Something to Think About

In the months before death when the patient is still alert, still actively engaging, watch for clues, for openings to help bring the "what has life been about" thoughts forward...

I think the reason hospice gets their referrals in the weeks before death rather than months is because hospice implies death will come. We look for and hope for a...

By Your Side offers guidance in the area of making choices: cure, life sustaining, comfort care, making advanced directives, and funeral planning. It details signs of approaching death (what to look...

I often get the question, "How do I start an end of life discussion? How do I get my family to talk about what they want their dying to be...

This has led me to think about what any of us can do for an acquaintance who has a serious illness or is caring for someone who has a serious...

Hospice works at home for you. It provides support, guidance, and education but even more it provides understanding, concern, and heart felt caring for you, the family, and your support...

... if we would educate ourselves before we need the information, before someone we care about is dying, before we are faced with a life threatening illness, or before someone we...

Keeping Secrets: “Don’t tell mom.” Don’t say that she could die.” Don’t talk to her about “sad” things.” “Pretend everything is going to be alright.”  Mom lives inside of her body....

 Know that all of these signs of approaching death, whether indicating months or weeks, are just guideposts. Some people will show all of them...

Our children are not supposed to die before we do. I cannot think of any grief more intense than watching our child deteriorate before our eyes. We grieve their dying...

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 frontline workers: nurses, nursing assistants, doctors, hospital employees, first responders, housekeeping, grocery, delivery, and transportation personnel, all people who are out front while most of us shelter in place,...

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...

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?...

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...

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...

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...

Dementia is like a road map with many, many roads that eventually lead into a city. Each road is different, each road is of varying lengths and offers various views...

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...

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...

We often think because a person is facing the end of their life we have to do whatever they want us to, regardless of how it affects us. We treat...