W I N T E R 2 0 1 2 - 1 3

Little Things Mean a Lot in Patient Care

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H. Houston Groome, Jr.Chair

Deborah MurrayVice-Chair

Janet WinklerSecretary

James C. Harper, Jr.Treasurer

Robert Belk, MDMedical Director Emeritus

Peg BroyhillClaudia BujoldMarc Carpenter

Joseph C. Delk, IIILaura EastonDavid GrayRob Hinman

Dottie MetzgerCharles Shell

Tamra Beach StarnesLinda Story

Parker WilliamsonBoard President Emeritus

Financial information about this organization and a copy of its license are available from the State Solicitation Licensing Branch at 919.833.4510. The license is not anendorsement by the State.

BOARD OF DIRECTORS

If you received more than one copy of CareLines or received itin error; if you do not wish to remain on our mailing list or ifyour address changes, please let us know. Call 828.754.0101,write (return address at top of back page), or e-mail us atcchospice@caldwellhospice.org.

A MESSAGE FROM OUR CEO

Cathy Swanson, MPHChief Executive Officer

Can you believe we’re at thebeginning of another year?

At Caldwell Hospice andPalliative Care, we are takingstock of our accomplishments in 2012 and beginning the workfor 2013.

Reflecting on the changes to our Board of Directors, we aregrateful for the tireless dedica-tion of retiring members InezJones, Janet Wilson, and ParkerWilliamson, who accounted for a combined 67 years of Boardexperience.

We welcome Dottie Metzger,Charles Shell, and Linda Story to the board (see “BoardSpotlight” on page 11 for intro-ductions to each one), and we’reexpecting an explosion of newideas and different perspectivesfrom them, as well as a deepcommitment to maintainingCaldwell Hospice’s place as aproven, compassionate leader in end-of-life care.

We instituted a wellness programfor our staff, recently. All of usare learning to eat better, fitexercise into our daily lives, andreduce stress. It makes goodsense that we can give bettercare to our patients and theirfamilies when we feel strongerand more rested. Wellness alsohas a positive impact on “thebottom line,” as our insuranceprovider offers better rates whenwe have healthier staffmembers.

We completed months of prepa-ration for the re-accreditation

survey by the AccreditationCommission for Health Care(ACHC). The surveyor arrivedthe week before Christmas toreview documents, interviewpatients, families, staff, andvolunteers. Before leaving, thesurveyor complimented ourfacilities, our helpfulness, andour ability to keep a “warm,small hospice atmosphere” aswe grow. We were instrumentalin developing this method ofrating hospices for their qualityof work, and we were amongthe first hospices to earn ACHCaccreditation in 1998. We’vebeen re-accredited for eachthree-year period since then.

I’m looking forward to mysecond term as a Boardmember for The CarolinasCenter for Hospice and End-of-Life Care, the association forhospice providers in North andSouth Carolina. It will be agood opportunity to participatein strengthening hospicesacross the Carolinas.

As all of us make our “to-do”lists and get busy with our 2013goals, let’s never be too busy tomake time for good experienceswith our families and friends.

Thank you to all the people who make it possible for us toserve the end-of-life needs ofour patients, their families, andthe community in which we live.

—Cathy Swanson, —chief executive officer

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COVER STORY

Caldwell Hospice Does Its “Homework”aring for hospice patients begins, most often, in their

homes because that is where mostpeople would prefer to spend theirfinal days and months.

When Caldwell Hospice’s teammembers (physicians, nurses,nurse practitioner, medical socialworkers, certified nursing assis-tants, chaplains, or volunteers)enter a patient’s home, theyexperience the patient’s situation;they enter as guests, and veryoften they leave as “adoptedfamily.” Finally, they prove the truthof Caldwell Hospice’s desire to be“companions for the journey.”

afford easier movement. Familymembers might not have recog-nized these objects as impediments.

In the living room or at the kitchentable, team members listen tofamily conversations, pet the dogor cat or bird, and connect withthe family more personally than ina hospital or an office visit.

“Families want to welcome us intotheir homes, show us their familyphotos, tell us about their militaryexperiences,” Dr. Ray explained.“They can say, ‘This is who I wasbefore I became ill; this is my life.’”

“My years as a family practicephysician allowed me to understandpatients and their families as awhole unit,” added CHPC AssociateMedical Director Dr. DenniceHerman. “Visiting hospice patientsin their homes brings a morepersonal dimension to their care.”

For CHPC physicians, caring forhospice patients is a shift in direc-tion from what is taught tradition-ally in medical school. Drs. Rayand Herman aren’t trying to curetheir patients.

“One of the most important thingsI have learned is that patientsreally do want to know the truthabout their illness and prognosis,even if it is grim,” said Dr. Herman.“It is a natural reaction for familymembers, and even doctors, towant to protect the patient so asnot to destroy hope, but patientsseem more relaxed and comfort-able once the truth is out in theopen. They can express their lastwishes and hopes.”

One of the most important advan-tages of hospice care is thateveryone can take more time—to sit and visit, to listen and learn,to grow relationships with patientsand their families and their pets.Visits aren’t hurried, and patientsaren’t “numbers” or “cases.”

“What might seem to be ‘littlethings’ make a big difference in

people’s lives,” Dr. Ray said. Herecalls a caregiver who receivedconfirmation from Dr. Robert Belk,former CHPC medical director whoretired in 2011, that she was doingeverything right for her husband.

“Seeing the patient and the caregiverin their home,” Dr. Ray said, “allowedDr. Belk, as a medical expert shetrusted, to reassure the woman. Shecalled it a ‘blessing.’”

Caldwell Hospice nurses andmedical social workers watch andlearn, during visits, how to help eachpatient live fully and pain-free, toresolve emotional, financial, orfamilial issues, and to prepare forthe end of life. They try to uncoverspecial wishes. Some requests canbe fulfilled as simply as calling onCHPC volunTEENS to do yardworkat patients’ homes or arrangingwith special volunteer hairstylists to do a shampoo and style.

Some requests take more effort.Social workers have arranged forpatients to speak with, and some-times visit with, family membersfrom whom they’ve been separatedfor years.

“We can identify problems soonerand solve them before they get toobig, provide assistance, reaffirm thevalue of what caregivers are doing,”Dr. Ray said. “We provide hands-oncare; we listen and support.”

“We gain a better idea of how toprovide care,” CHPC MedicalDirector Dr. Thomas Ray said. “Apatient’s independence or access to his community can be compro-mised by his condition. If we seethis during a home visit, we canorder medical equipment, such asa wheelchair, which will allow himto leave his bedroom. Or we canfind an agency or a communitygroup that might build a ramp andmake it easier for him to gooutside his home.”

Inside the home, team memberscan identify obstacles to patients’safe movement from room to room:narrow hallways, carpets or throwrugs, furniture placed too close to

Patient Newland Saunders in his Forlines Patient Care Unit room with BeBe, familydog and daily visitor.

Patient Rita Hines at The Bold & theBeautiful, with Ooh La La! Nail Spa andSkin Care owner Linda Phipps, CHPC nurseCarla Sherrill, and CHPC medical socialworker Kelly Mitchell.

C

On the Cover: For Caldwell Hospicepatients, the “at home” feeling extends tothe patient care units. Here, a volunTEENand hospice patient bake cookies in theForlines PCU’s family kitchen.

C O N T R I B U T I O N S

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MEMORIALSRoger M. AdamsNancy AdamsSteve AndersonCathy AndersonRachel AnnasMargaret DunaganMartha ArneyMary Barber BellingerWayne "Shot" ArneyMary Barber BellingerEllen AustinKeith & Peggy BlinsonCharles & Billie BraswellDella AutonLinda CampbellJohn AyersKeith & Peggy BlinsonFloyd BakerDaniels Lutheran Church

ChoirDavid H. Baldwin, Jr.Iris BaldwinMarie "Chuckie" BaldwinIris BaldwinJ.L. ConnorJudy M. GreeneDavid & Tammy SeagleWilliam "Bill" BannerJenny K. Banner, Mark, and

Lura DyeMt. Vernon Baptist ChurchRobert C. Ayers & Patricia A.

JohnsBank of Granite, Staff of

Boone Office Eva Nell AlexanderDaniel & Anna BairdMartha Ann MoretzAlbert & Margaret OlszewskiGrady BarloweMr. & Mrs. Lemuel F. QueenNeal BarloweCharles & Lorraine MintonGene C. BarrierKeith & Peggy BlinsonEmily MooreViolet S. BartlesErnest & Brenda BartlesJudy E. BaumanHarvey BaumanEarl & Barb WilliamsPerry "Buck" BeanBennie Rector & MildredMundayDrusilla Huffstickler, LulaBolick, & Mary Beth StoneRutherford College FirstBaptist ChurchIrvin & Doris DanielsRobert & Patsy FosterMarlene HartleyEssie W. JonesPatrick & Ione LeeGene & Patricia LloydPete & Mary Jo Loyzelle

Hilma J. MillsLuther & Maxine SmithViolet M. SmithDuane & Bonnie WrightGrace Annas BeaneRalph & Loretta AnnasSammy & Becky KeithTheresa "Joan" BolickFred & Phyllis LanfordArthur "Art" BousquetJeanne BousquetClinard BowmanDavy, Lois, & Amber

WhittingtonMargaret BowmanDavy, Lois, & Amber

WhittingtonMazeleen M. BowmanClinard, Gail, & Casey

BowmanRoger & Elaine McGeeDavy, Lois, & Amber

WhittingtonJewel BrameldFred & Phyllis LanfordLana BraswellLinda CampbellRoger BrookshireFred & Phyllis LanfordPeggy BryantGold Wing Road Riders,

Morganton Chapter YHoward GraggDavid T. BumgarnerEmelyne WilliamsMargaret BumgarnerEmelyne WilliamsThelma BurtonRPM Wood Finishes GroupThomas "Gene" BushMaggie BushDorothy ByrdJackie C. StoriePaul W. CallowayWanda G. CallowayIla CampbellLinda CampbellJim CampbellElaine BrooksLinda CampbellJim CannonPaul & Marie BumgarnerJim & Judy MackieSara Moore PutzellDavid & Tammy SeagleWalter "Fuzz" CannonWendy NewtonAlice CarltonLinda CampbellRichard CarpenterRichard Carpenter FamilyBob CashionConcord Baptist ChurchGrandfather MountainStewardship Foundation, Inc.

Jeanette Edens & Joseph Smith, Jr.

Martin Starnes & Assoc., CPAs, PA

Bryan & Brenda BairdFranky & Donna GoodsonRobert & Jenny GrantLD & Patsy GrindstaffBill & Betty GuptonDanny & Janice HefnerJim & Janet KirbyJerry & Kay McIntoshEric & Mary PeltonSusan RudisillJoe & Margaret SmithDr. & Mrs. Dan StallingsMr. & Mrs. Jack G. VereenEugenia "Jeanie" ChampionLois BenfieldAnnie ChandlerJ.C. Epting, Jr.Charles E. ChurchLinda CampbellRuth ChurchKenneth J. ChurchJohn David "J.D." ClawsonGeorge & Eleanor KirbyCarroll CloerRachel CloerHilda CoffeyCharles & Brenda LaneyMary CoffeyRPM Wood Finishes GroupRay CoffeyDavy, Lois, & AmberWhittingtonLouise Younce CookLarry & Diane StoneMarischa B. CookeHarry CookeJohn CoyleStaff at International Market

CentersJanet CrumpPete & Mary Jo LoyzelleLois CrumpCommunity Baptist ChurchEvergreen ENT & Facial

Plastic Surgery, PLLC—Brian Downs, MD, & Staff

Foothills Outdoorsman Assn.McGee's Crating, Inc.Morning DuffersGary & Janice BumgarnerClyde & Virginia HarmonRonnie & Pam HouckDale & Penny HunsuckerMr. & Mrs. George KirbyBob & Carolyn LingleGeorge Maust, Jr.Helen ParsonsKent RiddleScott & Petra SmithWayne & Margaret SmithMonroe TeagueMr. & Mrs. Benny Walker

Floyd & Mary WatersBillie Ray DealMildred GibbsLinda D. DeanFrank C. RichardsJoan DicksonSusan BarnettJohn & Josephine BeallRoberta BlinsonCathy BrownBarney & Alliene CloerKathleen CookeDr. Myra A. DicksonMr. & Mrs. Houston GroomeFrank C. RichardsTony & Marlene SetzerSue Miller DobbinBroyhill Family Foundation, Inc.Jan Davis & Scott ArnoldMartin Starnes & Assoc.,

CPAs, PANancy Johnson & Mike

LindsayNMSS StaffThe Oaks Homeowners

AssociationTusk StrategiesBetty AtwaterBeverly & Judy BealJohn & Josephine BeallRon & Christine BeaneTom & Jeanne BlaisdellLillian H. BraswellMr. & Mrs. Matt BrownEd & Melanie BroyhillBarney & Alliene CloerMary C. CrewsGeorge & Helen CrowellDr. Myra A. DicksonDavid & Dianne L. DillMarian DinglerLes & Frances FryeJane GrahamGerry & Ingunn GriffinDon & Madeleine HaasMr. & Mrs. James C. Harper, Jr.Mary Anne HowardElaine KentDarrell & Dottie LloydPete & Mary Jo LoyzelleMr. & Mrs. James M. McCarlJack & Jodie MichieMr. & Mrs. M.L. MooreBob & Gail Anderson RameySusan RushLinda SatterfieldLynne SaylorTim & Sandra ScobieBruce & Jane SharpeSteve & Anna SmithHiller SpiresSteve & Connie StrangeBob & Gina StyresLouise Sullivan & FamilyPatricia VilesJanet Wilson

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Robert C. DorseyPete & Mary Jo LoyzelleKenneth EdwardsBryan & Brenda BairdBuster FordPete & Mary Jo LoyzelleJames A. FosterCajah's Mtn. Baptist Church,

"Young at Heart Group"Glenn R. FryeSteve, Roger, & Randy FryeMyrtle FryeSteve, Roger, & Randy FryeClarence GilbertFirst Baptist Church, WhitnelJames & Renae ClarkBarry DorskMelony HughesPete & Mary Jo LoyzelleSandy RoarkDennis StelzerJanice GilbertDr. & Mrs. Dan StallingsFinley "Blaine" GoodPoovey's Chapel Baptist

ChurchSamuel "Sam" Gragg, Sr.Cindy CoxYulonda ForbesMargaret "Louise" GrayTeddy GrayMildred C. GreenLois BenfieldBetty J. GreeneElaine BrooksLinda CampbellEdith Main GreerEdith Greer FamilyPlastic Packaging, Inc., c/o

Trina CloningerSeagle's Electrical Service, Inc.Tracey GullettLinda CampbellAlice B. GurleyLinda CampbellLois H. HaasFred & Phyllis LanfordMurl "Jerry" HaasBeth HaasFred & Phyllis LanfordMr. & Mrs. Ken SipesRene HaiglerElaine BrooksWayburn HambyFriends at Blue Ridge ElectricMr. & Mrs. Clyde HedrickFaye C. MullisDoug & Kathy SaundersKenneth & Shirley StorieJ.C. & Jolene TriplettDare WellsElizabeth HardyBliss & Shirley TeagueSheldon HarmonMom & Pop

Betty HartleyPoovey's Chapel Baptist

ChurchJoyce HartleyPaul & Cindy McCurryMildred HartsoeDavid SmithRobert & Susan WilsonGladys "Lou" HedrickMembers of Troop F, District 5Mary Barber BellingerDan & Wanda BolickWilliam & Jeanette HollarPaul & Jane PhillipsRobert & Gloria RaperRaymond HigginsHobe's Country Hams, Inc.Kelly W. PritchardRuby Rea HodgesKathleen GrayRobert H. Hoffer, Sr.Men & women of

USSTRATCOM/J88 Motorcycle Safety FoundationThe Anchorage FMP GroupTerri FriersonSara Moore PutzellMr. & Mrs. Michale RooneyMarie HoganGuys at Hickory FiberParkway BankSally Hannah & Rod RobinsonThe Hannah Children (June,

Jim, Wayne, & Ron)William Lenoir Middle SchoolJohn & Nancy AdamsWil, Suzenne, Sarah, & Stef

AndersonLeslie ArndtRon & Christine BeanePeg M. BroyhillMr. & Mrs. G. Maurice CappsCarrie ChittumHarold & Willetta ChittumWes CollinsBetty EarlyMr. & Mrs. Houston GroomeDick & Zoe HannahMr. & Mrs. James C. Harper, Jr.James & Thelma HawkinsHerb & Hannah KaufmanDarrell & Dottie LloydMr. & Mrs. Wayne MillerRichard & Sara MurschKenneth & Jane RobertsBarry & Dianne SpicerSteve & Connie StrangeJack & Norma SuddrethLouise Sullivan & FamilySusan WhittingtonJanet WilsonMabel HollarCharles & Billie BraswellLena HurleyPrisons—Western Region

Office Management & Support Staff

Betty B. JacksonPaula R. KincaidNell RaderBill & Lois RiggsJoe W. IcenhourRuby IcenhourMichael IcenhourWells Fargo Community

Support CampaignMinnie JamesCaldwell Memorial HospitalBill & Lois RiggsDelia JohnsonHarold & Sharon CarswellJeannine DenzlerClaude & Catherine EpleyRussell A. JohnsonDon & Minnie ShoresAnne Johnson ThebergePaul JohnsonCajah's Mountain Baptist

Church, Adult SS ClassCajah's Mtn. Baptist Church,

"Young at Heart Group"Charles & Billie BraswellFaye KellerRichard D. MyersJerry S. KellerRon & Kim VanceJohn KellerRichard D. MyersCleo KirbyPhillip & Pat AnnasGwynne E. BakerHarold & Ruby ChurchJo Ann DetterPeggy FlemingLois GastonBill & Jean SherrillCraig & Crystal SherrillPatrick, Cheryl, & Jackson

SherrillDavy, Lois, & Amber

WhittingtonBetty KiziahCharles & Billie BraswellHarley LandCollettsville Volunteer Fire &

RescueScott LawsJames & Carolyn WagnerMary LaytonJames & Rebecca LaytonDolores C. LeftwichFreddie MooreMr. & Mrs. Ken SipesNellie LowmanKeith & Peggy BlinsonCharles & Billie BraswellSwannie LynchMary Barber BellingerDottee MackieSylvia J. DealBetty Jenkins MangesJanet, Jean, Lillie, Toots, Bub,

John, & Mildred & family

Johnsie McCallClaudine MooreRobert McClure, Jr.Central Baptist ChurchNora McGeeVaughn & Lyda WalshCarroll McLeanJames A. BradshawFrances McKinneyEmily MooreCeleste OliverMr. & Mrs. Jack PennellLarry R. MillerDonald & Brenda BoughmanTommy & Margaret HambyFred & Linda JenkinsCarl & Judy StonbrakerRobert "R.S." MillerTraci's BCBSNC FamilyLouise CoxDavid & Tammy SeagleD. Gerald MooreClaudine MooreJ.B. MyersRichard D. MyersOpal MyersRichard D. MyersPearl NelsonLinda CampbellClarence Walter NicholsLena NicholsKenneth NicholsLuther Gragg family & Doug

Colvard familyMargie BertieJimmie D. ClarkDennis & Bessie FarrJim & Sandra MillerLeonard & Linda WestJoseph "Joe" OliverMarc & Bennie CarpenterKathleen CookeJack & Debbie MasonAnn ParsonsBrent & Pat EnloeBurl ParsonsBrent & Pat EnloeHenry Dick PennellLower Creek Baptist Church,

Adult Men’s C-3 Depy.Peg M. BroyhillMaggie BushChris & Lisa EvansBaxter & Rachel HarmonRichard & Dorothy R. HedrickMr. & Mrs. Jack PennellDoug & Kathy SaundersHelen Underdown & FamilyJames & Carolyn WagnerJake & Juanita WatsonFaye PhillipsLinda CampbellElmer PhilyawLinda CampbellTodd PhilyawRPM Wood Finishes Group

C O N T R I B U T I O N S

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Barbara PiggElaine BrooksLinda CampbellCarol SniderAmy PilkentonBarry & Elisa BaileyMarc & Bennie CarpenterPatsy PittsLinda CampbellBertha ReavisViola BentleyDr. Myra A. DicksonChris & Lisa EvansHenry & Jean SmithSteve E. ReidRay & Vickie KirbyThomas & Judy McLeanNed RichardsMargaret BalleriniJames & Pam BarberSharon Myers JenkinsThomas & Charlotte MeltonPat MyersCarroll & Adelaide RichardsDavid & Shirley RichardsFrank C. RichardsGladys RichardsSylvia TorrencePara Lee RichardsMargaret BalleriniFrank C. RichardsRobert J. Robbins, Sr.Barney & Alliene CloerR.R. DuckworthGene & Jean FulbrightJoe & Carolyn ParkerVirginia RobbinsJenny TovesCharlotte WarrenSandra F. RobbinsElaine BrooksLinda CampbellLynn RomanoJerry, Jenny, Jessica, Rebecca

HighfillKathleen SandersBarney & Alliene CloerBetty Jo SchellMike MaynardSloan H. SherrillDennis & Lorraine SherrillNora ShumateSkip & Davanna DownsGoldie SimmonsFred & Phyllis LanfordJohn Allen SimmonsEric & Marta' FranklinEddie SmithDoug & Mary Ida CookGeneva SmithJim & Toy Greene FamilyWayne & Sue SmithBillie S. WestHenry SmithHenry & Nanette Retting

Hermon SmithAllen, Anne, Aaron,Christopher, & Jennifer

MoodyAvery County Agricultural

Advisory BoardIRS Team 1804 & 1805 and

FriendsWalter & Glenn BaierCharles & Billie BraswellEnid CoffeyFrank & Eleanor FreemanJane GrahamFred & Phyllis LanfordPete & Mary Jo LoyzelleJonathan SawyerCharles & Melanie ShellJack & Sue SherwoodJune SmithDoug Smith & ChildrenLenoir Post Office RetireesLower Creek Baptist Church,

Pennell Mission GroupLower Creek Baptist Church,

Adult Men’s C-3 Depy.Lower Creek Baptist Church,

Faithful Workers ClassNational Association of Letter

CarriersTim Smith & FamilyViola BentleyJames A. BradshawCharles & Billie BraswellKenneth & Pat BryantBob & Dora Lee CaudleGrace CaudleBarney & Alliene CloerDr. Myra A. DicksonChris & Lisa EvansHal & Joyce HallBaxter & Rachel HarmonPauline M. LaneyGary & Mary LawsDavid & Geraldine MartinNell RaderBill & Lois RiggsLester & Margaret ScronceTony & Marlene SetzerHenry & Jean SmithBarry & Dianne SpicerRod & Barbara WarrenVeta SouthardFlemings Chapel Baptist

Church, Joyce Winkler SS Class

Robbie Bald, Brian Boyd, & Jeff Denney

Mag McDonaldJim & Shirley RigganLewis & Linda WilsonKim SpannElaine BrooksDot SuddrethJames & Carolyn WagnerMildred SummerlinNancy Triplett & Family

The Elmer & Helen Triplett families

Kathleen SwansonErnest & Brenda BartlesRichard "Bill" SwansonErnest & Brenda BartlesMichael TothAnnette Leuschner, Christine

Keefer, Doug MessnerLisa CraterVirgil TownsendRPM Wood Finishes GroupDavid & Tammy SeagleFran VannoyTabernacle Advent Christian

ChurchSusan BarnettLanisse CantelmoDarrell & Dottie LloydEd & Sandy PritchardBobbie VinesBlue Ridge Electric

Membership Corp.Carroll & Dawn OwensRandall WalkerLorene WalkerBenny WallaceRobbie & Holly MullisMarvin E. WalshHelen WalshBeulah WardCharles C. CrispJohn HayesLaverl HayesTommy & Eloise MarleyBarry WatsonClinard BowmanAllen & Nancy ClayFreddie MooreGeneva A. WatsonClassic Graphics/Lowe’s TeamFellowship Baptist Church,

The Messengers SS ClassSheldenia CannonGrace CaudleDr. Myra A. DicksonHoward GraggMaria McNultyMonica MojtabaiBill & Lois RiggsDavid & Kathy RobinsonTim & Wanda WarrenMyrtle WatsonJim MartinBill & Pat StoneRobert "Bob" WelchDenise LongCharlotte WhiteG. Alex Bernhardt, Sr.Saundra StewartBarry & Cindy StoryLouise Sullivan & FamilyCourtney TrotterJ.L. WhitleyCajah's Mtn. Baptist Church,

"Young at Heart Group"

Jean WilcoxFred & Phyllis LanfordHal WillettHardware Distributors, Inc.Russell IsenhourMaria StarnesAradell WilliamsWest Lenoir Baptist ChurchElaine BrooksNancy WinklerGeorge & Judy SullivanCynthia C. WoodcockJackie C. StorieJohn "J.T." WoodsFlemings Chapel Baptist

Church, Adult Men 1Marc & Bennie CarpenterMike & Robin WinglerJohnsie WoodsCaldwell County Highway

Maintenance & DOTLois BenfieldJoan CuthbertsonBill & Pat KincaidJoann McLellandLonnie WoodsLinda CampbellBetty WoodyWendell & Connie WoodyHal Poovey YountLawrence BauerRonnie BowersWayne & Becky BowersElizabeth HobbsDonald & Lynn Nesbit

HONORSReba BarlowElaine BrooksDr. Robert BelkCathy AndersonJoyce FareLinda CampbellElaine BrooksJ.B. CloerLinda CampbellLois WhisnantChuck CrispElaine BrooksRuby DulaAlice DulaBetty GreeneElaine BrooksGreg HambyElaine BrooksDr. Dennice HermanElaine BrooksGerald & Mary Alice HouckClaudine MooreRuth MillerPaul MillerDelbert MinnerLyle & Diane JensenJenni S. PattersonElaine Brooks

C O N T R I B U T I O N S

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Dr. Thomas RayElaine BrooksWillie "Granny" StoryThe Willie "Granny" Story

familyCathy SwansonParker & Patty WilliamsonDelma Sipe ThomasKandi S. MurphyFannie Gaye SipeMary Jane TriplettElaine BrooksOlan WhisnantElaine BrooksLois WhisnantMargie WilsonJ. Dykes Wilson

IN KINDAmazing Grace LutheranAvery Dennison Wellness

TeamBaton United Methodist

Church WomenBetter Alternatives, Inc.Caldwell County Council for

WomenCaldwell Senior CenterCalvary Baptist ChurchCenter Grove Baptist ChurchCharlotte, c/o St. Stephens

Lutheran ECLA WomenConcord Baptist Church

Baptist Young WomenCovenant Fellowship

MinistriesCrestview Baptist Church,

Fannie Kirby CircleDry Ponds Baptist ChurchFellowship Baptist ChurchFirst Presbyterian ChurchFirst Wesleyan ChurchFree Spirit Baptist ChurchFriendship Baptist Church,

Auditorium ClassGoldie Price FamilyGrace Chapel UnitedMethodist ChurchHudson United Methodist

ChurchIndian Hills Baptist ChurchLenoir Church of ChristLenoir First WesleyanLenoir First WesleyanChurch, Women's GroupLenoir Pentecostal Holiness

Church

Miracle ChurchMt Zion Baptist Church,

Julian Mission GroupPendry's Lenoir Funeral

Home & CrematoryPhiladelphia Lutheran Church

WELCASeeds for HarvestSt. James Episcopal ChurchSt. Paul AME ChurchSunrise Baptist ChurchWildwood Advent Christian

ChurchZion United Church of ChristChris Carter & Alice BarberHarvey BaumanSue BumgarnerRita BurnsDottie DarsieIrene DuncanTracy MintonGail OwensbyMaida F. PearsonMr. & Mrs. Jack PennellDonna RobertsJim ShehanDonald SpearsSandy Watson

IN-KIND MEMORIALSJohn AyersPeggy DavisBill BeamonPauline BeamonDexter BolickMelvin & Judy FreemanMazeleen M. BowmanGlenn BowmanKim McLeodJim CannonDonald CannonBob CashionShirley CashionJanet CrumpWhitnel United Methodist

ChurchJoyce Gaynell DeatonLisa HelmsClyde FreemanMelvin & Judy FreemanBilly W. GillilandAnita GillilandFinley "Blaine" GoodJosephine "Jo" GoodSamuel "Sam" Gragg, Sr.Refuge Missionary Baptist

Church

Gladys "Lou" HedrickGene HedrickCarl Hefner, Sr.Melissa TriplettMartha HefnerMelissa TriplettToyie HiceHoward HiceLena HurleyWanda PritchardJohn SigmonJohn KellerAllison CrawfordHoratio Hoover SetzerWildwood Advent Christian

ChurchJohn ShanksMartha ShanksIrene H. SidesKaren JohnsonAlyce P. StoryWhitnel United Methodist

ChurchMildred SummerlinMildred Summerlin familyMichael TothWal-Mart #1064Kermit WatsonDebbie Brawley

IN-KIND HONORSWill CarterD.C. & Vonda HefnerJohnny HefnerD.C. & Vonda HefnerAnnie HollarAngel Mahaffey

CONTRIBUTORSBaby Boomers Bowling LeagueCSG International Systems, Inc. Phil Case Appraisals, Inc.WalmartClara AndrewsBobby L. AustinRobert L. BarloweStella BarrAnnette BeamT.W. BostonCecil & Annie BraswellJune T. FordRobert & Patricia HarleyRobert HarrisThelma & Margie PrinceCharles & Melanie ShellMr. & Mrs. Frank Witzelhofer

RELIGIOUSORGANIZATIONSBuffalo Cove Baptist ChurchCajah's Mtn. Baptist ChurchCedar Rock Baptist ChurchCenter Grove Baptist ChurchCentral Baptist ChurchClover Baptist Church,

Andrew ClassClover Baptist Church, Berea

ClassCommunity Baptist ChurchConcord Baptist ChurchDudley Shoals Baptist ChurchEast Flat Baptist ChurchFaith Baptist ChurchFirst Advent ChristianChurch, Hattie Steele CircleFirst Baptist Church, Granite

FallsFirst Baptist Church, WhitnelFlemings Chapel Baptist

Church, Adult Men II ClassFlemings Chapel Baptist

Church, Adult Men I ClassFriendship Baptist Church,

HudsonGamewell United Methodist

ChurchGrandview Park Baptist

ChurchHibriten Baptist ChurchJoyceton Baptist ChurchLivingston Memorial Baptist

ChurchLower Creek Baptist Church,

Faithful Workers ClassMiller Hill Baptist ChurchPoovey's Chapel Baptist

ChurchRefuge Missionary Baptist

ChurchRutherford College First

Baptist ChurchTabernacle Advent Christian

ChurchTemple Hill Baptist ChurchUnited Presbyterian ChurchWest Lenoir Baptist ChurchYadkin Baptist ChurchYadkin Valley Baptist Church,

Golden Nuggets

C O N T R I B U T I O N S

Caldwell Hospice and Palliative Care, Inc., gratefully acknowledges memorials and contributions received between 01 Julyand 30 September 2012. Please notify us if we have omitted a donation from this listing. Contributions received after 30September 2012 will be listed in our Spring 2013 issue.

Newsletter mailing list policy: CareLines is published four times a year. Each person who contributes during the six monthsprior to a mailing will receive the next two issues. Individuals who ask to be placed on our “do not remove” mailing list willreceive the newsletter every quarter.

PAGE 8

Billy BarnesPaula BeaverJames (Jody) BelkLinda BentleyMichael BlakeDebra BlevinsDebra BolickDennis BolickMelissa BolickBarbara BridgesKenneth BumgarnerAlice CampJames Carlisle Jr.Frances CarltonMarcus CarpenterCrystal CarrollMartha ClarkNadine ClarkRita ClarkBrenda CoffeyKen CoffeyPaula CoffeyTeresa Coffey

Robert ColleyTrevia ColvardLisa CookDavid CraneDarrell CrowderJo CrumpBrenda DooleyKaren EdwardsRobert EllerGladys EstesMichael GenwrightSandra GibbsSheila GraggBobby GreeneKeith GreeneJerry GreerJerry HambyDonna HarmonRoger HarmonRobin HarshawThomas HawkinsClaude HicksGracie Holmes

Sherry HoneycuttAnn HortonPatricia JohnsonWilliam K. JohnsonVictor KiddDoris KirbyJerry KirbyRobert KirbyFrances LavenderMike LeFevers Sr.Jack LivingstonPhyllis MalcolmCynthia MarshallJackie MartinGeraldine MastDavid McCallTerry McDonaldWilliam McDonaldTommie McGuireNancy McKinneyPatty McKinneyLarry MillerMike Moore

Thomas MoretzJustin MorrowAngela MurphyDebbie MurphyHope NelsonDebra NorrisElizabeth OsborneClyde PalmerTroy PattersonRebecca PattonDustin PennellJeffrey PenningtonJames PerkinsTraci PittsJohn PopeDianne PresnellJohn PrestwoodShirley ReidTracy RitchRoberta RoarkSylvia RoarkWilliam RoarkMichael Sipes

Deborah SmithKeith SmithKimberly SmithSarah SmithLesia SpearsMattie SpearsTeressa StarnesJanice StootsTony StootsGary StoryRoger StoutCarol SturgisMichael TadlockJanet ToliverBilly TownsendJasen TruesdaleIda WardKelly WardShelia WatkinsDonna WhittingtonCaroline WilsonDean WilsonDale WoodruffWayne Zajac

U N I T E D W A Y C O N T R I B U T I O N S l 2 0 1 1 - 2 0 1 2

Caldwell Hospice and Palliative Care, Inc., appreciates the generosity of these United Way donors for designating their contributions to its programs and services.

CALDWELL HOSPICE CEO

Cathy Swanson Elected to The Carolinas Center Board

Cathy Swanson has been electedto serve, for the second time, onthe board of directors for TheCarolinas Center for Hospice andEnd-of-Life Care. Caldwell Hospiceand Palliative Care’s chief execu-tive officer will join three othernew board members: Lynn Hardy,Carolinas East HomeCare andHospice (NC); Jean Eckert,Hospice of the Carolina Foothills(SC), and Dr. Jeff Seymour,Hospice and Community Care (SC).

Named Caldwell Hospice’s execu-tive director in 1990, Cathy’sbackground as a medical socialworker is central to the organiza-tion’s focus on caring for thewhole patient, including familymembers. Since 1990, CaldwellHospice’s average daily censushas grown from 17 to 147, and the staff has increased toapproximately 110 permanentemployees.

“I look forward to active involve-ment on the board,” Cathy said.“We must maintain the highestquality of care, even in the midst ofincreased regulations and greaterscrutiny of the work we do.”

The Carolinas Center “representsover 100 hospice providers in Northand South Carolina and providessupport to local hospice programsthrough technical assistance, education, and advocacy in statelegislatures, state regulatory bodies,and Congress. Hospice care iscurrently available in every North and South Carolina county” (source:www.cchospice.org).

Cathy served on TCC’s board,previously, from 1996 to 1999.Her dedication to ensuring qualityend-of-life care also led Cathy toa role in creating a hospiceaccreditation program through the Accreditation Commission for

Health Care(ACHC).

ACHC is now a recognizednationalaccreditationorganization for medicalproviders. Itoriginated inNorth Carolinaand now reviews more than1,000 locations nationwide.Cathy served on the ACHC board,from 1995 to 1998.

Cathy earned a Master of PublicHealth degree from UNC-ChapelHill and a Bachelor of Science inSocial Work degree from WesternCarolina University; she holds aHospice Administrator Certificateand a certificate in Non-ProfitManagement from DukeUniversity.

PAGE 9

CALDWELL HOSPICE PHYSICIANS

Hospice and Palliative Medicine Certification

Caldwell Hospice and PalliativeCare announces the achieve-ments of two members of itsmedical team.

Dr. Dennice Herman, associatemedical director, and Dr. RameshKrishnaraj, weekend physician,earned Hospice and PalliativeMedicine certification, recently.The doctors sat for the exam inCharlotte on October 5 in agroup of approximately 20 physi-cians.

“The day-long examination wasvery difficult,” Dr. Herman said,“and it required considerablepreparation and study.”

Dr. Krishnaraj added that theexam was challenging for himbecause he works in hospice carepart-time.

Drs. Herman and Krishnaraj joinCaldwell Hospice Medical DirectorDr. Thomas Ray as Board-certi-fied Hospice and PalliativeMedicine physicians.

“The effort required of our physi-cians in gaining certification is astrong reminder that we focus onpatient care,” said CHPC ChiefExecutive Officer Cathy Swanson.“It solidifies our position as aleader in end-of-life care for thisarea.”

A 1986 graduate of East CarolinaUniversity’s School of Medicine,Dr. Herman earned a bachelor’sdegree in nursing from theUniversity of North Carolina atChapel Hill in 1972. From 1998until she joined CHPC’s staff in2011, Dr. Herman practicedfamily medicine at South ForkMedical Park. She also practiced

emergencymedicine atCaldwell MemorialHospital for sevenyears and served asthe medical directorfor CaldwellPhysicians Networkand for ShaireCenter, in Lenoir.

Dr. Krishnarajgraduated from theUniversity of NorthCarolina at ChapelHill’s School ofMedicine in 1997.He holds aBachelor’s degreein Political Science(1991) and Masterof Public Healthdegree (1998) fromUNC-Chapel Hill. Heis a medical staffphysician in Geriatric andSpecialty Services at BroughtonState Hospital in Morganton, NC.

Dr. Ray earned his Hospice andPalliative Medicine certification, asa member of the first certificationclass after Hospice and PalliativeMedicine was accepted as amedical sub-specialty. His certifi-cation will extend throughDecember 2018.

Dr. Ray graduated from medicalschool and completed hisresidency at the Medical Collegeof Virginia. He practiced physicalmedicine and rehabilitation, priorto coming to Caldwell Hospice in2007, when he realized thatproviding hospice and palliativecare was “where I’m supposed tobe.”

Dr. Ray’s approach to caring forhospice and palliative carepatients combines his medicalskill in addressing physicalproblems and his compassionateconcern for them: “You may notcure, but you can alleviate painand distressing symptoms.”

“I enjoy serving the community,and Caldwell Hospice allows meto do that,” Dr. Krishnaraj said.“It is the most rewarding workI’ve ever done. To providehospice care, you have to haveempathy, not just sympathy.”

This is the last year the exam can be based only on workexperience in hospice care; in thefuture, Dr. Herman said, theAmerican Board of MedicalSpecialties will require one yearof additional formal training inaddition to work experience forHospice and Palliative Medicinecertification.

“The need for hospice and pallia-tive care specialists will grow inthe coming years, and the supplyof those specialists will not matchthe demand,” Dr. Herman said.“It is essential that we beprepared to provide end-of-lifecare and pain management.”

Drs. Herman and Krishnaraj’sHospice and Palliative Medicinecertification remain in effectthrough December 2022.

Pictured (L to R): Dr. Thomas Ray, Dr. RameshKrishnaraj, and Dr. Dennice Herman

“The effort required of our

physicians in gaining certifi-

cation is a strong reminder

that we focus on patient

care.” —Cathy Swanson

PAGE 10

VOLUNTEER NEWS

VolunTEENS Bake!Sisters Megan and Ashley Lawsand Kristen Beach are among thededicated volunTEENS whobegan a new activity at theForlines Patient Care Unit(PCU) with patients a coupleof months ago. They come to thePCU’s family kitchen on Tuesdayafternoons and bake cookies withpatients who are able.

“These teens took the idea andran with it,” said VolunteerCoordinator Brittany Bonn.

Emma Adams, Landyn James,and Macie Barlow are othervolunTEENS who help patientsslice cookie dough into quarters,place onto baking sheets, wait forthe sweet scent to fill the room,and taste their success. Once the“baker patients” have had theirfill, volunTEENS carry plates ofcookies throughout the ForlinesPCU to share with other patientsand their families.

“Real sugar cookies made fromscratch” was a recent request. Thenext week, volunTEENS broughtsugar, flour, vanilla, Crisco, andeggs. The group got to workmixing dough, forming it intoballs, and baking sugar cookies.

The patient who wanted realsugar cookies didn’t feel well

enough to leave her bed, so thenurses and certified nursing assis-tants wheeled her bed into thefamily kitchen, and she helpedbake cookies.

“Hosting activities for patients isjust part of what volunTEENSbring to us, along with smilingfaces and lots of energy,”Volunteer Support SpecialistCrystal Burch said. “I am gratefuland proud that they are servinghospice patients and families.”

The volunTEENS need very littlesupervision, as they plan how tocelebrate holidays and otherspecial days: for Valentine’s Day,they will make iced cupcakes.

“Will we color Easter eggs againthis year?” a volunTEEN asked.

“Absolutely,” CNA Juanita Carltonanswered. “Hospice care is allabout doing the little things tobrighten someone’s day.”

Adult Volunteer TrainingMarch 19 and 21, 20138:30 a.m. to 4:30 p.m.McCreary Family ProfessionalCenter, Meeting Room B526 Pine Mountain RoadHudson, NCWe are currently seeking:• Volunteers to visit with patients

in their homes or long-term-care facilities

• Male Volunteers• Volunteers willing to

- provide caregiver relief- provide transportation- run errands for patients

For information or to register, contactBrittany Bonn, Volunteer Coordinatorat 828.754.0101 orvolunteercoordinator@caldwellhospice.org.

Janice Stout, a Gateway Nursing and Rehabilitation Center licensedpractical nurse, was named Caldwell Hospice’s Fall 2012 Above andBeyond award recipient.

”She is very compassionate to patients at the end of life and theirfamilies,” wrote a CHPC staff member in nominating her. “When apatient is in distress, Janice calls to inform us about the changes.”

“I love my patients all the same,” Stout said. “And I am surprisedbut glad to receive this honor.”

Caldwell Hospice employees and volunteers can nominate staffmembers of area long-term-care facilities who encourage qualityend-of-life care for resident-patients and go “above and beyond” tosupport resident-patients, their families, and Caldwell Hospice staffmembers. The award is presented each quarter.

Pictured (L to R): Nancy Wallace, CaldwellHospice Long-Term-Care Facilities nurseteam leader; Fall 2012 Above and Beyondrecipient Janice Stout; Marilyn White,Gateway Nursing and RehabilitationCenter Director of Nursing; KimberlySetzer, CHPC medical social worker, andDonna Hart, CHPC nurse.

ABOVE AND BEYOND

Gateway LPN Janice Stout Recognized by Caldwell Hospice

It takes two—volunTEEN and “bakerpatient”—to mix up a batch of cookiesfor sharing at the Forlines PCU.

PAGE 11

BOARD SPOTLIGHT

CHPC Board Introduces Three New Board MembersDottie Metzger (pictured left in photo) retired from CaldwellHospice in February 2012 as itslongest-tenured employee,concluding a 27-year hospicehomecare nursing career. Herpatients, their families, andpeople throughout CaldwellCounty cared about her. TheNews-Topic readers voted herCaldwell County’s Best Nurse, in2005 and again in 2008. Herphilosophy of hospice care is “tokeep patients comfortable, givethem the dignity they deserve,and give them the opportunityto die at home.”

When Dottie went to a patient’shome, she might have been afriend dropping by, except thatshe gathered necessary medicalinformation and learned essen-tial details during the visit. She combined medical skill, aprofessional focus on patients’well-being, and the special qualities that made her visitsfeel personal.

“Dottie carries skill, respect, andher stethoscope on each patientvisit,” said Caldwell Hospice ChiefExecutive Officer Cathy Swanson,at Dottie’s retirement. “There isno way to measure her value toour patients or to our staff.”

After studying nursing at theLutheran Hospital School ofNursing in Baltimore, Dottieworked at the Lutheran Hospitalemergency room for five yearsbefore moving to Lenoir. Shecame to Caldwell Hospice as ahalf-time nurse, before extend-ing her hours into 27 years.

Dottie’s retirement focuses onvisiting with her four childrenand their families, includingthree grandchildren, bakingcakes—another of her talents—and crocheting, and teachingCPR to Caldwell Hospice staffmembers. When asked to partic-ipate on CHPC’s Board ofDirectors, “I was honored,” Dottie

said. So isCaldwellHospice.

Charles Shell(picturedcenter inphoto) hasbeen anemployee ofRPM WoodFinishes Group,Inc., for 13years; hismost-recentassignment is as the company’sController.

Charles and Melanie Shell, hiswife, believe in the importance of “giving back wholeheartedly,as God continues to bless us.”

He has known about hospicecare, personally, throughmembers of his family. He hasbeen aware of the mission andthe work that Caldwell Hospicedoes through other members ofFirst Presbyterian Church, Lenoir.When approached about servingon the Caldwell Hospice Board ofDirectors, Charles said,“I feltvery honored that you wouldthink of me.” As a Boardmember, Charles hopes to be apart of Caldwell Hospice’s “spiritof love and family that willcontinue for many years.”

When her husband went toVietnam in 1970, Linda Story(pictured right in photo) left ajob at the GE plant in Hickory fora job with the Town of GraniteFalls, for a very practical reason:to be closer to home. By thetime she retired, with nearly 40years in local government, theTown’s population had grownfrom 2,000 to 5,000; Linda hadbeen named Granite Falls’Woman of the Year twice (1983and 2009); she had served theTown’s best interests whilemeeting county, state, andfederal government regulations(not an easy task); she had

served on Granite Falls’ HistoryCommittee, which had come intobeing around the 1999 centen-nial observance; and, as part ofCaldwell County’s EconomicDevelopment Commission, shehad worked to bring in newbusinesses and retain jobs inhard economic times.

In retirement, Linda planned tospend more time with her threegrandchildren, read, travel withher husband, and volunteer forCaldwell Hospice. So far, shehasn’t found enough time forreading and going to the beach,but Caldwell Hospice has found away to utilize her talents—byelecting her to serve on itsBoard of Directors.

Linda’s strengths include 13years as Granite Falls’ FinanceDirector, management skillshoned during 26 years as TownManager, and problem-solving:she tries to see all sides andmake the best decisions for thelong term. Add in her passion to help people—she works withseniors groups at Dudley ShoalsBaptist Church and visits theelderly in the congregationweekly—and you see the contri-butions that Linda will make.

“I’m a person in the communitywho is willing to give time andtalent to causes I believe in,”Linda said. “At this time in mylife, it’s about helping others.”

Caldwell Hospice and Palliative Care, Inc.Companions for the Journey

902 Kirkwood Street, NWLenoir, NC 28645www.caldwellhospice.org

NONPROFITORGANIZATION

US POSTAGE PAIDPERMIT NO. 272

LENOIR, NC

I N T H I S I S S U E

A Message from Our CEO ........2

COVER STORY: Caldwell Hospice Does Its “Homework” ........................3

Contributions ........................4-8

Cathy Swanson Elected to The Carolinas Center Board ....8

CHPC Physicians EarnCertification ..............................9

Above and Beyond Award ......10

Board Spotlight: Three NewMembers Named ....................11

RETURN SERVICE REQUESTED

W I S H L I S T l 2 0 1 3l Snacks (individual-size)

for patients’ familiesl Applesaucel Cans of soupl Individual boxes of cereall Coffee (cans, regular and

decaf)l Decaffeinated coffee in

single-serve bagsl Hot chocolate/cocoa

(individual-size packages)l Napkinsl Aluminum foill Plastic wrapl Styrofoam coffee cups

(8-oz.)l Solo cups (16-oz. for soft

drinks, tea, etc.)l Paper plates and bowlsl Plastic spoons and forksl Lotion (personal size)

l Deodorant (personal size)l Toothpaste (travel size)l Men’s lotionl Mouthwashl Nail clippersl Orange sticks (to clean

fingernails)l Boxes of tissue (Kleenex)l Baby wipes or refills

(not anti-bacterial)l Triple-blade disposable

razorsl Hair brushesl Disposable camerasl Amazon.com gift cards to

purchase children/teen grief books, music, and resources

l Music CDs (instrumental, gospel, inspirational, meditation, nature sounds)