201 Hospice Explained: Margaret Montes RN, BSN, PHN on Early Hospice Nursing, Comfort Care, and Family Education

201 Hospice Explained: Margaret Montes RN, BSN, PHN on Early Hospice Nursing, Comfort Care, and Family Education Host Marie Betcher, RN, interviews retired hospice nurse Margaret Montes RN, BSN, PHN with facilitator Cindy Cisneros. Margaret, raised in Puerto Rico and licensed in 1976, joined the new Hospice of East San Gabriel Valley in 1987 and worked 33 years, starting when the census was eight patients and she was the only nurse; her bilingual skills helped serve Spanish-speaking families. They discuss early obstacles such as recruiting nurses suited for hospice, later team disagreements resolved through weekly interdisciplinary meetings, and common family fears that hospice or medications (including morphine) hasten death, emphasizing comfort as the goal. Margaret shares end-of-life visioning stories and a case where a family called 911 despite DNR wishes. They stress educating families on the dying process (including Barbara Karnes' "blue book"), bereavement follow-up, and analogies like the body as an aging car and end of life mirroring infancy. 00:00 Welcome and Disclaimer 00:29 Meet Marie and Guests 01:49 Margaret Finds Hospice 05:26 Early Hospice Challenges 07:28 Team Meetings Behind Scenes 10:43 Hospice Does Not Hasten Death 12:14 Comfort Beyond Medication 14:25 End of Life Visions Stories 18:07 When Families Call 911 20:46 What Everyone Should Know 24:01 Family Dynamics and Aftercare 27:39 Faith Fear and Support 29:46 Analogies for Dying Process 32:08 Final Thanks and Subscribe   If you want to help, you can donate to help support Hospice Explained at the Buy me a Coffee link   https://www.buymeacoffee.com/Hospice  Hospice Explained Affiliates & Contact Information Buying from these Affilite links will help support this Podcast.  Maire introduces a partnership with Suzanne Mayer RN inventor of the  cloud9caresystem.com,  When patients remain in the same position for extended periods, they are at high risk of developing pressure injuries, commonly known as bedsores. One of the biggest challenges caregivers face is the tendency for pillows and repositioning inserts to easily dislodge during care.(Suzanne is a former guest on Episode #119) When you order with Cloud 9 care system, please tell them you heard about them from Hospice Explained.(Thank You) Marie's Contact [email protected] www.HospiceExplained.com   Finding a Hospice Agency 1. You can use Medicare.gov to help find a hospice agency, 2. choose Find provider 3. Choose Hospice 4. then add your zip code This should be a list of Hospice Agencies local to you or your loved one.