Wed, 17 Mar 2021 18:44:46 GMT

For the past five years, Carol’s health has been declining and her daughter, Laura, has been taking care of her. Carol had atrial fibrillation and other heart issues that sent her to the ER multiple times. She had a lung disease, similar to COPD, that caused oxygen issues, as well as problems with her blood pressure and was prone to falling. They spent all of 2019 in doctor’s offices and she was hospitalized three times.

Laura eventually rented a house in her neighborhood for her mother, allowing her to be closer in case Carol needed her. “There were many nights mom would call me in the middle of the night, and together we would have to make the decision to call the EMS or wait until morning and call the doctor,” said Laura.

After her third time within two months of being admitted to the hospital, Carol was so weak, it seemed impossible for her to be at home. The doctors had finally figured out the issue and told Laura that her mother would have to be on oxygen 24/7. She was so weak that rehab didn't even seem a possibility. Laura had no idea how she was going to care for her mom.

One of Carol's nurses came to Laura and suggested that Hospice might be what her mom needed. “I just started crying, because in my mind, hospice meant that my Mom was dying. I didn’t understand the palliative care part of it. She just sat there and talked with me and in 15 minutes time, I was convinced that is exactly what we needed,” Laura said. “We can’t spend one more night in the ER and I can’t spend one more day with Mom crying that nobody gives her answers that help her. Her quality of life was so horrible.”

Within thirty minutes, they were referred to hospice. Carol was discharged the next morning and by that afternoon, Alyson Roth and Misty Kirby were at her house. Laura says, “It was wonderful!"

Laura is so appreciative of Alyson. “She was amazing! She spent so much time with me,” she said. “We always knew when hospice left what our plan was, we always had a game plan.”

One major problem in Carol's care that was solved by having hospice was the monitoring of her many medications. “When four different specialists are prescribing medicines and conditions are constantly changing, it is extremely difficult to keep it all straight,” Laura said. The hospice physician and Alyson took over this entire process, saving Laura much stress and time dealing with doctors and pharmacies. “In ten months’ time, Alyson made sure every medicine Mom needed was there at just the right time.”

In October 2020, Carol passed away at age 85, after ten months in hospice care. “I know my Mom would not have lived as long as she did if it had not been for you all,” said Laura. “I can’t sing enough praises of what a blessing it was to our lives.”

Bluegrass Care Navigators Listed as One of the Best Places to Work in Kentucky 2021

Thu, 11 Mar 2021 19:47:02 GMT

Bluegrass Care Navigators is honored to be on the 2021 list of 100 Best Places to Work in Kentucky, as designated by the Kentucky Chamber of Commerce, the Kentucky Society for Human Resource Management, and ClearPath Mutual Insurance Company.

“This designation is a direct reflection of our team, who come to work every day dedicated to providing compassionate, patient-centered care to the seriously ill,” said CEO Liz Fowler. “That commitment, as our team travels across much of our state to serve patients, is the heart of our culture and values.”

Bluegrass Care Navigators is among 30 entities in the large company category with more than 500 employees. Winners were selected in small, medium and large business categories. The selection process, managed by Best Companies Group, is based on an assessment of the company’s employee policies and procedures and the results of an internal employee survey.

“Feedback from our team is critically important to our organization’s success,” said Vice President of Human Resources Danita Ross. “Our employees’ survey responses guide us each year as we set our strategic priorities. The Best Places to Work designation confirms that our team is the heart of our success.”

The Kentucky Chamber of Commerce will celebrate the 2021 winners and announce rankings on June 17.

Headquartered in Lexington, Bluegrass Care Navigators provides hospice care in 32 counties across central, eastern and northern Kentucky. In addition, the agency supports those facing serious illness or chronic disease with private duty nursing, home primary care, transitional care, adult day health care, and adult and pediatric palliative care services. For more information, visit www.bgcarenav.org or call 855-492-0812.

Two New Members Named to Bluegrass Care Navigators Board

Wed, 03 Mar 2021 19:49:25 GMT

Bluegrass Care Navigators is pleased to announce the addition of two new members to its governing board for 2021. John Austin and David Royse began their three-year appointments to the Board of Directors earlier this month. In addition, Richard Hopgood, board member and attorney with Valvoline Inc., will serve as the chairperson for the board in 2021.

John Austin comes to the board as the Senior Vice President of the Lexington Market at First State Bank, and previously the Vice President/Market Leader for BB&T, managing the main branches in Winchester and Irvine, Kentucky. He is a Leadership Central Kentucky graduate and served on the Kentucky Technical School Advisory Board, Clark County Partners in Education and the Winchester Clark County Chamber of Commerce where he was also the Board Chair for two years.

David Royse, a partner with the law firm of Ransdell, Roach, Royse PLLC, has handled major litigation for many of Kentucky’s top businesses and has represented individuals and families in serious injury and wrongful death cases. Royse was appointed as Plantiffs’ Liaison Counsel for the Plantiffs’ Steering committee in the Comair 5191 litigation. He has been appointed by two Governors to serve as a Special Justice on the Kentucky Supreme Court. He is former Chairman of the Board of Junior Achievement and has served in a number of civic leadership positions in Lexington and his hometown of Nicholasville, where he resides with his wife Carolyn and his son Ben, a junior at LCA.

Hopgood assumed the chairperson role from Shannon Arvin, who continues to serve on the board as Past Chair. Hopgood is an attorney with Valvoline, Inc., where he has practiced for the past 2 years. Previously, Richard was a member of the law firm of Frost Brown Todd, LLC and Wyatt Tarrant & Combs, LLP. He was also a Board member of Bluegrass Airport from 2008-2016 and served as Chair from 2011-2013.

The nonprofits’ slate of officers also includes Vice Chair David Brennen, Secretary David Fogg and Treasurer Zachary Moore.

2021 Board Members include:

Richard Hopgood, Chair
Shannon Arvin, Past Board Chair
David Brennen, Vice Chair
Zachary Moore, Treasurer
David Fogg, Secretary
Liz Fowler, President & CEO
John Austin
Jim Blancet
Anne Bolton
Jenna Canning
Bo Cofield
Laura Feltner
Steve Fryman
Amanda Henson
Katie LaMonica
Rhonda Love
Steve Matherly
Nana Mensah
Ellen Miller
Greg Milward
Zachary Murray
Ron Ring
Robert Rosenstein
David Royse

To learn more about Bluegrass Care Navigators, call 855.492.0812 or visit www.bgcarenav.org.

Hospice Nurse Shares Impact of COVID-19 On Patients And Families

Tue, 23 Feb 2021 19:50:35 GMT

Cheri Bentley has been a nurse for 24 years, and for the past 12 years she has worked for hospice in a variety of settings – nursing homes, private homes, assisted living facilities, as well as hospitals. The past year has been one of the most challenging her career as she provided compassionate care to patients dying from COVID-19.

“The biggest struggle I’ve had as a hospice nurse is the struggle with wanting to help families say goodbye and increasing my own risk of exposure,” said Cheri. “I found myself having a strong ethical commitment as a hospice nurse to support those families and our nursing home partners, and facilitate those conversations, even though there is a heaviness and risk.”

Because of nursing home restrictions or relatives’ fears about visiting, Bluegrass Care Navigators team members sometimes find themselves substituting for family members. “During COVID, visitation has been difficult. I found myself in the middle of families and patients, trying to be that go-between person to have end of life conversations, help make decisions about care, make decisions about COVID treatments or just continue comfort care. It’s a heavy role. Sometimes we are really the only people there for patients.”

And even with some facilities allowing visitation now, Cheri feels that the process of patients and families saying goodbye is still impacted. “Even with some visits allowed now, most times they have to take place across the room, not touching and wearing PPE,” Cheri said.

“I think what a lot of people forget about the goodbye process is that sometimes it’s a very nonverbal experience. We think about all of the things we want to say, but all of the nonverbal experiences are lost. You can’t hold their hand, stroke their face, lay beside them or see the expressions on their faces.”

The U.S. COVID-19 death toll has now reached 500,000, with an average of 2,000 lives lost every day. The scale of the death toll is hard to fathom; it sounds like a large number and difficult to put into perspective. “We’ve been focused on numbers, but it takes away a reality, because it’s not our neighbor or family, it’s just another number,” Cheri said. “COVID was very scary and dangerous at first, but as time has gone on, it feels like people think that if it is not affecting me, then it’s not a real problem.”

The challenges of COVID-19 comprise a perfect storm of particularly frustrating obstacles for hospice care professionals and the patients and families they serve. “The reality is that we have many months ahead in this heaviness of COVID and the day to day realities,” said Cheri.

However, Cheri has figured out ways to cope during these trying times. “I have to be conscious of turning off the TV, not looking at my phone, disengaging and not dwelling on it. Separating myself from social media and the news, spending more time outside than I ever have,” Cheri said. “My faith more than anything has rooted me and given me joy. We’ve had a lot of support from our chaplains on our care teams, and our organization has helped support us.”

Volunteers Needed at BCN!

Tue, 09 Feb 2021 19:52:53 GMT

Bluegrass Care Navigators need additional volunteers to support families served by Bluegrass Hospice Care in Pike, Floyd, and Magoffin counties.

Volunteers for the organization can support patient needs or assist with office-based activities. During the COVID-19 pandemic, volunteers have been supporting families through the Compassion from a Distance program. This program allows volunteers to complete a variety of socially distanced or virtual activities, such as delivering necessities and gifts to families, making weekly care phone calls, and providing companionship through phone or virtual visits.

“Hospice care has never stopped throughout this pandemic,” said community engagement coordinator Alison Casebolt. “Our patients and families still need us, and that means we need volunteers to support our families through their hospice care journey.”

Additionally, Bluegrass Care Navigators has adapted the volunteer training program with virtual onboarding and education. There is no cost to apply or be trained to volunteer with the organization. Volunteers can contribute as much of their time as they have available, and Bluegrass Care Navigators will work with each volunteer to pick activities that match the volunteer’s unique talents and interests.

As Bluegrass Care Navigators continues to serve more patients throughout Kentucky, we need more volunteers! For more information on this program or how to volunteer for Bluegrass Care Navigators, please call 606-349-2111 or complete the volunteer application . Learn more at www.bgcarenav.org/volunteer .

Bluegrass Care Navigators News

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When Bill Papania thinks about Bluegrass Care Navigators, he doesn’t just remember the end of his mother’s life, he remembers the time, comfort, and connection Team BCN made possible.

Bluegrass Care Navigators Offers Hope, Support and Connection to Grieving Family

Bluegrass Care Navigators Expands Bluegrass Transitional Care Program with Grant Award in Partnership with Saint Joseph London

Expansion will improve access to care and chronic disease management for high-risk patients across Laurel, Jackson, and Whitley Counties

Pawsome Volunteer Brings Comfort When It Matters Most

Hi. I'm Callie.

Most days, my job is simple: walk into rooms with my human, Mary, wag my tail, and let people know they’re not alone. I’ve been doing this therapy dog work with her for a while now, and I take it very seriously, even if I’m small and fluffy.

Bluegrass Care Navigators Redefines Hope through Hospice Care

Bluegrass PACE Participants Celebrate Thanksgiving & Holiday Season

Pikeville Team Goes Above and Beyond to Provide Comfort and Care

Person-Centered Care Makes a Difference for the Hoffstedder Family

Celebrating Care Reimagined Because of Our Donors

Navigating Dating After the Loss of a Partner

12 Meaningful Ways to Remember A Loved One Together

6 Ways to Process Grief After the Loss of a Loved One

Signs You Might Need Extra Support While Grieving

Why It's Important to Grieve

Transforming Lives with Compassion: Your Gift Provides Hope Beyond Medicine

BCN’s Hospice Team Helps Couple Say “I Do”

BCN Donors Quilt Together Stories of Care, Community, and Giving Back

Turning Memories into Music and a Lasting Legacy

From Houselessness to Healing: A Couple's Journey Through BCN's Comprehensive Care

BCN Offered Hope and Shaped My Career

The first time I heard the word hospice, I was just fourteen years old. I remember sitting beside my mother in her hospital bed as our family faced one of the most difficult decisions of our lives.

Patients and Caregivers Recognize BCN for Top Hospice Care Nationwide

Bringing Smiles and Blooms: Volunteer Delivers Joy to Hospice Patients

Choosing Hospice Early Brought Patient and Family Peace

Pikeville CNA Provides Care to Patients No Matter the Weather

Bluegrass Care Navigators Provides Comfort and Peace Beyond the Final Days

Bluegrass Care Navigators Inpatient Hospice Unit at UK HealthCare Relocates to Good Samaritan Hospital

Bluegrass Care Navigators Helps Dementia Patient Improve Quality of Life

BCN Volunteer and Patient Inspires Others by Giving Back

Bluegrass Care Navigators Announces 2025 Board of Directors

Bluegrass Care Navigators is pleased to announce its board leadership and welcome new members for 2025.

BCN Expands Community Grief Care and Integrative Medicine with Grant

BCN Volunteer Honors Chaplains with Handcrafted Stoles

From Caregiver to Volunteer: Ron’s Mission of Compassion in Action

Ron Reaguer has devoted his life to helping others, but in 2016, the tables turned when his wife, Joyce, suffered the first of three falls that left him needing help to care for her.

Bluegrass Care Navigators Honors Dr. Martin Luther King Jr.'s Legacy through Health Equity

High School Senior is a Hero for Hope for Hospice Patients

Hospice Care at Bluegrass Care Navigators Highlighted on Lexington’s WKYT-TV

Bluegrass Grief Care Helps Child Find a Brighter Outlook

11th Hour Volunteer Provides Vital Support for Patients and Caregivers

Vicky Schriml volunteers at the 11 th hour because she believes that no patient should pass alone. In this role, Vicky offers comforting companionship to patients in our Lexington region who are in their final moments, providing additional support to the patient and family.

11th Hour Volunteer Brings Comfort and Peace to Patients in Their Final Moments

Jill Conway serves as an 11 th hour volunteer to give back to her community. In this role, Jill offers comforting companionship to patients in their final moments, especially those without family nearby.

11th Hour Volunteer Provides Comfort During Life’s Final Moments

11th Hour Volunteer Offers Patient the Gift of Comfort and Advocacy

11th Hour Volunteer Provides the Gift of Family

11th Hour Volunteer Provides Calming Presence

11th Hour Volunteer Connects with Patients and Families to Provide Comfort

Volunteers Provide Compassion to Patients at the 11th Hour

Our team goes above and beyond to provide expert, compassionate care at just the right time to our patients and families. But we provide more than compassionate healthcare. At Bluegrass Care Navigators, we believe that no one should pass alone.

Honoring Compassion During National Hospice & Palliative Care Month

WHAS Crusade for Children Awards Grant to Bluegrass Care Navigators

Bluegrass Care Navigators Ranks 6th in Quality Among Largest US Hospices

BCN Offers Language Services to Provide Care for All

Our Northern Kentucky Team recently provided dignity and the comfort of hospice care to a non-English speaking family with a terminally ill baby. After being born with a heartbreaking prognosis, the baby was expected to survive only two weeks.

BCN Provides Compassionate Care for an Uninsured Patient in Eastern Kentucky

Our commitment to provide compassionate care to all, regardless of financial situation, is exemplified in the care we recently provided to a hospice patient with COPD, who had no insurance, Medicare or Medicaid.

BCN Provides Compassionate, Culturally Aware Care for Muslim Refugee Family

Our central Kentucky hospice team recently cared for a Muslim refugee patient and her family as she faced a terminal diagnosis along with numerous challenges, including language barriers, financial struggles and food insecurity.

Bright Path Patient Lives Like a Superhero

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Bluegrass Care Navigators Brings Hand Massages to Our Veteran Patients

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HDR Foundation Awards $18,000 Grant to Bluegrass Care Navigators for Bluegrass PACE Care

The HDR Foundation has awarded an $18,000 grant to Bluegrass Care Navigators (BCN) to support Bluegrass PACE Care.

Bluegrass Care Navigators Receives Grant Award from Disabled Veterans National Foundation

Bluegrass Care Navigators (BCN) is honored to announce it has received a grant from the Disabled Veterans National Foundation (DVNF) for $18,000 which will allow us to focus our Integrative Medicine therapies on serving more of our veteran patients across our service lines.

Bluegrass Care Navigators Nurse Finds Calling in Hospice

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Today marks a significant milestone as Bluegrass Care Navigators and Hosparus Health announced that their respective boards of directors have signed a Memorandum of Understanding (MOU) to begin working toward a formal affiliation between the two organizations.

Vicky Schriml volunteers at the 11 ^th hour because she believes that no patient should pass alone. In this role, Vicky offers comforting companionship to patients in our Lexington region who are in their final moments, providing additional support to the patient and family.

Jill Conway serves as an 11 ^th hour volunteer to give back to her community. In this role, Jill offers comforting companionship to patients in their final moments, especially those without family nearby.