Gretchen Marcum Brown, MSW, has been the President/CEO of HOB since 1982. She just finished a two-year term as Chair of the National Hospice and Palliative Care Organization (NHPCO) and is currently serving as the Past Chair. She also serves on the Board of the Foundation for Hospices in Sub Saharan Africa (FHSSA). Ms. Brown is the past Chair of the National Hospice Work Group, a "think tank" composed of leaders from around the U.S. considered to be among the most influential authorities on end-of-life care in this country. Locally, she serves on the UK College of Public Health, External Advisory Council. Ms. Brown received her BA and MSW from UK. She has taught in the UK College of Social Work and presently serves as adjunct faculty in the UK College of Health Sciences.
Dr. Todd Coté joined the Hospice of the Bluegrass staff in 2007. He is Board Certified in both Family Medicine and Hospice and Palliative Medicine. Since 1990, he has worked as a medical leader for both for-profit and not-for profit hospice programs, including the Connecticut Hospice, (the first hospice in the United States) where he served as Chief Medical Officer. As a hospice leader, he has served on clinical faculty at Yale, the University of Connecticut and the University of Southern California. He has written numerous articles and has made presentations at international and national hospice and palliative care conferences as well as at medical and pharmacy conferences.
Dr. Coté attended the University of San Diego for his undergraduate studies, St. Louis University School of Medicine, in St. Louis, Missouri and completed his post doctoral education at the Kern Medical Center in Bakersfield, California.
Each year more than 40 physicians provide more than 1,000 hours of time to help guide our staff in effective pain and symptom management. Interdisciplinary team meetings are overseen by volunteer Medical Associates. The dedication of these men and women makes it possible for Hospice to provide focused and detailed medical attention to our patients during team meetings.
Nurses make regular visits to assess the patient's condition and communicate regularly with the patient's physician about appropriate continuing treatment. With the patient and family, the nurse creates a plan of care to manage symptoms that might be distressing or painful, allowing the patient to remain comfortable. The nurse also provides emotional support to the patient and family, and can teach family or friends how to care for the patient and manage painful symptoms
Professionally trained social workers are an integral part of the interdisciplinary hospice team. They are available to assist patients and their families. Social workers provide counseling, help families access resources in the community and are available to provide education on topics such as living wills.
Chaplains offer non-judgmental spiritual support through active listening and presence, exploring the patient’s faith while respecting the patient’s and family’s faith tradition. Chaplains facilitate conversations of hopes, fears, and reconciliation with others and the Divine. Hospice Chaplains work in conjunction with – or in the absence of - the family’s own spiritual care provider.
Bereavement Counselors help individuals work through feelings of grief. Hospice of the Bluegrass bereavement staff works with children, adults and families and are available in times of crisis. Both individual and group sessions are led by the bereavement staff, and individual counseling appointments are also available.
Certified Nursing Assistants are available to assist Hospice of the Bluegrass patients. They offer bathing, shaving, shampooing, mouth care and other personal care. In addition, Certified Nursing Assistants perform light housekeeping tasks such as changing linens or light meal preparation.
Volunteers provide caring companionship to the terminally ill men, women and children – and their families – served by Hospice. Volunteers often participate in regular visiting and conversation, provide transportation, run errands, play card games or read with clients. Volunteers also provide an important presence to assure hospice patients do not feel abandoned by their community.
Senior Management Staff
Todd Coté, MD
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