The Art of Ending Well: Grief, Grieving and Avengers: Endgame

Turns out Tony is pretty good at dying (from Marvel’s 2016 series Civil War II)

Before I start, I don’t think I can get two sentences in to this subject without mentioning massive spoilers for Avengers: Endgame, so if you don’t want them read this after you’ve watched the film. I also assume you’ve seen Avengers: Infinity War, so you may as well watch that too. Heck just go watch all 22 movies. I’ll wait. Continue reading

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NPR Show Discusses Hospice and “Comfort Care”, Advance Directives

Joshua Johnson, host of NPR’s 1A

The NPR show and podcast 1A recently held a discussion with former radio personality Diane Rehm and medical experts, prompted by the news that former First Lady Barbara Bush had chosen “comfort care” in the last days of her life. Continue reading

When All is Said and Done: Death and “Magic Words”

Your average hospice chaplain. Probably had 3 units of Level II CPE.

Recently I had a family whose mother was on hospice with us. When Isabel* had a sudden decline and became active her family gathered around the bedside and all started to say┬áthe things that families and caregivers – including hospice staff – feel that they need to say in order for the dying person to “let go”. They all said that they loved her and that they would be OK. They had out of town family come in and say good-bye in person and on the phone. They told her over and over again that it was OK for her to go. The priest gave last rites. This went on for well over a week.

Needless to say it was rough. The family came and went, said what they needed to say, and still Isabel seemed to hang on. There were a lot of thoughts and questions: “What haven’t we said? Is there someone that hasn’t said goodbye yet? Is she waiting to hear from someone? What are we missing? Why is she still here?

My best response was, “I don’t know.”

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