Something to Think About

Hospice began as an ideal, a step outside of the medical model. It was generally operated by volunteers and it was financed and maintained by community fundraising and donations...

Of course each situation needs to be individually addressed but in the case of a lot of people with dementia, tell them about a death of someone close ONCE...

How does a person feel as a hospice patient?  Everyone is waiting on them, they are unable to do things for themselves. They have to wear diapers and probably don't want...

Part of "selling" hospice is to create trust and a bond during that first meeting. It takes people skills in addition to knowledge of hospice benefits...

In the hours to minutes before death, gather family and significant others. Encourage each person to spend some time alone with the person dying. This is the time to talk...

As end of life approaches, people start looking at their life; what they’ve accomplished, not done, who they have touched, interacted with, and the relationships they have or have not built...

All the hours of talking, drinking coffee, and eating homemade pies was time spent healing, building trust, and educating. It wasn’t about blood pressures. It was about people, feelings, and...

I believe everyone has the right to be told once that they can’t be fixed. It is the physician’s job to compassionately and honestly give that information...  

People don’t die like they do in the movies. Mom is not going not going to say some profound words, close her eyes and be dead...

Taking care of someone who is at the end of life is different from taking care of someone who is going to get better, BUT most people don’t know this—-including...

Denial by the person with a life threatening illness, denial by the caregiver, and I’ll even add denial by some attending physicians. Denial is often the reaction to diseases that have...

How do we get beyond the social conventions of strangers meeting and getting to know and trust each other in a very short time? From the time we ring the...

...That caregivers put so much energy, time, love, and concern into taking care of their person that they can become blind to or just plain don’t want to see the...

When the terminal illness, the disease progression, has been a pain filled experience and all comfort management options have been unsuccessful, then sleep is our friend...

My husband Jack  has been dead eight months. In processing the five months from his diagnosis to his death, what stands out most for me is the tension that surrounded food....

Unfortunately, as death approaches none of us will be able to take care of ourselves. There will come a point when we will need assistance. We probably won’t even be aware we...

For many people, nursing facilities have become their home. It is therefore reasonable that Hospice services be available in facilities. BUT care in a facility is not the same as...

It has been almost six months since my husband of 62 years died. As an end of life educator I have taught about loss and grief, and even wrote a booklet about it. BUT...

Our body is programmed to die. We are born. We experience, and then we die...

In the ideal picture, the goal is the patient’s death. Everything that is done before the death is preparation for the actual moment death occurs. Everything after the death gradually eases...

We enter peoples’ lives as professionals. We are knowledgeable, supportive, caring, and personable. However, we are not best friends, we are not even friends, really.