http://pathways-care.org/ Pathways - Blog RSS Feed 2.0 en-us Wed, 08 Apr 2026 10:51:14 GMT Wed, 08 Apr 2026 10:51:14 GMT http://pathways-care.org/blog/16924/How-to-Choose-a-Hospice--Questions-Worth-Asking-Before-You-Decide blog Decisions come fast and heavy when you or someone you love are facing a life-limiting illness. Choosing a hospice provider to help navigate the journey is one of the most significant among them. It shapes the days and weeks ahead, for the patient and for everyone who loves them. The good news is that you and your family do not have to make decisions in the dark. There are real tools, real questions, and real data that can help you choose well. Start With What Matters Most to You Before you call a single hospice, take a few minutes to name what matters. Is it having caregivers who know your loved one's history? Is it around-the-clock access to a nurse when symptoms shift at 2 a.m.? Is it knowing that emotional and spiritual support will extend to your whole family, not just the patient? Hospices are not interchangeable. They vary in size, culture, responsiveness, and depth of service. Knowing your priorities before you start asking questions helps you hear the answers more clearly. Questions That Reveal How a Hospice Actually Operates Medicare has published a suggested checklist for families choosing hospice care, and it's a useful place to start. The questions below are drawn from that framework and organized around what they're really trying to surface. You can see the full checklist here: Suggested Questions to Ask When Choosing a Hospice About consistency and access: How many patients is each nurse carrying? What happens after business hours — nights, weekends, holidays? When you call with something urgent, what does response time actually look like? These aren't logistical questions. They are questions about whether care will feel continuous and held, or fragmented and reactive. About symptom management: How will pain and other symptoms be managed at home? What happens if symptoms become uncontrollable — is there a pathway to inpatient care? Can your loved one continue current medications? Pain management is the center of hospice's clinical promise. A good hospice should be able to explain their approach with specificity and confidence. About communication: How will the hospice team keep you informed? Will you be included in care decisions, or handed a plan? How does the team prepare families for what to expect as things progress? The best hospice teams treat families as partners. They communicate proactively, not only when something goes wrong. About caregiver support: What happens if you need a break? What if home care becomes more than you can manage? How will the team support you emotionally — not just your loved one, but you — through the grief that comes both before and after? Hospice care is designed to hold the whole family. If a hospice can't speak clearly to caregiver support, that's worth noting. What the Data Can Tell You Once you have a sense of what questions matter to you, Medicare's Care Compare tool gives you a way to compare hospices using real patient and family feedback. The data comes from CAHPS — the Consumer Assessment of Healthcare Providers and Systems survey — which gathers responses from families who have actually been through hospice care with a given provider. Care Compare shows star ratings across several categories: communication, getting timely care, treating patients with respect, and overall family experience. A four-star or five-star rating in family experience is meaningful. It reflects patterns reported by real families, not marketing language. That said, ratings are a starting point, not a final answer. A four-star hospice that serves your geographic area and aligns with your values will serve you better than a five-star hospice that doesn't fit your situation. Use the data to narrow your list, then use your conversations to make the call. Trust What You Hear in the Conversation When you call or meet with a hospice, notice how they talk. Do they listen before they explain? Do they answer your questions directly, or steer toward brochure language? Do they acknowledge the weight of what you're facing, or treat this like a routine intake? The people who show up at your door — nurses, social workers, chaplains, aides — will be present for some of the most intimate moments of your family's life. How a hospice communicates before care begins often reflects how they will show up once it does. A Word About Pathways Pathways Hospice and Palliative Care has been serving patients and families in Larimer and Weld Counties since 1978. We are a nonprofit hospice, which means our sole focus is the people we serve. We hold a four-star CMS rating, and we'd welcome the chance to answer any of the questions above — not to make a case for ourselves, but because you deserve complete information. If you're in the process of choosing, we're happy to be one of the hospices you talk to. You can reach us at pathways-care.org. This decision is one of the most human ones you will ever make. Take the time it deserves. Ask the hard questions. And trust that the right care — held by the right people — is worth finding.   Wed, 08 Apr 2026 06:00:00 GMT http://pathways-care.org/blog/16924/How-to-Choose-a-Hospice--Questions-Worth-Asking-Before-You-Decide http://pathways-care.org/blog/16846/Today-is-National-Doctor-s-Day blog There is a particular kind of physician hospice and palliative work requires. Not just clinical skill, though that matters deeply. But a willingness to sit with uncertainty, to follow a patient's lead, to measure success not in cure but in quality — in comfort, in connection, in days lived well.   Pathways is fortunate to have two of them.   On Monday, March 30, we celebrate National Doctor's Day by honoring Dr. Nate Chappelle and Dr. Julie Davita-Bailey, the incredible doctors who anchor our care and shape our culture in ways that reach far beyond their clinical hours.   Dr. Nate Chappelle came to hospice and palliative medicine drawn by a simple but profound belief: that every patient deserves to get the most out of every day. He'll tell you that this work is a team effort — that the care Pathways provides only happens because of the people around the patient, working in concert. That orientation, toward collaboration and collective impact, is something his colleagues feel. He stays because he sees the difference being made, for patients and for the people who serve them.   Dr. Julie Davita-Bailey describes her path to this work as a calling — one that began while caring for hospice patients as a primary care provider in Montrose, Colorado, where she felt a connection she couldn't walk away from. Her commitment is also personal. Having lost two sisters at young ages to cancer, she understands grief from the inside. That experience shapes the way she shows up — not with distance, but with presence. She believes deeply that patients and families deserve to live every moment — sharing meals, making memories, spending time with the people they love — and that her role is to make that possible. After three years away, she has returned to Pathways. She calls it coming home.   Together, they remind us what this work is really about. Not just managing symptoms or navigating transitions — but honoring the full humanity of every person in our care, every step of the way.   Thank you, Dr. Chappelle and Dr. Davita-Bailey. We are grateful you are here.   Mon, 30 Mar 2026 06:00:00 GMT http://pathways-care.org/blog/16846/Today-is-National-Doctor-s-Day http://pathways-care.org/blog/16835/Why-Hospice-Volunteer-Training-and-Orientation-Matter blog Volunteering in hospice care is deeply meaningful, but it also requires thoughtful preparation. Hospice volunteers often support people who are facing serious illness, loss, and major life transitions. That is why Pathways provides a structured volunteer orientation and training program designed to help volunteers feel confident and supported. During orientation, volunteers learn about: The philosophy and goals of hospice and palliative care How hospice volunteers support patients, caregivers, and care teams Communication skills for meaningful companionship visits Patient privacy and confidentiality requirements Boundaries and best practices when supporting families Emotional awareness and compassion in end-of-life care This preparation ensures volunteers are ready to provide compassionate, respectful support while also feeling comfortable in their role. What Hospice Volunteers Do Hospice volunteers contribute in many ways depending on their interests, availability, and skills. Their support helps hospice teams focus on providing the highest level of clinical care while ensuring patients receive personal attention and connection. Common hospice volunteer roles include: Patient Companionship Many volunteers spend time visiting with hospice patients. These visits may include conversation, reading aloud, listening to music, or simply providing a comforting presence. Caregiver Support Volunteers may provide short periods of respite so family caregivers can rest, run errands, or take care of other responsibilities. Administrative and Office Support Some volunteers assist hospice teams with administrative tasks that help programs run smoothly. Community Outreach and Events Volunteers may also help with community education, fundraising events, and awareness initiatives that support hospice programs. Each role contributes to the overall mission of hospice care: supporting quality of life and dignity for patients and families. The Impact of Hospice Volunteers on Patients and Families Research and decades of hospice experience have shown that volunteers can have a powerful impact on patient well-being and family support. For many patients, volunteers provide: Social connection and conversation Emotional comfort and reassurance A listening ear and compassionate presence Relief from loneliness or isolation For families and caregivers, volunteers help reduce stress by offering companionship, practical assistance, and emotional support during a difficult time. These connections are often deeply meaningful for both volunteers and the people they serve. Hospice Volunteer Opportunities in Northern Colorado Pathways welcomes volunteers from across Fort Collins, Loveland, Greeley, and surrounding Northern Colorado communities who want to give back in a meaningful way. People choose to volunteer with hospice for many reasons, including: A desire to support people during end-of-life care Personal experiences with hospice care A commitment to serving their community Interest in healthcare, social work, or caregiving fields No matter the motivation, every volunteer becomes part of a compassionate team dedicated to helping patients live with dignity and comfort. Becoming a Hospice Volunteer Becoming a hospice volunteer begins with orientation and training designed to prepare individuals for this unique and meaningful role. Pathways works closely with volunteers to ensure they feel supported, informed, and ready to serve before they begin working with patients or families. For those looking for a way to make a lasting difference in their community, hospice volunteering offers an opportunity to provide kindness, presence, and compassion when it matters most. Learn more about volunteering with Pathways here: https://pathways-care.org/volunteer/   Thu, 26 Mar 2026 06:00:00 GMT http://pathways-care.org/blog/16835/Why-Hospice-Volunteer-Training-and-Orientation-Matter http://pathways-care.org/blog/16782/Celebrating-Pathways-Volunteers-During-National-Volunteer-Month blog This coming April is National Volunteer Month, a time to recognize the people who strengthen communities through service. At Pathways, volunteers play an essential role in supporting individuals and families navigating serious illness, caregiving, and grief. The Impact of Hospice and Grief Support Volunteers Volunteers help expand Pathways' ability to provide compassionate care across our community. Their contributions take many forms, including: Providing companionship to individuals facing serious illness Supporting families and caregivers Assisting with grief support programs Helping with community events and outreach Offering administrative and behind-the-scenes support While their roles vary, the impact is the same: ensuring people feel supported and connected during some of life's most challenging moments. Why Volunteers Matter in End-of-Life and Grief Care In hospice and grief support, presence matters. Volunteers bring time, attention, and compassion that can make a meaningful difference for patients and families. Their support helps ensure that no one in our community has to face illness, loss, or grief alone. Honoring Our Volunteers During National Volunteer Month, Pathways is proud to celebrate the dedicated individuals who give their time and heart to this work. Their generosity allows us to reach more people and provide the compassionate care our community deserves. Learn more about the volunteers who support Pathways in our latest newsletter: https://conta.cc/4rnI9Tc If you're interested in giving back, volunteering is one of the most meaningful ways to support individuals and families in your community. Learn more about volunteering for Pathways here: https://pathways-care.org/volunteer/   Fri, 20 Mar 2026 06:00:00 GMT http://pathways-care.org/blog/16782/Celebrating-Pathways-Volunteers-During-National-Volunteer-Month http://pathways-care.org/blog/16779/How-Partnerships-Improve-Hospice-Care--Pathways-and-Superior-Medical-Equipment-Supporting-Patient-Comfort-at-Home blog At Pathways, caring for patients with serious illness requires more than compassionate clinical care — it also requires trusted partnerships that ensure patients have the equipment and resources they need to remain comfortable and supported at home. That's why Pathways partners with Superior Medical Equipment, an ACHC-accredited provider of durable medical equipment (DME). Through this collaboration, Pathways patients receive high-quality medical equipment, reliable service, and timely support — all essential components of safe and comfortable care at home. Durable medical equipment plays a critical role in hospice care. Hospital beds, mobility aids, oxygen equipment, and other specialized tools help patients remain comfortable, maintain dignity, and safely receive care in the environment they prefer most: home. Just as important as the equipment itself are the people who deliver and support it. Recently, a patient shared the following feedback about Will, a member of the Superior Medical Equipment team: "Will was an amazing man! Perfect for this job! He was so caring, so polite, explained everything so thoroughly, and was professional all at the same time! The equipment is like new, updated, clean, and functioning well! I am so impressed and grateful for this company and the services!" Stories like this highlight the impact that compassionate service and attention to detail can have on patients and families navigating a difficult time. Pathways and Superior Medical Equipment are both affiliates of Care Synergy, a network of mission-driven, values-based, not-for-profit healthcare organizations dedicated to caring for individuals with serious illness — often older adults with complex medical needs — by helping them remain at home, stay out of the hospital, and maximize their comfort and quality of life. By working together, organizations across the Care Synergy network are able to deliver coordinated, compassionate care that supports patients and families when they need it most. And thanks to dedicated professionals like Will, that mission is carried forward every day.   Thu, 19 Mar 2026 06:00:00 GMT http://pathways-care.org/blog/16779/How-Partnerships-Improve-Hospice-Care--Pathways-and-Superior-Medical-Equipment-Supporting-Patient-Comfort-at-Home http://pathways-care.org/blog/16774/Hospice-Care--Supporting-Quality-of-Life-Earlier-Than-Most-People-Realize blog One of the more common questions hospice professionals encounter is: "Why are you here? This patient isn't dying." This question highlights a persistent misunderstanding about hospice care—specifically, when it is appropriate and what it is designed to provide. Hospice is not limited to the final days of life, nor is it an indication that a patient has "given up." Rather, it is a comprehensive model of care intended to support patients with life-limiting illness during the final phase of life—typically defined under the Medicare hospice benefit as the last six months. When hospice is introduced earlier in that trajectory, patients and families often experience significantly improved outcomes. Hospice care focuses on: Expert symptom and pain management Emotional and psychosocial support for patients and families Spiritual care aligned with patient values Interdisciplinary team coordination 24/7 access to clinical guidance and support In addition, hospice involvement is associated with reduced hospitalizations, fewer emergency department visits, and more consistent care planning aligned with patient goals. A commonly reported sentiment among families is: "We wish we had known about hospice sooner." This reflects not only a knowledge gap, but also missed opportunities for earlier support, improved symptom control, and more meaningful time with loved ones. Importantly, hospice care does not hasten death. In fact, research published in the Journal of Pain and Symptom Management (2007) found that patients who elected hospice lived, on average, longer than those who did not, with notable differences in certain diagnoses such as congestive heart failure. Hospice is a Medicare benefit that eligible patients have earned. As a community-based nonprofit provider, our commitment is to ensure access to this care regardless of financial circumstances. For healthcare partners, the opportunity is clear: earlier education and timely referrals can significantly improve patient and family experience, while also supporting more appropriate utilization of healthcare resources. For patients and families, the message is just as important: you do not have to wait for a crisis to ask about hospice—support can begin earlier than most people realize. Hospice does not require the absence of hope. Rather, it reframes hope around comfort, dignity, and quality of life. We encourage clinicians, care teams, and families to initiate conversations about hospice earlier—so patients can fully benefit from the support available to them. Whether you're a clinician, patient, or family member, we're here to help. Visit pathways-care.org or call (970) 663-3500 to connect with our Admissions team or a Community Liaison for guidance, education, or support.   Wed, 18 Mar 2026 06:00:00 GMT http://pathways-care.org/blog/16774/Hospice-Care--Supporting-Quality-of-Life-Earlier-Than-Most-People-Realize http://pathways-care.org/blog/16656/The-Women-Who-Built-the-Way-We-Die-Well blog March is Women's History Month, a time to recognize not just the milestones women have reached, but the quiet, essential work they've done in rooms many people don't want to think about. There's a particular kind of courage required to sit with someone who is dying. To stay. To not look away. To say: you matter, and we will make this as good as it can be. For most of modern history, that courage has belonged disproportionately to women. Four Women Changed Everything In 1966, four women gathered in New Haven, Connecticut. Dame Cicely Saunders (pictured), Florence Wald, Elisabeth Kübler-Ross, and Zelda Foster came together alongside a handful of like-minded colleagues with a shared belief that Western medicine had gotten something deeply wrong about dying. At that moment, it was common practice for doctors to withhold terminal diagnoses from patients. People died in hospital beds, often in pain, often without the truth. These four women believed that was unacceptable, and they set out to change it. What followed was a 20-year campaign that gave birth to the modern hospice movement. Zelda Foster was the first to put the problem into writing. Her 1965 article in the Journal of the National Association of Social Workers named the "conspiracy of silence" that dying patients faced and brought patient-oriented goals of care into the center of the conversation. The following year, she and Dame Cicely Saunders, Florence Wald, and Elisabeth Kübler-Ross gathered in New Haven to begin turning those ideas into action. Saunders returned to London and opened St. Christopher's Hospice in 1967, establishing that end-of-life care could be grounded in dignity, pain management, and holistic support rather than in the mere absence of a cure. That same year, Elisabeth Kübler-Ross began interviewing dying patients at the University of Chicago, research that would become her landmark 1969 book On Death and Dying, which introduced the five stages of grief and opened a conversation about death that had largely been kept shut. Florence Wald took that growing momentum across the Atlantic and founded Connecticut Hospice in 1974, the first hospice in the United States. Zelda Foster went on to co-found the first Hospice Association in New York. Together, these women didn't just build institutions. They built a framework for how we understand what it means to care for someone at the end of life. It Took Root Here, Too The work of those four women in New Haven didn't stay in New Haven. It traveled. It took root in communities across the country, including ours. In 1978, a woman in Larimer County was dying of cancer. A small group of women rallied together, volunteered their time, and cared for her in the final months of her life. That act of loving kindness became the seed of what is now Pathways. It was possible because Saunders, Wald, Kübler-Ross, and Foster had already done the hard work of proving that this kind of care deserved to exist. Nearly five decades later, we are still here. Still shaped by that founding spirit. Still caring for Northern Colorado residents regardless of financial circumstance. Still doing the work all of these women believed was worth doing. The Work Continues Today, nearly 90% of hospice registered nurses are women. According to the U.S. Bureau of Labor Statistics, women make up 87% of home health aides and 80% of personal care aides. The majority of hospice clinicians are women. These aren't just statistics. They represent millions of hands held, millions of difficult conversations navigated, and millions of families supported through something they didn't know how to do alone. We are grateful for every human who has answered this calling. And today, we lift up the women whose vision made this work possible in the first place. Our Work Is Far from Over Hospice remains misunderstood and underutilized, and there is much ground left to cover. We know much of the work is about having earlier, more honest conversations about death and dying. It is about honoring people's wishes before a crisis makes those wishes harder to hear. It is about demystifying what can be a profoundly beautiful part of the human journey, and building real partnerships between families, caregivers, and the broader healthcare community so that dying with dignity is a bridge, not a barrier. The movement those four women launched in 1966 is not finished. But it has a foundation, one built by people who refused to look away. This month, we honor them. And we honor everyone, past and present, who has had the courage to stay. More information on Pathways and our hospice and palliative care can be found at pathways-care.org. Photo source: History of Modern Biomedicine Research Group   Wed, 11 Mar 2026 06:00:00 GMT http://pathways-care.org/blog/16656/The-Women-Who-Built-the-Way-We-Die-Well http://pathways-care.org/blog/16641/What-If-We-Just-Kept-Driving- blog For one family connected to Pathways Hospice, Baja is more than a destination. It's a place woven into their story. For nearly 15 years, they traveled there together at least once a year — creating memories in the desert landscape, surrounded by cacti, sunshine, and time together as a family. It became one of their favorite places, especially for a father who cherished those trips. Recently, as this family made an emotional drive to Pathways' Inpatient Care Center, those memories came rushing back. During the ride, his wife asked a simple but heartfelt question: "What if we just kept driving south? Do you think we could make it to Baja?" He answered with a bit of humor and honesty. "We'd need a truckload of oxygen." Their daughter, an artist, later turned that moment into a drawing. In the illustration, a truck carries a towering stack of oxygen tanks as it heads toward Baja through a desert landscape. The tanks represent exactly what her father joked about — the oxygen it would take to make the trip. But the image represents much more than that. It captures the crossroads families often face at the end of life — the longing to keep going, the memories that shape us, and the love that surrounds difficult decisions. The road to Baja becomes a symbol of possibility, memory, and the life that came before the moment of saying goodbye. For the Pathways team, the artwork is a powerful reminder of the humanity within hospice care. Every patient brings a lifetime of stories, places they love, and moments that define them. Hospice is about honoring those stories. It's about making space for families to reflect, to remember, and to choose the path that feels right for them. We are deeply grateful to this family for sharing such a personal piece of their journey. Through one drawing and one conversation in a car, they captured something universal — the deep love that carries families through life's hardest moments.   Fri, 06 Mar 2026 06:00:00 GMT http://pathways-care.org/blog/16641/What-If-We-Just-Kept-Driving- http://pathways-care.org/blog/16639/When-Everything-Feels-Like-Too-Much--Understanding-Nervous-System-Regulation blog In hospice care - whether you are a caregiver, family member, or part of the care team - there are moments when everything can feel like too much. The phone rings. Symptoms change. Emotions rise. You're holding anticipatory grief, decision-making, exhaustion, and love all at the same time. You may notice your heart racing, your chest tightening, tears coming quickly, or feeling suddenly numb and disconnected. This is your nervous system responding to prolonged stress, uncertainty, and emotional intensity. Our nervous system is constantly scanning for cues of safety and support. When things feel unpredictable or heavy, it can shift into high alert (anxious, restless, reactive) or into shutdown (numb, foggy, depleted). Regulation is the practice of helping your body return to steadiness so you can respond - rather than just react. Here are ten quick, practical ways to regulate your nervous system in the midst of stress: Lengthen your exhale. Inhale through your nose for four counts, exhale through your mouth for six. Longer exhales signal safety to the body. Feel your feet. Press your feet firmly into the ground and notice the support beneath you. Grounding reconnects you to the present moment. Name what's happening. Silently say, "This is a stress response," or "I'm feeling overwhelmed right now." Labeling emotions reduces their intensity. Temperature reset. Hold something cold or splash cool water on your face. Brief temperature changes can calm heightened emotional states. Gentle movement. Take a short walk down the hall, stretch your shoulders, or roll your neck slowly. Movement helps discharge accumulated stress. Orient to safety. Look around and name five neutral things you see. This reminds your brain that, in this moment, you are okay. Compassionate self-talk. Replace "I should be handling this better" with "This is hard, and I'm doing the best I can." Connect briefly. Make eye contact, send a quick text, or sit beside someone quietly. Co-regulation - calming alongside another person - is powerful. Structured pause. Step away for two intentional minutes before making a decision or responding to a difficult situation. Small routine anchors. Drink water, eat something nourishing, or step outside for fresh air. Predictable care signals stability to your body. Regulation does not mean being calm all the time. Hospice and end-of-life caregiving are inherently emotional. A regulated nervous system is one that can experience those emotions and then gently return to balance. If you've been holding stress for a long time - caregiving, grief, witnessing decline - your body may need consistent, compassionate practice to feel steadier again. Our hospice team is here to support the whole person and family. We are available to open meaningful conversations, offer coping strategies, and provide counseling and emotional support throughout the journey. If you would like additional skills, a listening ear, or help connecting to community resources, please reach out. We are honored to walk alongside you. Contact the Grief & Loss Counseling Office at  970-663-3500 or bereavement@pathways-care.org for more information. Find information on Grief Support Groups by visiting Grief Support Groups - Pathways Care.   Thu, 05 Mar 2026 06:00:00 GMT http://pathways-care.org/blog/16639/When-Everything-Feels-Like-Too-Much--Understanding-Nervous-System-Regulation http://pathways-care.org/blog/16407/Pathways-In-The-News-2-26-26 blog Yesterday morning, Pathways team members Natalie Petersen and Ryan Bluth joined Brian and Tanner on Good Morning NOCO to discuss one of the most important — and often misunderstood — topics in healthcare: end-of-life care. During the conversation, they explained when families should consider reaching out for hospice support, what services are available, and why timing matters. One key takeaway: every person and every situation is unique. Hospice is not a one-size-fits-all service, and individuals have the right to make informed choices about their care. Many people are surprised to learn that hospice support can begin earlier than they expect and that it focuses on comfort, dignity, and quality of life. At Pathways, our role is to guide patients and families through these difficult moments with clarity, compassion, and expertise. Listen to the full interview here: https://1310kfka.com/podcasts/noco-now/02/good-morning-noco-february-25-2026-crp-4x4-vip-guest-natalie-peterson-and-ryan-bluth-with-pathways-hospice/ Thu, 26 Feb 2026 06:00:00 GMT http://pathways-care.org/blog/16407/Pathways-In-The-News-2-26-26 http://pathways-care.org/blog/16368/Front-Desk--Full-Hearts---The-Friendship-That-Greets-You-at-Pathways blog At Pathways, volunteerism is rooted in compassion — but sometimes, it also blossoms into something even more beautiful: friendship. For Mary and Tonia, what began as a desire to give back has grown into a partnership that has quietly supported patients, families, staff — and each other — for years. Mary's Story: Hospice Is in Her Roots Mary is a retired nurse whose connection to hospice runs deep. Her mother was the first hospice nurse in Fort Collins — long before hospice was widely understood or embraced. Years later, when both of Mary's parents became patients at Pathways, she experienced firsthand the same compassionate care her mother had once helped pioneer. After recovering from back surgery and moving to Fort Collins, Mary began volunteering. That was 32 years ago. Today, Mary assists with reception and is a member of the Board of Directors. Her steady presence, calm demeanor, and deep institutional knowledge make her a gift to everyone who walks through the doors. Tonia's Story: Gratitude Turned into Service Tonia's introduction to Pathways also came through her parents. Both her mother and father received care here, and the experience left a lasting impact. After they passed, Tonia found herself looking for meaningful ways to give back. With a background in school nutrition services, she understood service and organization — but what she really carried with her was gratitude. She began volunteering 11 years ago and never looked back. A Wednesday Tradition For years — they estimate five or six, though neither can quite remember — Mary and Tonia have shared Wednesday front desk shifts. But to call them simply "co-volunteers" would miss the heart of their story. They are true partners. Tonia comes in early to get Mary set up for the day — pulling out her favorite music and making sure her beloved Twizzlers are ready. When asked why she does it, Tonia's answer is simple: "Because Mary is amazing." Mary, in turn, always makes sure Tonia has lunch. It's a quiet, mutual rhythm of care — the same kind of care they offer to patients and families, extended naturally to each other. Their partnership isn't just about answering phones or greeting visitors. It's built on a shared desire to support not only those receiving care, but the staff who provide it. They joke that they share both a "common love for Pathways" and a "common back pain." Beneath the humor lies something deeper — shared experiences caring for their own parents, navigating their own health challenges, and choosing to continue showing up anyway. Friendship at the Front Desk Volunteering together has made their experience more joyful. What could feel like a shift feels instead like time spent with a dear friend. They love the people. They love the passion. And yes — they love the free cookies. But most of all, they love being part of something meaningful. Their story is a reminder that volunteer appreciation isn't just about recognizing hours served. It's about celebrating the relationships built, the lives touched, and the quiet ways volunteers care for one another behind the scenes. Mary and Tonia embody what makes Pathways special: compassion that extends in every direction — to patients, to families, to staff, and to fellow volunteers. If you've ever considered volunteering, know this: you may come to serve. You may stay because it matters. And if you're lucky, you might just find a partnership like Mary and Tonia's along the way.  Pathways offers a variety of ways to become involved in clinical and non-clinical roles within our community. The We Honor Veterans Volunteer Program gives those interested special ways to honor the service of our veterans at the end of life. To learn more about volunteer opportunities with Pathways, visit https://pathways-care.org/volunteer/ or email Lauren Dewey, Volunteer Services Coordinator, at lauren.dewey@pathways-care.org.   Tue, 24 Feb 2026 06:00:00 GMT http://pathways-care.org/blog/16368/Front-Desk--Full-Hearts---The-Friendship-That-Greets-You-at-Pathways http://pathways-care.org/blog/16351/Coping-After-Loss blog After someone dies, many people say, "I don't know what I'm supposed to be doing." The truth is, there isn't a right way to grieve. Loss can feel disorienting. You might feel overwhelmed one moment and numb the next. You may be functioning on the outside while quietly struggling inside. All of that is normal. Coping isn't about "being strong" or moving on. It's about steadying yourself in small, manageable ways. Grief affects the body as much as the heart. You may notice changes in sleep, appetite, energy, or concentration. Simple nervous system regulation skills - like slowing your breathing, placing your feet firmly on the ground, or stepping outside for fresh air - can help calm intense waves of emotion. From a cognitive-behavioral (CBT) perspective, it can also be helpful to gently notice your thoughts. Grief often brings self-critical beliefs such as, "I should be handling this better," or "I shouldn't still feel this way." Instead of accepting those thoughts as facts, try asking: Is this thought kind? Is it realistic? What would I say to someone I love in this situation? Even small shifts toward more compassionate thinking can reduce added suffering. Dialectical behavior therapy (DBT) reminds us that two things can be true at once. You can feel deep sadness and moments of relief, especially after a long illness. You can miss someone terribly and still laugh at a memory. Practicing "both/and" thinking helps reduce guilt and emotional conflict. When emotions feel especially intense, DBT distress tolerance skills can help in the moment. Using temperature (holding something cold), paced breathing, or brief movement like a short walk can lower emotional intensity without pushing feelings away. These tools are not about avoiding grief - they're about making it survivable when it spikes. It can also help to take small, values-based actions, even when motivation is low. This might mean texting a trusted person, attending a bereavement group, journaling for five minutes, or maintaining a simple daily routine. Small, intentional steps can gently interrupt isolation and support healing. Most of all, practice self-compassion. There is no timeline for grief. Healing is not linear. If your grief feels overwhelming or unmanageable, reaching out for professional support is a sign of strength. Coping means taking one small step at a time - learning, slowly, how to carry love and loss together. And you do not have to do that alone. Pathways offers the Northern Colorado community counseling and creative therapies to assist through the confusing and overwhelming emotions that arise during the difficult time of loss. We are here to help guide those in need through the healing process, regardless of age or financial situation. Grief Following Loss We offer individual, couples, and family grief counseling for clients of multiple age groups and experiencing all types of loss. To support the needs unique to losing a parent, spouse, child, friend or coworker, Pathways offers specific services and programs themed on these relationships. Grief During Serious Illness Serious illness presents numerous changes and challenges for the patient and their family members. Our team offers support to that may include adjustments to new routines, dealing with symptoms and treatments and taking on caregiving responsibilities. Counseling can help navigate these changes and manage difficult emotions. About Our Sessions Pathways accepts all walks of life to help ease the pain of grief. All ages are welcome to schedule a session one of our grief counselors. We accept all types of payment and fees are based on a sliding scale. In many instances, insurance may be used to cover your cost, and we work with those who aren't able to pay due to financial hardships. Please reach out to us for more information on your unique situation. Please call 970-663-3500 or email bereavement@pathways-care.org for more information on our counseling or support groups. More information can be found at https://pathways-care.org/griefandloss/.   Fri, 20 Feb 2026 06:00:00 GMT http://pathways-care.org/blog/16351/Coping-After-Loss http://pathways-care.org/blog/16346/22-Years-of-Compassion--Honoring-Volunteer-Pat-DesJardin blog For more than 22 years, Pat DesJardin quietly and faithfully served as a volunteer care companion with Pathways Hospice. Recently featured in Fifty & Better Magazine (check it out here on page 38: https://issuu.com/rmparent/docs/fifty_better_spring), Pat reflected on his long journey in hospice volunteering—and the lessons it taught him. After moving to Loveland in 1997 to be closer to family, Pat searched for a meaningful way to give back. A former high school biology, anatomy, and physiology teacher—and longtime coach—he had always been a nurturer. When he learned about hospice volunteering, he completed Pathways' training and began visiting patients two hours each week. Over the years, Pat companioned patients in nursing homes, assisted living communities, and private residences. He read aloud. He played games. He shared meals. He pushed one woman's wheelchair through a sculpture park because she loved art. He played Farkle with a man living with Parkinson's. Often, he simply listened. "I learned to be a good listener by shutting my mouth," Pat says. "They didn't want to hear about me. They needed to talk." Some patients were in his life for weeks; others for years. One woman in her 90s remained his companion for six years. With each relationship, Pat offered presence, steadiness, and compassion. As he recently retired at age 86, he reflected on the emotional investment hospice work requires. "As I became more emotionally involved with my patients, and realized my abilities were less than they were in my 60s, it became apparent it was time to retire," he said. "Volunteering with hospice has been fun and sometimes sad." When asked about his favorite part of volunteering, his answer was simple: the people. "Everyone is different, but all of them are my heroes. They are so strong and appreciative of the little I do for them, even though they do so much for me." Pat encourages others to consider hospice service, acknowledging it isn't easy—but deeply rewarding. His advice: "Be kind; be ready. Be strong, friendly, prepared, compassionate—and above all, be yourself." We are profoundly grateful for Pat's decades of service. He may say he gained more than he gave, but the families and patients he walked beside would likely say the opposite. "I'll cherish the many memories of those who left footprints on my heart," Pat shared. And we will cherish the footprints he has left on ours.     Thu, 19 Feb 2026 06:00:00 GMT http://pathways-care.org/blog/16346/22-Years-of-Compassion--Honoring-Volunteer-Pat-DesJardin http://pathways-care.org/blog/16331/Did-You-Know--Most-Americans-Haven-t-Documented-Their-End-of-Life-Wishes blog Research shows that while most Americans say end-of-life planning is important, only 24% have actually documented their wishes. That gap matters. Without clear documentation, families are often left to make difficult decisions during moments of crisis—unsure of what their loved one would have wanted. Advance directives and other end-of-life planning documents give individuals a voice, even when they cannot speak for themselves. Taking time to put your wishes in writing is one of the most meaningful gifts you can give your family. It reduces stress, prevents confusion, and helps ensure the care you receive reflects your values and priorities. Starting the conversation today can bring clarity and peace of mind for tomorrow.   Tue, 17 Feb 2026 06:00:00 GMT http://pathways-care.org/blog/16331/Did-You-Know--Most-Americans-Haven-t-Documented-Their-End-of-Life-Wishes http://pathways-care.org/blog/16315/Young-Hearts--Big-Impact--Bacon-Elementary-Students-Share-Valentine-s-Joy blog Today we'd like to extend our heartfelt thanks to the amazing students at Bacon Elementary School in Fort Collins for creating beautiful handmade Valentine's Day cards for Pathways patients. Their student council chose two organizations to support with these thoughtful cards, and we are truly honored to be one of them. The kindness and care behind each message has brought smiles and brightened the days of so many patients. We are deeply grateful for their generosity and compassion.     Thu, 12 Feb 2026 06:00:00 GMT http://pathways-care.org/blog/16315/Young-Hearts--Big-Impact--Bacon-Elementary-Students-Share-Valentine-s-Joy http://pathways-care.org/blog/16314/Pathways-Inpatient-Care-Center--Delivering-the-Right-Care-at-the-Right-Time blog Hospice is designed to meet patients wherever they live and wherever they feel most comfortable. But serious illness is not always predictable. There are moments when symptoms escalate quickly, caregivers become overwhelmed, or families simply need additional support to continue providing care at home. During those moments, the inpatient care center at Pathways becomes a vital resource for patients and families throughout Larimer and Weld counties. Pathways is uniquely positioned in Northern Colorado as the only hospice provider able to support patients under hospice care within a dedicated inpatient setting — including short-term respite care and General Inpatient (GIP) care for acute symptom management. This flexibility allows patients to receive the right level of care at the right time while remaining connected to their hospice team and personal goals for comfort and quality of life. Keeping Patients Comfortable and Out of the Hospital Serious illness can change quickly. Pain, breathing distress, medication complications, or anxiety may become too complex to manage safely at home or in a residential setting. The inpatient care center offers hospital-level clinical care in a peaceful, hospice-focused environment designed for comfort, stabilization, and dignity. Staffed 24 hours a day, 7 days a week by hospice and palliative care specialists, the center is equipped to respond immediately to patient and family needs. This approach supports timely symptom management and often prevents emergency room visits or hospitalizations that may not align with a patient's goals of care. "The inpatient care center strengthens the continuum of care across Northern Colorado by providing a specialized option when patients need short-term, higher-acuity hospice support outside of the hospital setting," says Dr. Nate Chappelle, Medical Director at Pathways. "It allows healthcare teams, caregivers, and families to work together to stabilize symptoms quickly, support transitions of care, and help patients return to the place they most want to be — wherever they define as home." Supporting the People Providing the Care Hospice care relies heavily on the dedication of family members, partners, and friends who step into caregiving roles out of love. While meaningful, caregiving can also be physically demanding and emotionally exhausting. The inpatient care center offers short-term respite care when available, providing caregivers a safe opportunity to rest, manage personal responsibilities, or simply recharge while their loved one receives expert hospice care. Supporting caregivers is not secondary to hospice care — it is essential to sustaining the care patients receive when they return home. A Temporary Stay with a Clear Goal One of the most common misconceptions about inpatient hospice care is the concern that patients are being moved permanently away from their homes or care communities. In reality, most inpatient stays are intentionally brief and focused on stabilizing symptoms or supporting caregiver needs during a difficult moment. Once symptoms are controlled or families feel prepared to resume care, patients return to wherever "home" feels most meaningful to them — whether that is a private residence, assisted living community, or skilled nursing environment. The inpatient care center exists to support patients in achieving that goal, not replacing it. Thoughtfully Designed to Support Patients and Families Located between Fort Collins and Loveland, the Pathways Inpatient Care Center was intentionally designed to balance advanced medical care with warmth and comfort. The 12-bed facility serves patients from across Larimer and Weld counties and offers a space that feels welcoming, peaceful, and family-centered. The building includes comfortable gathering areas where loved ones can share meals, family lounges that allow connection and rest, and quiet reflection spaces including a non-denominational chapel. Large windows, natural light, and garden views help create a calming environment during an emotionally complex time. Patient rooms are designed to accommodate multiple visitors and allow loved ones to stay overnight, helping ensure patients remain surrounded by those who matter most. Strengthening the Northern Colorado Healthcare Community Beyond supporting individual patients and families, the inpatient care center also plays an important role within the broader healthcare landscape throughout Northern Colorado. By offering rapid symptom stabilization, caregiver support, and short-term higher-acuity hospice care, the center helps hospitals, physicians, senior living communities, and home health providers ensure patients receive the right level of care without unnecessary hospitalizations. This collaboration supports smoother transitions between care settings and expands access to specialized end-of-life expertise across Larimer and Weld counties. It allows healthcare partners to focus on their strengths while knowing patients have an additional layer of compassionate support available when care needs intensify. A Community Resource Built on Compassion For decades, Pathways has served Northern Colorado as a community-based nonprofit dedicated to supporting patients and families through hospice, palliative care, and grief services. The inpatient care center expands that commitment by offering a safety net when care needs temporarily exceed what can be managed at home. End-of-life care is deeply personal and rarely predictable. Needs change. Families need support in different ways at different times. The inpatient care center exists to meet those changing needs with expertise, compassion, and respect — helping patients remain comfortable, helping caregivers remain supported, and helping families focus on what matters most. To learn more about Pathways' inpatient hospice services, visit: https://pathways-care.org/inpatient-care-center/ Thu, 12 Feb 2026 06:00:00 GMT http://pathways-care.org/blog/16314/Pathways-Inpatient-Care-Center--Delivering-the-Right-Care-at-the-Right-Time http://pathways-care.org/blog/16301/What-a-4-Star-Hospice-Rating-Really-Means---and-Why-It-Matters-in-Northern-Colorado blog Choosing hospice is not a casual decision. It's often made during a season of emotional exhaustion, uncertainty, and urgency, when families are trying to make the best possible choice for someone they love while carrying fear, grief, and a thousand unanswered questions. In moments like that, people naturally look for signals of trust, quality, and consistency. One of the clearest public signals available today is Medicare's hospice star rating. But what does "4 stars" actually mean in hospice care, and why does it matter? Hospice star ratings are published on Medicare's official Care Compare website and are based on the CAHPS Hospice Family Caregiver Survey. After a patient passes, family members or caregivers are invited to complete a standardized survey about their experience with the hospice that provided care. "The CAHPS survey doesn't measure marketing impressions or brand reputation. Responses reflect real family experience with pain and symptom management, communication, emotional and spiritual support, responsiveness when help was needed, respect and dignity shown to the patient, and whether the family would recommend the hospice to others." To ensure the data is meaningful, Medicare only assigns a star rating when a hospice has received enough completed surveys over a multi-year reporting window to represent a statistically reliable sample. In other words, a published star rating reflects consistent feedback across many families over time, not a handful of isolated opinions. Star ratings are updated regularly on Medicare's Care Compare platform and remain the most transparent, publicly accessible measure of caregiver-reported hospice experience in the United States. A 4-star rating means families consistently reported an above-average care experience. It does not claim perfection, but it does signal reliability, strong communication, compassionate care delivery, and systems that support patients and families well during one of the most vulnerable chapters of life. In healthcare, especially in hospice, consistency matters. It speaks to culture, leadership, clinical excellence, and how well a team shows up when the pressure is real and the stakes are human. "Based on the publicly reported Family Caregiver Survey ratings on Medicare's Care Compare website, Pathways is currently the only hospice provider based in Larimer and Weld counties with a 4-star rating. This places us in a uniquely strong position for Northern Colorado families and referral partners seeking high-quality, locally rooted hospice care that is independently validated by caregiver experience data." That distinction reflects who we are and how we operate. We are a nonprofit, patient-focused, community-based organization guided by local leadership and supported by expert interdisciplinary care teams who live and work in the Larimer and Weld County communities we serve. Our mission is not driven by shareholder pressure or volume targets. It is grounded in dignity, clinical excellence, compassion, and the belief that every patient and family deserves to feel supported, informed, and respected throughout their journey. Star ratings, of course, are not the whole story. They cannot capture every individual relationship, every moment of clinical brilliance, or the unique cultural fit that matters so much in end-of-life care. Not every hospice has a published star rating, often simply because they do not yet have enough survey volume to qualify. Star ratings should inform conversations, not replace them. Still, they matter. They give families a trusted, standardized reference point when decisions feel overwhelming. They help physicians, discharge planners, and community partners identify organizations that consistently deliver strong family experience. They hold providers accountable to the people they serve. Most importantly, they reflect whether families felt accompanied, respected, and supported when it mattered most. At the end of the day, hospice is not about metrics. It's about whether pain is managed in the middle of the night, whether someone answers the phone when fear spikes, whether dignity is protected when vulnerability is unavoidable, and whether families feel alone or held during one of life's hardest transitions. "A 4-star rating tells us that, more often than not, families experiencing the care that Pathways consistently offers felt held. As Northern Colorado's oldest hospice, we've had the privilege of earning and protecting the trust of this close-knit community for more than 47 years, and we take that responsibility seriously every single day." For those who want to explore the data directly, hospice star ratings are publicly available on Medicare's Care Compare website under the Hospice section, using the Family Caregiver Survey rating as the quality measure. Pathways offers hospice care in the home, assisted living and long-term care facilities, and in our local hospitals. Special programs for veterans and children, grief and bereavement support, and unique therapy like music and art, are among the unique services our long-established nonprofit offers patients and their loved ones in Northern Colorado. Visit https://pathways-care.org/hospice-care/ for more information. Tue, 27 Jan 2026 06:00:00 GMT http://pathways-care.org/blog/16301/What-a-4-Star-Hospice-Rating-Really-Means---and-Why-It-Matters-in-Northern-Colorado http://pathways-care.org/blog/16302/Loveland-Volunteer-Hospice-Caregiver-Retires-After-22-Years blog After 22 years of compassionate service, Pathways volunteer caregiver Pat DesJardin has officially retired—and we couldn't be more grateful for his service.  Pat spent more than two decades showing up for hospice patients across Northern Colorado with kindness, humor, and a listening ear—whether that meant playing games, sharing meals, reading together, or simply being present. His impact on patients, families, and our Pathways team is immeasurable. Thank you, Pat, for walking alongside so many with such heart. Wishing you a joyful (and well-earned) next chapter. Thank you to Loveland Reporter-Herald for recognizing Pat's incredible legacy. Read the full story (paywall): https://www.reporterherald.com/2026/01/10/hospice-volunteer-caregiver-retires-loveland-pathways-northen-colorado/ Mon, 12 Jan 2026 06:00:00 GMT http://pathways-care.org/blog/16302/Loveland-Volunteer-Hospice-Caregiver-Retires-After-22-Years http://pathways-care.org/blog/16303/A-Tradition-of-Caring--Volunteers-Bring-Holiday-Cheer-to-Pathways blog These wonderful volunteers baked delicious cookies for patients and families at the Pathways Inpatient Care Center. What started as a thoughtful gesture has become a cherished holiday tradition, and we are incredibly grateful for the warmth and cheer they bring each year. We are so fortunate to have such kind and generous volunteers and supporters in our community. Tue, 23 Dec 2025 06:00:00 GMT http://pathways-care.org/blog/16303/A-Tradition-of-Caring--Volunteers-Bring-Holiday-Cheer-to-Pathways http://pathways-care.org/blog/16300/Celebrating-Deb-Hayman-s-14-Years-of-Service-and-Heart blog The Pathways office will feel just a bit emptier in the new year, as long-time Volunteer Coordinator Deb Hayman retires after 14 years of heartfelt service. Fortunately, the legacy she leaves behind will continue to shape Pathways—and the Northern Colorado community—for many years to come. Deb stepped into the volunteer coordinator role nearly 15 years ago, following a long and successful career in fundraising. While serving on the Pathways Board of Directors, she learned that the coordinator position had opened and immediately recognized that her skills, strengths, and passion were a perfect match for the work. The growth of the volunteer program during her tenure proved her right. When Deb first began, volunteers supported around 90 hospice patients and families at any given time. Today, that number has blossomed to more than 300—now including not only hospice patients, but also individuals receiving palliative care and those seeking grief and loss counseling. But it wasn't just Pathways that changed. Deb shares that the work was transformational for her as well. "I have been humbled by the incredible variety and diversity of volunteers who have given so much to support our mission," she said. "Their wisdom, kindness, and compassion have made me a better person." She also credits the role with teaching her the value of being fully present. "If a volunteer called me or stopped by my office, I always dropped everything and gave them my full attention," she said. "Their stories and their knowledge were too important for anything less." As Deb prepares for retirement, she admits the moment is bittersweet. Still, she finds comfort knowing that the impact of her work will continue to live on—in the experiences of patients and families who received so much more because of the dedication of her volunteer team. She summed up her Pathways career simply and beautifully: "It's good work, and it fills me up." Thank you, Deb, for your leadership, your heart, and your unwavering commitment. Pathways is a better place because of you, and you will be deeply missed. We wish you every joy in the next chapter. Thu, 18 Dec 2025 06:00:00 GMT http://pathways-care.org/blog/16300/Celebrating-Deb-Hayman-s-14-Years-of-Service-and-Heart http://pathways-care.org/blog/16299/Pathways-Hosts-Wreath-Making-Event blog During the holiday season, Pathways hosted a heartfelt Wreath Making event to support individuals navigating the complex emotions that often accompany loss and grief. Inspired by the language of flowers, each bloom was chosen with intention—symbolizing love, remembrance, hope, and healing. Participants created deeply personal wreaths, selecting flowers that reflected their own stories and emotions. The wreath's unbroken circle honored loved ones who have passed and represented eternal love and the enduring cycle of life. Moments like these reflect who we are: a team committed to compassion, connection, and showing up for our community when it matters most. We're honored to walk alongside those we serve—and proud to create meaningful experiences rooted in care and purpose. Wed, 17 Dec 2025 06:00:00 GMT http://pathways-care.org/blog/16299/Pathways-Hosts-Wreath-Making-Event http://pathways-care.org/blog/16298/Pathways-Welcomes-Natalie-Petersen-as-Director-of-Business-Development blog Pathways is pleased to announce the appointment of Natalie Petersen as its new Director of Business Development. With more than 25 years of experience in marketing, communications, and relationship-driven growth, Petersen brings a unique blend of strategic insight, creative energy, and community-centered leadership to the Pathways team. In her new role, Petersen will oversee the planning, development, and implementation of growth strategies for Pathways' hospice and palliative care service lines. She will work closely with the leadership team to enhance community awareness, strengthen partnerships, and identify new opportunities for collaboration within the care continuum. Petersen's career spans a wide range of industries, from healthcare and education to media and technology. Most recently, she served as Associate Publisher and Director of Marketing & Sales for BizWest Media, where she led marketing and revenue strategies for one of Northern Colorado's most trusted business publications. She has also founded and led her own communications consultancy, Bloomstruck LLC, and created platforms that blend storytelling, healing, and connection, including the "Think Out Loud With Me" podcast and the Healing-Curious Humans community. "Natalie is a dynamic communicator and an authentic relationship-builder who leads with both heart and purpose," said Evan Hyatt, President of Pathways. "Her experience connecting people and ideas, along with her deep commitment to mental health and community wellbeing, aligns perfectly with our mission to provide compassionate care and support through life's most meaningful moments." Petersen's professional background includes leadership roles in brand strategy, digital marketing, sales management, and public relations. She has developed and executed multi-channel campaigns, managed cross-functional teams, and cultivated partnerships across healthcare organizations, educational institutions, and media networks. Beyond her professional accomplishments, Petersen is a published author, event producer, and mental health advocate who has spent much of her career helping people and organizations tell their stories with authenticity and impact. "I'm honored to join Pathways and contribute to an organization that touches so many lives with compassion, dignity, and grace," Petersen said. "Pathways' mission resonates deeply with me, and I'm excited to collaborate with this incredible team to expand awareness and strengthen relationships throughout Northern Colorado." With Petersen's appointment, Pathways continues to boost its leadership team and reaffirm its commitment to innovation, collaboration, and heartfelt care for patients and families across the region. Mon, 10 Nov 2025 06:00:00 GMT http://pathways-care.org/blog/16298/Pathways-Welcomes-Natalie-Petersen-as-Director-of-Business-Development