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Brian Medkeff-Rose to Retire After Decades of Compassionate Leadership

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Brian Medkeff-Rose, M.Div., M.A., Bereavement Counselor at Homeland HospiceAt the end of October, Brian Medkeff-Rose, M.Div., M.A., Bereavement Counselor at Homeland Hospice, will retire after more than 28 years of compassionate leadership. During his time with Homeland, Brian has implemented innovative approaches to reaching and supporting the bereaved. His deep well of empathy and support has helped countless people find new purpose amidst the pain of loss.

Brian graduated from the Methodist Theological School in Delaware, Ohio. He was ordained by the Christian Church (Disciples of Christ), and obtained his clinical pastoral education from Bethesda Hospital in Ohio, which prepared him to work in acute care, outpatient care and long-term care, as well as elder services, home health and hospice care. Brian’s clinical pastoral work led him to Harrisburg and, ultimately, to Homeland Hospice. Homeland Hospice is a nonprofit hospice program that serves communities throughout Central Pennsylvania.

“I kBrian Medkeff-Rose at the Homeland Hospice 5knew immediately Homeland was where I belonged,” Brian says. “I’ve been proud to be part of a team approach to care. Social workers, physicians, nurses’ aides, volunteers – we have all worked together to help those in need.”

As a bereavement and spiritual counselor, Brian has used an out-of-the-box approach to create a path forward for individuals experiencing loss. Several years ago Brian launched the Men’s Breakfast and Women’s Luncheon Series, which provides a monthly platform for individuals to connect with others on a similar path. Through these events, strangers become friends by sharing a safe space to speak about their journey of grief.

In 2019, Brian helped organize “A Journey from Hops to Beer: The Grief Path” for individuals in Homeland’s bereavement program. At the event, Brian discussed the similarities in the journey of grief to the process of making beer. Both take time and patience. At the event, individuals at different points in the grieving process talked about their experiences and offered each other support.

Brian Medkeff-Rose decorating for Christmas“We never stop grieving,” Brian says. “The amount of time since the death of your loved one does not matter. It’s always okay to cry.”

In addition, Brian has helped incorporate messages about the grief process into Homeland Hospice’s Annual Memorial Walk and 10th Anniversary Event, “Guitars, Gifts & Gratitude,” held last November.

“I am so fortunate to have worked alongside of Brian,” says Noelle Valentine, MSW, LSW, Bereavement Counselor for Homeland Hospice. “He has given me the foundation to serve our patients and their families with a servant’s heart.”

At the core of Brian’s outreach exist a simple message of love, self-care and the acceptance of transformation as part of the grieving process.

“Brian’s love and passion for his work is contagious,” says Mary Peters, MSW, Assistant Director of Social Services for Homeland Hospice. “He will be greatly missed by our staff and hospice families.”

“It’s been a privilege to know our patients and families and support them through their life-changing journeys,” Brian adds. “They will always have a special place in my heart.”

Homeland Hospice’s bereavement support program is available to the bereaved of Homeland’s patients as well as anyone in the community who is experiencing grief. Bereavement support group meetings also are held on a rotating schedule throughout the year.

To learn more, please contact Homeland Hospice at (717) 221-7890.

Homeland Hospice Selected for National Project to Improve Care

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Homeland Hospice, a nonprofit hospice program that serves communities throughout Central Pennsylvania, has been selected to participate in the alpha testing phase of a new tool to standardize the collection of data for hospice patients. Homeland is one of 20 hospice programs chosen nationally, and the only hospice in the state participating in the project.

The Hospice Outcomes Patient Evaluation (HOPE) tool is a project led by the Centers for Medicare and Medicaid Services (CMS) designed to better understand care needs throughout a patient’s dying process and contribute to the patient’s plan of care. The HOPE tool will also allow CMS to analyze data between patients and hospice programs across the country.

“A core goal of the HOPE tool is to understand how a hospice team works together to put the patient’s needs first,” says Mary Peters, MSW, Assistant Director of Social Services for Homeland Hospice. “A patient-centered approach to care has always been our philosophy.”

Homeland team members include a registered nurse case manager, hospice medical director, attending physician, volunteer coordinator, social workers, spiritual counselors, home care aides and others.

The HOPE tool alpha testing involves three phases, which includes training, data collection, and a forum scheduled in June 2021 to review the data and offer feedback about the tool.

Homeland has completed training and is in the data collection phase. During this phase, a patient’s primary hospice team – including a registered nurse, social worker and spiritual counselor – is present for each assessment.

With Homeland’s expansive service territory, data collection has required additional time and travel and Homeland’s dedicated staff has risen to the occasion.

“I’m proud of our staff for taking on this additional project,” Mary adds. “We are committed to providing excellent data to support the HOPE tool.”

Homeland Hospice is a hospice program that serves 14 communities throughout Central Pennsylvania by providing end-of-life care either in a person’s home or wherever they reside, including nursing facilities. Homeland also provides bereavement support to families for a full 13 months following the death of their loved one. This service is available to anyone in the community who is experiencing grief.

To learn more, please contact Homeland Hospice at (717) 221-7890.

Not 9, But 99

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Helen Haddick, Homeland Hospice Nurse, has a gift of expression. We are grateful to her for allowing us to share the following article from her blog “From Saving to Sending, Hospice Isn’t Just About Dying.” Prior to becoming a Hospice Nurse, Helen’s journey included ten years of being a Med Surg, ICU, and Perianesthesia Nurse.

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She was the type of old lady I want to be. She was sassy and opinionated. Mostly confused but, had moments of crystal lucidity. Her eyes were set on a fellow resident and no amount of reasoning could dissuade her that this was going to be her boyfriend. She loved Diet Coke, but, fountain only please… Her accomplishments were many in life during a time when such feats were limited to those with an Adam’s apple.

Gold hoops were always glimmering from her ears. A former hairdresser, the hairdo was never in question. Sometimes she loved me and other days she would look at me, questioning loudly “What in the hell are you doing here?”

We shared chocolate bars and man stories. She always told me that while other parts might not work, her eyes never stopped. As her mind allowed, we talked about trash reality tv. She was my patient for a long time. Far longer than is usual for hospice. I had a nickname for her, only known to me, Kitty.

Just as Medicare requirements dictate, we had several team meetings and the talks of discharge would go round and round. But, just as the time would grow closer, something wildly unexpected would occur and discharge became a non possibility.

As rapidly as her descent was, her resurrection was equally as fast. Non responsive for days, she would just open her eyes as if she never skipped a beat. To say that this made me feel clueless would be an understatement. Just as I prepared family, boom, she was roaring right back.

I had begun to accept my lack of knowledge and power. Just as discharge talk began, the crisis began. Making sure to prepare family just in case, I found myself disbelieving they words I was uttering to them. Guiding them through the journey of end of life, I was expecting to receive calls daily that she had sat up and was demanding food.

This time was different. There was a little nagging voice urging me to keep my eyes open. There was gurgling. There was lack of waking up. My comforting and preparation of her daughter continued, even though I still felt beyond skeptical. The mottling. The fever. And yet, she had bounced back before.

Her preacher came and along with the daughter said some prayers. I had asked him to go today… nagging feeling. My phone rang as I was with another patient and noting the number, my thought was that I probably had forgotten my stethoscope there – pretty typical.

“Helen… it happened.”

“What happened?”

She

Was

Gone

With my best attempts as hiding my shock failing, I wrapped up my visit and headed over to pronounce. Even still, I half expected to walk in and a deep sleep to have been misread as an eternal sleep.

But, she was no longer.

Her face peaceful. Her life lived her way. Her journey traveled her way. Her death beyond question on her terms.

There were moments it felt she had 99 lives. That ended today.

As my heart continues to swell with gratitude which express as tears from my eyes, I cannot believe my good luck.

Her 99 lives have given such profound meaning to my one.

 

Homeland Hospice is a hospice program that serves 14 communities throughout Central Pennsylvania by providing end-of-life care either in a person’s home or wherever they reside, including nursing facilities.  Homeland Hospice also provides bereavement support to families for a full 13 months following the death of their loved one. This service is available to anyone in the community who is experiencing grief.

To learn more, please contact Homeland Hospice at (717) 221-7890.

My Volunteer Journey

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By Lisa Wolff, Homeland Hospice Volunteer

About 6 years ago, I was fortunate to be able to retire from a long career as a health care lawyer. After I retired I had to figure out what I wanted to do when I “grew up.” I decided I wanted to work directly with patients instead of working at a desk. While it was definitely not easy to find such a job without any experience and with my “maturity” eventually I was hired as a nurse’s aide in the Neurology Unit at Harrisburg Hospital. This was great because they provided the training I needed for the job. Being a nurse’s aide was about as different from a legal desk job as any job could be! It was fast paced, hands on, and never a dull moment! It provided me the opportunity to meet all types of people, from all walks of life and many cultures, to provide hands-on care and comfort, and to be a part of the patients’ and their families’ lives for a short period of time. Often, patients were so grateful for my small service that it was overwhelming to me. I learned so much about people and the world in general. It was one of the most meaningful experiences of my life.

After several years as a nurse’s aide, I decided it was time to retire more permanently so that I could spend more time with my family. I knew I still wanted to work with patients and I thought volunteering for a hospice organization might fit the bill. After doing some research about the Homeland organization, I met with Laurie and was very impressed by her leadership skills and her vision for the volunteer team. I became a volunteer patient companion.

In a little over a year of volunteering with Homeland Hospice I have had many different kinds of experiences. Some patients are just as sweet and pleasant as can be and have no difficulty talking with me about a variety of subjects. Others are not able to communicate verbally or have significant hearing loss. Sometimes, I feel uncomfortable because a patient is not able to communicate and I don’t have a lot to say (I don’t really feel it is appropriate to talk about myself and my life too much). Other times, I feel concerned because, based on my nurse’s aide experience, I have identified a possible care giving need. In these instances, I either figure it out myself, such as reading to a patient who is nonverbal (if they seem to like that) or I call on Laurie. Laurie is a great resource! She always has good ideas when I am seemingly stuck! Also, if I have a care giving issue she will very quickly get a response from the patient care team.

One time I had a patient who was known in her facility as a very grouchy lady. Every time I visited, she was in a bad mood and had a list of complaints about her condition or her environment that she wanted me to address. (I realized that if I were in her place, I would probably have similar complaints, but I know that voicing such complaints is not always the best way to win friends). I would chat with her and play gin rummy (using her rules) and after a while she would become pleasant and I would be able to coax her to take a walk down the hall. Invariably, when I left she would ask for a hug, which I gladly gave. Just helping to make a patient a little happier for a short while is my goal.

Volunteering for Homeland Hospice is so rewarding. I must say, however, that sometimes I really don’t want to make a visit. It can seem too challenging to think of things to say, or deal with someone who is nasty, non-verbal or hearing impaired. However, I have to laugh at myself once again because every time I leave a patient and get into my car to go back to my nice life, I am filled with gratitude about the visit I just had. I hope I make some small difference in the patients’ day. I know they have made a difference in mine.

I am bummed about the pandemic. I really miss interacting with the patients. I learn so much from them and I cannot imagine how difficult it is for them and their caregivers to be so isolated from social interaction. I do write cards, I can only hope they help a little.

Homeland Hospice is a hospice program that serves 14 communities throughout Central Pennsylvania by providing end-of-life care either in a person’s home or wherever they reside, including nursing facilities. Volunteering is a component of Homeland’s holistic approach to health care. Homeland Hospice also provides bereavement support to families for a full 13 months following the death of their loved one. This service is available to anyone in the community who is experiencing grief.

To learn more, please contact Homeland Hospice at (717) 221-7890.

A Life of Serving Others Employee Spotlight: Reynaldo Villarreal

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Having grown up in the dry climate of Mexico, Reynaldo (Rey) Villarreal, chaplain for Homeland Hospice, reveres the rolling hills and green trees of Central Pennsylvania. For Rey, life with Homeland Hospice is another chapter in his story of serving others in their time of need. Homeland Hospice is a hospice program that serves communities throughout Central Pennsylvania.

Rey joined Homeland Hospice in January after working as a pastor for churches in El Salvador, California and Las Vegas. Rey’s wife, who is also a pastor, was raised in Pennsylvania. The couple relocated to the area to be closer to their family as they raise their children.

Rey was raised in Mexico where is father is a pastor and his mother leads programs for women and children run by the church. As one of five children, Rey worked beside his parents and siblings to help individuals and families in need of spiritual guidance and basic needs support, like food and shelter. Through their work, Rey and his family often encountered people associated with local drug cartels who stood in opposition of the church’s mission.

“We grew up learning how to stay safe from the cartels,” Rey says. “Receiving threats on our lives, having our cars stolen and being accosted in the streets was a way of life.”

Despite these challenging circumstances, Rey’s family remained in Mexico because of the significant need for their help and the small miracles they witnessed daily.

“It was an incredible experience to see someone leave the cartels for a life with purpose,” Rey adds. “It was affirmation of the power of faith.”

While working as a pastor, Rey loved his time with the elderly members of his congregation. He looked forward to learning about their families and life story. Rey often shared his love of music during his visits. He is an avid guitar player and singer. He knew if he ever had the chance to work with patients in hospice care, he would jump at the opportunity. For Homeland Hospice and Rey, the match of mission to talent and passion has been ideal.

A few months after Rey joined Homeland, the COVID-19 pandemic hit our region, limiting access to hospice patients in many nursing homes. Rey sees the grief and loss of families as they mourn the death of their loved ones during a time of social distancing.

As some restrictions have lifted this summer, Rey has returned to several nursing homes to spend time with patients during their end-of-life journey. He strives to go the extra mile in supporting staff and caregivers during this challenging time.

“I try to let everyone see the smile in my eyes since they can’t see it through my mask,” Rey says. “Now, more than ever, we need to connect with one another any way we can.”

Rey looks forward to the days when he can bring his guitar and sing to patients once again.

“Music has the power to brighten everyone’s soul,” Rey adds. “I can’t wait to give that gift to patients.”

Spiritual counseling is a component of Homeland’s holistic approach to health care. Counselors and chaplains respect each individual’s beliefs and offer support and encouragement. In addition, Homeland offers bereavement support to families for a full 13 months following the death of a loved one.

To learn more, please contact Homeland Hospice at (717) 221-7890.

Compassionate Bereavement Support During COVID-19

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We all need human connections, especially during the journey of grief. A smile or caring embrace from individuals in our support network can provide us courage to share our most intimate feelings of loss, and give us the strength to believe in a better tomorrow. The impact of social distancing because of COVID-19 has compounded the grieving process for individuals and families.

Immediately following the announcement of stay-at-home orders, Homeland Hospice’s bereavement support program shifted from in-person meetings to phone sessions. Homeland chose to connect to members via phone calls instead of virtual visits because of gaps in comfort levels in using technology, as well as access to specific online products and privacy concerns.

Homeland’s bereavement programs are available to the bereaved of Homeland’s patients as well as anyone in the community who is experiencing grief. Bereavement support group meetings also are held on a rotating schedule throughout the year. Homeland Hospice is a nonprofit hospice program that serves communities throughout Central Pennsylvania.

“I’m grateful to Brian Medkeff-Rose and Noelle Valentine, Homeland Hospice’s bereavement counselors,” says Mary Peters, MSW, LSW, Assistant Director of Social Services at Homeland Hospice. “They immediately adapted to phone sessions to offer support and guidance to all of our clients.”

At the beginning of the COVID-19 crisis, anxiety levels were very high for individuals and families as there were so many unknown factors about the impact and spread of the virus. Social-distancing further increased levels of worry as people were unable to personally connect with friends, loved ones and their hospice support team.

“In the beginning, our calls with individuals were longer and more frequent as stress levels were very high,” Noelle says. “It was important for clients to be heard and validated for their emotions.”

In many cases, Noelle and Brian helped members develop new coping mechanisms that align with social distancing restrictions. For one of her clients who enjoys attending painting events with friends, Noelle encouraged her to find time for art and creativity at home. This activity provides a sense of normalcy and peace during this uncertain time.

With each client, comes a personal journey of grief. Not everyone is on the same path based on when a loved one died and individual adjustments to loss. For some people, the grief is very new and raw. Other individuals may be facing the first anniversary of the death of a loved one or experiencing mourning based on loneliness.

“For members of our bereavement groups, I’ve encouraged them to call each other,” Noelle adds. “Through these connections, our clients are forming a unique community of support.”

More recently, Noelle and Brian have been working with individuals who lost loved ones during COVID-19 and we’re unable to be present at the end. This important time called “bedside holiness” includes heart-filled conversations about love, forgiveness, gratitude and saying goodbye. We hold on to these memories as we grieve and remember our loved one. Often, it’s these moments that bring us the greatest comfort.

“It’s extremely difficult for families losing loved ones at this time,” Brian says. “It will complicate the grieving process in ways we’ve never experienced before.”

Through this experience, Noelle and Brian are overwhelmed by the resilience of the human spirit and the compassion clients have for each other.

“We can’t take away grief, but we can be there during the journey,” Noelle says. “Amidst the darkness there is light for all of us.”

To learn more, please contact Brian Medkeff-Rose, M.Div., M.A., or Noelle Valentine, MSW, LSW, at (717) 221-7890.