Something to Think About: a blog on end of life

Filtered By: How Do I Know You ?

Something to Think About: a blog on end of life

Filtered By: How Do I Know You ?

Mom Needs Hospice? Here are your questions to choose the right one...

Mom Needs Hospice?  Here are your questions to choose the right one...

September 18 2019
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 harder to find. My hope is that by setting the standard high, and...

Do I Want Home Health Services or Hospice?

Do I Want Home Health Services or Hospice?

September 03 2019
I know it is scary to think of using hospice. It says death will happen soon, but there is such guidance and support to help that at least ask for an information visit. A hospice referral is a win-win. You win if hospice says it is too soon and ...

"One Lone Tear", Dementia at End of Life

"One Lone Tear", Dementia at End of Life

August 07 2019
The guilt, frustration, uncertainty, and helplessness of family caregivers is as much a problem to our healthcare system as the patient with dementia...

Developing End of Life Expertise

Developing End of Life Expertise

July 07 2019
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...

Alzheimer's, Cancer and Hospice

Alzheimer's, Cancer and Hospice

June 13 2019
Dementia isn’t a terminal illness in that it doesn’t have a limited prognosis. It is like dying from old age, it takes longer. Alzheimer’s, or any form of dementia, is difficult to gage as to approaching death. The personality changes and withdraws often over a period of years and sleeping habits are...

Setting Up a Hospice Program

Setting Up a Hospice Program

May 28 2019

...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 those present through the experience. So, first, you are going to select employees that don't view death as a medical emergency, as a medical failure, and particularly don't view death as bad. Sad for everyone, yes, but not bad...

 

I Hear You, But I Don't Understand

I Hear You, But I Don't Understand

March 24 2019
...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 hospice Director and in the medical field, didn’t understand what he was talking about. My mother sat on the end of the examining table nodding her head up and down indicting that she understood. She didn’t....

Six Months To Live? A Doctor's Prediction

Six Months To Live?  A Doctor's Prediction

January 08 2019
So many factors affect the length of our labor to leave this world that it is imprudent to put a specific time frame on approaching death. The closest we can credibly come to predicting when death is going to arrive is to guesstimate the time in months or weeks with no numbers attached...

Pain, Morphine & "Dying in Peace"

Pain, Morphine & "Dying in Peace"

June 14 2018
It is certainly not within our role to act if a person, in the pain of the moment, wants help in ending their life. In the “pain of the moment” are the operative words here. I cannot tell you the number of times I have heard that plea in the throngs of pain, and the relief when that pain is relieved and life continues...

The Balancing Act of Caring for the Dying

The Balancing Act of Caring for the Dying

May 03 2018
For healthcare professionals it is often a balancing act to care for patients and then deal with the sense of futility that is triggered when they are doing their job...

The Profound Affect of Dementia on Families

The Profound Affect of Dementia on Families

March 26 2018
I can say that dementia doesn’t play by the rules for end of life. Withdrawing and sleeping can be present for years and does not signify approaching death. Not eating and not swallowing are your key signs. If we don’t eat, we can’t continue to live. Always offer food (be careful of choking), but don’t force food.

Caring for the Alzheimer's Patient

Caring for the Alzheimer's Patient

October 12 2015
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 how to live with the person they have become...