Category: Dark Side
Dark Side in the area of ethics specifically in the field of hospice and often relating to hospice at facilities
Compassion Crossing, LLC
Guiding Life's Journey with Care
Compassion Crossing, LLC
Guiding Life's Journey with Care
Your Medication List Is Not a Formality: What Real Medication Review Looks Like
A listed side effect that has not shown up yet is not proof you are safe. Many common medications, including some over-the-counter drugs, carry a real risk of cognitive decline. Learn what a genuine medication review involves, why the system misses so much, and three ways you can protect yourself.
Show Up Unannounced: A Family Guide to Choosing the Right Care Facility
Choosing a care facility is one of the hardest decisions a family faces. Scheduled tours show what facilities want you to see. Spontaneous visits reveal the truth. This guide shows you how to visit unannounced, what to look for, and how to use a printable checklist to compare facilities and protect your loved one.
No Address Required: Palliative and Hospice Care for People Experiencing Homelessness
Every night in America, hundreds of thousands of people without a home are quietly battling serious illness. Many are dying. Yet palliative and hospice care remain out of reach for most. This article names the barriers, examines what care agencies can do, and shows you how to take action.
Dying to Help: What No One Tells You About Becoming or Hiring a Death Doula
For centuries, dying happened at home, surrounded by family. Today, death doulas are reclaiming that space. But a booming, unregulated industry with no insurance and no governing body creates real risks for practitioners and families. Here's what both groups need to know.
When One Country Leads the World in Assisted Deaths: What That Number Is Really Telling All of Us
Canada now records more assisted deaths each year than every other nation on Earth combined. That number opens a much harder conversation about falsified death records, what "terminal" actually means, and why better options exist than most patients ever hear about.
When Blood Pressure Treatment Becomes Too Much: Understanding Orthostatic Hypotension in Older Adults
Blood pressure medications save lives, but too much of a good thing can be deadly for older adults. Learn how orthostatic hypotension from over medication causes falls, what warning signs to watch for, and why patients and caregivers must advocate for regular medication reviews. A hospice nurse shares a remarkable story.
When Insurance Guidelines Put Lives at Risk: The Truth About Brain-Altering Drugs in Dementia Care
Despite safety warnings, one in four Medicare beneficiaries with dementia are prescribed brain-altering medications linked to falls, confusion, and hospitalization. Over two-thirds lack documented clinical need. Learn why insurance guidelines override patient care, the truth about antidepressants, and how to advocate effectively.
Your Doctor Works for the Insurance Company Now: How to Protect Seniors from a Profit-Driven Healthcare System
CMS finalized age-friendly hospital measures in 2026, yet medication remains the leading source of preventable harm for older adults. Why? Insurance companies have seized control of American healthcare, directing what providers prescribe based on profit, not patient need. Doctors follow insurance guidelines, mistakenly believing this equals patient-centered care. The result: over 450,000 emergency visits annually from adverse drug events, falls, delirium, and devastated families. This guide exposes the system and provides advocacy tools to protect your loved ones.
When Tomorrow Is Uncertain: Why Medical Aid in Dying Depends on Predictions That Often Miss the Mark
Medical Aid in Dying legislation relies on terminal prognoses that are notoriously unreliable. Healthcare providers acknowledge that predicting death within six months is an art, not a science. Patients may end their lives prematurely based on predictions no more accurate than weather forecasts, while societal pressures and financial incentives complicate end-of-life decisions.
When Your Doctor Doesn’t Tell You Everything: Understanding Your Kidney Therapy Choices and the Power of Advance Care Planning
Most older adults with advanced chronic kidney disease hear about dialysis as their only option, unaware that nephrologists may unintentionally withhold information about conservative kidney management. Discover why advance directives should include dialysis decisions long before kidney disease develops—and how to advocate for truly informed, values-based care.
Understanding Medication Risks in Hospice Dementia Care: A Guide for Families and Healthcare Teams
Recent University of Michigan research found that benzodiazepines and antipsychotics commonly prescribed in hospice care may significantly increase mortality risk for people with dementia. This article explores these findings and provides essential advocacy guidance for families, caregivers, and hospice professionals.
When Death Comes Unexpectedly: Why Being Prepared Matters More Than Ever
Every year, thousands die in emergency departments unprepared for death. Sudden death in hospitals can be especially shocking for patients and families who haven't planned ahead. This guide highlights why preparation is important and describes how end-of-life doulas can assist.
When Family Goes Silent: Finding Help When Loved Ones Won’t Step Up
Primary caregivers often face difficult emotions of isolation when loved ones step back during a chronic or terminal illness. This article thoughtfully addresses these feelings, delves into the reasons for this distance, and provides constructive communication strategies to foster reconnection with hesitant family members. It also highlights alternative support avenues for caregivers, ensuring they feel valued and supported.
When Love is Not Enough: Addressing the Hidden Crisis of Hospice Family Caregivers
Caring for a terminally ill loved one at home is an incredibly challenging and emotional journey for family caregivers. This guide acknowledges the struggles you may face and offers compassionate solutions. It explores valuable resources, such as end-of-life doulas, PACE programs, and professional home care services, all designed to help ease your burden and provide support during this difficult time. You are not alone in this experience; there are ways to find relief and comfort as you navigate these profound challenges.
The Dark Side of Hospice at a Facility
Hospice care in facilities can face challenges due to facility policies, staffing issues, and lack of coordination with hospice providers. This article sheds light on the struggles patients, families, and hospice nurses face in ensuring timely, appropriate care.
Statins Increase the Risk of Dementia or Worsening Dementia
Pharmaceutical advertisements often highlight the benefits of a particular drug, including its ability to reduce the risk of various health conditions. However, the actual risk reduction these drugs provide may differ from what is portrayed in the advertisements. It is the opinion of the author that if cardiologists and other providers told their patients the absolute risk reduction of statins is 0.8% for all-cause mortality, 1.3% for myocardial infarction and 0.4% for stroke and the side effects of going on a statin include dementia, worsening dementia, confusion, muscle problems, such as aches, pains, weakness, muscle breakdown, falls, nausea, constipation, diarrhea, and increase the risk of type 2 diabetes, would you or anyone else ever agree to take a statin?
Failure to Decline in Hospice – The Good and The Ugly
If your loved one is facing a discharge from hospice due to failure to decline, it's crucial to comprehend the situation clearly. This discharge indicates that the healthcare team believes your loved one's condition has stabilized and no longer requires hospice care. While this might be a positive sign, it's important to weigh the pros and cons before making decisions. Let's delve into both the positive and negative aspects of this situation to help you navigate it effectively.
Eye-Opening Lessons on Trusting Nursing Facilities: Advocating for Comfort in End-of-Life Care
As an experienced hospice visiting registered nurse, today offered me profound insights from two interconnected perspectives. The first highlights the blind trust we often place in facility nurses and doctors when caring for our loved ones. The second involves the challenges I encountered while advocating for proper end-of-life care for a patient with Alzheimer's.
The Dark Side of Physical Therapy for Geriatric Patients with Dementia
Explore the ethical dilemma of physical therapy for terminally ill dementia patients. This article examines the potential harm of aggressive interventions, highlighting the importance of comfort-focused care. Learn why hospice professionals often advocate for gentler approaches in end-of-life dementia care.
The first waves of COVID-19 in a nursing home — sharing memories, from heroes to dirty, filthy…
Personal stories from the frontlines of Covid-19 in a nursing home, highlighting the bravery of heroes and the harsh realities faced by residents and staff.