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           How to Live

           at the End

           It’s About

           Choices







           Palliative Care


           Palliative care is focused on
           providing relief from symptoms
           and the stress of a serious illness.
           It can be provided at any age and
           at any stage of a serious illness.
           Serious illnesses may include
           cancer, heart disease, kidney
           disease, Alzheimer’s, multiple
           sclerosis, Parkinson’s and many   The WhidbeyHealth Palliative, Hospice and Bereavement Care team includes, from left,
           more. The goal of the palliative   Jerald Sanders MD, Jane Hemmen ARNP, Allison Krizner MA and Carla Jolley MN, ARNP,
           care team is to improve quality of   AOCN, CHPN.
           life for both the patient and the
           family. And that means patients and their loved ones have choices.
           WhidbeyHealth Palliative Care specialist Carla Jolley MN, ARNP, AOCN, CHPN, has been working with patients in palliative
           care for more than 12 years. She says she feels honored that her training and her 25 years of experience as an oncology
           specialist has provided her the skills to be supportive, informative and helpful to patients and families, who may feel
           vulnerable during this time when there is much uncertainty and concern.
           “I tell my patients who have a serious illness:  ‘I’m here to focus on the whole you, the things that matter to you most, and
           provide support for your struggles,’” says Jolley. “My expertise is in pain and symptom management, addressing depression
                                                           and anxiety, and helping with medications and other ways to
                                                           support quality of life issues,” she adds.
          WhidbeyHealth Team                               If it is a caregiver that needs support, Jolley can also offer


            The WhidbeyHealth team consists of two nurse   help. She can provide anticipatory guidance or the “as best we know”
           practitioners who can provide a consultation in the   information to help prepare the caregiver for decisions to be made as
           hospital, the Medical Ambulatory Care (MAC) Unit, or in   their loved one starts to decline.
           their home, assisted-living facilities, or a nursing home   What does this look like?
           if necessary. Medicare, Medicaid and private insurers
           typically cover palliative care service, which is similar   The team members focus   “Living with serious
           to seeing other specialists, such as a cardiologist or an   their expert assessment   illness and navigating the
           oncologist. Other team members include:         and symptom-          healthcare system is very complicated.
                                                           management skills on
          n  A nurse who helps coordinate care for patients and   finding out what is most   Palliative care helps the patient
             families and helps triage by phone.           important to the patient,   and family figure this out.”
                                                           family and caregivers by
          n  The medical palliative care social worker, who can                          ~ Carla Jolley, ARNP
             help with emotional distress, while recommending   assessing their goals and how
                                                           best to achieve them. Palliative care
             resources in our community.
                                                           is often described as an extra layer of support and works
          n  A palliative care chaplain, who will make visits to   closely with your primary care provider, hospitalist and any
             address spiritual needs and concerns.         other specialist.
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