Something to Think About

The process of a gradual death from disease takes two to four months (old age with no disease takes longer). Three things are the sign posts that say the dying...

In the End of Life Care and Bereavement Group I have on Facebook some of us who are or have been hospice nurses were talking about what we, as hospice...

In non medical words I would call terminal delirium confusion with or without restlessness. In the weeks before death a person who has entered the dying process is sleeping most...

Question: How much is comprehended by the patient as they approach end of life? Do they know who is present, if someone is absent? How does the patient feel knowing...

I wrote this post as a follow up to last week's post, The Final Hours Before Death. To: End of life doulas, in-home caregivers, hospice nurses, social workers and chaplains,...

When someone is dying a gradual death from disease and is hours tominutes from death they don't need a doctor, nurse, social worker, or evena chaplain. They need someone who...

As death comes closer we tend to see that families have a hard time with the fact that the patient does NOT want to eat or drink. Not wanting to...

QUESTION: The doctor recommended hospice for my father today (89, congestive heart failure). I believe this is probably the right thing, but how do I know this isn't about money...

Over the years people have told me stories of a friend or neighbor who was dealing with end of life issues. They then have asked that I call that person...

Don’t tell Grandma. There has been many a time when I did a hospice assessment and a family member has said to me “Don’t tell Grandma she can’t be fixed....

The use of Morphine is one of the most misunderstood practices I encounter with families and end of life issues. Our society is so drug conscious we tend to equate...

We have all sorts of fears around dying and death so we keep thoughts of end of life at bay. We are like ostriches who bury their heads in the...

Mary Nell’s son in law, Ted, sent me this writing. It is so poignant I asked him if I could share it with my blog readers. It is longer than...

October 15 was National Pregnancy and Infant Loss Remembrance Day. I’ve been asked to write about the grief experienced with the loss of a baby through miscarriage or stillbirth. I...

Living with someone who has dementia is a daily challenge. It requires the constant reminder that this person is not who they once were. It presents the challenge of learning...

I know “dying of a broken heart” is used frequently when death comes as a result of a tragic life event. I’m not sure that is actually why the person...

My husband tells the story of me asking our hospice nurse how long she thought my mother had to live (a question all families ask). My husband knew that I...

QUESTION: What to do if the Doctor suggests stopping life support? RESPONSE: No one wants to be in the position of determining when a person dies, not doctors, not family....

We can die gradually two ways. We just get old and our body wears out or we get a life threatening illness, disease, and die gradually that way....

QUESTION: Please speak to Hospice Approval Denied due to only major diagnosis code being Alzheimer's and not considered to be in final stage. But person not eating, ~70 lbs now,...

QUESTION: I am a 30 year old woman working as a psychology intern at a local hospital. My engagement in the hospice program has me thinking a lot about my...