Watch as Pastor Ann shares that Christians have to learn to molt and come out of the old into the freedom of the new. I heard one professional telling another that I was “one of those people the hospice sends out to sit with patients and read to them.” It reminded me of the conversation I overheard between my mother and her friend. I don’t remember receiving a lecture on death in any of my undergraduate or graduate speech pathology courses. Dying is a natural, but emotionally uncomfortable event for patients, families, and professionals.
What people in the Middle Ages called “the gentle death,” we now push away as if it is a rabid dog.
While Although some patients want to pretend they’re getting better, most not only accept what is happening to them, but and want someone to talk to about it. Elizabeth Kubler-Ross wrote eloquently about the stages of dying.She described the orderly steps professionals can to use to understand the process. One hour spent at the bedside of a dying patient, without doing any billable services, will give you more insight into death than reading 20 books on it.
At a workshop on death and dying, Sogyal Rinpoche said that lectures are for entertainment, silence for deep learning.7 I would change it slightly for your clinical practice. Dying, for many people, is a gaping hole signaling the beginning of a transition into the unknown. How can you say anything to hurt the person who gave you life and nurtured you when you were helpless?
Although I initially didn’t understand his response, it became clear when, after I sat silently for one 1 hour with a new client who for four 4 days refused to talk to anyone, the client said, “I’m afraid of dying.” Almost effortlessly, I began discussing the dying process with him. As professionals, we pride ourselves on the vast knowledge we have amassed in our training and experience. There are some in the medical and allied health community that who believe this unscientific approach is not only unprofessional, but worse,also reduces objectivity and leads to emotional burn out.Nonsense!
Patients who are dying can offer you more wisdom about living than what’s contained in 100 books on life. Rachel Remen, a physician and someone who treats the dying, talks about her transition after leaving medical school imprinted with the stoic ideal of being “The “Doctor,” to becoming a compassionate practitioner who couldn’t help but become involved with her patients.Objectivity and “professionalism” create a barrier between you and your patients. The Trappist monk Thomas Merton wrote: , “What can we gain by sailing to the moon if we are not able to cross the abyss that separates us from ourselves? This article can be reproduced and distributed without charge for any non-commercial project if the source is provided.
There are many things you can have ready before your kitten arrives and in no time it will grow into an adult cat.
The next important thing is perhaps the scratching post to keep your curtains, bed sheets, sofa and furniture from getting scratched by your pet’s nails.
You will also need  to use properly cleaned utensils to serve your cat with her daily diet. Now, as a hospice volunteer, I sit at the bedside and help children, adolescents, and adults die.
When a rehabilitation specialist comes to visit when I’m there, I move off to the side, and, without saying that I’m also a professional, watch. While Although they are competent, I find that most are uncomfortable with death, oblivious to the psychological changes that are occurring, or remain rigidly professional.
I contacted colleagues in rehabilitation services at various universities to see if now, 35 years after I received my doctorate, students are learning about the dying process. The Chinese have a saying, ‘It’s better to have walked 100 feet in someone’s shoes, then to have read a 1000 books about their life.” Lean into those sharp points rather than running away from them.
Only use words, when you can’t give information and feelings through gestures, touch, and physical closeness.


To be a health -care provider is to be more than someone who moves children’s tongues, manipulates body parts, or is responsible for more invasive practices. But, when you sit at the bedside of a dying patient, forget your title, your embossed name tag with its impressive letters, your white coat.
Sometimes the lessons they provided gave me were instantly recognizable, such as the importance of forgiving and asking for forgiveness. I suspect that “burnout” doesn’t come from getting too close to patients, but rather from the great effort to remain apart from them.
This is the most important of all voyages of discovery, and without it, all the rest are not only useless, but disastrous. As they enter Nietzsche’s abyss, you help them come out of it, and lead them onto Merton’s journey of discovery.
To keep your pet fleas-free, you can opt for a once-a-month topical insecticide, a spray, a collar or a flea comb. The food you give to your pet should meet the standards of your national food control officials. You can spot more serious medical problems if your dog has bald patches, you notice skin irritation, scratching, constant foot licking or face rubbing. However, before you try to solve the problem of (excessive) shedding, my advice is to always seek the help of vet. Besides traveling she loves to take hikes with her two dogs and play around the house with her mischievous cat Archibald. Cats grow taller and they will like to scratch on something they can climb on while standing on their hind legs.
Cats can have allergies to plastic, but you can use glass and ceramic much more confidently. I was an expert at giving them to her, especially when it came to hopping from one major or graduate program to another. As an insider, I peer out and watch professionals interact with patients who I consider to be friends. But it becomes a matter of ethical concern when these fears prevent patients from getting what they need most—our compassion and honesty. It’s during these times the greatest learning takes place for the person who’s dying, their family, and, yes, even the health -care provider.
During this time, I’ve taken the journey towards death with 75 people between the ages of one 1 month and 96 years. The poet Rilke wrote that our deepest fears are like dragons guarding our deepest treasures.As you lean into the sharp point of death, you’ll release that tethered dragon and find out more things about living than you can imagine. Tibetans use the word bardo when they speak of transitions.It refers to what happens along the path from who you are to who you are becoming.
It often results in talking too much and scurrying around “doing things.” Yet, some of the most meaningful moments I’ve had with my hospice friends occurred when I sat quietly at their bedside.
As you sit at the bedside of patients who are dying, ask yourself if the words you are about to say are necessary.
The philosopher, Nietzsche, wrote that if you gaze too long at the abyss, “it looks back and devours you.”As your patients are pushed into a transition and face Nietzsche’s hole, imagination runs wild, transforming improbabilities into possibilities. I asked Frank Ostaseski, the founder of the Zen Hospice Project in San Francisco, how I can could practice compassionate listening with someone who’s dying.
But our esteemed titles are also can be a detriment when tending to the needs of dying patients. Although it can enable you to diagnose precisely and treat a problem effectively, it assumes your involvement with the patient is a one-way street.
Others took longer to understand, like why a mother couldn’t tell her daughter, who was in excruciating pain, that it was all right to let go of life.


In serving them, you’ll also change; moving you’ll move from being a mere professional to being a companion on life’s most mysterious and incredible adventure. If you notice that your pooch sheds more excessively than usual, the reasons behind it may lie in nutrition, parasites, allergies or other medical problems. If you own right to any of the images, and do not wish them to appear on this site, please contact us, they will be removed promptly.
Others assured me it was covered in geriatrics courses outside the department—courses that were optional. Most people who are dying know it, despite perky smiles and ridiculous compliments from well-meaning people. Most doctors can’t, or choose not to spend the time necessary to discuss a patient’s feelings.
It’s not a description of a physical condition, but rather it’s more of a psychological state in which things, previously thought of as solid, develop the consistency of Jell-O. And often my quietness was also the most helpful thing I could do from them, such as cradling a woman with throat cancer as her pain became unbearable. Sometimes, just your calm presence is enough to nudge the improbabilities back into possibilities. Anyway, I will just say that having them in the house during shedding seasons is not what I consider a clean house. Nutritious food should contain meat, a source of carbohydrates and a source of unsaturated fat. A common reaction was, “Who has the time, with all the certification requirements we have?” So let’s make some time now.
We close our eyes to it, hoping that by pretending it doesn’t exist, it will go away, as do nightmares upon waking.
When cheeks become hollow and digestion becomes difficult, no amount of smiles and “good jobs” can overcome the feeling that life systems are beginning to shut down.
This isn’t a time for frivolous chatting, most of which is done to hide discomfort in the presence of a dying person.
Since I could understand why this was happening, I visited a vet and she told me that allergies are one of the causes of shedding. We shelter our children and pretend a loved one who has died is “sleeping.” The medical community views it as an affront to their professional competency—something to be fought by every available scientific piece of gadgetry. Dying is a time for honesty, to simplify concerns, to “rest in the moment,” tie up loose ends, and prepare for whatever will shortly happen.
The easiest way of understanding what it involves is to use Thich Nhat Han’s simple description of how to do it: listen to everyone as if he or she was your mother.
Taking your dog to a vet once a year for the inspection of the stool is also something you should do. There is nothing like playing with a furry cat, and when you take proper care of your pet, you both only get closer.
You can also treat your dog with human food, but it is important to know which food your pet should eat and which it shouldn’t. You can help your patient have “the gentle death” by accepting it as natural and not running away from their difficult questions and painful concerns.



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