News Archives - Jansen Hospice

From the First Month to the Last Letter: How Structured Bereavement Support Guides You Through Grief

Posted on February 26, 2026 by dcadmin

When a loved one passes, grief does not follow a schedule and neither does our support. At Jansen Hospice, we walk alongside families for 13 months after loss through individual counseling, grief support groups, personal phone calls, condolence cards, monthly mailings, and anniversary remembrances. Whether your family received long term hospice care at home or in an inpatient setting, our structured bereavement program is here for you every step of the way. You are not alone, and you do not have to navigate this journey without support.

Grief Does Not End When Hospice Care Does

One of the most common misconceptions families carry after a loss is that bereavement support ends when hospice care ends. It does not. At Jansen Hospice, our commitment to your family extends well beyond the final days of your loved one’s life. We believe that caring for a family means staying present through the hard months that follow, not just the ones leading up to a death.

What Is Long Term Hospice Care, and What Comes After?

Long term hospice care refers to the comprehensive medical, emotional, and spiritual support provided to patients with a serious illness and their families, with a focus on comfort and quality of life rather than curative treatment. Whether care is delivered at home or in an inpatient setting, the mission is the same: dignity, comfort, and family-centered care.

What many families do not realize is that this support is designed to continue after death. As a private hospice serving Westchester and the surrounding communities, Jansen Hospice has built a bereavement program that honors the full arc of grief, not just its earliest moments. Research published by the U.S. Department of Health and Human Services confirms that hospice programs play a critical role in supporting community bereavement and that structured grief services lead to meaningfully better outcomes for families.

How Jansen’s 13-Month Bereavement Program Works

Grief does not resolve in weeks. It moves in waves, sometimes quieting and then returning with full force around a birthday, a holiday, or an ordinary afternoon. Our bereavement program is built around this reality, offering layered support across a full 13 months after your loved one’s passing.

Here is what that support looks like:

Individual counseling sessions with clinical social workers and specially trained counselors
Grief support groups including spousal and partner loss groups in White Plains and Cortlandt Manor
Personal phone calls to check in and offer a compassionate, listening ear
Condolence cards in the days following your loss
Monthly mailings at the first, third, sixth, ninth, and twelfth month after the death
A closing letter at the end of the twelfth month
Anniversary cards to acknowledge the milestones that matter most

Each of these touchpoints is intentional. Together, they form a structure that holds grieving families steady as the months unfold.

Why Structure Matters in Grief

It might seem surprising that something as personal as grief would benefit from structure. But a systematic review published in PMC-NCBI on the effectiveness of support for people bereaved through advanced illness found that continuity between pre- and post-bereavement support is widely acknowledged as leading to better bereavement care. The trust and rapport built during hospice care, carried forward into bereavement support, makes a meaningful difference in how families heal.

Structure also provides something grief often takes away: a sense of rhythm. Knowing that a call is coming, that a card will arrive, that a counselor is available, gives families a thread to hold onto when everything else feels uncertain.

Inpatient Hospice vs. Home Hospice: Does It Affect Bereavement Support?

Families sometimes wonder whether the setting of hospice care affects what bereavement support is available to them afterward. The short answer is: it does not. Whether your loved one received care at home or in an inpatient facility, Jansen Hospice’s bereavement program is available to your family all the same.

The distinction between inpatient hospice vs. home hospice is an important one when it comes to the level of medical care and around-the-clock support a patient needs. But when it comes to the grief journey your family walks after a loss, our commitment to you remains exactly the same regardless of where that care took place.

Understanding the Difference Between Grief and Complicated Grief

Most people move through grief gradually, finding moments of peace alongside moments of pain. This is what the HHS bereavement services report describes as the typical grieving process. For some, however, grief persists in ways that significantly interfere with daily life. This is known as prolonged grief disorder or complicated grief, and it is distinct from the normal grieving process.

If you find that your grief is not easing over time, that you are struggling to function, or that feelings of hopelessness are intensifying rather than softening, it may be time to speak with a grief counselor. Jansen’s individual counseling services are here for exactly this reason. Reaching out for more support is not a sign of weakness. It is one of the most courageous things a grieving person can do.

Key Takeaways

Bereavement support does not end when hospice care ends. Jansen Hospice walks with families for 13 months after loss.
Structured bereavement care, including counseling, support groups, and regular check-ins, leads to better outcomes for grieving families.
Our bereavement program is available to all families we serve, regardless of whether care was provided at home or in an inpatient setting.
Grief support groups offer community, connection, and a space where you do not have to grieve alone.

Frequently Asked Questions

How long does Jansen Hospice’s bereavement support last?

Jansen Hospice provides bereavement support for up to 13 months following the death of your loved one. This includes individual counseling, support groups, personal phone calls, condolence cards, monthly mailings, and anniversary remembrances. According to the NCBI Bookshelf’s overview of bereavement intervention programs, approximately 70 percent of hospices offer bereavement services for about a year following a loss, with the most effective programs offering a layered combination of contacts over time rather than a single point of outreach.

What is the difference between grief counseling and a grief support group?

Individual grief counseling involves one-on-one sessions with a trained clinical professional, while a grief support group brings together people who have experienced similar losses in a shared, facilitated setting. Both are valuable and serve different needs. The HHS report on bereavement and grief services highlights that a variety of support types are needed because every person grieves differently, and a combination of individual and group support often produces the best outcomes.

You Do Not Have to Walk This Road Alone

At Jansen Hospice, we believe no family should have to navigate grief without a caring, knowledgeable team by their side. Whether you are newly bereaved or approaching a difficult anniversary, our bereavement program is here to meet you exactly where you are.

If you would like to learn more, we invite you to explore our bereavement services or contact our team to speak with someone who understands. There is no wrong time to reach out.

Sources

Caregiver Burnout: Recognizing the Signs and Getting Help Before It’s Too Much

Posted on January 30, 2026February 10, 2026 by dcadmin

You wake up exhausted even though you slept. The thought of another day managing medications, coordinating appointments, and providing round-the-clock care feels overwhelming. You can’t remember the last time you did something just for yourself. If this sounds familiar, you’re not alone, and what you’re experiencing has a name: caregiver burnout.

Jansen Hospice is a licensed hospice and palliative care provider serving Westchester County, NY with 24/7 support for patients and caregivers. We understand that caring for a loved one with a serious illness can be one of life’s most meaningful experiences, but it can also push you to your limits. Recognizing the signs of burnout and asking for support isn’t giving up. It’s what allows you to keep showing up for the person you love.

Understanding Caregiver Burnout in Home Hospice Care Westchester

Caring for a loved one with a serious illness can be physically and emotionally exhausting. According to Cleveland Clinic, caregiver burnout is a state of physical, emotional, and mental exhaustion that happens while taking care of someone else. This occurs when the demands of caregiving exceed a person’s ability to cope, often leading to stress, fatigue, and health problems.

Research from AARP and the National Alliance for Caregiving shows that nearly 1 in 4 Americans (approximately 63 million people) are family caregivers. Of these caregivers, 39% experience high emotional stress due to their caregiving responsibilities. Families often underestimate the intensity of caregiving, which involves tasks such as managing medications, coordinating appointments, assisting with daily activities, and providing emotional support. Without adequate resources and proper self-care, caregivers can experience emotional exhaustion and physical strain, making it harder for them to provide care for their loved one.

Burnout can manifest in multiple ways, affecting both the mind and body:

Physical signs: constant fatigue, headaches, difficulty sleeping, frequent illnesses
Emotional signs: increased anxiety, irritability, sadness, or feelings of depression
Social signs: withdrawal from friends and family, loss of interest in hobbies
Mental signs: difficulty concentrating, forgetfulness, or feeling constantly overwhelmed

According to A Place for Mom, over 60% of caregivers report experiencing moderate to high levels of stress, and between 40-70% show clinical symptoms of depression. Additionally, 23% of caregivers report that caregiving has negatively affected their own physical health. Recognizing burnout early can prevent more serious consequences and help caregivers maintain their own well-being so they can continue supporting their loved one to the best of their ability.

What is Long Term Hospice Care and How It Supports Caregivers

Long term hospice care provides ongoing support for patients and families facing serious illnesses over extended periods. Unlike acute care, long term hospice care focuses on comfort, quality of life, and comprehensive support that includes caregiver education and respite services. This type of care recognizes that caregiving is a marathon, not a sprint, and provides resources to help families sustain their caregiving role over time.

Strategies to Prevent or Reduce Burnout

Preventing caregiver burnout requires both practical and emotional strategies. Here are a couple ways you can help yourself:

Share responsibilities: lean on relatives or friends to divide caregiving tasks, even for short periods of time
Prioritize personal well-being: maintain regular sleep, nutrition, and physical activity, and make time for hobbies that bring you joy
Join support groups: in-person or virtual support groups provide connection, advice, and help you feel less alone
Utilize services: options like in-home care or adult day programs give caregivers time to rest and recharge

Research published by the National Institutes of Health indicates that social isolation, poor health, and negative perspectives on caring represent important burnout predictors among family caregivers. This underscores the importance of seeking support and maintaining connections with others during the caregiving journey.

“Everyone is really dedicated to what they do for their patients and their families. And that’s what gives me joy and love to work with this team” – Milena Zaprianova, Jansen Patient Care Director

Key Takeaways

Caregiver burnout affects more than 60% of caregivers and is a state of physical, emotional, and mental exhaustion
Common signs include fatigue, irritability, social withdrawal, difficulty sleeping, and neglecting self-care
Nearly 1 in 4 Americans provides unpaid care to a loved one, with 39% experiencing high emotional stress
Sharing responsibilities, prioritizing self-care, joining support groups, and utilizing respite services are effective strategies to prevent burnout
Recognizing burnout early and seeking help protects both the caregiver’s health and their ability to provide quality care
Burnout is not a sign of failure. It’s a natural response to the demanding nature of caregiving

Frequently Asked Questions

What’s the difference between caregiver stress and caregiver burnout?

Caregiver stress is a normal response to caregiving demands and typically comes and goes. Caregiver burnout is more severe and persistent. It’s a state of complete physical, emotional, and mental exhaustion where you feel overwhelmed, depleted, and unable to cope. While stress might make you feel tired after a particularly difficult day, burnout makes you feel exhausted all the time, even after rest. If you’re experiencing symptoms that last for weeks or interfere with your daily life, you may be experiencing burnout rather than temporary stress.

How can I ask for help when I feel guilty taking a break?

Many caregivers struggle with guilt when considering respite care or asking for help. Remember that taking care of yourself isn’t selfish. It’s essential for providing quality care to your loved one. Think of it like the airplane oxygen mask analogy: you need to secure your own mask before helping others. Start small by asking a friend or family member to sit with your loved one for just an hour while you take a walk or run an errand. You can also frame it positively to your loved one by explaining that taking breaks helps you be a better, more patient caregiver. Professional respite services are specifically designed to give caregivers the breaks they need without compromising their loved one’s care.

When should I consider professional help for caregiver burnout?

You should seek professional help if you’re experiencing persistent symptoms of depression or anxiety, having thoughts of harming yourself or your loved one, feeling resentment or anger toward the person you’re caring for, withdrawing from all social activities and relationships, or noticing your physical health is declining significantly. These are signs that burnout has progressed beyond what self-care alone can address. Speaking with a therapist, counselor, or your own healthcare provider can provide you with coping strategies and support. Many communities also offer caregiver support groups led by professionals who understand the unique challenges of caregiving. Remember, seeking help is a sign of strength, not weakness.

Westchester County Home Hospice Care: Support for Southern Westchester Families

At Jansen Hospice, we understand that caring for your loved one shouldn’t mean losing yourself in the process. Our team provides 24/7 support not just for patients, but for the family members and caregivers who make home hospice care possible in Southern Westchester. We offer guidance on managing symptoms, respite care options, and emotional support for the entire family. If you’re feeling overwhelmed or just need someone to talk to who understands what you’re going through, reach out. We’re here to help you navigate this journey while taking care of yourself along the way.

Sources

Is It Time for Hospice? Signs That Hospice Care in Westchester May Be Right for Your Loved One

Posted on January 27, 2026 by Abby Sprague

Recognizing when a loved one might benefit from hospice care is one of the most difficult decisions families face. Many people in Westchester County wonder if they’re considering it too early or waiting too long, and these concerns are completely natural. Hospice care is designed to provide comfort, dignity, and support when curative treatment is no longer the focus, typically when someone has a life-limiting illness with an expected prognosis of six months or less. Understanding the signs that suggest hospice may be appropriate can help families make informed decisions that honor their loved one’s wishes and improve quality of life during this important time.

Understanding Eligibility and Long Term Hospice Care

According to the Centers for Medicare & Medicaid Services, hospice care becomes an option when a physician determines that a patient has a terminal illness with a life expectancy of six months or less if the disease follows its natural course. This guideline often causes confusion and concern for families, so let’s clarify what it really means.

The Six-Month Prognosis Guideline

The six-month timeframe is not a deadline or a guarantee. It’s simply a clinical guideline used to determine eligibility for hospice services. Many families worry that choosing hospice means “giving up,” but this couldn’t be further from the truth. Hospice represents a shift in focus from curing disease to maximizing comfort and quality of life.

Here’s what’s important to understand: patients can receive long term hospice care for longer than six months if their physician continues to certify that they remain eligible. Some patients even improve with the excellent symptom management and support that hospice provides, and they can choose to leave hospice and return to curative treatment at any time.

Common Signs That Suggest Hospice May Be Appropriate

The National Hospice and Palliative Care Organization identifies several clinical indicators that suggest a patient may benefit from hospice care. Recognizing these signs helps families have important conversations earlier:

Physical Changes and Functional Decline

Several physical changes often indicate that comfort care would be beneficial:

Increasing difficulty with basic daily activities like bathing, dressing, or walking
Progressive weakness or spending most of the day in bed or a chair
Unintentional weight loss or decreasing appetite despite efforts to maintain nutrition
Frequent infections or recurring hospitalizations
Declining response to treatments that previously helped manage symptoms
Increased confusion or changes in consciousness
Difficulty swallowing or decreased interest in eating and drinking

Medical Indicators

According to the Centers for Medicare & Medicaid Services, healthcare providers look at several medical factors when considering hospice appropriateness:

Disease progression despite treatment: The illness continues to advance even with aggressive medical intervention
Multiple emergency room visits: Frequent hospitalizations often signal declining health and unmanaged symptoms
Treatment burden exceeds benefit: Medical interventions cause more distress than improvement in quality of life
Physician assessment: Doctor’s clinical judgment that curative treatment is no longer effective

Who Can Initiate a Hospice Referral

Many people don’t realize that anyone can start the conversation about hospice care. While a physician’s certification is required for enrollment, the initial discussion can come from several sources:

The patient themselves, when they recognize their own changing needs
Family members or caregivers who notice declining health
Physicians, nurses, or other healthcare providers

You don’t need to wait for your doctor to bring it up. If you’re wondering whether hospice might help your situation, it’s completely appropriate to ask. We’re here to have that conversation without pressure or judgment.

What Hospice Care Provides in Westchester County

Hospice is much more than end-of-life care. It’s a comprehensive approach that addresses physical, emotional, and spiritual needs for both patients and families. Most hospice care in Westchester happens at home, allowing your loved one to remain in familiar, comfortable surroundings while receiving expert support.

Comprehensive Support Services

Hospice teams typically include physicians, nurses, social workers, chaplains, home health aides, and trained volunteers. Together, they provide expert pain and symptom management, medications and medical equipment related to the hospice diagnosis, emotional and spiritual support for patients and families, assistance with daily care needs, and bereavement support for families after their loved one passes.

This comprehensive approach means families don’t have to navigate this difficult time alone. We’re here to support you every step of the way.

Key Takeaways

Hospice eligibility is based on a six-month prognosis guideline, but long term hospice care is available if needed beyond this timeframe
Common signs that suggest hospice may help include functional decline, frequent hospitalizations, weight loss, and declining response to treatment
Many families wish they had started hospice care sooner to benefit from better symptom management and support
Anyone can initiate a conversation about hospice, including patients, families, or healthcare providers
Hospice provides comprehensive support including medical care, emotional support, and family assistance
Most hospice care happens at home, allowing patients to receive expert care in comfortable surroundings
Choosing hospice represents a shift in focus toward comfort and quality of life, not giving up

Frequently Asked Questions

How do I know if my loved one qualifies for hospice care?

Your loved one may qualify for hospice if they have a terminal illness and a physician certifies that their life expectancy is six months or less if the disease follows its natural course. According to the Centers for Medicare & Medicaid Services, hospice eligibility is determined by a physician’s clinical judgment based on the normal course of the individual’s illness. This assessment considers factors like disease progression, functional decline, and response to treatment, and the certification can be renewed if your loved one continues to meet eligibility criteria for long term hospice beyond six months.

Can my loved one still see their regular doctor while on hospice?

Yes, your loved one can continue to see their primary care physician while receiving hospice care. Medicare.gov explains that hospice patients can maintain relationships with their existing healthcare providers, and the hospice team works collaboratively with these doctors to ensure coordinated care. The hospice team becomes the primary coordinator for care related to the terminal illness, but patients can still receive treatment for conditions unrelated to their hospice diagnosis and maintain important medical relationships that provide comfort and continuity.

What if my loved one gets better on hospice?

If your loved one’s condition improves or stabilizes while receiving hospice care, they can choose to leave hospice and return to curative treatment at any time. The National Hospice and Palliative Care Organization notes that some patients experience improved quality of life and even stabilization of their condition due to excellent symptom management and reduced stress from hospitalizations. Patients have the right to revoke hospice services whenever they wish, and they can re-enroll later if their condition changes and they become eligible again. This flexibility ensures that hospice remains a choice that serves your loved one’s best interests.

Does choosing hospice mean we have to stop all treatments?

Choosing hospice means shifting the focus from curative treatment to comfort care, but it doesn’t mean stopping all interventions. Medicare.gov clarifies that hospice covers all care and services related to the terminal illness, including medications for pain and symptom management, medical equipment, and necessary nursing care. Some treatments that provide comfort or improve quality of life may continue, while aggressive interventions aimed at curing the disease typically stop. The hospice team works with your family to determine which care approaches best honor your loved one’s wishes and provide the most benefit during this time.

Let Jansen Hospice Support Your Family

If you’re wondering whether hospice care might be right for your loved one, we’re here to talk through your specific situation without pressure or judgment. At Jansen Hospice, we provide compassionate in home hospice care in Westchester, bringing expert support directly to families throughout the county. Our experienced team understands that every family’s journey is unique, and we’re available to answer your questions, explain the hospice process, and help you understand what services we can provide.

Contact us today to learn more about how hospice care in Westchester can support your family during this important time.

Sources

Centers for Medicare & Medicaid Services – Hospice Coverage: https://www.cms.gov/medicare/payment/fee-for-service-providers/hospice
Medicare.gov – Hospice Care Coverage: https://www.medicare.gov/coverage/hospice-care
National Hospice and Palliative Care Organization: https://www.nhpco.org/

How Art Therapy Can Make A Difference in Hospice Care in Westchester County

Posted on February 14, 2025January 30, 2026 by dcadmin

Hospice care manages pain and physical symptoms, but what about the emotions that surface when facing serious illness? At Jansen Hospice, art therapy gives patients and families in Westchester County a powerful way to express themselves, create lasting memories, and find moments of genuine connection and peace. When words feel inadequate, art speaks. A brushstroke, a memory box, a family portrait created together can provide healing that medicine alone cannot offer.

What Is Art Therapy?

Art therapy is a therapeutic practice that uses creative expression to support healing and wellbeing. According to StatPearls Medical Research, art therapy is defined by the American Art Therapy Association as a therapeutic modality used over ongoing sessions to “improve cognitive and sensorimotor functions, foster self-esteem and self-awareness, cultivate emotional resilience, promote insight, enhance social skills, reduce and resolve conflicts and distress.”

For individuals in hospice care in Westchester County, art therapy provides a safe outlet to explore feelings, process difficult emotions, and find moments of peace. The beauty of art therapy is that it focuses on the process of creation, allowing patients to communicate emotions that are often difficult to put into words.

Art therapy sessions are facilitated by trained professionals who guide patients in creating art through various mediums such as painting, drawing, sculpting, collage work, or crafting memory boxes. Whether in inpatient hospice in Westchester County NY or terminal care at home in Westchester, art therapy can be tailored to everyone’s needs, abilities, and preferences.

The Science Behind Art Therapy: How It Affects the Brain and Body

Art therapy isn’t just emotionally comforting. It creates measurable changes in the brain and body. Research in neuroscience has revealed fascinating insights into how creative expression affects our physiology.

Reducing Stress Through Lower Cortisol Levels

Cortisol is the body’s primary stress hormone. When we’re under chronic stress or facing serious illness, elevated cortisol levels can impact everything from our immune system to our emotional wellbeing. Research published in Frontiers in Psychiatry examined studies showing that art-making significantly reduces cortisol. In one landmark study by Kaimal and colleagues, 75% of participants experienced reduced cortisol levels after just 45 minutes of artmaking, and most found the experience relaxing and stimulating for personal growth.

This stress reduction has real implications for hospice patients who often experience anxiety about their condition, discomfort from symptoms, and the emotional weight of facing end of life. By lowering cortisol, art therapy helps activate the body’s natural relaxation response.

Activating the Brain’s Reward System

When we create art, our brains release dopamine, a neurotransmitter associated with pleasure, motivation, and reward. Research in neuroscience shows that art-making activates the brain’s reward pathways, particularly the prefrontal cortex, which is involved in emotional regulation and positive feelings.

For patients in terminal care at home in Westchester or in hospice facilities, this dopamine release provides natural mood enhancement during a time when positive experiences become increasingly precious.

Evidence-Based Benefits of Art Therapy in Hospice Care

Recent comprehensive research confirms what hospice professionals have observed for years: art therapy provides significant, measurable benefits for patients facing serious illness.

Reducing Pain, Anxiety, and Depression

A groundbreaking study published in the Journal of Pain and Symptom Management evaluated art therapy in a palliative care unit and found remarkable results. The research showed significant reductions in pain, anxiety, and depression after art therapy sessions. Most striking was that 98% of patients considered the art therapy helpful, with many reporting feeling calm, entertained, and better able to express and communicate emotions.

Another study from Taiwan’s hospice palliative care unit found that 70% of terminal cancer patients felt much or very much relaxed in their emotional state after art therapy, while 53% felt much or very much better physically. These aren’t just subjective feelings. They represent real improvements in quality of life during a critical time.

Fostering Emotional Expression and Personal Growth

A 2025 comprehensive review of 27 studies examining art therapy in palliative and hospice care found that art therapy significantly reduced emotional distress, including anxiety, depression, and psychological fatigue.

For many hospice patients, finding words for complex emotions like grief, fear, or even joy becomes difficult. Art provides an alternative language, one that doesn’t require verbal articulation but allows feelings to emerge through color, shape, texture, and imagery. This non-verbal expression can be profoundly healing.

Strengthening Family Connections

Art therapy isn’t only beneficial for patients. It creates meaningful opportunities for family participation. Research on family experiences in hospice palliative care shows that when patients and family members participate in art therapy together, it enhances family function, improves quality of life, and strengthens emotional bonds during a time when connection matters most.

Creating art together allows families to share experiences without the pressure of difficult conversations. It provides a focus for spending quality time together and creates opportunities for laughter, reflection, and mutual support. These shared creative moments become cherished memories for families after a patient’s passing.

Key Takeaways About Art Therapy in Hospice Care

Art therapy is an evidence-based complementary therapy that addresses emotional, psychological, and spiritual needs in hospice care
Research shows 98% of palliative care patients found art therapy helpful, with significant reductions in pain, anxiety, and depression
Art-making reduces cortisol (stress hormone) by 75% in participants and triggers dopamine release, improving mood naturally
70% of hospice patients felt emotionally relaxed and 53% felt physically better after art therapy sessions
No artistic talent or experience is required. Therapeutic benefits come from the creative process itself
Art therapy strengthens family bonds and creates opportunities for meaningful connection during difficult times

Experience Holistic Care with Jansen Hospice in Westchester County

At Jansen Hospice, we’re committed to comprehensive, compassionate care that honors the whole person: body, mind, and spirit. Art therapy represents our dedication to innovative, evidence-based approaches that enhance quality of life and provide meaning during life’s final chapter.

Whether you’re considering inpatient hospice in Westchester County NY, exploring terminal care at home in Westchester, or seeking information about our holistic care approach, we’re here to answer your questions and guide you through your options.

To learn more about how art therapy and our comprehensive hospice services can support your family, contact Jansen Hospice today. We’re here to walk alongside you with expertise, warmth, and unwavering support.

Frequently Asked Questions About Art Therapy in Hospice Care

Can art therapy actually help reduce physical pain and discomfort?

Yes. Research published in the Journal of Pain and Symptom Management found that art therapy sessions resulted in significant reductions in pain intensity among palliative care patients. The study showed that 98% of patients found art therapy helpful, with many reporting decreased pain alongside improvements in anxiety and depression. Another study from Taiwan’s hospice palliative care unit found that 53% of terminal cancer patients felt much or very much better physically after art therapy sessions. The creative process helps distract from discomfort and may alter pain perception by engaging different areas of the brain.

How does art therapy benefit family members, not just the patient?

Art therapy creates powerful opportunities for family connection and healing. Research on family experiences in hospice palliative care shows that when patients and family members participate in art therapy together, it enhances family function, improves quality of life for everyone involved, and strengthens emotional bonds during a difficult time. The study found that creating art together allows families to share meaningful experiences without the pressure of difficult conversations. Additionally, research on legacy building shows that the tangible keepsakes patients create, such as memory boxes or family portraits, provide lasting comfort to loved ones after a patient’s passing.

Is there scientific proof that art therapy reduces stress and improves mood?

Yes. Neuroscience research has demonstrated that art-making produces measurable changes in the body and brain. Studies show that 75% of participants experienced reduced cortisol levels (the body’s stress hormone) after just 45 minutes of art-making. Additionally, creating art activates the brain’s reward pathways and triggers dopamine release, a neurotransmitter associated with pleasure and positive feelings. A 2025 comprehensive review of 27 studies confirmed that art therapy significantly reduced emotional distress, including anxiety, depression, and psychological fatigue in palliative and hospice care patients.

Sources

PubMed – Creative Pathways to Comfort: The Transformative Role of Art Therapy in Palliative and Hospice Care (2025)
https://pubmed.ncbi.nlm.nih.gov/39853183/

Journal of Pain and Symptom Management – Art Therapy in a Palliative Care Unit: Symptom Relief and Perceived Helpfulness in Patients and Their Relatives
https://www.jpsmjournal.com/article/S0885-3924(20)30639-4/fulltext

National Library of Medicine (PMC) – The Art Therapy Experiences of Patients and Their Family Members in Hospice Palliative Care
https://pmc.ncbi.nlm.nih.gov/articles/PMC10332731/

National Library of Medicine (PMC) – Art Therapy in Patients with Terminal Cancer and Their Families: A Multiple Case Study
https://pmc.ncbi.nlm.nih.gov/articles/PMC10703560/

PubMed – Art Therapy for Terminal Cancer Patients in a Hospice Palliative Care Unit in Taiwan
https://pubmed.ncbi.nlm.nih.gov/22329937/

National Library of Medicine (StatPearls) – Art Therapy
https://www.ncbi.nlm.nih.gov/books/NBK549771/

Frontiers in Psychology – Art Therapy and Neuroscience: Evidence, Limits, and Myths
https://www.frontiersin.org/journals/psychology/articles/10.3389/fpsyg.2024.1484481/full

Frontiers in Psychiatry – Art Therapy’s Engagement of Brain Networks for Enduring Recovery
https://www.frontiersin.org/journals/psychiatry/articles/10.3389/fpsyt.2024.1458063/full

Understanding the 5 Stages of Palliative Care: A Guide for Patients and Caregivers

Posted on May 3, 2023January 30, 2026 by dcadmin

When you or a loved one faces a serious illness, the journey ahead can feel overwhelming and uncertain. Palliative care offers a compassionate path forward, focused on improving quality of life and providing support at every stage of your experience. Whether you’ve just received a diagnosis or are navigating advanced illness, understanding the stages of palliative care can help you feel more prepared and supported. At Jansen Hospice, we walk alongside patients and families through each stage, offering expert medical care and emotional support during difficult times.

Explaining Palliative Care in Westchester County

Palliative care is specialized medical care designed to provide relief from the symptoms and stress of serious illness. According to the World Health Organization, palliative care improves the quality of life of patients and their families who are facing challenges associated with life-threatening illness, whether physical, psychological, social, or spiritual.

It’s important to understand that palliative care is not the same as giving up on treatment. The National Institute on Aging explains that palliative care can be provided alongside curative treatment and may begin at the time of diagnosis. This means you can receive palliative care while still pursuing treatments aimed at curing or managing your illness.

Stage 1: Early Palliative Care

The first stage of palliative care begins with comprehensive planning and assessment. This stage can start at any point after a serious illness diagnosis and focuses on understanding your unique needs, values, and goals.

What Happens During This Stage

During your initial consultation, your palliative care team will talk with you about your symptoms, current treatments, and how your illness is affecting your daily life.

Your team will work with you to create a personalized care plan that may include:

Pain and symptom management strategies
Emotional and spiritual support resources
Assistance with advance care planning and advance directives
Coordination with your other healthcare providers
Education about your illness and treatment options

The National Institute on Aging emphasizes that early palliative care conversations help ensure your care aligns with your wishes and values. This is also when many families discuss important documents like healthcare power of attorney, living wills, and do-not-resuscitate orders.

Stage 2: Treatment Palliative Care

Once your care plan is established, the second stage focuses on implementing that plan and actively managing your symptoms while maintaining the best possible quality of life.

Comprehensive Care Approach

Your palliative care plan will be tailored to your specific needs. Mayo Clinic explains that this stage addresses multiple dimensions of care, including physical comfort, emotional well-being, and spiritual support.

Treatment during this stage typically includes:

Medications for pain management and symptom relief
Therapies to improve comfort and function
Counseling and emotional support for you and your family
Spiritual care and guidance if desired
Assistance with daily activities and mobility
Nutritional support and guidance

The goal is to help you live as fully and comfortably as possible. Research shows that early use of palliative care services can improve quality of life, decrease depression and anxiety, and increase patient and family satisfaction with care.

Stage 3: Transition Palliative Care

As your illness progresses or if new symptoms develop, your palliative care team will adjust your care plan to meet your changing needs. This stage is sometimes called the “unstable” or “deteriorating” phase in medical literature.

Adapting to Changes

Your care team closely monitors your condition and makes modifications as needed. This might mean:

Adjusting medication doses or adding new medications
Increasing the frequency of visits from healthcare providers
Adding new support services or specialists to your care team
Modifying your care setting if needed
Providing additional support for family caregivers

According to the National Coalition for Hospice and Palliative Care, quality palliative care involves continuous assessment and adjustment to ensure your comfort and dignity are maintained throughout your illness journey.

Many families find that increased emotional and spiritual support becomes especially important during this stage. Your palliative care team is there to help you navigate difficult decisions and provide the resources you need.

Stage 4: End-of-Life Palliative Care

When curative treatments are no longer effective or when you decide to focus solely on comfort, care transitions to the end-of-life phase. This stage is often referred to as hospice care when a physician determines you have six months or less to live if the illness runs its natural course.

Focus on Comfort and Dignity

The National Institute on Aging explains that hospice care focuses on comfort and quality of life rather than cure. The goal is to help you live your remaining time with dignity, surrounded by loved ones, and as comfortable as possible.

During this stage, your care includes:

Intensive symptom management, especially pain control
Emotional and spiritual support for you and your family
Assistance with personal care and daily needs
Guidance for family members on what to expect
Help with end-of-life planning and arrangements
Respite care to give family caregivers needed breaks

The World Health Organization emphasizes that palliative care at this stage treats the person, not just the disease, honoring your wishes and helping your family prepare for the loss to come.

Stage 5: Bereavement Palliative Care

Palliative care doesn’t end when a patient passes away. The fifth stage focuses on supporting family members and loved ones as they grieve and adjust to life after loss.

Continuing Care for Your Loved Ones

Bereavement services are an essential part of comprehensive palliative and hospice care. Most hospice programs, including Jansen Hospice, provide grief support services for family members for up to 13 months after a patient’s death.

Bereavement support may include:

Individual grief counseling
Support groups for bereaved family members
Educational materials about the grieving process
Memorial services and remembrance events
Referrals to community resources and additional support services
Check-in calls and supportive contacts throughout the first year

Research published in the National Library of Medicine shows that bereavement support helps families cope with loss and process their grief in healthy ways. We understand that losing someone you love is one of life’s most difficult experiences, and we’re here to support you through it.

Frequently Asked Questions About Palliative Care

When is the right time to start palliative care?

Palliative care can begin at any time after a serious illness diagnosis, and earlier is often better. According to Mayo Clinic, research suggests that early use of palliative care services can improve quality of life, decrease depression and anxiety, and in some cases even extend survival. You don’t need to wait until treatments stop working or until you’re facing end-of-life decisions. Many patients benefit from palliative care while still receiving curative treatments, as it helps manage symptoms and provides additional support throughout the illness journey.

What’s the difference between palliative care and hospice care?

While these terms are sometimes used interchangeably, there are important distinctions. The National Institute on Aging explains that palliative care can be provided at any stage of serious illness and can occur alongside curative treatments. Hospice care, on the other hand, is a type of palliative care specifically for people with a terminal illness who have a life expectancy of six months or less and have chosen to focus on comfort rather than cure. Both approaches emphasize quality of life, symptom management, and support for patients and families, but hospice represents the final stage of the palliative care journey.

Will choosing palliative care mean giving up on treatment?

Absolutely not. This is one of the most common misconceptions about palliative care. The World Health Organization emphasizes that palliative care is appropriate at any stage of serious illness and can be provided alongside curative treatments. You can continue chemotherapy, radiation, dialysis, or other treatments while receiving palliative care services. The palliative care team works with your other doctors to add an extra layer of support that focuses on managing symptoms, reducing stress, and improving your overall quality of life while you pursue whatever treatment approach aligns with your goals and values.

Key Takeaways About the 5 Stages of Palliative Care

Palliative care can begin at any stage of serious illness and can be provided alongside curative treatment
Stage 1 focuses on comprehensive assessment and creating a personalized care plan aligned with your goals and values
Stage 2 involves active symptom management and implementing your care plan to maintain quality of life
Stage 3 adapts care as your illness progresses, adjusting treatments and support services to meet changing needs
Stage 4 shifts focus to comfort care when curative treatments are no longer effective or desired
Stage 5 provides bereavement support to family members and loved ones for up to 13 months after a patient’s passing

How Jansen Hospice Supports You Through Every Stage

At Jansen Hospice, we understand that facing serious illness raises difficult questions and emotions for patients and families. Our compassionate team has walked alongside countless families through every stage of palliative and hospice care, and we’re honored to provide the support and expertise you need during this challenging time.

We believe that everyone deserves to live with dignity, comfort, and meaning, no matter where they are in their illness journey. Our interdisciplinary team includes experienced physicians, nurses, social workers, chaplains, and trained volunteers who work together to address your physical, emotional, social, and spiritual needs.

If you have questions about palliative care or would like to learn more about our services, we’re here to help. Contact Jansen Hospice today to speak with a member of our care team. We’ll listen to your concerns, answer your questions, and help you understand your options—with compassion, respect, and expertise every step of the way.

Sources

National Institute on Aging – What Are Palliative Care and Hospice Care
https://www.nia.nih.gov/health/hospice-and-palliative-care/what-are-palliative-care-and-hospice-care

Mayo Clinic – Palliative Care
https://www.mayoclinic.org/tests-procedures/palliative-care/about/pac-20384637

World Health Organization – Palliative Care
https://www.who.int/news-room/fact-sheets/detail/palliative-care

National Library of Medicine (StatPearls) – Palliative Care
https://www.ncbi.nlm.nih.gov/books/NBK537113/

National Coalition for Hospice and Palliative Care – Clinical Practice Guidelines
https://www.nationalcoalitionhpc.org/ncp-guidelines/

Hospice Care at Home in Scarsdale, NY

Posted on October 20, 2021September 28, 2021 by dcadmin

At Jansen, we offer a range of services including hospice care in the comfort of your home. To find out if you qualify and to get more information, contact us.

Qualifying for Hospice Care at Home in Scarsdale, NY

There are three main situations that primary care doctors resort to recommending hospice care:

When things have not improved – If treatment is not working and the state of the patient is not improving, the patient may be referred for at-home or inpatient hospice care.
Care goals have shifted – When a patient comes to the realization that they are not getting better, they may want to continue care but outside of the hospital setting. Many prefer to be comfortable in their home while still receiving care.
Acute health event – When things like a heart attack or stroke happen, patients may require end-of-life care but prefer to have it spent outside of the hospital.

What to Expect with at Home Hospice Care in Scarsdale, NY

When it comes to at-home hospice care with Jansen, you’re in control. You can count on the hospice team to bring the utmost care to you or your loved one. You can expect…

The chaplain and social worker to provide emotional and spiritual support (if needed) during this difficult time.
24-hour on-call services and assistance, so we are always available for our patients and their families.
Therapies – physical, occupational and speech therapies, as needed for symptom management.
Individual team members to visit during their scheduled care time.
Medical equipment to be delivered.
Any and all medications to be delivered.
Information to help you manage the patient’s symptoms and illness when our professionals aren’t present.

Read a review from a former hospice care patient’s loved one:

“This place and the workers are truly a blessing. I can never repay them for the help and support that they gave me with my mom. While no other company wanted to take my mom’s case they were the only ones willing to take it. They stood by me thru all the trials and tribulations and I could’ve never done that transition without them eternally grateful”.

To learn more about how our at-home hospice care providers in Scarsdale, NY can help your loved one in their final stage of life call 914-787-6158.

This place changed everything for my family. We struggled with caring for my mom at home for 5 years and when they arrived it was like angels singing... Our social worker - Jody and our RN Violeta - made my mom comfortable and cared not only for her, but for our family as if we were their own. They were kind, compassionate and knowledgeable. I HIGHLY recommend them!!!

— Jody