Category: Death and Dying
Articles pertaining to death and dying including the dying process and how clinicians determine how much longer a terminally ill patient has to live.
Review of Gone from My Sight by Barbara Karnes, RN
As an experienced hospice nurse with years of experience, I have come across numerous resources that aim to guide families and caregivers through the process of dying. One such resource that stands out is "Gone from my sight: The Dying Experience" by Barbara Karnes, RN. This booklet, often referred to as the "Little Blue Book," has been a staple for hospice providers for over three decades, and for good reason.
Read MoreReview of Gone from My Sight by Barbara Karnes, RNManaging Diabetic Ketoacidosis and Hyperosmolar Hyperglycemic State at End of Life: A Comfort-Based Approach
As an experienced hospice nurse, I understand that managing diabetic ketoacidosis (DKA) and hyperosmolar hyperglycemic state (HHS) at end of life can be challenging, especially when patients choose to stop taking their diabetic medications or when those medications are no longer an option. In this article, I will provide information on recognizing the signs and symptoms of hyperglycemic crises and outline comfort-based treatment options that align with hospice goals of care.
Read MoreManaging Diabetic Ketoacidosis and Hyperosmolar Hyperglycemic State at End of Life: A Comfort-Based ApproachUnderstanding Nutrition Changes in Hospice: Nourishing Comfort and Peaceful End-of-Life Journey
Explore the natural shift in nutritional needs during hospice care. This guide offers insights into managing reduced calorie intake, ensuring comfort and dignity in the end-of-life journey.
Read MoreUnderstanding Nutrition Changes in Hospice: Nourishing Comfort and Peaceful End-of-Life JourneyBest Practices for Oral Care in Hospice Patients: A Guide for Families
Caring for a comatose loved one during their hospice journey requires special attention, particularly when it comes to oral care. In this guide, we'll explore best practices for oral care, considering the unique needs of comatose patients, and provide you with valuable resources for further guidance.
Read MoreBest Practices for Oral Care in Hospice Patients: A Guide for FamiliesSupporting a Loved One’s Decision to Stop Eating and Drinking Voluntarily
Explore how to support a loved one's decision to stop eating voluntarily and drinking (VSED) in hospice care. Learn about the ethical, emotional, and practical aspects of VSED, including its impact on patients and families, and how to provide compassionate care during this challenging end-of-life journey.
Read MoreSupporting a Loved One’s Decision to Stop Eating and Drinking VoluntarilyUnderstanding Terminal Illness Progression: Observable Signs and Symptoms
Explore the journey through terminal illness, understanding key signs and symptoms at each stage. This guide offers insight into the physical and emotional changes as life nears its end, helping caregivers provide compassionate support.
Read MoreUnderstanding Terminal Illness Progression: Observable Signs and SymptomsTo Wake or Not to Wake: A Dilemma for Caregivers of Dementia Patients in the Final Stage
Caregivers of dementia patients in the final stage face a challenging dilemma: whether to wake their loved ones or let them sleep. This article explores the pros and cons of each approach, offering guidance on making this difficult decision while prioritizing comfort and dignity in end-of-life care.
Read MoreTo Wake or Not to Wake: A Dilemma for Caregivers of Dementia Patients in the Final StageUnderstanding the Patient’s Question: When Will I Die?
Navigating the tender journey of hospice care, Compassion Crossing offers guidance on addressing the pivotal question of “when?”—a beacon for caregivers seeking solace and understanding in life’s final chapter.
Read MoreUnderstanding the Patient’s Question: When Will I Die?Understanding End Stage Coma: A Guide for Families
Dealing with a loved one in end stage coma can be an emotionally challenging and overwhelming experience. As an experienced nurse with years of experience, I understand the importance of providing compassionate care and support during this difficult journey. In this article, we will explore what to expect during the course of the disease, changes you might see in your loved one, and essential tips for caring for them from onset until death.
Read MoreUnderstanding End Stage Coma: A Guide for FamiliesCaring for a Loved One with Alzheimer’s Disease: A Guide from Onset to End-of-Life
Discover essential guidance for caring for a loved one with Alzheimer's disease, from early symptoms to end-of-life care. Learn about communication strategies, safety measures, and self-care tips for caregivers. This comprehensive guide offers support and practical advice for navigating the challenges of Alzheimer's caregiving.
Read MoreCaring for a Loved One with Alzheimer’s Disease: A Guide from Onset to End-of-LifeIdentifying Patients Who May Benefit from Hospice Care: A Visual Observation Guide for Personal Care Facilities
Identifying when a patient may benefit from hospice care is a critical yet often challenging task. For caregivers, including Certified Nursing Assistants (CNAs) and Medical Technicians (Med Techs), visual observation can be a powerful tool for recognizing signs that suggest a hospice referral might be appropriate.
This guide is tailored to assist caregivers in personal care facilities in identifying these signs through visual observation methods, helping provide compassionate and timely end-of-life care.
Read MoreIdentifying Patients Who May Benefit from Hospice Care: A Visual Observation Guide for Personal Care FacilitiesHow to Talk to Families About End-of-Life: A Guide for Hospice Nurses
This article provides hospice nurses with practical and evidence-based strategies to discuss end-of-life care with families
Read MoreHow to Talk to Families About End-of-Life: A Guide for Hospice NursesUnderstanding Changes in Palliative Performance Scale in the Last Six Months of Life
Explore the Palliative Performance Scale (PPS) and its crucial role in end-of-life care. Learn how this tool helps hospice professionals assess patient decline, predict life expectancy, and provide tailored care. Understand the significance of PPS changes in the final six months and how they guide compassionate care decisions.
Read MoreUnderstanding Changes in Palliative Performance Scale in the Last Six Months of LifeWhy Saying Goodbye to Your Dying Loved One Matters
Losing a loved one to a terminal illness is an incredibly challenging experience. It's a journey filled with emotions, uncertainties, and the need for profound empathy. One crucial aspect of this journey is saying goodbye to your dying loved one and permitting them to pass peacefully. In this article, we'll explore the significance of these acts, which bring comfort to the terminally ill and aid in the grieving process for those left behind. We'll also share three case studies to illustrate the importance of these actions.
Read MoreWhy Saying Goodbye to Your Dying Loved One MattersThe Death Visit from a Hospice Nurse
Losing a loved one is an incredibly challenging and emotional experience, and witnessing someone's final moments can be overwhelming, especially if you have never been through it before. As a hospice nurse with years of experience, I understand the importance of providing guidance and support during this time. In this article, I want to help prepare you for what to expect during the death visit and explain the role of the hospice registered nurse in the pronouncement process.
Read MoreThe Death Visit from a Hospice NurseThe Last Breath of Life
As a caregiver or family member, witnessing the final hour of a loved one's life can be a challenging and emotional experience. It's essential to be prepared and understand what to expect. While each person's journey is unique, some common physical changes may occur in the last hour of life. Here's a guide to help you navigate this sensitive time:
Read MoreThe Last Breath of LifeSignificant Signs a Terminally Ill Patient may be Close to Dying
Recognizing end-of-life signs can be challenging. This guide outlines key symptoms indicating a terminally ill patient may have less than two weeks, offering crucial insights for caregivers and families.
Read MoreSignificant Signs a Terminally Ill Patient may be Close to DyingManaging Terminal Restlessness
Losing a loved one is an incredibly challenging experience, and witnessing changes in their behavior and well-being can be distressing. As a hospice nurse, I've supported many families and caregivers through this grim time. One common symptom that may arise towards the end of life is restlessness. In this article, I will explain the different types of restlessness and offer guidance on how to manage them. Understanding these distinctions can provide valuable insights into your loved one's condition and help you navigate the final stages of their life with compassion and care.
Read MoreManaging Terminal RestlessnessThe Death Rattle
Witnessing a loved one nearing the end of life can be challenging and emotional for a caregiver. One symptom you may encounter during this time is the death rattle. Understanding what the death rattle is, how to recognize it, and how to manage its symptoms can help you provide comfort and support to your loved one in their final days. This guide will explore the death rattle, its significance, and practical tips for managing it.
Read MoreThe Death RattleMottling of Skin Near Death
As a caregiver or family member, it can be challenging to witness the changes that occur as a loved one approaches the end of their life. One such change that may occur is mottled skin, also known as livedo reticularis. Understanding what mottled skin is and its significance in the dying process can help you provide the best care and support to your loved one during this time.
Read MoreMottling of Skin Near DeathUnderstanding Functional Decline in the Natural Dying Process
Explore the journey of functional decline in the natural dying process. This article provides insight for caregivers and families, emphasizing the importance of documenting changes to enhance care and decision-making in life’s final chapter.
Read MoreUnderstanding Functional Decline in the Natural Dying ProcessUnderstanding the Decline of Terminally Ill Loved Ones: Medications vs. Disease Processes
When a loved one is terminally ill, it can be a perplexing and emotional journey. Understanding the root cause of their declining health becomes paramount. It's a complex puzzle where family members often grapple with questions: Are the symptoms a result of medications prescribed, or are they intrinsic to the terminal disease? This article delves into the critical distinctions between medication side effects and the natural progression of terminal illnesses, offering insights to empower families and caregivers in making informed decisions about their loved one's care.
Read MoreUnderstanding the Decline of Terminally Ill Loved Ones: Medications vs. Disease ProcessesTrigger Words for Hospice Nurses: Assessing End-of-Life in Two Weeks or Less
Discover key indicators for end-of-life care in hospice. This guide highlights ‘trigger words’ that signal a patient’s final days, aiding nurses and caregivers in providing compassionate support during the most critical moments.
Read MoreTrigger Words for Hospice Nurses: Assessing End-of-Life in Two Weeks or LessUnderstanding and Addressing a Terminally Ill Patient’s Fear of Impending Doom
I understand how challenging it can be for terminally ill patients to cope with their fear of impending death. It is crucial for both healthcare providers and family members to take these feelings seriously and respond with compassion and understanding. In this article, we will explore the importance of acknowledging a patient's fear of impending doom and discuss actions that families can take to provide peace and comfort during this grim time.
Read MoreUnderstanding and Addressing a Terminally Ill Patient’s Fear of Impending Doom