Something to Think About

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...

We enter peoples’ lives as professionals. We are knowledgeable, supportive, caring, and personable. However, we are not best friends, we are not even friends, really.

Working with end of life in the medical field often leaves us feeling like outliers. The medical model is to fix people. Working with dying generally isn’t addressed in training. (It’s...

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...

Grief is like an open wound. When we healthcare workers experience a personal loss, every patient scrapes open our own wound of personal grief.  

The role of any end of life worker is to begin teaching  immediately, on the first visit -- teaching about approaching death, what to look for, and what to do. That’s...

Our role models from movies and TV show us that dying is gentle, often poetic, certainly not scary or messy. Movies make dying look comfortable.

As caregivers, we want so much to do the “right thing” for our special person. We know death is coming but still try to do all we can to stop...

When doctors and healthcare professionals place a number on how long someone has to live they are doing that person a disservice.

Anger in caregiving generally comes from a place of frustration, of fear, of sadness, of tiredness. All sorts of feelings with no outlet so they come bursting out.

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...

Number one, we are all going to die at some point. Of course the operative words here are “at some point.” If we are told death will be the outcome...

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...

We in health care, enter a family's life at a challenging, sad and fearful time. It is our acts of thoughtfulness that will be remembered and provide comfort.

In our medical society today, it seems to be very difficult for physicians to tell patients and/or families that death is approaching; That this special person will die, and probably...

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...

There is a reason dementia is referred to as the "long goodbye;" the mind is gone long before the body...