Dear Barbara, Will you discuss palliative sedation? Palliative sedation is a term used by hospice, palliative care, and medical professionals to describe giving large doses of sleep-inducing medications to induce unconsciousness. It is a pain management technique used when all other pain management options have been unsuccessful. It is not routinely used. I would even say […]
FOOD! We eat to live. It sustains living. Everyone and everything needs some form of food, of nourishment, to maintain life. Animals (and that includes humans), plants, insects, all need some form of food to live. It seems that with humans, we add to the nourishment aspect of eating a social component as well as […]
I was thinking about hospice volunteer training. What makes a good training program? I am hearing stories about the lack of professional staff training for new hires, which led me to wonder about volunteer training. So—here are my thoughts for a hospice volunteer training program: At the first meeting of the training, have a discussion […]
I hear “don’t tell mom” way too frequently. Mom has a life threatening illness or may even be showing signs of approaching death and her family says to me as I walk in the door, “don’t tell mom.” They want to protect her. They don’t want to worry her or scare her. SO everyone is […]
In response to “how are you,” “I’m fine” seems to be a universal reply from people suffering. This suffering can be the result of pain, grief, illness, family upheaval, or any other major distress a person is experiencing. Well, my mother would have told you everything and more than you’d ever want to know in response […]
There is no “if” in dying – only “when.” Yet we act like (and/or pretend) we will live forever. We make no advance directive and assign no power of attorney or durable medical power of attorney. We don’t tell others our thoughts or wants regarding the ending of our lives. We don’t prepare others close […]
“You can’t use an old map to explore a new world.” ~Albert Einstein Taking care of someone at end of life is different from taking care of someone who is going to get better. The challenge is that most people, including healthcare professionals, don’t know this. Most use “old maps to explore this […]
We think of grief as mourning, of our emotional reaction to a loss. The tears, the “I miss her so much,” the sadness she is no longer with you. Grief is sadness. For some, it may be a relief that someone or something is no longer a part of our life. We don’t just grieve […]
Where does someone go who doesn’t have anyone to care for them as end of life approaches? Most people, when told they can’t be fixed, believe they will stay at home, alone if necessary, and die in their own bed. Unfortunately, as death approaches none of us will be able to take care of ourselves. […]
For many people, nursing facilities have become their home. It is therefore reasonable that Hospice services be available in facilities. BUT care in a facility is not the same as care in the home. Here are some of the differences—and challenges. Nursing facilities’ focus, by regulations, is to keep people alive. All the care is […]
