Hospice and Palliative Care Feed

Dear Carol: My dad’s been in a nursing home for several years and is ready for hospice care. I read your column about hospice care being covered by most insurances but I’m wondering what happens in a nursing home. Does insurance start to cover nursing home costs, then, too? Would it be better to move Dad home for this time period? It’s hard to make these decisions at such a stressful time. – RE Read more →


Hospice organizations are keenly aware of the soothing power of music. Sometimes the music may be used casually, by the facility or the family, knowing that this is a type of music that the person who is in the dying process had always enjoyed. Increasingly, though, employing trained music therapists has been favored. Read more →


"What’s the difference between being a patient and being a 'person? Often, “patient” means you’re suffering. Something is wrong with you. Ideally, you would never be treated like this in your own home. As you try to do your best to manage the situation, you deserve respect over constant nagging." Read more →


Our culture has historically been devoted to cure illness at all costs, and death is often looked at as "failure," no matter the age or condition of the person being treated. Many other cultures readily accept death as part of the life cycle. I believe we, as a culture, are making progress in this direction, but death still tends to be a word people avoid. If it's up to you to inform a loved one that he or she would be more comfortable under hospice care – or that a person they love will be on hospice care – there are steps you can take to get you through this difficult transition. Read more →


Dear Carol: My dad has aggressive prostate cancer that has spread to his liver and bones. His oncologist isn’t very communicative and when I asked about hospice care he said that’s up to us. He told us that Dad won’t get better but that he can keep treating him if we want. The treatments make Dad miserable. If they won’t help, what’s the point? I feel strongly that Dad needs hospice care and have been trying to talk my mom into it but she’s dragging her feet. How do we go about getting the service? Which one do we choose? Will Mom have to go on Medicaid to get it paid for? This is her biggest fear. – ST Read more →


Dear Carol: This January marks one year since my mother died. My dad adored her, as we all did, but he’s having a harder time adjusting than we kids, which I suppose is to be expected. Mom had cancer but her treatments proved to be ineffective so she eventually went on hospice care. With hospice helping, Mom was coherent during the holidays last year. We got through it though, and dad did admirably well, considering the circumstances. I think he kept up a front for Mom’s sake. Once she died, which was mid-month, he fell apart and had only marginally recovered before this year’s holidays approached. The family struggled through a low key Thanksgiving and Christmas, but with the New Year and mom’s death anniversary coming up, I’m afraid for Dad. Though he made an effort over Christmas for the grandchildren, he’s now become depressed and withdrawn. I know that suicide is an issue for older people. I don't think he's that bad, yet, but I’m scared. – FM Read more →


Many people have heard of hospice care but they mistakenly think that it’s just a way to help cancer patients be more comfortable at the end of their lives. Fewer people have heard of palliative care, and they may have no idea what it is. The truth is that hospice and palliative care are related but used for different reasons at different times, and everyone should be well-versed in what they offer. Here, we’ll clarify some points of confusion. Read more →


Death. For some, it signals the beginning of a more perfect life. For others, it is the end. Ultimately, for everyone, death is part of the life cycle and no amount of medical intervention will change that. Filmmaker Cathy Zheutlin became fascinated by the way that different cultures and religions view the death experience, and in the process, she has made a remarkable film titled Living While Dying, which features people who are going through that process and their varying emotions. Read more →


Following are tips that may help you find the right words, or at least some passable words, as well as advice from caregivers and spouses who’ve been through tough times. Read more →


Our culture is steeped in language that makes accepting the terminal diagnosis of ourselves or a loved one more difficult to accept than it needs to be. Doctors say, “I’m sorry, there’s nothing more we can do. You might want to look into hospice care.” Patients tell their doctors that they want “aggressive treatment,” until there is nothing else that can be done, then they will go on hospice care. Read more →