Showing posts with label Dying. Show all posts
Showing posts with label Dying. Show all posts

Friday, April 22, 2011

More senior citizens are dying at home - Miami-Dade - MiamiHerald.com

jdorschner@MiamiHerald.com

After years of experts and patients saying people at the end of life might be more comfortable dying at home, a new study says that may finally be happening: fewer seniors in the United States and South Florida are dying in hospitals.

But the same survey finds that in the last months of life for seniors throughout the United States and especially in Miami, the trend is for more of them to see large numbers of specialists and to spend more time in expensive intensive care units.

Those are the results of the latest study from the Dartmouth Atlas, a project of the Dartmouth Medical School. The project for years has been using Medicare data to expose anomalies in healthcare costs and wide geographic disparities in expenses.

“Miami is practically off the charts,” says David Goodman, a Dartmouth researcher who was the lead author of the study. “It really continues to stand out” for having the highest costs and most extensive treatments in the last months of life, even when adjusted for age, ethnicity, race and severity of illness.

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Sunday, April 10, 2011

Dealing with Death and Dying | Myths of Coping with Death | Caring.com

hands_held_hospital

People often adhere to a code of conduct about the end of life that's just not rooted in common sense or reality -- especially when it comes to how to talk to someone who's dying, in their final days or hours. Hospice nurse Maggie Callanan, who has attended more than 2,000 deaths, wrote her book Final Journeys: A Practical Guide for Bringing Care and Comfort at the End of Life in order to take on these myths:

Myth: Don't cry in front of the dying.
They know you're sad. Having the courage to bare your emotions gives the dying person permission to be candid about his or her own feelings. Your tears are evidence of your love. And they can also be a relief to the person, telegraphing that you understand what's happening.

Myth: Keep the children away.
People often steer kids away from death so they'll remember the person in a good light and not be frightened. But most kids do well with simple explanations of what's happening; facts are usually less scary than their vivid imaginations. By cordoning off a child from a natural part of life, you also deprive the dying person of a beloved, comforting presence.

Tuesday, March 29, 2011

Quality of Death and Dying in Patients who Request Physician-Assisted Death - Journal of Palliative Medicine

Background: Physician-assisted death (PAD) was legalized in 1997 by Oregon's Death with Dignity Act (ODDA). Through 2009, 460 Oregonians have died by lethal prescription under the ODDA.

Objective: To determine whether there was a difference in the quality of the dying experience, from the perspective of family members, between 52 Oregonians who received lethal prescriptions, 34 who requested but did not receive lethal prescriptions, and 63 who did not pursue PAD.

Design: Cross-sectional survey.

Measurements: Family members retrospectively rated the dying experience of their loved one with the 33 item Quality of Death and Dying Questionnaire (QODD).

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Andrew Lopez, RN
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Monday, March 28, 2011

Faith Friends by Nancy Haygood, Hospice Poems, Stories of Death and Dignity

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I don’t want to say goodbye
Don’t want you to see me cry
But in the end, that sweet by and by
We will meet again.

You remind me, Lee, of me
A bound-up soul, set free
Life struggles overcome
A chance to bask in the sun.

All too short, this life seems
But in not-so-distant dreams
We know this fading world
Is but a path to the King.

Our King, He came, like me
In humanness, to be
Then hung upon that tree
To set us free.

He knew hot tears and cool springs
The love that friendship brings
Now he hears angels sing
So will we.

You and I,
We’ve known sweet-smelling children, rough-bearded men
Giggles with girlfriends, aloneness, amends,
Fear beyond reason, and joy in its season
Love is the reason. Amen.

-- Nancy Haygood, © 2006

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Monday, March 21, 2011

Death, Dying, End of Life, Hospice, Inspirational Poems, Touching Stories

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Faith Friends by Nancy Haygood, Hospice Poems, Stories of Death and Dignity:"I don't want to say goodbye
Don't want you to see me cry
But in the end, that sweet by and by
We will meet again."
http://www.inspirationalnursing.com/faith

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Tribute to a Hospice Nurse by E.V. Stankowski, RN, Inspirational Poems, Touching Stories:"When it comes to death and dying
There's a special gift you share
One that Angels all admire
One that goes beyond just care

http://www.inspirationalnursing.com/hn

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A Trip To The Supermarket, Inspiration Poems, Touching Stories:"I walked into the grocery store not particularly interested in buying groceries. I wasn't hungry. The pain of losing my husband of 37 years was still too raw. And this grocery store held so many sweet memories."
http://www.nursefriendly.com/nursing/inspiration/a.trip.to.the.supermarket.htm

Inspirational Categories: Affection, Caring, Friendship, Angels In Our Lives, Watching Over Us, Bereavement, Grief, Loss, Sorrow, Death, Dying, End of Life, Hospice Poems, Love, Marriage, Matrimony, Loving Partners

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Always Say I Love You, Inspirational Poems, Touching Stories:"Brittney loved basketball Friends and parties too And when it came to painting That's all she wanted to do."
http://www.nursefriendly.com/nursing/inspiration/always_say_i_love_you.htm

Inspirational Categories: Affection, Caring, Friendship, Babies, Children, Infants, Kids, Bereavement, Grief, Loss, Sorrow, Death, Dying, End of Life, Hospice Poems, Living Life To The Fullest, Love, Caring, Self Esteem, Self Worth, Parents & Parenting

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Angels of Mercy, Inspirational Poems, Touching Stories:"Sorry if we woke you in the middle of the night But someone in your neighborhood is fighting for his life. Sorry if we block the road and make you turn around, But there's been a bad wreck with dying children on the ground."
http://www.4nursing.com/inspirational-poems-touching-stories-angels-of-mercy.html

Inspirational Categories: Death, Dying, End of Life, Hospice Poems, Emergency Medical Services (EMS)

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Beatitudes For Aging, Inspirational Poems, Touching Stories:"Blessed are they who understand My faltering steps and palsied hand. Blessed are they who know my ears today must strain to catch the words they say."
http://www.nursefriendly.com/nursing/inspiration/beatitudes.for.aging.htm

Inspirational Categories: Affection, Caring, Friendship, Angels In Our Lives, Watching Over Us, Parents & Parenting Death, Dying, End of Life, Hospice Poems, Living Life To The Fullest, Love, Caring, Self Esteem, Self Worth

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Butterfly Courage, by David L. Kuzminski:"Walking down a path through some woods in Georgia in 1977, I saw a water puddle ahead on the path. I angled my direction to go around it on the part of the path that wasn't covered by water and mud. As I reached the puddle, I was suddenly attacked!"
http://www.inspirationalnursing.com/courage

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Death Is Nothing At All, Poems About Death & Dying, Loss:"Death is nothing at all...
I have only slipped away to the next room...
I am I and you are you...
Whatever we were to each, that we are still."
http://www.inspirationalnursing.com/nothing

Inspirational Categories: Bereavement, Grief, Loss, Sorrow, Death, Dying, End of Life, Hospice Poems, Living Life To The Fullest

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Do Not Stand At My Grave, Inspirational Poems About Death & Dying:"Do not stand at my grave and weep, I am not there, I do not sleep. I am a thousand winds that blow; I am the diamond glints on the snow."
http://www.inspirationalnursing.com/grave

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Earthbound Angel, Inspirational Poems, Touching Stories:"Occasionally, we are graced with the presence of an earth bound Angel. They are unable to stay with us for long, but while they do, they bring unprecedented joy and happiness to all they touch."
http://www.inspirationalnursing.com/earthbound

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Gone From My Sight, Inspirational Poems, Touching Stories:"I am standing upon the seashore. A ship at my side spreads her white sails to the morning breeze and starts for the blue ocean."
http://www.inspirationalnursing.com/sight

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Hummingbird Man, The by Nancy Haygood, Hospice Poems, Stories of Death and Dignity:"He shows me tomatoes – red cherries, neatly hoed,
He naps in the sun, soaks up heat, sky aglow.
"Meet my new pup," proudly, "she's for squirreling."
His pain burns deep, he hides it, buried, gnawing."
http://www.inspirationalnursing.com/hummingbird

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I Found Jesus There, Inspirational Poems, Touching Stories:"The surgeon sat beside the boy's bed; the boy's parents sat across from him. "Tomorrow morning," the surgeon began, "I'll open up your heart..." "You'll find Jesus there," the boy interrupted."
http://www.inspirationalnursing.com/there

Inspirational Categories: Affection, Caring, Friendship, Babies, Children, Infants, Kids, Death, Dying, End of Life, Hospice Poems, Parents & Parenting, Religious Poems, Christian Stories

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If It Should Be, Animal Poems, Pet Stories:"If it be I grow frail and weak, And pain should wake me from my sleep, then you must do what must be done, for this last battle can't be won."
http://www.inspirationalnursing.com/be

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If Roses Grew In Heaven, Inspirational Poems, Touching Stories:"If roses grow in Heaven, Lord please pick a bunch for me, Place them in my daughters arms and tell her they're from me."
http://www.inspirationalnursing.com/roses

Inspirational Categories: Babies, Children, Infants, Kids, Bereavement, Grief, Loss, Sorrow, Death, Dying, End of Life, Hospice Poems, Motherhood, Mothering, Moms, Parents & Parenting, Prayers, Requests, Praying, Religious Poems, Christian Stories

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If There Were No Tomorrow..., Inspirational Poems, Touching Stories:"I would tell you today
That you are the one that fills my life,
Whose smile I cannot wait to see,
Whose arms I long to have wrapped around me,
Whose lips I live to kiss,
Softly, passionately, in every way."
http://www.inspirationalnursing.com/were

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Inheritance, Inspirational Poems, Touching Stories:"There is a lovely story told about a famous art collector who learned that his son had been killed in the war, killed saving the life of another soldier. Some time past and the soldier who survived and who himself was an amateur painter, gave the art collector a simple portrait he'd sketched of his son. It was nothing like a masterpiece but it became very special to the man in his loneliness."
http://www.inspirationalnursing.com/inheritance

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Life Still Has A Meaning, Inspirational Poems, Touching Stories:"If there is a future there is time for mending- Time to see your troubles coming to an ending."
http://www.inspirationalnursing.com/meaning

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Men Do Cry, Inspirational Poems, Touching Stories:"I heard quite often "men don't cry" though no one ever told me why So when I fell and skinned a knee, no one came by to comfort me."
http://www.inspirationalnursing.com/men

Inspirational Categories: Babies, Children, Infants, Kids, Bereavement, Grief, Loss, Sorrow, Death, Dying, End of Life, Hospice Poems, Parents & Parenting

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My Brother Has Fallen, Inspirational Poems, Touching Stories:"My Brother has fallen; no, I don't know his name. Have not the same parents still family all the same. He lives in this town, I live in another, It doesn't really matter 'cause this man is my Brother."
http://www.inspirationalnursing.com/fallen

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My First Christmas In Heaven, Inspirational Poems, Touching Stories:"I see the countless Christmas Trees around the world below, with tiny lights, like heaven's stars, reflecting on the snow. The sight is so spectacular, please wipe away that tear, for I am spending Christmas with Jesus Christ this year."
http://www.inspirationalnursing.com/my

Inspirational Categories: Angels In Our Lives, Watching Over Us, Babies, Children, Infants, Kids, Bereavement, Grief, Loss, Sorrow, Death, Dying, End of Life, Hospice Poems, Holiday Thoughts, Christmas, Easter, Thanksgiving, Etc., Living Life To The Fullest, Love, Caring, Self Esteem, Self Worth, Religious Poems, Christian Stories

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Nothing Is More Important Than Relationships:"I sat next to the bed of old man, a friend for over twenty years, and held his hand. Hal was dying. We both knew these next few days would be his last. We spent time reminiscing about his long and fruitful career as a church pastor. We talked about old friends. We chatted about his family. And I listened as he offered sage wisdom and advice to a member of a "younger generation."
http://www.inspirationalnursing.com/relationships

Categories: Affection, Caring, Friendship, Bereavement, Grief, Sadness, Sorrow, Death, Dying, End of Life, Hospice Poems, Living Life To The Fullest, Love, Caring, Self Esteem, Self Worth, Religious Poems, Christian Stories

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Old Man and His Dog,The, Inspirational Poems, Touching Stories:"An old man and his dog were walking along a country road, enjoying the scenery, when it suddenly occurred to the man that he had died. He remembered dying, and realized, too, that the dog had been dead for many years. He wondered where the road would lead them, and continued onward."
http://www.4nursing.com/inspiration-the-old-man-and-his-dog.html

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Andrew Lopez, RN
Nursefriendly, Inc. A New Jersey Corporation.
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Sunday, February 27, 2011

Dying is final, but passing on lives forever

by Greg Smith, MD

It is hard to believe that those we love will die.

We can’t bear it. It’s too harsh, too complicated, too fraught with emotional baggage and unfinished business and things never said. It’s too final. Dead is dead, after all. From the moment of our birth, we are dying. Death can be painful, tragic, too soon, too quick, too slow, too easy, or too hard.

So we soften it up a bit.

She is dying, the doctors tell us.

She is passing on, we tell ourselves.

Dying implies finality and the end of the road. We cannot cheat death.

Passing on implies going through, transitioning, skirting the physics and the metaphysics involved and coming out on the other side, changed somehow, better, calmer, whole. Keeping company with the better angels of our nature while shedding the demons like a skin.

--

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Tuesday, January 18, 2011

Don't Put Off Talking About The Inevitable: Care At Life's End : Shots - Health News Blog : NPR

With no end in sight to the controversy about whether doctors should be paid to discuss end-of-life options with patients, we thought now was as good a time as any to review the possibilities for care before you die.

Only about a quarter of adults have advance directives in place. The term refers to two types of documents: a living will that instructs people what medical measures to take, if any, to prolong your life, and a health care power of attorney that designates someone to make medical decisions for you if you can't. States call these documents by different names, but their functions are similar.

 

On the relatively infrequent occasions when people do sign advance directive documents, they're usually thinking about what they would want in a crisis: a heart attack, say, or routine surgery that goes terribly wrong. Most of us don't think about the long, slow decline that may occur with Alzheimer’s disease, for example, that robs people just as surely of their ability to make choices as a medical emergency.

--

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Andrew Lopez, RN
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Thursday, January 13, 2011

Saving Grace (Emergency Department Nurses)- LA Times Magazine

“I heard a guttural scream,” Rich says, “and a man was handing me his lifeless son.”

“How old?” I ask.

“Nine months. We worked on him for over an hour.”

Rich moves his chair, coughs. It’s freezing in the conference room. [Note: For privacy, nurses are mentioned only by first name.] The muffled din of the emergency room is audible through closed metal doors. It’s 7 a.m., and Rich’s 12-hour shift has just ended. “I flashed to something I heard once about how a casket doesn’t weigh very much—just enough to break a father’s heart,” he says, “and I lost it. I’m standing there, between beds one and two holding that dead baby, and I’m sobbing. I am in charge, and I’m crying.”

As an 11-year volunteer in Cedars-Sinai Medical Center’s emergency room, I’ve seen close up what ER nurses deal with. It takes rare emotional courage not to burn out when you know that every time those doors open—whether you are working triage in front, where a guy may stumble in with a heart attack, or in back, where paramedics may race in with a girl who has been knifed or shot—it’s bad news. Then there’s the physical strength required to survive 12-hour shifts with two half-hour breaks and 45 minutes for lunch. ER nurses never sit. But it’s the children—every ER nurse will tell you—who take the biggest toll

--

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Sincerely,

Andrew Lopez, RN
Nursefriendly, Inc. A New Jersey Corporation.
38 Tattersall Drive, Mantua New Jersey 08051
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Wednesday, January 5, 2011

Helping patients experience death, PhillyBurbs.com:  

A handful of local hospitals recently started volunteer programs that train ordinary people to sit with those who are alone and dying.

Angelo DeLorenzo spends many nights watching people as they die.

Occasionally, the person wants to talk, sometimes through the night. Often, the patient is unconscious, but DeLorenzo reads to him or her, plays the harp or sits quietly and prays.

Everyone deserves a good death, DeLorenzo believes. No one should die without someone there to hold a hand, whisper reassuring words and make sure the person is comfortable.

So DeLorenzo stays with these dying patients at St. Mary Medical Center, where he frequently takes the overnight shift. The Middletown hospital is one of a handful in the area that have started end-of-life programs, where ordinary people such as DeLorenzo, a chaplain intern, are trained to provide comfort care for people who have no close family available.

"No One Dies Alone" - the name of the program at St. Mary - originated at an Oregon hospital in 2001. It has since spread around the world. More than 1,100 hospitals and hospices have requested copies of the program's manual, said Carleen McCornack, coordinator of the mission center of Sacred Heart Medical Center in Eugene, where the program started.

These types of programs will go along way towards easing patients and family members into accepting the death of a loved one.

To read the complete article click on the above link:
--

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Andrew Lopez, RN
Nursefriendly, Inc. A New Jersey Corporation.
38 Tattersall Drive, Mantua New Jersey 08051
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Sunday, December 19, 2010

Death in a hospital is not always comfortable, KevinMD.com

In America, too many people die in the hospital.

I don’t mean that they die due to medical error or incompetence, though that’s always a hot topic of discussion amongst doctors, researchers, administrators, and regulators.

What I mean is that if you ask most people, they say they’d rather die at home, surrounded by their loved ones, drifting off to sleep painlessly after having had last rites administered (feel free to plug in your religious/atheistic ritual of choice here).

Why, then, do so many who want this type of death instead die medically, here in the hospital, undergoing painful treatment and the deprivations and degradations of medical care?

The answer has both simple and complex aspects. But I’ll start by sharing something that most medical professionals believe:

When my time comes, the last place I want to be is in the hospital. Don’t get me wrong–I like GlassHospital–it’s a good place to work, teach, and learn. But when the grim reaper is calling my name, I want to be as far away from here as I can.

No IVs. No needle sticks to test my blood. No waking me up to check vital signs every shift. No hospital food. No fluorescent lights.

No feeding tubes; no bladder catheters (ouch!); for Heaven’s sake, no breathing machines (‘mechanical ventilators’).

Click on the link above for the full article

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Andrew Lopez, RN
Nursefriendly, Inc. A New Jersey Corporation.
38 Tattersall Drive, Mantua New Jersey 08051
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The cost of keeping the terminally ill alive, KevinMD.com

Last year, Medicare paid $55 billion just for doctor and hospital bills during the last two months of patients’ lives.

And it has been estimated that 20 to 30 percent of these medical expenses may have had no meaningful impact. Most of the bills are paid for by the federal government with few or no questions asked. This statistic is from a 60 Minutes story on “The Cost of Dying” and is one reason our healthcare system is in trouble.

Modern medicine has become so good at keeping the terminally ill alive by treating the complications of underlying disease that the inevitable process of dying has become much harder and is often prolonged unnecessarily.  The way we set up the system right now, primary care physicians don’t have time to spend an hour with you, see how you respond, if they wanted to adjust your medication. So, the easiest thing for everybody up the stream is to admit you to the hospital. And once someone is admitted to the hospital they’re likely to be seen by a dozen or more specialists who will conduct all kinds of tests, whether they’re absolutely essential or not

Click on the link above for the full article

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Sincerely,

Andrew Lopez, RN
Nursefriendly, Inc. A New Jersey Corporation.
38 Tattersall Drive, Mantua New Jersey 08051
http://www.nursefriendly.com info@nursefriendly.com ICQ #6116137
856-415-9617, (fax) 415-9618

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Thursday, October 7, 2010

Death, Dying, End of Life, Hospice, Inspirational Poems, Touching Stories

Death, Dying, End of Life, Hospice, Inspirational Poems, Touching Stories:"Occasionally, we are graced with the presence of an earth bound Angel. They are unable to stay with us for long, but while they do, they bring unprecedented joy and happiness to all they touch."
http://www.inspirationalnursing.com/inspiration/categories.death.dying.end.of.life.hospice.htm



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Andrew Lopez, RN
Nursefriendly, Inc. A New Jersey Corporation.
38 Tattersall Drive, Mantua New Jersey 08051
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