Something to Think About

Barbara, I have a 23 year old daughter that has a chronic illness. She says she is tired of fighting. I don't want to lose her. I am lost.
 Having...

I appreciate how much you love your mother. I see the challenge you are dealing with in her attitude and behavior. As much as we love someone our feelings can...

...Most people, I am sorry to say, are so caught up in the process of getting treatment (and generally get very sick in that process) that  they don’t feel well...

QUESTION to Barbara: I need some help. As of yesterday afternoon I am officially fed up. I have been an RN case manager for seven years. The whole “industry” is...

First, let’s not judge a person’s grief by their words or actions. We don’t really know what is going on inside this person...

Barbara, People have asked me when and how I can offer others your booklets. With anyone, an acquaintance or close friend, you can always just say, “I have some materials...

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...

Grief is a reaction to loss. Loss equates to a death, a death of something or someone. Death comes in many ways, many forms. There is the death of a...

COPD is a very challenging disease. A patient can look and feel like they are dying right now and still feel that way 10 years later. Because of this it...

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: A large tumor was surgically removed and I immediately went into chemotherapy. I get very frustrated when people consistently say "you look great today" but I’m not really looking...

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...

Being a type A personality I am moving and doing something most of the time. Tasks are finished before they need to be. Goals are the drive behind me, not...

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...