Something to Think About
a blog on end of life
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...
A waiting list seems incongruous with end of life. Particularly since most people wait until a person is literally on death’s door before reaching out to hospice...
Often the patient shares more with the CNA than with their own family members. We are so open and vulnerable when someone is giving us a bath, changing our bed,...
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...
A hospice that does not take care of its staff cannot take care of it’s patients and their families in a manner consistent with the original hospice philosophy...
As hospice agencies continue to grow we are hiring more from the acute care settings. It used to be that medical professionals, nurses, social workers and home health aides, arrived...
I was Zooming with a hospice today for Q & A’s and the subject of not being able to use volunteers because of Covid came up. WHOA!!! What do you...
Know that all of these signs of approaching death, whether indicating months or weeks, are just guideposts. Some people will show all of them...
First, what is meant by “dying person”? In the months before death most people really don’t believe they are dying. “Other people die, not me. There will be a cure,...
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...
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...
I am now writing this. Here is what I am thinking: The way I have lived my life up to now will probably be changed forever. How long physical distancing...
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?...
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...
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...
...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...
Hospice has worked with nursing facilities for many years now. Our relationship and interactions with patients and their families is now better understood and better defined. That said, some nursing facilities...
...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...







