Category Archives: end of life care

THE BIG BUSINESS OF DYING

As the saying goes, there are two things we can’t avoid: death and taxes. Another less-known and also difficult-to-avoid situation is the cost of dying. While attending a recent webinar on end-of-life care, I listened to the phrase “the death … Continue reading

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WE MIGHT NOT BE SO SURE…

I find myself in another paradoxical debate.  I have made my best attempt to find adequate palliative care research being done on managing end-of-life secretions (“the death rattle” people often refer to), and I cannot say I have read sufficient … Continue reading

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REMEMBRANCE

Memorial Day is a day to remember fallen heroes.  Many years ago I stood at the edge of the Meuse-Argonne American Cemetery in France.  I looked out over the vast numbers of white crosses, as far as the eye could … Continue reading

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HELPLESS

I’ve had many moments of observing the steady slowing and final stopping of a heart beat.  I’ve had countless times to share a patient’s frightening sense of vulnerability as bodies cheat their owners and life becomes uncertain with death a … Continue reading

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THE WORST PATIENT/DIFFICULT FAMILY?

Nurses, not infrequently, have been labeled (very often by other nurses) as “the worst patients; the difficult family member”.  Here’s a couple reasons why: nurses invariably assume the role of caregiver in both their careers AND their lives.  They historically … Continue reading

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PANDEMICS MERELY HIGHLIGHT NURSING HOME PREDICAMENT

A wise saying: There is nothing new under the sun.  Suffering is our human condition; we all have some experience with it.  Though it seems of late there is just too much.  A recent visit to a nursing home reminded me … Continue reading

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“HE WHO CANNOT, TEACHES”

As I thought about who and what have been my greatest teachers in life, I considered the quote: He who can, does; He who cannot, teaches*.  Though this quote is considered disparaging to teachers, I like to think of it … Continue reading

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WHAT WE LEAVE BEHIND

Don’t call me morbid because I’ve spent the past few days preparing obituary examples.  I’ll be using these for a class of young people to demonstrate a bit of what “legacy” means: something left behind when you are gone.  This … Continue reading

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NEVER GIVE UP

I am concerned about a new mantra afoot: that palliative care–unlike hospice care– is not “giving up” but is addressing improved symptom management and quality of life (QOL) for all patients with advanced disease.  I  am disappointed as I read … Continue reading

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A FAREWELL IN 2018

As 2018 comes to a close, I am remembering a friend who died this year.  Over a period of many months, we had these wonderful talks that seemed a lot like Tuesdays with Morrie,* with moments of her insight shared … Continue reading

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