NHPCO NewsLine Spring 2018 - 45

"I come back, and he's looking at me,
and he grabs my hand and holds my
hand and starts doing hiccupping,"
Dyal said.
Minutes later, the man was dead, and
Dyal was terrified the man had
choked on the Kool-Aid/cake
concoction. But it was a heart attack
that was the official cause of death.
"That was a hard one for me. And
luckily, I had other hospice guys who
were right there who were trying to
comfort me because I was not in a
very good head right then," he said. "It
was sad for me."
Dyal is serving a life sentence for
second-degree murder.
He's one of more than 250 volunteers
who help with hospice care in
Missouri prisons, ensuring inmates
don't die alone.
Prison hospice programs are
becoming more common as inmate
populations age. According to 2014
data from the U.S. Department of
Justice, the mortality rate in Missouri
prisons increased by 70 percent within
a 13-year period. Most of those deaths
are caused by cancer. Thus, the need
for end-of-life care increased.
CEO of the Missouri Hospice and
Palliative Care Association, Jane
Moore, said she saw that need and
wanted to act on it.
"At that point in their life, whatever
they were there for, they're not going
to be a danger to society at that point
by any means," she said. "Many of

them can't even get up, they're bed
bound at that point because they're at
the end of life."

Joel Allred is waiting inside of a prison

According to 2012 data from the
National Prison Hospice Association,
there were about 75 prisons in the
United States with access to hospice
care, and out of those 75, about half
use prisoners as volunteers. Louisiana
and Maine are two of the states with a
similar program, and Moore designed
Missouri's off of the program in those
states.

terminal illness and will spend their final

visiting room in the Jefferson City
Correctional Center in Jefferson City,
Missouri on Nov. 21, 2017. Allred is one of
the prison's aging offenders who has a
days behind bars.
Photo Credit: Aviva Okeson-Haberman / KBIA

But the program wasn't easy to start.
Moore first went to MODOC with the
idea back in 2013, but the Hospice and
Palliative Care Association didn't train
the first group of volunteers until 2015.
Moore said the implementation of the
program took so long because of the
back and forth between MODOC and
the Hospice and Palliative Care
Association. They slowly ironed out
small details like how much

Spring 2018 | NHPCO NewsLine

45



Table of Contents for the Digital Edition of NHPCO NewsLine Spring 2018

Table of Contents
2018 MLC (display ad)
Message from Edo
Guidelines for Bereavement Care
Q&A with NCHPP Section Leader
Examples Bereavement Offerings
FEBS to EGSS: Bereavement Assessment
NHPCO Marketplace (display ad)
Professional Development Needs
MLC Plenary Speakers
Mark Your Calendar
2018 Virtual Conference (display ad)
Top Ten Lists
Content Licensing (display ad)
NCHPP & My.NHPCO
Meet the Board of Directors
NHPCO Short Takes
Career Center (display ad)
Member News
Pet Peace of Mind (display ad)
Diversity Council Spotlight
NHPCO Strategic Priorities
ChiPPS Pediatric Spotlight
Council of States Spotlight
Lighthouse of Hope (display ad)
News from NHF
2018 NHF Gala (dsiplay ad)
Pioneers of Hospice Video (display ad)
News from We Honor Veterans
Associate Members Benefits (display ad)
Online Resources
NHPCO NewsLine Spring 2018 - intro
NHPCO NewsLine Spring 2018 - 1
NHPCO NewsLine Spring 2018 - Table of Contents
NHPCO NewsLine Spring 2018 - 3
NHPCO NewsLine Spring 2018 - 2018 MLC (display ad)
NHPCO NewsLine Spring 2018 - Message from Edo
NHPCO NewsLine Spring 2018 - Guidelines for Bereavement Care
NHPCO NewsLine Spring 2018 - 7
NHPCO NewsLine Spring 2018 - 8
NHPCO NewsLine Spring 2018 - 9
NHPCO NewsLine Spring 2018 - Q&A with NCHPP Section Leader
NHPCO NewsLine Spring 2018 - 11
NHPCO NewsLine Spring 2018 - Examples Bereavement Offerings
NHPCO NewsLine Spring 2018 - 13
NHPCO NewsLine Spring 2018 - FEBS to EGSS: Bereavement Assessment
NHPCO NewsLine Spring 2018 - NHPCO Marketplace (display ad)
NHPCO NewsLine Spring 2018 - Professional Development Needs
NHPCO NewsLine Spring 2018 - 17
NHPCO NewsLine Spring 2018 - 18
NHPCO NewsLine Spring 2018 - MLC Plenary Speakers
NHPCO NewsLine Spring 2018 - Mark Your Calendar
NHPCO NewsLine Spring 2018 - 2018 Virtual Conference (display ad)
NHPCO NewsLine Spring 2018 - Top Ten Lists
NHPCO NewsLine Spring 2018 - 23
NHPCO NewsLine Spring 2018 - 24
NHPCO NewsLine Spring 2018 - 25
NHPCO NewsLine Spring 2018 - 26
NHPCO NewsLine Spring 2018 - 27
NHPCO NewsLine Spring 2018 - 28
NHPCO NewsLine Spring 2018 - Content Licensing (display ad)
NHPCO NewsLine Spring 2018 - NCHPP & My.NHPCO
NHPCO NewsLine Spring 2018 - 31
NHPCO NewsLine Spring 2018 - Meet the Board of Directors
NHPCO NewsLine Spring 2018 - 33
NHPCO NewsLine Spring 2018 - NHPCO Short Takes
NHPCO NewsLine Spring 2018 - 35
NHPCO NewsLine Spring 2018 - 36
NHPCO NewsLine Spring 2018 - Career Center (display ad)
NHPCO NewsLine Spring 2018 - Member News
NHPCO NewsLine Spring 2018 - Pet Peace of Mind (display ad)
NHPCO NewsLine Spring 2018 - Diversity Council Spotlight
NHPCO NewsLine Spring 2018 - NHPCO Strategic Priorities
NHPCO NewsLine Spring 2018 - ChiPPS Pediatric Spotlight
NHPCO NewsLine Spring 2018 - 43
NHPCO NewsLine Spring 2018 - Council of States Spotlight
NHPCO NewsLine Spring 2018 - 45
NHPCO NewsLine Spring 2018 - 46
NHPCO NewsLine Spring 2018 - Lighthouse of Hope (display ad)
NHPCO NewsLine Spring 2018 - News from NHF
NHPCO NewsLine Spring 2018 - Pioneers of Hospice Video (display ad)
NHPCO NewsLine Spring 2018 - News from We Honor Veterans
NHPCO NewsLine Spring 2018 - Associate Members Benefits (display ad)
NHPCO NewsLine Spring 2018 - 52
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