Something to Think About

...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...

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...

Have a conversation with those people that are closest to you about your ideas of “the perfect death”. “If I can’t speak for myself, here is what I want you...

What do I personally think? If we want to die, VSED is a way of having total control. It is not illegal. It doesn’t involve others (which is illegal). It...

...There is no perfect relationship. There are good times and difficult times. Sometimes the difficulty we have with the person that is dying keeps us from being at the bedside....

I do not think there is a need for narcotics just because death is approaching. Dying is not painful. Disease causes pain...

The congestion that occurs before death will depend upon how hydrated ordehydrated a person is. The more fluids in their body, the more congestion.Sometimes changing their position (laying them on...

Death for those who work in end of life is not failureor the enemy. It is the ending of the work we do. Our satisfaction in thedeath of a patient...

If she has had no water of any kind for 16 days I would expect her to die at anytime--maybe before I write this.

A great question. You have actually touched on a line of thinking that a lot of people have about the use of narcotics at end of life: that the narcotic...

Dear Barbara, Talk about the dangers of giving morphine to one who is dying? I have written many articles on morphine yet I repeatedly get this question. What that tells...

I was just on the phone with a woman who told me the doctor told her friend he was surprised she had lived this long with the disease having spread...

Dear Barbara, what are the physical changes in appearance during the dying process? Also talk about not forcing food upon the dying. The physical changes in appearance during the dying...

Now, all this said, there are thin lines and points to debate, in what istreatment to get better and treatment for comfort. Is pneumonia related to alife threatening illness or...

Where is medicine that treats PEOPLE that have diseases? Where is medicine that looks at the PERSON and finds out how they want to live and die based upon their...

First, lets define “No Code”. The simplest explanation I found was Googled from the Free Dictionary http://medical-dictionary.thefreedictionary.com/no+code“a note written in the patient record and signed by a qualified, usually senior or...

We have the medical capabilities and procedures to keep a person alivealmost indefinitely BUT is it in the best interest of the person to do so? Wehave to ask “what...

We die the way we have lived and there are few death bed conversions. Facing the end of our life does make us look at life and its meanings, but...

Because we don’t really think about end of life care until we or someone close to us needs it we enter into relationships with hospice that may not be satisfactory...