WORKING TOGETHER, Hospice & Nursing Facilities

WORKING TOGETHER, Hospice & Nursing Facilities

May 14 2019
Hospice has worked with nursing facilities for many years now. Our relationship  and interactions with patients and their families is now better understood and better defined. That said, some nursing facilities still feel threatened by the presence of hospice. Naturally when something goes wrong it is viewed...

An Unpleasant Situation

An Unpleasant Situation

April 30 2019
I am sharing this letter and my response because this family is not the only family that has carried memories, sometimes for years, of situations that occurred as their loved one was being cared for. As health care professionals it is a huge part of our job to educate, to explain what we are doing and why we are doing it...

8 Things to Consider Regarding End of Life Pain Management

8 Things to Consider Regarding End of Life Pain Management

April 18 2019
Often dying looks painful to the people watching. Dying is a struggle to get out of the body. There are sounds that ordinarily would indicate discomfort but, when a person is actively dying, are part of the struggle. Just as the little chick works to get out of its shell, a person works to get out of their body. It takes effort to release from our body. That includes rattling and gasping sounds, twitching, random hand and leg movements, picking the air, facial grimaces...

7 Things to Consider Regarding End of Life Pain Management

7 Things to Consider Regarding End of Life Pain Management

October 30 2018
Dying is not painful. Disease causes pain. If pain has not been an issue during the disease process then just because a person is actively dying does not mean they are in pain. If pain has been an issue during the disease process that pain is present to the last breath...

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...

Where Is The Hospice I Know and Love?

Where Is The Hospice I Know and Love?

July 25 2018
Hospice can not take the experience and sadness of a loved one dying away. Our goal is to help the family create a sacred experience, to help their loved one have as gentle a death as possible, and when we have done our job well the family will have that sacred memory...

WHY NOT HOSPICE? A Reluctance To Refer

WHY NOT HOSPICE?  A Reluctance To Refer

June 26 2018
If the signs are there, get the referral and let a hospice professional determine if Hospice is appropriate. Three things I look for to tell me if it is time for Hospice are: 1. the patient’s condition is deteriorating in spite of the treatment that is being given. 2. You look at the person and say to yourself...

Pain, Morphine & "Dying in Peace"

Pain, Morphine & "Dying in Peace"

June 14 2018
It is certainly not within our role to act if a person, in the pain of the moment, wants help in ending their life. In the “pain of the moment” are the operative words here. I cannot tell you the number of times I have heard that plea in the throngs of pain, and the relief when that pain is relieved and life continues...

A Hospice With Integrity

A Hospice With Integrity

May 30 2018
Be the best hospice you can possibly be, provide the highest quality of care with the most compassionate, caring staff your area has to offer. Build a reputation within the community not of how many patients you serve but what kind of compassionate, “we go the extra thousand percent for our patient”, care you provide. Build a reputation within the community...

Calories Count

Calories Count

May 14 2018
When living with a life threatening illness we are eating for two---our physical body and our disease. In most cases the disease eats before we do. If we don’t eat, the disease still does. Nutrition will not keep a person alive indefinitely. It does not stop the disease progression. If we have a terminal illness...

DYING Young or Old, The Signs Are The Same

DYING Young or Old, The Signs Are The Same

April 10 2018
There are other signs of approaching death that indicate a person with a disease (at any age) has weeks to live...

The Profound Affect of Dementia on Families

The Profound Affect of Dementia on Families

March 26 2018
I can say that dementia doesn’t play by the rules for end of life. Withdrawing and sleeping can be present for years and does not signify approaching death. Not eating and not swallowing are your key signs. If we don’t eat, we can’t continue to live. Always offer food (be careful of choking), but don’t force food.

THIS IS HOW PEOPLE DIE - my latest film

THIS IS HOW PEOPLE DIE - my latest film

March 13 2018

My message throughout all this time has been to educate, educate, educate. Educate anyone who will listen about how people die. To help people understand how death comes, what it looks like, (a part of life we will all experience one day) is my focus, to neutralize the fear we all bring to approaching death. With my desire to teach as many people as possible I have created a new end of life educational film, This Is How People Die.

Nursing Home Blues, Part 2

Nursing Home Blues, Part 2

February 28 2018
...Fortunately, I suppose, my mother is now bed-bound and we were able to
get Hospice to help out, so she now fits the bill for a 'model patient'... but it
still seems one nurse can wreck her entire day with a bad attitude at
changing time or bath time. And family (which is me) must try to piece back together a mindset that keeps her contented and unafraid. this is a sad time of life. And I do have the Nursing Home Blues, quite regularly...

Does Morphine Hasten Death?

Does Morphine Hasten Death?

November 16 2015
The use of Morphine is one of the most misunderstood practices I encounter with families and end of life issues. Our society is so drug conscious we tend to equate any use as misuse...

For Those With Heavy Feelings of Loss

For Those With Heavy Feelings of Loss

November 09 2015
How to let go and stop feeling guilty? At first you probably aren't even aware of your feelings. When someone close to us dies, even if we are told it is going to happen, we are in shock, numb. As the numbness wears off  we start feeling guilty...

Caring for the Alzheimer's Patient

Caring for the Alzheimer's Patient

October 12 2015
Living with someone who has dementia is a daily challenge. It requires the constant reminder that this person is not who they once were. It presents the challenge of learning how to live with the person they have become...

What Does The Future Hold For Mom With ALS?

What  Does The Future Hold For Mom With ALS?

March 15 2015
ALS is horrific disease, not that there is a “good” disease but ALS traps a good mind in a slowly deteriorating, non functioning body affecting not only the ability to move all body parts but affects the ability to swallow (inability to eat) and the ability to breathe by themselves. See The Theory of Everything...
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