Dear Barbara, What are ways to provide support to hospice staff (RN’s, CNA’s, SW’s, CP’s) who see death on a nearly daily basis? What actions would be meaningful in an industry where death is an integral part of our lives? Working with end of life in the medical field often leaves us feeling like outliers. […]

I was recently asked how to be a Hospice volunteer. My answer was to call any hospice and ask how to be part of their volunteer program. However the real question is “Why do you want to be a hospice volunteer? Why do you want to support people who are dying?” Being involved with end […]

It isn’t until you walk in another’s shoes that you really know what something feels like. As most of you know my husband was on hospice services recently and died. Here are some thoughts after being on the other side of hospice, on the receiving side.  *Once we get up the courage to call hospice, […]

As a new widow (that word sounds strange and startling) I have had many new insights. In my work in end of life, the focus has been on approaching death. Grief has been an afterthought, not a primary issue. With Jack’s death, I know how powerful grief is. Emotionally, now a month after Jack’s death, […]

Death has touched us all, some more recently than others.  Grief has no actual timeline, no end point where we are suddenly “fine.” Each of us responds to our loss in different ways.  Each of us in our own way and on our own time figure out how to go on living without our special […]

The physician is frontline, the top of the pyramid in healthcare. All care follows from there. The physician can set the tone for the entire patient experience.  How do you set that tone to be a positive experience for the patient? Be honest, open, and direct. Talk at a fifth grade level, and not rushed. […]

Words. How we say them and how they are heard are often two different things.  This morning my husband and I had a few words over what I gave him for breakfast. I would say it was a “tirade.” He would say it was an “explanation.” That little exchange got me thinking about how words […]

“I just wonder how individuals deal with getting discharged from Hospice because the patient didn’t decline quickly enough for Medicare?” is a question I received recently– and it’s not the first one of its kind I’ve received. Why is the patient being discharged, you ask? Is it because the patient just didn’t decline as rapidly […]

Dear Barbara, I am a hospice nurse struggling with going back to work while still deep in grief after losing my mom. How/when did you go back to work? I’m doing all the things I’d advise my patients’ family members to do when grieving. Just broken and lost. Any and all advice is welcome.  When […]

Dear Barbara, I cared for my Mama in my home up until she passed. Hospice care was only for a week. I received their package of paperwork, along with one of your books, “Gone From My Sight.” I was told by the head/charge nurse not to read the book right away, but rather wait a […]