I am writing now, now that four months have passed since we began working together to bring Mrs. Arthur home to Ipswich, from Ledgewood Nursing Home after a debilitating stroke. This was a long term goal that I was not sure was possible, or advisable. Yet to honor her wishes, as her Health Care Proxy, and long time friend and neighbor, I worked toward that end.
Her discharge from the nursing home was more complicated than I had anticipated. I appreciated your involvement, in coming to the facility to meet her, and then to participate in complex meetings, where her care needs were identified, as was the plan for her home care post-discharge.
What actually took place was chaos, and you were involved from the start, to help me sort out a complex mess. Having you participate in, and in many cases run, meetings at her home to evaluate her future safety, logistical set up of furniture, careful assessment of what would be needed to accommodate all the new equipment, was incredibly helpful.
What a happy day is was on September 1, 2011, when she arrived back at her beloved home after such a long period away.
I could never have anticipated the complexity of a home care patient in her condition, and all that she would need. Your skill in the selection and development of a team of caregivers who not only had the skills to care for her physical needs, but also to see her as a whole person whose “mind, body and spirit” need to be cared for, has made this a wonderful experience. Your caregivers not only have superior skills for meeting her every need, but also for creating an atmosphere of well being, which has been as therapeutic as any medication or treatment.
The bond that she has made with the team, in addition to having provided outstanding caregivers to her case, you have personally been involved in some very sensitive family dynamics and have been a helpful problem solver in numerous situations. As we are dealing with a network of people involved in her care that are not only outside the home, but out of town, you have been able to effectively communicate with even the most challenging member of this team, toward the most desired outcome… your patients maximal wellbeing.
There have been numerous issues that have arisen, all of which you have willingly taken on, to a very successful resolution. No matter what the issue, the wellbeing and quality of life for your patient was foremost in your mind, an.d at the center of your action.
I have been impressed and appreciative of how well you and your agency have worked with the various community health providers, both VNA and Hospice, and how your services have so well complemented each other. Your efforts to coordinate care and always have everyone “on the same page” were both: evident to, and appreciated by me.
I would never have thought, that a home care plan could be so complicated with all the details that it takes to make it work to its fullest potential. After having watched you for the past 4 months, and having closely worked with you sometimes on a daily basis during that time frame, I am confident in saying that you run the highest quality operation possible.
From your staff, to your on site supervisors, to your own skill, passion and knowledge, you truly put your patients welfare, first and foremost. Your workers approach their patient with a “family like” devotion, yet always maintaining that professional boundary. Your staff are trained to the specifics of their patient’ s care, are continually educated and supported in their assignment, and are clearly happy in their work.
On behalf of Mrs. Arthur, and on my own accord, I thank you for having done and continuing to do an outstanding job in providing 24-hour home care to this dear friend and neighbor. This letter is intended to convey my highest confidence in your company, in your skills, and in your ability to manage very complicated multifaceted scenarios that probably accompany most cases such as this one.
Catherine TJ Howe Psy.D. | Ipswich, MA | January 2012