Hospice Awareness by Hospice of San Joaquin

Para asistencia en español, vea anuncio en la contraportada 3888 Pacific Avenue • Stockton, California 95204-1953 • 24 hr. main-line: (209) 957-3888 • fax: (209) 957-3986 http://www.hospicesj.org

Caregiving starts in the family

Our Mission The mission of Hospice of San Joaquin, a not-for-profit organization, is to provide comprehensive medical and compassionate care, counseling and support to terminally ill patients and their families, regardless of ability to pay, and to educate and collaborate with health care providers and the public in promoting quality end-of-life care. A nonprofit agency serving the community since 1982 Hospice is governed by a community Board of Directors and is recognized as a 501 (c) (3) organization. Hospice of San Joaquin is licensed by the State of California as a Hospice Agency and is certified by the Centers for Medi-Cal and Medicaid Services to provide the Hospice Medicare/ Medi-Cal Benefit. The Joint Commission of Accreditation of Health care Agencies (JCAHO) has accredited Hospice of San Joaquin, most recently in August 2005. For more information or referral, call (209) 957-3888.

Family members can become caregivers unexpectedly. As primary caregivers are defined as an individual who assists or performs the principal amount of activities for a family member or friend. Informal caregivers are not paid for the care they provide. Research has shown that over 4 million caregivers provide one or more tasks. These tasks can include activities of daily living (ADLs); assisting with bathing, feeding, and dressing, getting in and out of bed, toileting and personal hygiene and mobility to reduce falling; or tasks can include assistance with instrumental activities of daily living (IADLs) such as assisting with paying bills, transportation, housekeeping, preparing meals, shopping, mediation distribution, or physical support. Caregivers take on tremendous responsibility when assisting in the care of a loved one. Each caregiver’s tasks differ based on need and experiences. Individuals can express various challenges that are defined as emotional or physical difficulty in assisting or performing a task. Challenges may focus on distribution of medication, living ar-

r a n g e ments, financial obligations and one’s ability to provide emotional support. Hospice of San Joaquin ’s professional interdisciplinary team enhances the caregiver and patient relations when treatment is no longer an option for terminally ill patients. Care giving responsibilities can be overwhelming for an individual attempting to maintain their daily activities while caring for a love one. For example,

an employed caregiver may experience difficulty with getting time off from work; while others may develop mental stress due to being away from the pt. In any case, there can be a sense of urgency toward properly assisting in the care of a loved one. For some families, various dynamics could produce a great deal stress. For example, for caregivers with children at home, caring for a terminally ill loved one may cause unbalances

between responsibilities which may have a heavy impact in the family, personal, and/or on the patient. Emotional challenges are often invisible. The emotional stress of providing care can go unrecognized as caregivers may define their role as a normal practice when caring for a spouse or parent. For many caregivers, caring for a parent requires a role reversal. This relationship can introduce challenges when the caregiver is required to make personal and financial decisions for their parent. For spouses, caring the role reversal can be extremely difficult as individuals often single handedly take care of the household and financial tasks. In addressing the challenges of care giving Hospice of San Joaquin social workers work with the family. They provide emotional support to family. In addition, family members and social workers design a care plan to reduce care giving stress and address the challenges that can impede on the type of assistance provided. As a team, family members are included in directing the best care possible for their loved ones.

Hospice of San Joaquin 3888 Pacific Avenue Stockton, California 95204-1953

Building on Strengths: our Social Workers reflect the vision At Hospice of San Joaquin building on strengths is the most important tenet for the Social Workers. When patients and their families are first visited, the Social Worker will often find a fragile and emotionally charged situation. Our team immediately assesses the strengths of the family and building upon them. Everyone has strengths, assets and gifts to share but in times of turmoil and pain often fail to see those characteristics. The Social Worker has the ability to identify those family strengths and incorporate them into the plan of care becoming a key participant of the Hospice of San Joaquin’s interdisciplinary team. On behalf of Hospice of San Joaquin’s team, patients, and families, we encourage the community to salute our team of Social Workers during their month and throughout the year for building on our strengths. Standing: Terasa Dannecker, Jo Paganini, Josie Minor, Barbara Wanzer, Seating: Terri Redwood, Nellie Zavala, Diane Medina. PHOTO BY JULIE A. LOFY /HSJ

Board of Directors Officers: Nicholas Aninag, President Vice President – Bank of Stockton Gayle Riley, R.N., Secretary Healthcare Administrator, Retired Edward Schroeder, Treasurer Healthcare Administrator, Retired Mark Wallace, Vice President Director of Human Resources, Lodi Memorial Hospital Stephen Guasco, Immediate Past President Catholic Healthcare West Members: Phyllis Berger, Esq. Law Offices of MacMorris & Carbone Joseph Curtis Curtis Insurance Agency & Financial Services Daniel Dixon CFO, Mariani's Men's & Boy's Karen Knight Frank, R.N. Nurse Administrator, San Joaquin General Hospital Richard Ghio, CPA Instructor, San Joaquin Delta College Pete Gormsen, CPA DeGreogori, Gormsen, Ringer Inc. Deitra Kenoly Stockton Record Jim Linderman St. Joseph’s Medical Center Sandra Mayer, R.N. Nurse Administrator, Dameron Hospital Chris Olin Community Volunteer Harry Olson Community Volunteer Diane Park Fund Development Consultant Danae Sharp, R.N. Dameron Hospital William Trezza Chief Executive Officer, Bank of Agriculture & Commerce Diane Vigil Director, Dameron Hospital Foundation

Barbara A. Tognoli Executive Director and Member of the Board

Thank you, volunteers, for your hard work Seated: Bessie Washington, Faye Farris, "Echo", Terry Parker, Fay Hanson, Vickie Cordel, Connie Giannini-Turner Standing: Dale YeomansCasale, Jan Thanas, Gerry Foccaci, Joyce Wong, Kathy Harden, Miggie Wheat, Lockey Kjelson. PHOTO BY JULIE A. LOFY /HSJ

NON-PROFIT ORG. U.S.POSTAGE

PAID

Permit Nº557 Stockton, CA

his year National Volunteer Week is the week of April 27th – May 3rd and organizations across the country are celebrating the contributions of dedicated volunteers who embody caring and help make life better for others. Hospice of San

Joaquin is honoring hospice volunteers who are helping patients and their families live every day to the fullest. These dedicated individuals provide support, compassion and love when patients and their families are going through one of life’s most difficult times. Hospice and pal-

liative care volunteers bring companionship to people in the final months and weeks of life, respite to families and caregivers, and support in fundraising and administrative efforts. Longtime volunteer, Lockey Kjelson, feels “it is a privilege to

be part of their life at such an intimate time for the patient and families. I receive more from them than what I feel I am able to give.” We are inspired by their acts of service to others, not only with our agency but through their other volunteer commitments within the community. We are grateful to our volunteers during National Volunteer Week and every week and pleased that this celebration of volunteering allows us to remind everyone that hospice and palliative care is about how you live.

Robert T. Browne, M.D. Medical Director Gail E. Wigley, RN Director, Clinical Services Jo E. Paganini, MSW Director, Social Services Steve Parsons Director, Operations / Finance Barbara A. Pombo Director, Development Gene Acevedo Director, Community Outreach and Public Relations Audrey Wuerl, RN, BSN Education Coordinator Julie A. Lofy Volunteer Coordinator Lee R. Johnson Bereavement Coordinator Jim R. Russow Chaplain Carey M. Vanderkar Events Planner Patty A. Rieber Human Resource Manager Leo Ronquillo Information Systems Manager

From the Director Caregiving This is an easy word to say, but a difficult role to confidently fill. Most of us have not been prepared to care for a seriously ill loved one, but even so, most of us will have to fill this role sometime in our lives. Healthcare coverage no longer affords people the opportunity “to stay in the hospital” until full recovery or until death. Surveys for the past ten years have shown that patients returning home from the hospital need additional care from a family member or friend for days, weeks and even months. Rather than tell you all that Hospice of San Joaquin does to support caregivers in their greatest time of need, I want to quote a simple “thank you” note from a son who was the caregiver. Dear Hospice Staff, I want to belatedly thank all of your for the kindness that you showed my mother and me during the last days of her life’s journey. The nurses were so considerate and understanding, as was the hospice chaplain. It is only now that I can truly appreciate everything that Hospice did for my family. At a time when I did not know where to turn, you were there taking the lead and the responsibility so that I could spend the time with my mother. I thank you so very, very much. Sincerely, David If you know of anyone who is caring for a loved one with a serious illness you owe it to that person to speak about hospice care. This caregiver needs support. This caregiver needs to take a break. This caregiver needs to know there is someone who will respond when it seems impossible to continue for another day. Perhaps this caregiver is you. Please call us so we can “take the lead” and allow you or another caregiver to step back and spend quality time with their loved one. Sincerely

HOSPICE OF SAN JOAQUIN

Annual Memorial Service June 2, 2008, 6 P.M. Morris Chapel on the University of the Pacific 3601 Pacific Avenue, Stockton The service is non-denominational and is open to the public. Doors open at 5:30pm. If you would like the name of your loved one read at the service, or for more information, please contact Contact Carey Vanderkar, Events Coordinator

(209) 957-3888 events@hospicesj.org

Caregiver keeps on giving: a volunteer’s story Connie Giannini-Turner never chose to be a caregiver at 18 years of age when her father was dying of heart disease but when her mother could no longer handle the stress she left, leaving Connie with the responsibility. Several years later Connie would find herself caring for her younger brother, her aunt, her mother and most recently her late husband. Connie wasn’t trained for it but says “it was something I felt I had to do and in some cases the only one willing to step in”. Now as a Hospice of San Joaquin volunteer who offers her time and support to our hospice patients and their families, Connie has a deep understanding what the families are going through. “Their story may be different, but the pain is still the same”, shares Connie. She has experienced the same feelings of frustration, sadness, fear, exhaustion and sometimes loneliness on a day-to-day basis. She remembers the anger she felt at times when she did not have the support of her siblings and then the guilt she had to overcome when making the difficult decision of having to place

her brother in a facility when she could no longer provide his physical care. Family caregivers

sometimes feel they are on an emotional rollercoaster. Through her personal expe-

riences and her volunteer work with Hospice of San Joaquin Connie knows that caregivers need to take time out for themselves; otherwise they may be jeopardizing their own health and emotional needs. That is why Connie is committed to keeping her weekly visits to see her Hospice patient, Calvin Luther and his wife Joan. Connie’s visits provide Joan the opportunity to get out of the house and away from her care giving duties for a couple of hours and enjoy some time for herself. Connie’s support whether she is providing respite, a listening ear, validating feelings and providing reassurance can lessen the day to day challenges of a caregiver. “I can’t express how much it means to have Connie’s support and the support of the entire hospice team”, shares Joan, “I don’t know what I would do without them.” Connie Giannini-Turner, Hospice of San Joaquin Volunteer provides respite care following her assistance to Joan Luther, wife and care giver for Calvin Luther. PHOTO BY JULIE A. LOFY /HSJ

Rosa Solis’ passion for Hospice Rosa Solis, in her prime has already accomplished work for a couple of lifetimes. To begin with, she and her husband, John, have three children, ranging in age from 22 to 27. Rosa Jr. and Juan Carlos already graduated from college and Marco, the youngest, attends San Jose State. In February of this year, John and Rosa were recognized for outstanding Community Service by the Council of Governments. Their service, both as individuals and collaboratively, range from organizing the Cinco de Mayo and Chinese New Year parades to assisting young students with educational leadership workshops and Rosa’s volunteer work with Hospice of San Joaquin and Delta College’s Puente Program as a student mentor. In her second year as President of the Stockton Chapter of the Hospice of San Joaquin Butterfly Auxiliary, Rosa is motivated by a high-energy passion for service. Even the casual observer can see this as she carries out her leadership role with the Auxiliary and in the many other roles she fills. Born in Panama to parents of first generation Chinese descent, Rosa is bi-lingual in Spanish. Her many accomplishments reveal the high expectations she

has of herself and a joy in life. “This leadership role with the Butterflies has forced me to learn – and I enjoy the learning process. I am shy yet I have learned to become a public speaker, in order to manage the meetings and most importantly as an advocate for hospice care and the Hospice House. I believe my personal mission for the Butterfly Auxiliary is to raise awareness, educating the public and raising funds– all focused on the Hospice House.”

“Through a wonderful chain of events I was introduced to Julie Lofy, the Volunteer Coordinator. The next thing I knew, I was signed up with Hospice of San Joaquin as a Family Team Member. And then recruited by Sharon Benninger to join the Butterfly Auxiliary and work on their Sip ‘n Stroll. The rest is history.” Rosa reveals her heart: “What I enjoy about being a Family Team Member is seeing the patients….that’s what I love,

The San Joaquin County Council of Governments (SJCOG) recognizes Hospice of San Joaquin's Butterfly Auxiliary’s President, Rosa Solis for her Community Service. PHOTO BY ULMERPHOTO.COM

even when the patient doesn’t remember me. From every patient I learn something about myself – and every patient is so unique. I work with the Auxiliary events because of the patients, because I want the public to support this work of hospice care for the people I meet and others.” “Most of the patients I see live in nursing or assisted living residences; many do not have family near-by. Even though I may only see them once or twice a week, I consider myself as a volunteer caregiver. Even my doggie, Kiki, knows when we are going to visit our patients in Meadowood.” If you attend a Butterfly Auxiliary meeting in Stockton, it is easy to observe the passion that Rosa has for the mission of supporting the patients by raising funds for Hospice House. It is hard to know where this circle of care, this power of focused passion, begins and ends: it is palpable in the room as the 30+ women organize for the next fund raising events. Rosa reflects this dynamic, saying, “I owe very heartfelt sincere THANKS to the rest of the Butterfly Auxiliary Board and Butterflies for their energy, contributions and teamwork in making our mission a total success.”

Hospice of San Joaquin Butterfly Auxiliary

Lodi Chapter Hosts 2nd Annual Spring Bouquet Luncheon

Gene Acevedo, Director of Community Outreach: Editor Barbara Pombo, Director of Development: Co-Editor Hospice Staff: Article Contributions Roberto Radrigán, G. D., GráficaDesign: Design & Layout Comments, questions, sponsorship opportunities or if you wish to be removed from our mailing list, please contact our office at (209) 957-3888

Hospice of San Joaquin Butterfly Auxiliary

Come be a part of it all...

PHOTO BY CAREY M. VANDERKAR / SJH

Hospice Awareness is a quarterly newsletter published by Hospice of San Joaquin Located at 3888 Pacific Avenue, Stockton, CA 95204 * (209) 957-3888.

The Lodi Chapter of the Hospice of San Joaquin Butterfly Auxiliary is making plans for their 2nd Annual Spring Bouquet Luncheon. All are cordially invited to attend this exciting event to be held on Saturday, May 17 at Vinewood Community Church, 1900 W. Vine Street in Lodi. A relaxing Courtyard Reception will begin at noon, followed by a delicious luncheon consisting of Spinach Salad, Chicken and Mushroom Quiche, Grilled Asparagus, fresh baked Croissants and Strawberry Shortcake. Guests will be treated to the sounds of a lovely quartet and will have the opportunity to partake in an exciting raffle of beautiful gift baskets crafted by our members. Proceeds from this event will benefit Hospice of San Joaquin’s Hospice House, a residence

For more information on Butterfly events or membership, visit www.hospicesj.org/ donationsandsupport/butterfly auxiliary Or call

(209) 922-0380

(l to r) Darlene Gribaudo, Colleen Evans (sisters-in-law) volunteer for the 2007, Lodi Butterfly Auxiliary Spring Bouquet Luncheon.

serving terminally ill patients and their families who reside in San Joaquin County and neighboring communities. Tickets are available now for $25.00 each and can be pur-

chased by sending a check payable to Lodi Chapter HBA, 713 Carolina Street, Woodbridge, CA 95258. For more information please contact Sharon Stokes at 369-5439.

Mailing Address: 4719 Quail Lakes Dr, Ste G-168 Stockton, CA 95207 Email: stocktonbutterflies @hospicesj.org or lodibutterflies @hospicesj.org

nursing home settings. They services. Some common obstacles need help with feeding, dressing, toileting and behavior con- that impede or delay hospice entrol. Since the final stage of this rollment include: disease can last from months to • Care facilities (i.e. nursing years, they could need care for and assisted living) may not suga long time. These patients re- gest hospice services when apmain eligible for hospice services propriate. if their decline is mea• Families/health care surable (from month to providers not recognizmonth) and their proging dementia as a ternosis can be recertified minal illness by their primary care • Doctors may be retiphysician. cent to certify that a The National Hospatient has 6 months pice and Palliative Care (or less) to live, beOrganization contrib- Audrey Wuerl cause some patients uted to the foregoing may actually live longer RN, BSN study by sending satis• Lack of health care Education faction questionnaires provider education reCoordinator to surviving family garding disease process. members to help clarify this fig- • Identifying and controlling ure. The results indicated an pain/symptoms in the cognitively overall satisfaction rating of impaired 76.4% for all terminal diagnoses, Most hospices establish conand 73.3% for dementia dece- tacts with their local nursing dents. Families stated their loved homes to facilitate accessibility. ones received: (1) better pain However, if a family wishes to control, (2) fewer invasive treat- place a dementia patient in a ments and (3) fewer terminal nursing home that does not hospitalizations while on hospice have a contract with a particu-

lar hospice, that hospice can initiate one. Further, the nursing home can also contact a hospice on the family’s behalf. When the patient receives hospice services, the facility gains an entire team of professionals who help with the care and management of the unique symptoms of the dementia patient. The hospice nurse recognizes the need for facility staff training, care coordination and open communication to address the needs of the patient. It’s a win-win-win proposition for facility, patient and family. Education is a large part of community outreach for most hospices. Some physicians may understand that dementia can be a terminal illness under Medicare/ Medicaid regulations surrounding hospice care; others, may not have a clear understanding of the regulations. It is the responsibility of each hospice to educate their community physicians regarding the six-month prognostication and recertification process. Families may opt to have the physician initiate the conversation about changing needs of care and how hospice can benefit the dementia patient. Because the hospice philosophy states all terminally ill patients deserve the best possible palliative care to address the physical, social, psychological and spiritual self, it is the natural progression for a life closure with dignity and respect in the final stages. For families dealing with dementia—regardless of specific diagnosis—hospice care can help with the day-to-day challenges. Whether the care is provided in the home or in a facility, there is never a charge for services provided by a nonprofit hospice. For-profit hospices may charge a nominal co-pay for certain items such as medications. Hospice specialists can manage the specific problems of end-stage dementia and help ensure that these patients receive the quality care they deserve while being treated with dignity and respect. Celebrating Life! 1 Alzheimer’s Association. (2007.) Alzheimer’s Disease Facts and Figures: 2007. Accessed November 21, 2007. http:// www.alz.org/national/documents/ report_alzfactsfigures2007.pdf 2 Connor, S.R., Kiely, D.K., Miller, S.C., Mitchell, S.L., Spence, C. and Teno J.M. (2007, July 1.) Hospice Care for Patients with Dementia. Journal of Pain and Symptom Management, 34:7–16.

...and then Hospice of SJ Butterflies came to Lodi

da Mae Lobb and Sharon Stokes recently gathered newly recruited members of the Lodi Chapter of Hospice of San Joaquin’s Butterfly Auxiliary for orientation to Hospice of San Joaquin, the work of the Auxiliary. The afternoon was highlighted with a tour of the Hospice House and refreshments around the dining room table. When asked about her work with the Auxiliary, Ida shared “My daughter Kristy became a case manager with Hospice of San Joaquin because we had cared for her paternal grandmother, Frances Stull. I was also aware of Hospice of San Joaquin through

Father Ray Knapp, one of the founding members and early supporters; and Yvonne Schildt. I worked in real estate and my late husband Joe worked for the school district, so we met many, many people who have had the services of Hospice of San Joaquin – co-workers, friends and family, including my sister and sister-in-law. I love doing volunteer work. My first exposure to the Butterflies was the Tea. I was interested in joining then, but I worked in Lodi. When the Lodi Chapter opened, this was exciting. What I love about it: in the first year we worked so hard on our first (Spring Bouquet) luncheon in May and we made money – and we had so much fun!

“I’m not in it for the social activity, I’m in it for the charity. And we have had a great reception in Lodi: Vinewood Church has ‘adopted’ the Butterfly Auxiliary, loaning the use of its facilities for our meetings and for the Luncheon; Weigam’s Nursery loans the shrubs and trees which contributes so much to the atmosphere. The flowers for the table... the raffle – what great prizes – all donated by local merchants and individuals. I credit Sharon Stokes for getting us off to a solid start.” The Butterfly Auxiliary Spring Luncheon will be held on Saturday, May 17th. Tickets are available ($25 each), as are tables for eight (8) – just call me (209) 369-5439, seating is limited. We

are also seeking sponsorships. All the proceeds benefit the Hospice House. In 2007, onehundred and twenty-four (124) terminally ill patients from the Lodi, Woodbridge, Acampo, Lockeford and Clements were served by Hospice of San Joaquin; twenty-seven (27) received all or part of their care at the Hospice House.” There is a big job ahead of us – supporting the Hospice House. Membership is a top priority – Mary Ellen Beckman is co-chairing the Hospice of San Joaquin Butterfly Membership Drive with me. Interested parties can call me or go to the web site for more information.” www.hospicesj.org/Donations & Support/Butterfly Auxiliary.

Adding faith to a difficult journey

he tried to lower her self slowly into the chair, but then more or less fell into it. She heaved a sigh of physical, mental and even spiritual exhaustion. “It’s hard, Chaplain, it’s really hard.” Mary had not slept well last night or the night before for that matter. “I don’t regret for a moment my decision to care for Bob at home. He said he didn’t want to go to a nursing home and I won’t put him there either. He wants to die here in the peace and security of our home. I get help from my neighbors. The kids call as often as they can and

our daughter is coming down next week. The Hospice nurses and health aides are wonderful. People from Jim R. Russow our church come and pray Chaplain with Bob. Some of his fishing buddies come over to talk about old times. So he gets lots of support. But still, Chaplain, it’s hard, it’s really hard.” Mary is acknowledging what all caregivers experience. Their

love and devotion to their dying loved one are without question. They are honored to be caregivers. But they need to be cared for as well. They need spiritual support, too. Visits from the Hospice chaplain are not only for the dying loved one, but for the family as well. Those who care for their loved one may also feel spiritual distress and pain, no matter how strong their religious faith. The task of dying is hard and very often demands additional spiritual support. The task of caring for the dying demands the same. There are situations when the

dying patient is spiritually “in a good place” and doesn’t want a chaplain to visit. But the chaplain is available to offer spiritual support to those providing care who are in the unique position of dealing with life that goes on around them…grocery shopping, grandchildren visiting, friends calling and all that life is… and with death that is approaching their loved one in that hospital bed. “It’s hard, it’s really hard”. Spiritual support for the caregiver doesn’t guarantee to make “it” easier, but we can make “it” less hard.

Butterfly Auxiliary meetings are open to anyone interested in membership.

YouAreInvited

What is dementia? And perhaps just as importantly, what isn’t it? In the coming months, I’ll be writing a series of articles on dementia to address the concerns of caregivers and family members who have a loved one living with dementia. Many people think of hospice care as being for the dying, and therefore not appropriate for someone who has “only” been diagnosed with dementia. However, hospice care can help greatly in the day-to-day living of a person with dementia. Dementia refers to a decline in the mental abilities of a person. It is not a diagnosis in itself. And it is not synonymous with mental illness. When we say a person has dementia, we are referring to symptoms that include memory loss, absentmindedness, confusion, the inability to think rationally, a decline in social skills, and inappropriate emotional reactions. There are many types of dementia. Alzheimer’s is the most common form and accounts for approximately 75% of all dementias.1 Alzheimer’s is a degenerative disease that will ultimately become fatal; the mortality rate due to this disease is increasing faster than any other leading fatal condition. In 2004, it was the fifth leading cause of death among Americans older than 65 years of age2. There are hospice eligibility guidelines for people with different types of dementias, but few of these patients ever receive hospice services. New research published in the Journal of Pain and Symptom Management sheds new light on the benefits of hospice care for late-stage Alzheimer’s disease, and addresses the barriers to receiving that care, which I have summarized below. Hospice is palliative care provided at the end of life. Patients with a terminal diagnosis and a prognosis of six months or less are eligible under benefit guidelines. Sometimes, however, patients live longer than this sixmonth period, especially those whose decline is slower. A patient in the final stages of Alzheimer’s is the perfect example. Because pain management and symptom control is difficult with this dementia, many patients are cared for in

Stockton Chapter Meetings are held the first Thursday of every month (February November) at 6:00pm at the Hospice of San Joaquin Office. Lodi Chapter meetings are held the second Thursday of every month (February November) at 6pm at Vinewood Community Church in Lodi. For membership information, visit our website at www.hospicesj.org or call 209-922-0380

7th ANNUAL

Thursday, July 17, 2008 Hundreds of motorcycles and specialty cars will parade through the Sierra foothills on a 100-mile poker run and rally to Hospice of San Joaquin and Modesto based Community Hospice. Organized by the San Joaquin unit of the California Trucking Association with all proceeds supporting terminally ill patients and their families in the Central Valley. For more information visit www.truckinforhospice.com or call event organizer Glenn Richardson, Delta Truck Center

(209) 983-2400

If treatment is not an option... Consider the next level of care, when quality of life matters Experts in pain & symptom management. Comfort care at your home. Emotional and spiritual support for both patients and their families. We provide medications durable medical equipment. An option for patients with life limiting illnesses

Caring Support Guidance Choices (209) 957-3888

A A Quarterly Quarterly Review Review

Hospicio de San Joaquin ofrece sus servicios en español

(209) 957-3888 HOSPICE OF SAN JOAQUIN ANNUAL MEMBERSHIP Thank you for your generosity. Your Annual Membership contribution will assist Hospice of San Joaquin in providing patient care for hundreds of terminally ill patients in greater San Joaquin County. ANNUAL MEMBERSHIP – choices include annual, quarterly or monthly installments* Yes, I am/we are pleased to join Hospice of San Joaquin as an annual member: Friend of Hospice...........$5000+ Benefactor… . .$1,000 - $4,999 Patron………..........$500 - $999 Sponsor………….. $250 - $499 Donor…………..…$100 - $249 Supporter…...........…$50 - $99

PHOTO BY JULIE A. LOFY /HSJ

Gene Acevedo, Director de Relaciones Públicas Nellie Zavala, Maestra en Trabajo Social Josie Minor, Maestra en Trabajo Social

PHOTO BY GENE ACEVEDO / SJH

Si desea que alguien le interprete este boletín en su idioma, por favor comuníquese con

(above) Hospice of San Joaquin promotes staying healthy - Mario Del Toro, a Stockton resident, receives a flu shot by Karen Edmonson, LVN. (above, right) Annunciation school students Zach and Ben Griswold, (green and khaki uniforms), learn about being compassionate and generous as they delivered Easter greetings, an assignment by Teacher Paula Ross. They are accompanied by their older brother. (right) Friday, February 22, 2008 Camp Caterpillar, a Hospice of San Joaquin Children’s Bereavement Program, was recognized with an award from the San Joaquin County Council of Governments (COG) during the 8th Annual Regional Excellence Awards. From left to right Julie Lofy, Volunteer Coordinator, Gene Acevedo, Comm. Outreach Director, Diane Medina, MSW, and Miggie Wheat, Volunteer.

PHOTO BY PAUL RAPP / RTD

‘Spring Into Fashion’ fundraiser models from left to right: Pinky Rose, Lana Trezza, Andrea Trezza, Linda Halligan, Jan Watts, Bill Trezza, Donna Bartels, Susan Leonard, Peggy Schultz, Gene Acevedo, Diane Watson and Gary Jones

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Events Calendar

Signature____________________________________________ Date _________________ For on-line Annual Membership using Credit Card: www.hospicesj.org/Donations & Support/Annual Membership MEMORIAL/TRIBUTE (optional) In Memory of ________________________________ In Honor of ___________________________________ Please send notification of this Memorial/Tribute gift to: Name (Please Print): ___________________________________________________________________ Address: __________________________________________________________________________ City/State/Zip _______________________________________________________________________ Gifts Payable to: Hospice of San Joaquin 3888 Pacific Avenue, Stockton, CA 95204 (209) 957-3888

THANK YOU! MATCHING GIFTS: Please check with your employer. Send the employer’s completed form with your gift and we will do the rest! Some companies also match gifts made by retirees and/or spouses. Please send information on volunteer opportunities. Please send information about making a vehicle donation. Please remove my/our name (include exact mailing information) from the mailing list. Please note my/our change of address.

Saturday, April 12, 2008 Champagne and English Tea A traditional English tea in a beautiful courtyard setting. A fundraiser by the Stockton Butterfly Auxiliary benefiting the Hospice of San Joaquin’s Hospice House Church of the Presentation, Guadalupe Hall 1515 N. Benjamin Holt Dr., Stockton Tickets: Sold Out. Contact for next year: (209) 922-0380 stocktonbutterflies@hospicesj.org Saturday, May 17, 2008 Spring Bouquet Luncheon Join us for hors o’deouvers on the courtyard followed by a gourmet lunch and entertainment. Fundraising event coordinated by the Lodi Butterfly Auxiliary benefiting Hospice of San Joaquin’s Hospice House. Vinewood Community Church 1900 W. Vine St. Lodi Tickets: $25 More information at: (209) 922-0380 or (209) 369-5439 lodibutterflies@hospicesj.org Monday, June 2, 2008 Memorial Service Annual ecumenical service for the community remembering love ones. Morris Chapel at University of the Pacific 3601 Pacific Avenue, Stockton Open to the public Contact Carey Vanderkar, Events Coordinator (209) 957-3888 events@hospicesj.org

Thursday, July 17, 2008 Truckin’ For Hospice Annual motorcycle and auto rally fundraiser benefiting both Hospice of San Joaquin and Community Hospice. The 100 mile ride begins in Stockton, through Sierra Foothills and ends at Community Hospice in Modesto. Open to the public For more information: Glenn Richardson, Delta Truck Center, (209) 983-2400 Saturday September 6, 2008 7:30 am to 3pm Best Practices in Pain Management & End of Life Care A conference for Physicians, Nurses and Social Workers Presented by Lodi Memorial Hospital & Hospice of San Joaquin Continental Breakfast & Buffet Lunch Provided Hutchins Street Square 125 S. Hutchins Street, Lodi For more information contact: Donna Schulz, Director of Nurse Education, Lodi Memorial Hospital (209) 642-4985 Audrey Wuerl, Nurse Educator, Hospice of San Joaquin (209) 957-3888 Thursday, May 29, 2008 8am – 1pm Senior Awareness Day Information Fair for seniors, caregivers and service providers which includes information booths, senior art show, walk-run, senior recognition, and more. Micke Grove Park 11793 N Micke Grove Rd, Lodi Contact: Human Services Agency (209) 468-1104