2255 J.F.K. Road, Asbury SquareDubuque, IA 52002

563.582.1220www.hospiceofdubuque.orginfo@hospiceofdubuque.org

Winter, 2010 Issue

Dr. Brian Sullivan 2

Special Thanks 5

Annual Report 6, 7

Memorials,Honorariums 8, 9

Volunteers 11

BestFest 2010The planning has begun for BestFest 2010! This year’s eventwill be held Thursday, March 4, from 5:00 to 7:30 pm at theGrand River Center. Once the votes have been counted,winners will be contacted and encouraged to participate byshowcasing samples of their products. The night will includethe winner of the Best Band playing from 6:30 to 9:00 pm,along with raffle and attendance prizes.

To join in the fun and the best the tri-states has to offer in food,products and entertainment, be sure to get your tickets early.This event has limited tickets and always sells out. Advancetickets will be available February 1 at all Dupaco CommunityCredit Union locations and the Hospice of Dubuque office.The price of a ticket is $25.

A popular addition to BestFest is the prize package to thehighest online bidder for the “Bud Bus”, courtesy of majorsponsor, Kirchhoff Distributing. The package includesadmission tickets for the winner and 10 friends, an opportunityto enter BestFest 2010 before the doors officially open, as wellas other prizes. Bids will be taken beginning February 1.Watch the websites at www.dupaco.com andwww.hospiceofdubuque.org for more information.

The entire community is encouraged to be part of the fun by supporting their favorite businessesand voting today! Ballots are available throughout the month of January in The DubuqueAdvertiseror at www.dupaco.com. A completed ballot will enter your name in a drawing for a prize fromRadio Dubuque. Your favorite business can only win if you vote! Then, plan on joining us Thursday,March 4, at BestFest 2010!

Building for Compassion Campaign UpdateThe renovation is proceeding on the building at 1670 John F. Kennedy Road. Thisproject, which will create new office and meeting space for Hospice of Dubuque,will be completed later this spring. The Building for Compassion committee andcountless volunteers have been at work for several months to raise the necessaryfunds for the organization’s new facility. Through the support of area foundations,businesses and individuals, and with memorials from grateful friends and familymembers, Hospice of Dubuque has already achieved 73% of the campaign goal.

We, at Hospice of Dubuque, are sincerely grateful to those who have responded tothe Building for Compassion campaign. On behalf of all the community memberswho receive services from Hospice of Dubuque through the organization’s hospicecare, bereavement and educational programs, thank you.

For more information regarding the Building for Compassion campaign, or to makea donation online, go to www.hospiceofdubuque.org or call 563.582.1220. Your helpis greatly appreciated and all gifts are tax-deductible.

Foundation.

Framework.

Future.

2

Hospice care in the nursing homeBrian Sullivan, M.D., Co-Medical Director

Although hospice care is most frequently provided to patients in theirown home, over the past few years there has been an increase in theprovision of hospice services to nursing home residents who requireend-of-life care while in the nursing home.

Nursing home residents who enroll in hospice continue to receivesupportive services from the nursing home, much like hospicepatients at home receive care from family and friends.

The numerous benefits of hospice care for people with terminalillness living at home have been well documented in studies that haveshown reduced hospitalizations, more comfortable conditions forboth the patient and family, attention to emotional and spiritual needsand better pain management. Research on the impact hospice carehas on the end-of-life care of nursing home residents is less extensive,however common themes have emerged.

Studies comparing nursing home hospice care to non-hospice end-of-life care in the nursing home have revealed quality improvementssimilar to those listed above. Studies have shown that nursing homeresidents receiving hospice care were less likely to be hospitalized inthe final days of life, more likely to be assessed for the presence ofpain, more likely to receive pain management in accordance withclinical guidelines and twice as likely to receive daily treatment forpain. Furthermore, compared with similar nursing home residentsnot enrolled in hospice, residents in hospice were less likely torequire physical restraints. Hospice patients were also more likely tohave completed advanced directives such as living wills.

The Hospice of Dubuque staff continues to provide compassionatecare for the terminally ill and their loved ones, whether it is at homeor in the nursing home.Sign up at

www.hospiceofdubuque.orgto start getting yournewsletter via email!

Be sure to check our websitefor some exciting changescourtesy of Dubuque 365.

Medical DirectorsMark Hermann, M.D., Co-Medical DirectorBrian Sullivan, M.D., Co-Medical DirectorJeffrey White, D.O., WI Medical Director Alternate

Administrative StaffBarbara Zoeller, Executive DirectorLavonne Noel, Financial DirectorNancy Diehm, Psychosocial DirectorBonnie Hancock, Patient Care DirectorKaty Morrow, Nursing Services DirectorRenee Frith, Nursing Services Director

Officers, Board of DirectorsGreg Birkett, PresidentBrad Heying, Vice PresidentDarlene Conzett, SecretaryBruce Rehmke, Treasurer

Members, Board of DirectorsCindy BurdtSusan BushmanCarole CarrollLarry CremerJared Freiburger, M.D.Amy GilliganFr. William JoensenEileen LeMayAllen Meurer, M.D.Rev. Kathleen MilliganFrancis “Chip” MurrayStephanie SavageChris SchieslBetty Takes

Members, Foundation BoardRita HelleMike MartinBill MaiersDeanna McCormickBob MillerBruce RehmkeChuck Schrup IIIKen Snodgrass

Bereavement Support GroupSPRING 2010April 12 – May 17Monday morning 10:00 am – Noon

April 14 – May 19Wednesday afternoon 3:30 – 5:30 pm

Call 563.582.1220 to sign up and formore information on upcomingBereavement Support Groups.

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Enjoying the gift of each dayAn important role of the Hospice of Dubuque Community RelationsDepartment is to educate the public on the benefits of calling forhospice care early when a terminal illness is diagnosed. A commonremark given on family satisfaction surveys returned to our office is“I wish we had called Hospice of Dubuque sooner.”

On a recent visit with Hospice of Dubuque patient, Ethel Peake, andher care team, the benefits of early hospice care were reinforced.Wewere greeted by Ethel in her lift chair, sporting a nice hairdo andmakeup, courtesy of her hospice aide, Jan. Her smiles and welcomingvoice immediately drew you into her home and life—and it was thatlife and her hospice story that she wanted to talk about.

Six weeks earlier, on a visit to her physician, he mentioned it may betime to call hospice. Lately, Ethel had sat up night after night, unableto breathe and afraid to eat. When she heard hospice mentioned, shetold her family she was ready to die because the way she had beenfeeling lately wasn’t living.An hour after making the call to Hospiceof Dubuque, the admitting nurse was in Ethel’s home working on acare plan to manage her symptoms. A goal Ethel made that day wasto get out of her lift chair on her own. Ethel has gone from her firstgoal to fulfilling goals of making cheesecake for her grandson’sbirthday and being able to go to her family Christmas gathering.Ethel joked that she has gained a few pounds recently and, since ashort time ago she wasn’t able to eat at all, the extra weight is worthit! With the help of her grandson in the kitchen, she was even able tomake everyone’s favorite Christmas candy.

Ethel had nothing but praise for her nurse, social worker, massagetherapist, spiritual care coordinator and hospice aide from Hospice ofDubuque. Ethel loves visiting with her volunteer, Becky, who sheclaims is the best storyteller and even helped her wrap Christmaspresents. Although Ethel knows that her days are limited, she feelsthe management of her symptoms, the extra love, care andcompanionship she is receiving from Hospice of Dubuque is whatkeeps her going. Ethel remarked that God has given her this timeright through the holidays and she is truly enjoying the gift of eachextra day she can spend with her family.

Hospice of Dubuque Patient, Ethel Peake, surrounded by herhospice care team: Lisa, Social Worker; Jessica, MassageTherapist; Becky, Volunteer; Jan, Hospice Aide; Melissa,Spiritual Care Coordinator and Megan, Registered Nurse

Hospice of Dubuque bid farewell to KathySchroeder, MSW, on January 8, 2010.Kathy joined Hospice of Dubuque in 1996as a clinical social worker. In her fourteenyears with the community’s nonprofithospice, Kathy journeyed with hundredsof hospice patients and their familymembers. We wish Kathy well in her newendeavors.

When is it time to call Hospice of Dubuque?

It is time to seek hospice services when a decision ismade by the patient and family to pursue comfort care.It is appropriate at any time during a life-limiting illnessto discuss all options, including hospice care. Hospiceof Dubuque encourages admittance early in the courseof the terminal illness. The hospice program isbeneficial to both the patient and the family.

Some health changes that are easily recognized:• Visible unintentional weight loss• Eating only a few bites of food at each meal oreating well at breakfast and poorly at dinnerand supper

• Short of breath when trying to talk or justsitting still

• Swelling of feet and legs that is not relieved withfluid pills

• Dressing, bathing and eating have becomemore difficult

• Changing from using a walker to usinga wheelchair

• Infections that reoccur, such as infections of thelungs and bladder

• Frequent trips to the hospital• Calling the doctor’s office often betweenregularly scheduled visits

• Unable to go without oxygen for more than afew moments

• Pain not relieved when using pain medication asoften as allowed

• Deciding to stop curative treatment for acondition, but wanting to remain comfortable

I came upon an article in the National Hospiceand Palliative Care Organization Newslinefrom 2004 which talked about giving theInternational Listening Association (ILA)“Listener of the Year” award to hospicecaregivers. It actually gave me an “ah-ha”moment. So often, after a Hospice of Dubuqueinformational meeting, the family membersand patient say, “I feel like a burden has beenlifted from me” or “I feel so relieved now thatyou are here”. I was never entirely sure whathad been said or done to make them feel thatway. The pain and symptom managementhadn’t started and yet the family and patientfelt attended to. It was the listening that madethe difference.

Our medical system is set up to maximize the amount of people seen during available times. Asthe nurses and doctors rush from one cubicle to the next, there often isn’t a lot of time for listening.I find that I go to my doctor’s appointments with questions I intend to ask and often forget them.Driving home is the time those questions come back to mind. It wasn’t that they weren’t pleasantor attentive. It’s just that they seem busy because they are busy.

One of the wonderful things about being a Hospice of Dubuque nurse is that we teach andencourage listening. For someone like me, who loves to talk, learning to listen took some time.It’s amazing the stories, situations and suffering that people want to share after learning theyhave a terminal illness. If one just waits that extra few seconds before responding, the familiesand patients will tell their story. And then they tell more of the story. And if you wait a littlelonger, and believe me it takes some effort not to say “it will be okay” or change the subject,they will tell you even more of the story. And in the end, after you’ve done little but listen, theyfeel attended to, unburdened and relieved.

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ListeningKaty Morrow, Nursing Services Director

Thank you to the following fordonating supplies for our loan closet:Family of Jean AllenFamily of Lloyd AustinFamily of JoAnn BellingsFamily of Joy BerryFamily of Darlene BettcherFamily of Doris BlissFamily of Shirley CarterFamily of Gerald CuppsFamily of John DerksFamily of Bob DoerrFamily of Norb DupontFamily of Elmer FlynnFamily of Nancy HaughtFamily of Rita HefelFamily of James “Ed” HilderbrandFamily of John KrausFamily of Iola KrepfleFamily of Earl MuellerFamily of Olga OltmannsFamily of Babe RuerFamily of Bonnie SeligFamily of Kenneth ShueyFamily of H. Spencer SmithFamily of Joe StegerFamily of Evelyn StiermanFamily of Connie SzpyrkaFamily of Milo WeberFamily of Florence WeidemannFamily of Jeanette Wolf

Sharon CarpenterDubuque Nursing & RehabCathy HancockDonald “Wayne” KinnairdBrad Sullivan

Thank you to the following fordonating books and other multimedia:Family of Margie Conrad—CD’s

Terri Lenger, in memory of Bea Miller,

for the donation of informational

materials on ALS

Thank you to the followingorganizations that have providedmatching gifts to Hospice of Dubuque:Alliant Energy Foundation, Inc.Prudential Foundation Matching GiftsOppenheimerFunds Legacy ProgramUS Bankcorp Foundation Employee

Matching Gift Program

“I feel likea burdenhas beenlifted

from me”

Knicker’s Bowling forHospice of Dubuque

Bowl up some fun while supporting yourcommunity’s nonprofit hospice. Knicker’sBowling for Hospice of Dubuque will be heldSaturday, February 20, at the Diamond Jo's CherryLanes. This year there will be two sessions ofbowling, 11 am and 1:30 pm. Sign up will beginJanuary 19 at any of the following locations:Courtside, Knicker's, P.J.'s, Jumpers orHammerheads. Cost is $20 per couple. The afterbowling party, including a silent auction, will beheld at Knicker's. This enjoyable event fills upfast, so sign up today!

For more information, call Hospice of Dubuque at563.582.1220.

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How to make a dinosaurMelissa Warren Spoerl, Spiritual Care Coordinator

In the book Jurassic Park (later turned into a movie of the same name) authorMichael Crichton describes a formula to bring dinosaurs, extinct for 65 millionyears, back to life:

STEP 1) Find a piece of amber with a blood sucking insect from thedinosaur era trapped in it.

STEP 2) Extract the blood the insect sucked from a dinosaur.STEP 3) Use the dinosaur's genetic code (DNA) found in the blood cells

as blueprints for another dinosaur. If pieces of the DNAare missing, fill in the gaps with frog DNA.

STEP 4) Use these blueprints to create a dinosaur egg.STEP 5) Hatch the dinosaur in an incubator.STEP 6) Raise the dinosaur to full size.STEP 7) Enjoy!

(The Museum of Unnatural History www.unmuseum.org)

If we put aside our natural skepticism and trust that science is indeed capable of such a process (the website above proves it, of course),the next logical questions would be “Why?” and “What’s the point?”. If dinosaurs were unable to avoid extinction on their own, and naturalprocesses haven’t recreated them in this amount of time, what makes us think that doing something like this would be useful or even agood thing?

Seems like a crazy question, doesn’t it? And yet, as each new year gets going, many of us work to “recreate the dinosaurs” that we oncewere. Even if it were possible to regain the physique we had in our 20’s, recreate the romance of earlier relationships, or relive the ‘goodold days’ of family traditions, why would we want to? If the experiences of life and the inevitable movement of time haven’t allowed usto maintain these states of being naturally, what makes us think that we should?

We are the people our lives and experiences have created us to be. That’s a good thing. We are more now than we ever have been, andless than we will someday be. Instead of resolving to recreate our old selves, let’s resolve to start from here and create for the better. Trustme, it will make things much more interesting!

“If the experiences of life and the inevitablemovement of time haven’t allowed us to

maintain these states of being naturally, whatmakes us think that we should?”

Special thanks to ...Participants of the Euchre Tournament for Pancreatic Cancer, heldin memory of Mike Wiezorek, November 28, at 180 Main. Inaddition to the funds raised at the tournament, memorials for lovedones who died from pancreatic cancer were also received. A totalgift of $1820 was presented to Hospice of Dubuque.

The Clarke Organization of Student Physical Therapists (COSPT),for the donation of $1,114 from their 11th annual 5K fun run/walkon Saturday, September 26.

The Market House Restaurant, for their donation from theirNovember jar collection, in support of hospice services.

Linda Thompson, of Seldom Scene in East Dubuque, for the $1,000gift from donations and tips received at their Thanksgiving dinnerin November. These donations were split between various nonprofitorganizations.

Pendleton Woolen Mills and their Dubuque store, for the gift of$375 from a charity night of shopping held Thursday, October 29.

Danielle & Phillip Seeberger, for the donation from the dollar danceat their wedding.

Did you know?Hospice of Dubuque...

• is a nonprofit, mission driven organization• was established by a group of volunteers in 1981• is community-based and familiar with the needs of

the tri-state area• has only RNs at the bedside of our patients. As of

December 2009, 43% of Hospice of Dubuque nurseshave certification in hospice and palliative care.

• has experienced and reputable Medical Directors• has over 125 specially educated volunteers• exceeds all state and national quality benchmarking

indicators for hospice care and staff

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Annua l Repor t—F i sca l 2009 11/1/08—10/31/09

Foundation. Framework. Future. During this exciting time of building for the future,

Hospice of Dubuque remains focused upon its mission of providing compassionate care for the terminally ill and their loved ones. For over 26 years, this mission has served as the organization’s foundation, and its framework has been built upon the values of clinical excellence, consumer satisfaction, community covenant and financial prudence. This structure defines Hospice of Dubuque and guides all organizational and patient care decisions. The outcome indicators identified below reflect the organization’s quality achievements. Once again this fiscal year, the local and national hospice care landscape continued to change. According to the National Hospice & Palliative Care Organization (NHPCO), the number of for-profit hospices continued to increase. NHPCO’s 2008 membership data indicates its hospice members are 49.6% nonprofit, 46.2% for-profit and 4.2% governmental. While NHPCO membership by nonprofit agencies has remained almost constant over the past ten years, during this same period, membership by for-profit hospices has nearly tripled. This explosion of hospice providers has resulted in increased regulatory scrutiny and demands for the collection, submission and analysis of data. For the first time this decade, Hospice of Dubuque did not experience growth in patient admissions. In fiscal 2009, admissions decreased by 5%. However, patients remained in the program an average of two days longer this fiscal year, which coincides with national trends of longer patient stays. A longer average length of stay of two days was enough to

offset the decreased admissions, resulting in an increase to the average daily census. In 2009, the average number of patients receiving care on a daily basis increased by 10%. Hospice of Dubuque continues to excel in managing symptoms and supporting families to meet their end-of-life goals. In 2009, 100% of Hospice of Dubuque’s patients died in the location they desired, with 96% dying in their place of residence, as compared to 68.9% nationally. While the Medicare Hospice Benefit allows for inpatient care, hospice is still primarily a homecare program. Medicare scrutiny has been heightened in this area of resource utilization.

When the Medicare Hospice Benefit was established, cancer was the prevalent hospice admitting diagnosis. Nationally, only 38% of hospice patients had a cancer diagnosis last year, and at Hospice of Dubuque this percentage was slightly higher at 40%. The aging population will continue to impact the non-cancer to cancer diagnosis ratio in hospice admissions. Hospice of Dubuque has always responded to the changing needs of our community and will continue to maintain the clinical expertise required to care for a diverse end-of-life population. A robust organization is built upon a solid foundation and framework. With the mission and values forming Hospice of Dubuque’s foundation and framework, a strong structure has been created upon which the future will be built. As in the past, Hospice of Dubuque remains committed to meeting the current and evolving needs of the tri-state community.

Clinical Excellence

99% of goals identified by patients/families were met1

95% of patients reported their pain was resolved within 48 hours or less of admission to Hospice of Dubuque1

(Feb—July 2009) 37% of Hospice of Dubuque

nurses have achieved national hospice nurse certification, compared to 7% in Iowa and 1% nationally2

1 Hospice of Dubuque’s 2009 Quality Assessment and Performance Improvement (QAPI) program 2 Outcome Concepts Systems (OCS) QAPI Snapshot

Consumer Satisfaction

100% of survey respondents3

indicated Hospice of Dubuque: always treated the patient

with respect. provided the right amount of

pain medication and instruction on hospice care.

helped with the patient’s feelings of anxiety and sadness.

provided the right amount of emotional support to family members after the patient’s death. 3 NHPCO Family Evaluation of Hospice Care

Community Covenant

93% of all patients referred to Hospice of Dubuque were admitted into the care program, compared to 77.7% nationally4

41% of all Dubuque County deaths were served by Hospice of Dubuque5

over 2,000 community members received bereavement services1

local equipment vendors and local pharmacies are utilized by Hospice of Dubuque

4 NHPCO National Hospice Data Set 5 Death statistics from Dubuque County Recorder

Financial Prudence

10% increase in patient care days during fiscal 20091

staff turnover rate of 4.8% compared to national hospice employee turnover rate of 28.8%4

patient care programming accounted for 94% of fiscal 2009 expenditures, with office expenses accounting for 4% and fundraising 2%1

3,889 volunteer hours were contributed during fiscal 2009, which resulted in $77,511 in cost savings for the agency1

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At the start of this fiscal year, Hospice of Dubuque purchased the former Steve’s Ace Hardware building at 1670 John F. Kennedy Road. The closing on this property followed months of evaluation by the Board of Directors. In anticipation of the expiration of the current Asbury Square lease, the Board had formed an ad hoc committee in 2007 to explore future space needs and to consider options for leasing, purchasing or building. Two events impacted the Committee’s work—a large gift was received from the Mrs. Ralph W. Aigler estate and the aforementioned location became available for purchase. Thus, the Board of Directors identified Hospice of Dubuque’s future home. A flurry of activity followed. A campaign video, brochure and print materials were developed and produced internally by Shelby Wartick and Linda Wolf of the Hospice of Dubuque Community Relations Department. These products provided campaign callers with the materials required for educating the community regarding Hospice of Dubuque and the Building for Compassion project. The Building for Compassion capital campaign was launched in the spring, under the leadership of volunteer chairpersons Pat Friedman and Larry Cremer, with the help of a dedicated steering committee comprised of Greg Birkett, Bernie Geisler, Rita Helle, Sally Madden, Mike Martin, Rev. Kathleen Milligan, Chip Murray, Lavonne Noel, Shelby Wartick, Linda Wolf and Barb Zoeller. Although the campaign timeframe is very condensed, these committee members, joined by hospice volunteers, community members and staff members have already raised over 60% of the $2.35 million goal. As the fiscal year drew to a close, work on the building began with Conlon Construction as the general contractor. This new facility will allow for greater cost management through energy efficiencies and expanded office and educational space. In 2010, the Hospice of Dubuque Board of Directors, staff members and volunteers look forward to a new facility from which they will continue to deliver compassionate care and responsive community services.

Building for Compassion

Sincere thanks to:

the individuals and families whom Hospice of Dubuque has had the privilege to serve since 1983.

the Hospice of Dubuque Board of Directors and the Hospice of Dubuque Foundation Board of Directors for their commitment to the mission and their leadership.

Medical Directors, Dr. Brian Sullivan and Dr. Mark Hermann for their expertise and guidance.

the Hospice of Dubuque Volunteers, whose dedication makes such a difference.

the highly skilled and compassionate Hospice of Dubuque Staff, who embrace and implement the mission of compassionate care.

the tri-state community for supporting the Hospice of Dubuque mission for over 26 years.

Welcome to:

Members, Board of Directors: Bruce Rehmke, Chip Murray and Rev. William Joensen

Nurses: Jennifer Cavanagh, Cindy McInerney, Brenda Peterson, and Megan Schmitt

Social Workers: Jenica Kester

Hospice Aides: Anji Lewis and Jan Phillips

Secretary: Diane Eddy

Accountant: Heather Skinner

Massage Therapist: Jessica Oclon With appreciation to:

Jodi Hagar and Dr. James Hall for their service on the Hospice of Dubuque Board of Directors.

Congratulations to:

Kathy Bromberg, who was named the 2009 Hospice of Dubuque Volunteer of the Year.

Sue Bushman, Board Member, and Barbara Zoeller, Executive Director, who were among the recipients honored at the 2009 100 Great Iowa Nurses celebration.

In 2009, the Hospice of Dubuque logo was updated and a tagline,

descriptive of the organization, was incorporated as an element of the design. The logo’s soft green color was adopted for staff apparel, thus presenting a consistent identity to other care providers, patients and families.

Hospice of Dubuque mission: Providing compassionate care

for the terminally ill and their loved ones.

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Winter 2010 Honorariums/MemorialsWe gratefully acknowledge these donations received between October 9 and January 8. If a name is inaccurate or missing, please callCommunity Relations at 563.582.1220.

HonorariumsDeanna BirkettRita BrimeyerSharon CarpenterRon Connolly RetirementCarolyn CoxJan & Jack Felderman50th Anniversary

Mary FrtizChris Healey—BirthdayKenneth &Audrey HindmanDave & Joyce HorstmannMrs. Madrene HouyMary V. KenneallyMr. & Mrs. William KruseRose & Roger Maiers50th Wedding Anniversary

Patricia MandersBertha McAleeceMedical Associates Health PlansEmployees—Arlene Alt,Kelly Breitsprecker, BrendaCox, Bonnie LeConte

Libby MillerLisa & Pat NiemerPat & Tom PiekenbrockHannelore & Charles PleinMalinda SandDonald & Mary SchladerDeb SchromenSisters of the VisitationTakeda PharmaceuticalsEmployees—Nicole Freed,Emily Richardson, AmyZschiesche

MemorialsWilma AhlersDarlene AhrndtEd AltenbernJohn AltfillischHerb AlthausThelma AlthausCarolyn AndersonDoris AndersonGertrud AndersonCy ArensdorfHugh ArnoldLee ArthoferTheresa AugeLloyd “Bud” AustinLouie AvenariusVeronica BakewellRichard BartellLarry BartelsRita BartonJohn BeatriceMarcella BeckerJoAnn BellingsFloyd BerendesShirley BerensMarvin BergMarguerite BerndtRose BerrieJoy BerryDarlene BettcherMaDonna BirchPaul BirkettDoris BlissRay BlommeMilt BloschDolores BluettDonald BoardmanLee BoeckenstedtLeo Boge

Nancy J. BogeRobert BoleynRobert & Latha BonnewellBruce BowmanCarol A. BoyesShirley BradfieldVerna BradleyDorothy BrandelClifford BrantKathleen “Kit” BreckenridgeConnie BrehmAlbin BriesAnna Mae BrimeyerHerbert BrimeyerWinifred BrimeyerMarion BrosiusFrancia BrownGolden L. BryantMarie BuecheleJim BuelowRobert BuelowVirginia R. BuolPatricia A. BurdsPatrick J. BurkeJoe & Mae BushmanAnne BussanEvelyn ButlerJohn R. ButtsRobert CapesiusPeter CarrollShirley CarterJoe CasanovaTom CaseyDavid J. CavanaughHelen ChapmanRita CharlandJoseph ClancyBetty ClemenJoan ClingmanRick CollinsMargaret ConradDale ConzettMarita CookEarl CorbettSue-Ann CorbettJames CotantAnna CoxFran CrippesGerald E. CuppsHoward DaleMarvin DalsingD. Jim DalyJane DavidJames C. DavisMarie DeakyneBarbara DelsenerVirgil J. DenlingerJohn DerksThelma A. DewatcherRichard Emil DickinsonLeRoy DietrichRita DietzelGerald & Patricia DoddsBob DoerrRichard A. DolterIrene DrewGinny DroesslerHenry L. DroesslerVirginia DroesslerBetty DunnNorb DupontDr. Earl DupreeRobert J. EichackerAlma ElliottDominic & Lou Mae EnglishHarold Ernzen

Nick ErrthumMarcella EsserDelbert EusticeToni EwertNorman D. FaberJoann FangmanJames N. FeehanThomas L. FeipelSylvester “Shorty” FellerMarge Heinz FennelWilliam P. FeyenHenry FjellmanMary FleckensteinFlorence FlogelElmer FlynnDave FoleySandy FosterSr. Mary FothergillGeri FoustJohn T. FoxDarlene FrancoisLucille FrederickRita FrekingElmer FreiburgerRose FreiburgerEarl FriederickRosalie FriederickEdith FriedmanGeorge FrommeltJeanne G. FrommeltJoe FrommeltCandace FrostLynn “Bill” FullerGlennalee FunkGiles GabelEunice GabrielBernard GansenDeloras GassmanHarold M. GassmannDorothy GatrelElizabeth GaulCarol GeorgeGeorgia M. GeorgeMary GerberMary GetteCurt GinterLeo M. &Ann GlaserDavid GonnerDarlene Wiegand GrafRalph “Red” GrahamCora GranningDavid GratzHerb GreenLucy GreenGinny GrimesGary A. GukeisenTom & Mike GulickJulia GulyashVincent HachmannMarion HackneyEsther HalversonLorna HamiltonRoger D. HandelLeo HanftJohn “Doc” HanleyDavid, Dick & Pat, Patti,

Judy & Bud HansonMargaret & Stephen HansonThomas H. HantelmannKen HarrisPeggy & James HarrisonAgnes HartigDavid Stuber HartigBill HartmannGerry B. HarvesNancy L. Haught

Ralph HaxmeierFlorence HeerMarcella HeerMatthew C. HefelRita HefelBrenda HeimRichard & Marita HeimMerlin HeimsRalph HeinMarge HeinsGail Heinz-HaggeMatt HelleAnn HemmerDick HennagirPeter A. HenrichsHarry G. HeroldLouis &Ana HernandezDonna Mae HershbergerDavid HickeyJames “Ed” HilderbrandVirginia HillaryBetty HinkelRuth HockingGenevieve HoegHarold HoewelerDale D. HoferStella HoganZeta HoppenjanHelen HorstmannCharles HoschKathy HoschRoger HoskinsMarge HrynkowJoAnn HunstadOpal HurstMike ImhofGeorge H. JecklinCarl M. JohnsonMildred L. JonesJanell JostmeyerPhilip E. KauffmannVirginia KeanDonald KearneyFaith E. KellySr. M. Paschal Kelly, SVMHarold KemlerVirginia KempLeona KennedyIola M. KerperGlendoris KesslerRosina KiefferRosetta KilburgBarbara A. KirkpatrickMarion L. KirmseMary KirschBendina KlettGeorge KlingeBlanchard “Joe” KluesnerAnna Mae KoelkerRaymond KoenigRichard “Dick” KohnenEileen KolbeCharlene KoppIrene Mescher KorslinDola KramerJohn KrausShirley KrayerSteven KreiserDorothy A. KremerIola KrepfleJack & Elsie KringleVelma KuehnRose KueterHoward KuhlTess KurtKelli Kutsch

Theresa LaheyNorma Klinge LaPrellJohn A. LarkinLeona LarsonBecki LeClereAudrey LeeJanice LeGrandRichard & Gertrude LesleinEleanor LeuchsDennis Lee LichtMary Lauranne Lifka, BVMHerbert Lindsay, Jr.Esther LindenMary C. LinkArnold LitkaRob LoesBonnie M. LoveJames LoveJames LuceyJohn LudescherInez LyonsM. Connie MaiersRonald N. MaiersRev. C. E. MaloneJuanita L. ManternachLuella ManternachOrland ManternachJoe MarbachVern & Vi MarkusAlvin MarshallMarilyn MartinDuane MasseyLouise McAllisterTania McClainImelda McDermottJim McDonoughCletus McGinnisR. McGirkJean MeehanMr. & Mrs. Cyril MeloyAl MetcalfKatie Rose MetzLouis G. MetzDiane “Dee Dee” MeyerJudy MeyerMerlin MeyerVernon L. MeyerEarl MickelsenRobert MieheConnie MillerElaine A. MillerMarven & Mildred MillerShirley A. MillerAnn MillsMelba MoellerJoseph MonahanRosemary A. MonsonLois MorarendHenrietta Rosenthal MuchowJohn MullinBetty MuntzBertram MurphyLouis MurphyDonald C. NarquisMike NelsonRichard NestebyJames NeuhausJeri NicholsonMarvin NielsenDorrance L. NoonanRay & Mary NoonanGary W. O’BrienThomas L. O’BrienMarion O’MaraMichael J. O’Meara, Jr.James L. O’Neill

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Hospice of Dubuque is committed to respecting your privacy. You have received the Hospice of Dubuque newsletter because you or afamily member have used Hospice of Dubuque services, have made a donation or have volunteered for one of our fundraisers. You can beassured we will never disclose our mailing list to anyone for any reason. If you would prefer to have your name taken off the list, orchoose to receive the newsletter by email, please contact us at 563.582.1220 or info@hospiceofdubuque.org.

Charlotte M. O’RourkeLarry & Gordon OglesbySherry OldenburgJoe &Arlene OlsenGordon W. OlsonRussell OlsonMary OnufrakJames A. OrbellMargaret OstwinkleDoris Owusu-AbabioKenneth J. PalmSteven PaulPatricia PapenthienEileen PeeblesRobert PeryonCarl J. & Frances PfeilerGeorge PfeilerEileen Even PfohlRobert L. PierceVessie PinsRuby A. PlaistedDonald PloesslMary PoireClarence & Myrtle PorterArt PotterNancy PotterAnna PottsRalph PriskeDean ProwantVirginia PustJan QuereJerold W. RansdellRonald J. RappVerlyn P. ReganFerd Reinhardt, Sr.Margaret RethRebecca Rettenmaier

Judy RettenmeierAnne T. RichardsonWilfred J. RiesJean RiesbergJudy RinikerLarry RinkerOtto RinikerShirley RinikerGary Leo RobinsonThomas RolingJeanne RomaineLoretta RonekKathy Conzett RossOzzie RothWilliam RowanMary RubnerUrban RudenLucille RuerEd RyanRaymond C. RyanLee & Carol SandersonJeannine SanmanSam SantilloHelen SaulElmer SchaeferJoseph SchaeferDula ScherrmanMary Jo SchieslGreta SchiesslVern “Whitey” SchisselMary SchlarfMildred SchlickmanDonald SchmidtGary P. Schmitt, Sr.Rosemary SchmitzCarl SchoenhardMelvin Schrobilgen

Jim SchroederKay SchroederMarcella SchuellerAl SchulteVirginia J. SchumacherJerry A. ScottBonnie SeligFrancis ShanahanThomas D. SheaLillian SherlockDonna SherrardJohn S. ShifflettKenneth ShueyLucille SieverdingJim SigmanMercedes SingsankArleigh SisbachDon SmithH. Spencer SmithJohn N. SmithMattie SmockMarvin SmothersArmella & Vincent SnyderKathy SpahnBonnie SpahnLaura K. StaffordFern StallsmithVirginia M. StallsmithMary StanerMaureen Ann SteeleJoseph P. StegerMark StegerDon & Colleen SteinbachVelma C. SteinesEvelyn StiermanJoAnn SteveJim Straka

Karl StreitmanLeah StoffelArlene SullivanJohn SweeneyJane SwensonConnie SzpyrkaFrancis “Frank” TaylorFrancis & Dorothy “Rea” TaylorH. Lee ThackerFlorence ThillDoris ThiltgenHelen M. ThomasColetta A. TiggesDonna TimmermanLavera TindellVi TjarksEugene TobinSteve & Mary Agnes TranelBernice F. TroesterAnita UdelhofenMary UtheDick ValentineDeb ViertelVernon VosbergRita WagnerRoger G. WagnerMert WallenhorstDonald WallingMarijane S. WallisLucille A. WarsekHenry “Hank” WeberMilo WeberPhillip WeberLynne Faith WelterAndrew &Anna WeluDaniel WeluJohn Wesenberg

Kathy WhitingWerner E. WieseBob Sr., Bernice & Mike

WiezorekMary Ellen WilkisonMarvin WillenborgPatricia J. WillettLorraine K. WilsonMarie WilwertAndrew “Andy” WimerMark WinterSylvester WinterMildred L. WoerdehoffJeanette WolfEldon “Pete” WolfeLeRoy F. WubbenJoseph J. ZahinaNorman Zeckser

Groups or BusinessesBeecher CompanyChurch of the NativityClemen Welding, Inc.Immanuel CongregationalChurch-Women’s Fellowship

Family of Gerald NaumannRannals FamilyFamily of Rev. Tom RhombergSt. Anthony ParishSpahn & Rose Charitable

FoundationFamily of Art & Lee TiggesWa-Tan-Ye Club

Hospice of Dubuque extends sincere thanks toMystique Casino for a grant totaling $4,475, whichwas received in November 2009. This grant hasenabled Hospice of Dubuque to upgrade its accountingsoftware. Since 2001, Mystique has provided over$80,000 of grant funding to Hospice of Dubuque!

Van’s Liquor Store donated $1,400from the ticket sales of their AnnualFall Wine Tasting Night, heldNovember 4 at Timmerman’s SupperClub. Thank you to all who supportedour organization by attending and toJeff Jansen and Van’s Liquor Storefor the opportunity to be associatedwith this fun event.

The customers and friends of CaféManna Java and Hospice of Dubuqueenjoyed the music of Pat Niemer,Deb Stevens, Sue Kalb and LauraHess on Thursday, October 8. Thegroup meets monthly at Café MannaJava West, with donations going tovarious charities. We thank all thoseinvolved for their gift totaling $300.

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Congratulations to ...Hospice of Dubuque Volunteers ...Sylvia & Ron Wentz on the birth of their grandson, Ronan BernWentz, October 30. Ronan is the son of Glenn and JessicaWentz.

Hospice of Dubuque Staff ...Brenda Peterson, on her marriage to Joe Pieper, November 30.

Mary & Dan Greil, on the birth of their granddaughter, Colleen,December 11. Colleen is the daughter of Maureenand Brian Schultz.

Sympathy to ...Hospice of Dubuque Staff ...Linda Wolf, on the death of her mother-in-law, Jeanette Wolf,December 9.

Jen Cavanagh, on the death of her grandmother, HelenHorstmann, December 27.

Hospice of Dubuque Past Board ...Pat Friedman, on the death of her mother-in-law, Edith Friedman,December 23.

Dave Horstmann, on the death of his mother, Helen Horstmann,December 27.

Hospice of Dubuque welcomes ...Diane Eddy joined Hospice of Dubuque this fall as a Hospice Secretary. She and her husband, David, have onedaughter, Keila. This past year Diane was ordained as a permanent deacon in the Episcopal Diocese of Iowa andserves at St. John’s Episcopal Church in Dubuque. In her spare time Diane enjoys spending time with her family,crocheting, gardening and reading.

Hospice of Dubuque staff receive certificationEdna Scherbring, RN, BSN, has achievedthe credential of Certified Hospice &Palliative Nurse (CHPN). This certification,awarded by the National Board forCertification of Hospice and PalliativeNurses, honors a nurse for their provencompetency across the spectrum of hospiceand palliative nursing care. Edna earned aBachelor of Science degree in nursing fromClarke College and has been serving theHospice of Dubuque patients and familiessince 2003.

Nancy Diehm, Psychosocial Director forHospice of Dubuque, has been awardedcertification as a Hospice & Palliative SocialWorker from the National Association ofSocial Workers. Nancy holds a Bachelor ofArts degree in social work from theUniversity of Northern Iowa and, prior to heremployment with Hospice of Dubuque,worked for the Iowa Department of HumanServices. Nancy has been with Hospice ofDubuque for 20 years.

Clip this coupon to use every Friday night after 5 pmthrough April 10. For each coupon, Steve's Ace Home &Garden will donate 20% of the purchase to Hospice ofDubuque.

Hospice ofDubuquerecognizesPaula Gieseas theDr. Larry KuklaVolunteer ofthe YearAward recipientOn Thursday evening, December3, at the annual Hospice ofDubuque Volunteer Open House,Paula Giese was awarded the 2010Dr. Larry Kukla Volunteer of the Year Award. Paula joined Hospice ofDubuque in 2002 and has journeyed with over 46 patients during the pastseven years. She was chosen for the award because of her consistentdedication to patients and their families and her willingness to always lend ahelping hand at a moment’s notice. Paula received her award with tears of joysaying, “I received the gift of humor from my father and for me it’s sharingthat gift with patients that makes this rewarding.” Hospice of Dubuque hasover 125 dedicated volunteers; all have successfully completed an extensiveeducational program and screening process. Each Hospice of Dubuquevolunteer makes a difference in the lives he or she touches. Hospice ofDubuque truly appreciates all the volunteers for their involvement andcommitment to those receiving care from the community’s nonprofit hospice.Congratulations, Paula!

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***All meetings will be held at 6:00 pm at theHospice of Dubuque office at 2255 JFK Rd.unless otherwise noted.

January 28, 2010Join in the fun of ballot counting for BestFest.Please callMary or Linda at 582.1220 prior to the 28th if you areinterested in helping. Vote counting will take place from6:00 to 8:00 pm.

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Volunteer mileage reminderVolunteers should remember to keep track ofmileage associated with patient visits or otherHospice of Dubuque related events at which theyare volunteering their time. These miles may beused for a deduction on your taxes.

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Welcome new volunteersNine people completed the seven weekvolunteer education program in the fall of 2009.Joe Blodgett, Ellen Coughlin, Ken Heacock,Sharon Hoth, Donna Mattan, Mary Lou Mauss,Becky McCallum, Sr. Marlene McDonnell andPatti Steffen are now qualified to be directpatient care volunteers. Congratulations andthank you to these generous individuals.

2010 VolunteerIn-service CalendarMary Franzen, Volunteer Coordinator

Volunteer, Becky McCallumwith her hospice patient, Ethel Peake

HappyNewYear!

A Quarterly Publicationof Hospice of DubuqueVolume 22, Number 4Winter 2010

Our MissionProviding compassionatecare for the terminally illand their loved ones

www.hospiceofdubuque.org

Nonprofit Org.US Postage

PAIDDubuque, IowaPermit No. 1052

RETURN SERVICEREQUESTED

Hospice of Dubuque at theWinter Farmer’s Market - Jan 30

Bowling For Hospice of Dubuque - Feb 20

BestFest - March 4

Tree of Life - May 25

For more information on these events orhow to participate, please call 563.582.1220or check out www.hospiceofdubuque.org

Mark Your Calendar!“Hospice of Dubuque was

just terrific. They came to

see us in record time and

were very thorough and

compassionate. They took

time and interest in our

grandmother’s condition.

We are just sorry we did

not call sooner for her

pain control.”

Judy L.Winners in over 50 categories are invited toattend BestFest.

2255 JFK Road, Asbury Square, Dubuque, IA 52002