Tag Archives: end-of-life

Honoring those who served: Wyoming veteran provides comfort for hospice veterans

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Ryan Gadberry (pictured) is no longer on active duty, yet continues to serve (Courtesy, Hospice of Michigan)


By Deborah Reed

WKTV Managing Editor

deborah@wktv.org

Gadberry works to ensure veterans are recognized for their service (Courtesy, Hospice of Michigan)

Wyoming resident Ryan Gadberry served four years (2013-2017) in the U.S. Marines. While no longer on active-duty, the local veteran continues serving by bringing comfort and recognition to hospice veterans during their end-of-life journey.

Already serving as Property Manager for Hospice of Michigan, Gadberry stepped in to help when he heard Hospice of Michigan needed veteran volunteers.

For the past eight months, Gadberry has used his military experiences to make a meaningful impact.

“I am more than happy to give back,” said Gadberry. “It’s very heartwarming; it makes you feel like you’re doing something really important.”

Camaraderie and compassion

Hospice of Michigan strives to deliver the holistic, loving care veterans deserve. Veteran volunteers make a difference in the lives of others by sitting and visiting with fellow veteran patients.

Gadberry said there is a specific connection between veterans due to shared military training and history.

Wyoming veterans gather at an annual local breakfast (Courtesy, City of Wyoming)

“You can meet a total stranger and, once you find out they are a fellow service person, there is an immediate connection,” said Gadberry. “You’re no longer a stranger.”

That connection has been frequently proven, but one instance made a lasting impact on Hospice of Michigan Volunteer Program Manager, Lauren Becker-Barkman.

A lifelong Marine within hours of the end of his life journey was restless, repeatedly reaching and calling out.

“There was no peace in this man’s world at this time,” said Becker-Barkman. “He’s uncomfortable, he’s restless.”

Veterans can make a difference in each other’s lives (Courtesy photo)

The hospice team asked a veteran volunteer to sit with the veteran in hopes of making a difference in his end-of-life journey.

“By the time [the volunteer] left,” said Becker-Barkman, “he was comfortable, he was at peace. He wasn’t calling out, he wasn’t reaching out.”

The veteran passed within a few hours – and what was said during that time together remains unknown.

“We don’t know what was said or what passed between these two veterans, but whatever it was allowed this man to find peace and to be able to go on peacefully,” said Becker-Barkman. “That’s the kind of connection you can’t make up. The impact is immeasurable.”

Gadberry personally cultivates that special connection with hospice veterans through empathy and understanding.

A desire to serve

Gadberry is thankful for his time in the Marines (Courtesy, Hospice of Michigan)

A first-generation serviceman in his family, Gadberry always knew he wanted to be a Marine.

“Even when I was a kid, that was the plan. Finish high school, join the Marines. That’s what I did.”

Gadberry served as an intelligence analyst, working with several overseas ops – and has no regrets.

“I love that I did it; it definitely turned me into the man I am today.”

And that man gets a visible bounce in his step when meeting fellow veterans.

An unexpected impact

“He gets a little pep in his step knowing that he’s going to meet a veteran,” said Becker-Barkman, adding that Gadberry is also asked to read poems or talk about the impact of veteran connections often. “He’s incredibly humble about being a veteran himself…so to know that he’s also getting some recognition and that he’s continuing to make an impact, it’s really cool.”

A local woman raises her voice in song at a vet pinning ceremony (Courtesy, Hospice of Michigan)

Gadberry said that volunteering has impacted him in ways he didn’t expect – especially the pinning ceremonies.

“What surprised me was the impact it has on the families,” said Gadberry. “It’s overwhelming to see. It’s important to make that veteran feel remembered and seen, but they’re on their end-of-life journey, they’re going to be gone soon. But that ceremony, and those memories, are going to be passed on and kept with the family members for many years to come.”

Though many veterans are recognized for their service through their communities, American Legion or VFW, there are just as many who never see recognition of any kind. Gadberry said giving that recognition to veterans during the last steps of their end-of-life journey is memorable for all involved.

“Every ceremony, every event is completely different,” said Gadberry. “Every time I do it, I take away something different and I learn a little bit more.”

Becker-Barkman said her time with Hospice of Michigan has also been life-changing.

“I’ve learned so much about end-of-life care and what that entails for us as human beings,” said Becker-Barkman. “I get to be surrounded by so many brilliant, loving, giving people that it’s changed my entire outlook on everything.

“It’s magical to be surrounded by people who are so willing to show up for people they don’t know at what can be the hardest time in their life; it’s rejuvenating.”

The value of serving in new ways

Hospice of Michigan is continually in need of compassionate veteran volunteers to provide that much needed support and camaraderie to hospice veterans. Regardless of how they served, the bond between veterans opens a door of trust and communication through mutual understanding.

“Veterans share a unique bond,” said Kathy Lietaert, Hospice of Michigan Statewide Volunteer Program Manager, in supplied material. “Through our veterans hospice program, every act of service by volunteer veterans brings comfort, connection and compassion to hospice veterans who need it most at the end of life.”

Volunteers can make a life-changing impact with a minimal time commitment (Courtesy photo)


Becker-Barkman said they are always looking for more volunteer support, in Grand Rapids and throughout the state – and their volunteering schedule is flexible.

“You could [visit] one patient a month, visit once a week, or whatever fits your schedule,” said Becker-Barkman. “We don’t have any rigid guidelines. We want volunteers to be able to fit this into their lives in a way that’s meaningful and not overwhelming for them.”

Volunteer orientations are hosted on an as-needed basis so prospective volunteers can learn in their own time. Training or previous volunteer experience is not needed. All veterans willing to donate their time and companionship to hospice care patients are welcome.

Gadberry believes that veterans will step in to help once they are aware of the need.

“I was more than happy to help out,” said Gadberry. “I think that will be the case for other veterans out there. If they hear that another veteran needs some form of help, they will always step up.”

Learn more!

Prospective volunteers can contact Lauren Becker-Barkman at 616-250-9110 or lbecker-barkman@hom.org.

Learn more about Hospice of Michigan and submit an online volunteer application here.

How to navigate hospice services and access care

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By Emmanuel Hospice

Many of us realize that hospices are there to serve us.

It’s never too early to inquire about hospice care. With just a click or a call, you can learn about services available, eligibility, costs and more to find a good fit. (Adobe Stock)

But sometimes, it’s difficult to break the ice. How do you reach out – with a call or a click? And how do you express the need? With whom do you ask to speak? And what exactly do you say?

In a perfect world, there are protocols in place to accommodate all the above and more. And you should be able to reach out anytime – day or night, weekday or weekends, even on a holiday.

“At Emmanuel Hospice, we understand that life doesn’t stop when you have a need for hospice,” says Elizabeth Mangiapane, a patient access specialist there. “That’s why any time you call our main line, it’s going to be answered on a 24/7 basis. Easter Sunday? Middle of the night? It doesn’t matter. You will connect with someone who can help.”

Mangiapane emphasizes that a referral to Emmanuel can originate in more than one way. Often, a physician will make the connection. But sometimes, family members serving as caregivers become involved at the outset, and naturally they have questions about eligibility, timing and more.

While a physician’s order is required to perform a formal assessment, a representative from Emmanuel will welcome the opportunity to meet with a patient and/or their loved ones if they simply have questions.

In either case, “we do all the legwork,” Mangiapane says. If it’s determined someone qualifies, the hospice care provider will integrate the patient’s physician and medical history into the equation as needed.

“We’ll set up meetings. We’ll work with the doctors. We are glad to serve in any capacity that lessens the burden on that patient, on that family.”

Mangiapane notes that there’s never a “wrong time” to inquire about hospice. Too often, people will act on the misconception that hospice is only “for the last few days a patient has.”

On the contrary, “We’re trying more than ever to educate the community on how it can be for a much longer time period, so that we might focus earlier not on the quantity of life someone has left, but the quality of life that remains.”

For someone who lives in a nursing home or assisted living facility, that institution may have a working relationship with a preferred provider. But Mangiapane explains that a patient and their family have the right to choose any hospice, and shouldn’t feel pressured.

Mangiapane says it’s important you come away with a full understanding of the services a hospice provides. At Emmanuel, for example, a full slate of complementary services is available – pet visitors, massage therapy, music therapy, virtual reality and more.

Location of care is important to ask about, too. A common misconception is that hospice is a place you go to, but for most providers, hospice care can be provided anywhere. With Emmanuel, it can be in the hospital, a care facility or wherever a person calls home.

Cost is another consideration. Medicare and most commercial insurances will cover 100% of virtually everything provided by hospice – medications and visits, personal care, counseling and other services – but there are some limitations. A phone call can help you discover where you stand.

“Make your choices based on the needs of the patient and family,” says Mangiapane. “You want what’s right for you, and that can look different from person to person.”

For more information, visit EmmanuelHospice.org or call 616-719-0919.

Knowing when to call hospice can be a game-changer

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Knowing when to call for hospice care can be a difficult decision, but many families say they wish they would have called sooner. Hospice care is available to anyone who’s received a physician’s diagnosis of six or fewer months to live.

By Emmanuel Hospice

It’s sometimes easier to define what hospice is not rather than trying to absorb all the things it is – especially in assessing when one should reach out.

“A common misconception is that we’re available only at the eleventh hour, or just days or weeks before someone passes,” says Dana Shelton-Clark, an admissions social worker with Emmanuel Hospice. “But hospice care is really holistic support for anyone who’s been given a physician’s prognosis of six or fewer months to live. And that’s only a requirement for admission.

“There’s no ticking clock, no time limit for the amount of time the hospice benefit can be used as long as someone remains eligible.”

What Shelton-Clark and her colleagues too often hear from patients and their caregivers is this: We wish we would have called sooner.

Dealing with an approaching death can be understandably trying, to say the least. At Emmanuel Hospice, says Shelton-Clark, a team approach is instituted to rally around the loved one and care for them in mind, body and spirit. And there’s no one-size-fits-all approach, either. Instead, care and options are customized to consider each individual’s wants and needs.

“We often get comments such as ‘I didn’t know this is what hospice is’ and ‘I didn’t know hospice could provide this,’” she explains. “All it really takes is a phone call to set up a meeting that will provide a clear and accurate window into all the services hospice offers.”

Shelton-Clark notes some people put off calling hospice because they’re being counseled by medical personnel still fighting for a cure.

“We understand that,” she says, “because most doctors are trained in an approach to do all they can to ‘fix’ the problem. But cures are not always possible, and hospice is a treatment option that should be offered and considered.

“Our focus is to instead provide interventions that relieve symptoms and allow patients to focus on how they really want to live, so that they have as many good days and months as possible.”

Shelton-Clark emphasizes hospice will come to wherever it is the loved one calls home – their own house, or a relative’s, or an assisted living facility or memory care unit. During a first discussion, there’s never any obligation to sign on or take next steps. That’s up to the individual and their caregivers. But sometimes, just that initial meeting is enough to help people understand their options going forward.

Some people actually improve during hospice care, in some cases enough to no longer require services. But they’re free to return if they decline to a point where they again meet eligibility standards; there are never any deadlines imposed.

Shelton-Clark acknowledges that the role of Emmanuel Hospice is as much to provide education as it is to provide care – doing all it can to acquaint people with what hospice is and why it’s better to reach out earlier than later.

“There are so many ways for us to assist,” she says, “especially for that person who’s been in and out of the hospital and is ready for that revolving door to finally stop. That’s the time to give us a call and learn more.

“Our compassionate and experienced team is ready to answer any questions you may have.”

For more information, visit EmmanuelHospice.org or call 616-719-0919.