Something to Think About

I also thought as we get older that question tends to come out of hiding more easily. The older we are the more the question lies in the back of...

In the months before death when the patient is still alert, still actively engaging, watch for clues, for openings to help bring the "what has life been about" thoughts forward...

I think the reason hospice gets their referrals in the weeks before death rather than months is because hospice implies death will come. We look for and hope for a...

Since at this time there are no “standards of practice” or even standards for the content given in end of life training, think about what you are looking to provide....

When the medical establishment has used all of their options to extend life of course we will not be happy with life and living. We may be depressed, angry, often...

What to do? First, look at the wording you wrote to me "could be dying." Actually, everyone is dying. Everyday we are one step closer to the end of our life. You're...

When the doctor says, “We have tried everything and the treatments are not working to eliminate the disease progression;” “Let’s talk about how you can best live your life from this point...

Part of the specialness of doing your own service/celebration of his life is the planning. The gathering of those who loved him gathered together deciding how to celebrate his love and life...

Deciding not to “tell mom she can’t be fixed" takes away that gift. Who are we (yes, even family) to determine what a person needs to or does not need...

...Rapid breathing like your dad was doing is exactly where a small bit of morphine (5 ml is small) helps slow down those 40/50 breaths a minute to a more...

What is normal is the person may be talking BUT they won’t be making sense. They may be talking to people you don’t see or hear. Yes, I believe our...

There are signs that we look for that indicate a person who has entered the dying process has months, weeks, days, or hours to live BUT not everyone “plays by...

We tend to carry within our memory every death encounter we have ever had.  Yes, even we professionals who work with end of life. BUT it is the personal deathbed memory,...

End of Life Expert Barbara Karnes, RN explains the similarities in the "labor" to enter this world and the "labor" to leave it. Read on...

We, as a people, are never truly prepared for death but with guidance, honestly, and gentleness we, as caregivers for those people, can ease the fear and uncertainty most bring to the...

Hospice was perfect for them. Charles had a life threatening illness, had refused further treatment, and they were alone. We were there to give them support and guidance. Charles and...

When someone has told you you can’t be fixed, that sooner than you expected you will die, your reason for living, your purpose, that which fills your time each day, is...

Zooming is certainly helpful but know as she progresses toward death she will not be able to respond, even to know you.  Continue the zooming and talking to her even when...

Their body is trying to keep going even while it is shutting down. The body's defenses are doing whatever they can to keep the body functioning THAT is why there...

 Know that all of these signs of approaching death, whether indicating months or weeks, are just guideposts. Some people will show all of them...

There are so many reasons your father could have been receiving medicine by a “needle”. I am not fond of IV or giving medication by a “needle” as end of...