Something to Think About

Hospice began as an ideal, a step outside of the medical model. It was generally operated by volunteers and it was financed and maintained by community fundraising and donations...

Families are stressed and frightened and by the time they finally reach out for hospice services, they have already wanted and needed them for days if not weeks.

I believe everyone has the right to be told once that they can’t be fixed. It is the physician’s job to compassionately and honestly give that information...  

I am hearing stories about the lack of professional staff training for new hires, which led me to wonder about volunteer training...

For many people, nursing facilities have become their home. It is therefore reasonable that Hospice services be available in facilities. BUT care in a facility is not the same as...

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...

Most people, if they had their choice, would want to be in their home with family and the dog or cat on the bed when they die. YET, most people...

support people who are dyingBeing involved with end of life care is not something most people want to do, so what brings you? 

The heart is still beating even when our less sophisticated machines don’t register them. The breathing will get slower and slower and the time between breaths will get longer and...

I'm going to start by being blunt: hospice, end of life workers, hospitals, and nursing facilities make their money only as long as the people they serve are alive.. They...

I think we healthcare workers rely on our words as our offering. Explanations, suggestions, instructions, even using words to offer condolences and trying to comfort. And yes, words are a...

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...

A hospice referral is a win-win. You win if they say it is too soon and youare not appropriate for hospice care, or you win by coming onto the hospiceprogram...

Just think of a woman in labor and what she is thinking about—-getting that baby out. The person that is dying is in labor also, working to leave the physical...

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...

We support others in their belief system no matter what we believe. It is not about us...

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...

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...

At this point is when you ask the physician, “What is happening? Is it wise to continue this course of treatment? What are your expectations for this treatment? Are we...

I want to clarify my thoughts about hospice in today’s environment...