Something to Think About

Denial by the person with a life threatening illness, denial by the caregiver, and I’ll even add denial by some attending physicians. Denial is often the reaction to diseases that have...

We used to have grandma’s body “laid out” in the parlor and family and friends came to our home with support and food. Grandma died in the home and we...

If we don’t legally make our wishes known in writing and generally notarized, healthcare professionals will make those decisions for us...

In the ideal picture, the goal is the patient’s death. Everything that is done before the death is preparation for the actual moment death occurs. Everything after the death gradually eases...

Why is the patient being discharged, you ask? Is it because the patient just didn’t decline as rapidly as expected? Yes, that can be the situation...

Addressing the timelines of approaching death also neutralizes the false hope that our person will get better, that there is more time.

Tell her honestly what you are feeling and ask for help. Just FYI: she can sign on for hospice and if she felt she needed to go to the emergency...

If you have a good, amicable relationship then get them together and say, with caring in your heart, "I am going to tell you some things I have learned about...

Hospice is widely known for providing end of life care. It has grown in size and in its original scope of services. Even its definition of “end of life care”...

It is our job, our responsibility as end of life workers to be honest with our patients. In a “don’t tell mom” situation I first assess where everyone is, who...

There is a huge void in our medical system that so many families living with dementia fall into. These families have a loved one too sick and require too much...

Dying isn't like it is in the movies. We don't know what it is like to die from disease or old age and while everyone is going to do it,...

We are not able to fix everyone. The physical body is programmed to die. It is made to die. So at some point the medical professionals will have to have...

I’ve always said I can teach anyone how to take care of someone who is dying, the physical, communication, supportive skills. It is the interpersonal, empathy, and heart skills that...

Dying is not a medical event. Dying is a communal, social event. Nursing and physicians are part of care, but not the all encompassing focus. The main focus of end...

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....

Here is my idea of a death call. I have to warn you, it may take more than 10 minutes.

Getting the word to caregivers that there is such a thing as a support group may be challenging. You might talk with church groups, case managers, hospital discharge planners, and...

There is nothing medical about brushing your teeth, rinsing your mouth or moistening the inside of your mouth. We do it all the time. Why would it be suddenly considered a...

I keep shouting from the roof top to hospitals, hospices, home health care agencies, and nursing facilities, “TAKE CARE OF YOUR PEOPLE!!!!!” How can we expect healthcare workers to continue...

Comfort Care describes a focus on the quality of life being lived, as opposed to concentrating on the lengthening of that life no matter the quality. Comfort Care is good...