Something to Think About: a blog on end of life

Filtered By: advance directive

Something to Think About: a blog on end of life

Filtered By: advance directive

Taking Some of the Fear Out of Dying Alone

Taking Some of the Fear Out of Dying Alone

April 03 2020
I see families devastated by not being able to be with their loved one as they are dying. I am writing this for any person who is faced with a loved one dying alone in the hospital. My hope is that some understanding hence comfort can be found among these words. This guidance can also be used by healthcare workers when they face the difficult job of telling families they can’t be present. These ideas can’t fix this horrific situation but they can bring a bit of understanding and “something to do” to an otherwise bleak message.

Did the AIDS Epidemic Set Us Up To Handle COVID-19?

Did the AIDS Epidemic Set Us Up To Handle COVID-19?

March 23 2020

There are many of the same circumstances with today’s coronavirus as we faced with  HIV/AIDS in the early years— lack of medical knowledge, lack of guidance, and fear. I think the same directives hold now as they did then...

Be Aware of the Risk We Present to Those We Are Hired to Care For

Be Aware of the Risk We Present to Those We Are Hired to Care For

March 19 2020
Touch in with the families, “What’s happening? Do you need anything?” Use the same volunteer for each family to develop confidence and bonding. You are saving your staff while providing a sense of security  to your families...

MOM IS DYING and There's So Much Blame

MOM IS DYING and There's So Much Blame

March 03 2020
I'm sorry to say when a family member is dying it can bring us together and be our finest hour as a family or it can bring out the worse in us and create resentments that last a very long time. From what you are describing this may not be your family's finest hour...

How Does "Fear of Life" Affect Dying?

How Does "Fear of Life" Affect Dying?

February 17 2020
Yes, love of life and fear of death are a part of our personality expression as is our fear of life. In Gone From My Sight I was making a point of how fear plays a part in the length of our labor hence the reference to fear of life...

HOSPICE DEATH CALL~ How To Comfort A Family You've Never Met

HOSPICE DEATH CALL~ How To Comfort A Family You've Never Met

January 22 2020
We do this all the time. We enter tense situations where people are frightened and unsure, with people who have never seen us before. This is what we do: We create a bond of trust with strangers at a first visit. Being on call to a death visit is no different.

Is Talking About Dying Insensitive?

Is Talking About Dying Insensitive?

November 14 2019
We really aren’t doing people any favors by not being honest with them. We aren't giving their families the opportunity to do and say what needs to be said and done. We are depriving people the opportunity to put their life in order, to say “goodbye and I love you”...

What Comes Next? Dementia at End of Life

What Comes Next?  Dementia at End of Life

October 28 2019
Dementia is like a road map with many, many roads that eventually lead into a city. Each road is different, each road is of varying lengths and offers various views but all enter into the city at the same place. That place for my dementia analogy is when a person stops eating...

Mom Needs Hospice? Here are your questions to choose the right one...

Mom Needs Hospice?  Here are your questions to choose the right one...

September 18 2019
There have been many changes in hospice care since it began. Some for the better, some not so much. What I am suggesting as representing a “good” hospice is becoming harder to find. My hope is that by setting the standard high, and...

Do I Want Home Health Services or Hospice?

Do I Want Home Health Services or Hospice?

September 03 2019
I know it is scary to think of using hospice. It says death will happen soon, but there is such guidance and support to help that at least ask for an information visit. A hospice referral is a win-win. You win if hospice says it is too soon and ...

Developing End of Life Expertise

Developing End of Life Expertise

July 07 2019
You have to walk the walk before you can talk the talk. Learn from your patient/family interactions. At the same time read everything you can get your hands on...

Alzheimer's, Cancer and Hospice

Alzheimer's, Cancer and Hospice

June 13 2019
Dementia isn’t a terminal illness in that it doesn’t have a limited prognosis. It is like dying from old age, it takes longer. Alzheimer’s, or any form of dementia, is difficult to gage as to approaching death. The personality changes and withdraws often over a period of years and sleeping habits are...

I Hear You, But I Don't Understand

I Hear You, But I Don't Understand

March 24 2019
...I remember being with my mother in my hospice Medical Director’s office. He was explaining to my mother his medical findings as they related to her illness. I, being a hospice Director and in the medical field, didn’t understand what he was talking about. My mother sat on the end of the examining table nodding her head up and down indicting that she understood. She didn’t....

My Personal Integrity Was Wounded Tonight

My Personal Integrity Was Wounded Tonight

February 26 2019
When hospice began it was outside of the medical model. It provided end of life care based on quality, not quantity, of life. It recognized when physical healing couldn't be accomplished there was emotional, mental, and spiritual healing to address...

Refusing Treatment At Age 93

Refusing Treatment At Age 93

January 23 2019
Why make your mother’s remaining time be unhappy and with more discontent than is already there due to age and illness? Being old is hard work. Our thinking processes aren't as sharp, our memory is diminishing...

Six Months To Live? A Doctor's Prediction

Six Months To Live?  A Doctor's Prediction

January 08 2019
So many factors affect the length of our labor to leave this world that it is imprudent to put a specific time frame on approaching death. The closest we can credibly come to predicting when death is going to arrive is to guesstimate the time in months or weeks with no numbers attached...

FOUR QUESTIONS WE ASK WHEN FACED WITH OUR MORTALITY

FOUR QUESTIONS WE ASK WHEN FACED WITH OUR MORTALITY

October 02 2018
We cannot put a number on how long our last experience will be. No one, doctors included, can be so specific as to say 6 months, 3 weeks or 24 hours. The closest anyone can come to determining how long someone has to live is months, weeks, days, and hours. There are dynamics that enter into the length of our dying process...

Purpose, Forgiveness and Meaning at End of Life

Purpose, Forgiveness and Meaning at End of Life

August 14 2018
What is the aim of a life review? As a caregiver my aim is not to direct a life review but to be a presence, a listener, and a friend. If life review becomes a subject the patient wants to pursue (whatever words may be used...
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