Category

Funeral Planning

Growing Towards VSED

By | Advance Directives, Death, Death Doula, Death With Dignity, Death With Dignity Act, Dying, End-of-life care, Funeral Planning, Hospice, Medical Aid in Dying, VSED | 4 Comments

In 2019, three community women asked to meet with me about a compelling community education concern. The spouses of these women had all struggled to use the VSED end-of-life option because our county’s only hospital, and associated hospice program, had religious affiliations and, therefore, was unable to support VSED.

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Surrogate Challenges Can Overwhelm Even An Experienced Hospice RN

By | Advance Directives, Dementia, Disability, Dying, End-of-life care, Funeral Planning, Grief, Mental Illness, Surrogate | 2 Comments

“Sleep deprivation amplified every emotion and wore me down quickly,” she said. She was exhausted, angry, and felt guilty. She was “flying blind” to be the surrogate as Betty neared death – and she was a trained, experienced hospice RN. What does that say about your chance of being an effective surrogate?

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Improving End-of-Life Family Meetings Part 3

By | Advance Directives, Choice, Dying, End-of-life care, Funeral Planning, Suffering and Death, Surrogate | One Comment

As discussed in Part 2, the SPIKES framework is useful to explore the family’s understanding of their loved one’s illness and to share information about medical condition and prognosis. When the purpose of a family meeting is to discuss goals of care, it may be useful to “unpack” care goals using the REMAP framework.

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