How Do You Grieve a Violent Death?

How Do You Grieve a Violent Death?

June 23 2020
Sudden death by accident, suicide and certainly by violence intensifies those normal grief responses. Everything we feel with normal grief is as if we are being held under a magnifying glass, everything is more intense, hurts more. Part of grieving is questioning how this can happen. Why me? Why her? Why him?...

How Do You Talk About Approaching Death?

How Do You Talk About Approaching Death?

June 11 2020
Our job as an end of life specialist is to address the elephant in the room, to be direct and honest in the gentlest way possible. We are not doing our job, and doing a great disservice to the family, if we don’t talk about Mom’s approaching death, educate, and at least try to prepare the family...

How To Say Goodbye When I'm Not There

How To Say Goodbye When I'm Not There

June 03 2020
People are dying and in a manner we are not used to. We, in America, have become accustomed to having our loved one either at home with family close, or in a nursing facility with some family, or in a hospital, hopefully with family present.

In the next weeks and months some of our loved ones may be dying basically alone...

Bereavement Support is Important at Any Time, Now, it's Vital

Bereavement Support is Important at Any Time, Now, it's Vital

May 19 2020
Hospice Bereavement support, as well as any bereavement support program (church, Community Support, Senior Activity Program) is important during the best of times. Now it is vital.  Here are my recommendations; what I would do if I had a bereavement program today during this pandemic...

What Does Death Look Like?

What Does Death Look Like?

May 19 2020
We bring our fears, our childhood experiences with death, our culture, our belief systems, and our stereotypes to the bedside of the dying and the dead. Generally, none of that is actually how people die...

How To Help Families Care For Their Dying Loved One During Social D...

How To Help Families Care For Their Dying Loved One During Social Distancing

May 08 2020
Hospices seem to be struggling with how to provide services now that being in homes and facilities is not an option. When we cannot rely on routines, when there is no normal anymore, we have to begin thinking of new ways to provide service. We have to start thinking outside the box. We have to create new ways of providing care, new ways of getting education to our families...

Front Line Workers, Do You Have Self Care Rituals?

Front Line Workers, Do You Have Self Care Rituals?

April 22 2020
During this time of crisis work it is hard to remember to take care of yourself. There doesn’t seem time for that but if you don’t at least try to put “your own oxygen mask on” you will not get the essentials you need to continue. You are carrying fear for yourself (whether realized or not), excess adrenaline just to meet the shift needs (which brings a sense of exhaustion when the shift is over), and non stop 8, 10, 12 work hours, so sleep for you is vital. Don’t neglect the basics, food, sleep, and a release of each day...

In This Time of Great Fear, DYING 101

In This Time of Great Fear, DYING 101

April 08 2020
People don’t die like they do in the movies—alive one minute, saying something profound and dead the next. There is a way that the body dies. A way it is programed to die. It’s just that most of us don’t think about it, don’t know and generally don’t want to think or know about it. This is part of the death denying society that we live in...

Taking Some of the Fear Out of Dying Alone

Taking Some of the Fear Out of Dying Alone

April 03 2020
I see families devastated by not being able to be with their loved one as they are dying. I am writing this for any person who is faced with a loved one dying alone in the hospital. My hope is that some understanding hence comfort can be found among these words. This guidance can also be used by healthcare workers when they face the difficult job of telling families they can’t be present. These ideas can’t fix this horrific situation but they can bring a bit of understanding and “something to do” to an otherwise bleak message.

Did the AIDS Epidemic Set Us Up To Handle COVID-19?

Did the AIDS Epidemic Set Us Up To Handle COVID-19?

March 23 2020

There are many of the same circumstances with today’s coronavirus as we faced with  HIV/AIDS in the early years— lack of medical knowledge, lack of guidance, and fear. I think the same directives hold now as they did then...

Be Aware of the Risk We Present to Those We Are Hired to Care For

Be Aware of the Risk We Present to Those We Are Hired to Care For

March 19 2020
Touch in with the families, “What’s happening? Do you need anything?” Use the same volunteer for each family to develop confidence and bonding. You are saving your staff while providing a sense of security  to your families...

We've Just Begun Social Distancing~ Here Are My Thoughts

We've Just Begun Social Distancing~ Here Are My Thoughts

March 15 2020
Isolation from others is teaching me this about my self ——- I do a lot for others, for their thoughts of me, why else do I wear makeup? Get dressed? Bathe...

MOM IS DYING and There's So Much Blame

MOM IS DYING and There's So Much Blame

March 03 2020
I'm sorry to say when a family member is dying it can bring us together and be our finest hour as a family or it can bring out the worse in us and create resentments that last a very long time. From what you are describing this may not be your family's finest hour...

How Does "Fear of Life" Affect Dying?

How Does "Fear of Life" Affect Dying?

February 17 2020
Yes, love of life and fear of death are a part of our personality expression as is our fear of life. In Gone From My Sight I was making a point of how fear plays a part in the length of our labor hence the reference to fear of life...

DYING CHILDREN, How Much Do They Know?

DYING CHILDREN, How Much Do They Know?

February 03 2020
...If an adult knows at some point in their disease progression that they are
going to die (and they do know whether they share that knowledge with
others or not) why should we assume that children do not know?...

HOSPICE DEATH CALL~ How To Comfort A Family You've Never Met

HOSPICE DEATH CALL~ How To Comfort A Family You've Never Met

January 22 2020
We do this all the time. We enter tense situations where people are frightened and unsure, with people who have never seen us before. This is what we do: We create a bond of trust with strangers at a first visit. Being on call to a death visit is no different.

Why Didn't They Tell Me?

Why Didn't They Tell Me?

January 07 2020
Your book explained so much. Mom's dying was almost exactly like you explained in your book. In hindsight, I am unsure why we, her family, were not advised, taught, or even given a clue about what was inevitable. We truly kept on fighting and advocating for her to get what we thought to be the best medical care she could get all the while thinking it would make some kind of difference in this outcome...

Would She Still Be Alive?

Would She Still Be Alive?

December 11 2019
It sounds like she was given morphine to ease her transition from this world to the next. Not knowing your grandmother's medical history I cannot say if the morphine was appropriate or not. What I can say is it did not kill her. She was dying...
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