Something to Think About

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,...

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

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...

...Fortunately, I suppose, my mother is now bed-bound and we were able toget Hospice to help out, so she now fits the bill for a 'model patient'... but itstill seems...

From the moment of a diagnosis of a life threatening illness we begin grieving. We grieve not just the eventual losses that come with serious illness but the approaching death...

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...

When we die we work to leave our body. That work begins months before death from disease actually occurs but we only really see the work happening when death is...

...not telling a person they can’t be fixed is taking away their opportunity to do and say that which is important to them. It is taking away their ability to...

Dad was in his 11th hour and it happened to be my birthday. I was mixed on how I would feel if it happened on that day. In talking with...

It is because end of life care is different than caring for someone who is going to get better that we think the care being provided is causing harm. It...

We need to look at the promises made, evaluate them as to: can it be done, should it be done, and am I willing to do it? 

I believe that everyone has the right to decide how they will live and how they will die. There are people that no matter the disease will want to have...

Many years ago I attended a workshop at The Menninger Clinic in Topeka, Kansas. The topic was about when a clinician enters the administration work field. I don’t remember much...

As a person enters the dying process, months before death occurs, they will gradually stop eating. Months before death they will stop eating meats, then fruits and vegetables, then soft...

...Most people, I am sorry to say, are so caught up in the process of getting treatment (and generally get very sick in that process) that  they don’t feel well...

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...

I know “dying of a broken heart” is used frequently when death comes as a result of a tragic life event. I’m not sure that is actually why the person...

If you teach your families well about the approaching end of life there will be no problems with them understanding the labor of dying. Having someone you care about dying is...

Is life worth living with all this assistance? For some it will be, for others is won’t...

It’s okay for our loved one not to eat once they have entered the dying process. They are reaching a point of just not being able to eat. The body doesn’t want...

Terminal restlessness is a medical term for the restlessness and agitation that often begins one to three weeks before death from disease. The restlessness shows itself by random body movements,...