Something to Think About: a blog on end of life

Filtered By: Eating or not eating

Something to Think About: a blog on end of life

Filtered By: Eating or not eating

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 ...

Will I Know I'm Dying?

Will I Know I'm Dying?

August 18 2019
In our personal situations we may never have an answer to the question did he know or had the process started months earlier. What I suspect is that at some time before we die we know that the moment has come...

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...

Our Children Aren't Supposed to Die Before Us

Our Children Aren't Supposed to Die Before Us

June 25 2019
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...

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...

Setting Up a Hospice Program

Setting Up a Hospice Program

May 28 2019

...You really don't need a doctor or nurse at the bedside when someone is dying. You need someone who understands the natural way people die and can educate and guide those present through the experience. So, first, you are going to select employees that don't view death as a medical emergency, as a medical failure, and particularly don't view death as bad. Sad for everyone, yes, but not bad...

 

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...

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...

BIRTH BACKWARDS, A Daughter's Death

BIRTH BACKWARDS, A Daughter's Death

November 14 2018
At 8:17pm she took one more breath and then at 8:18 there was one more which I describe as hot caramel pouring onto vanilla ice cream. It was the most perfect breath, the most peaceful entering into another portal. I felt like I had had a complete birth experience...

Explaining Pet Death To Children

Explaining Pet Death To Children

September 18 2018
Since my new booklet A Place In My Heart, When a Pet Dies has come out I have had several questions about children an...

A PLACE IN MY HEART, When a Pet Dies

A PLACE IN MY HEART, When a Pet Dies

August 28 2018
We can be as much at a loss when our pet is dying as we are when a person is dying but there doesn’t seem to be the support and guidance available for when a beloved pet is dying hence this new booklet...

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...

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...

The Balancing Act of Caring for the Dying

The Balancing Act of Caring for the Dying

May 03 2018
For healthcare professionals it is often a balancing act to care for patients and then deal with the sense of futility that is triggered when they are doing their job...

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...
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