End of Life, EOLPodcast, Spirituality

Ep. 73 How to Die Happy! A Tribute to My Mom: Margaret Wyatt

What does it take to have a smile on your face the day you die? 

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In this episode I pay a tribute to my Mom, Margaret Wyatt, who died 4 years ago in her own home, filled with joy and love. I’ll share the lessons I learned from her death about how each one of us can “Die Happy”!

supportonpatreon-e1412764908776This podcast is sponsored through the EOLU donation page at Patreon.com/eolu. By contributing just $1 or $2 per month you can help support the podcast and the End-of-Life University Interview Series. If you  become a supporter I will happily promote your book, website, cause or organization on a future episode of the podcast!

Today I have a huge thank-you for 2 new patrons on Patreon.com/eolu:

 

  • Michelle Holmes – who has asked that I promote a favorite cause of hers: The Still Place. The Still Place is a charitable organization providing rest, renewal and re-creation to families living with serious illness in hope of fostering resiliency, empowerment and self-determination. We provide free of charge vacations, uniquely planned and lovingly facilitated for families who find it difficult if not impossible to get away, plan and experience the healing restorative properties of a family vacation. Go to their website at www.thestillplace.org to learn more!
  • Holly Pruett – who is the founder of Death Talk Project. Death Talk Project organizes workshops, rituals, Death Cafes, monthly movie nights, and other events in Portland, Oregon. Join in for useful, honest conversation about how we die, how we mourn, and how we care for and remember our dead. Holly also created the community event Death OK: Let’s Talk About It and Death Talk Project grew out of that event. Learn more at www.deathtalkproject.com.

mom

A Tribute to Margaret Wyatt

My Mom died four years today, on the day I am writing and recording this episode, and I had the privilege of being at her bedside for the last 5 days of her life. She was happy and joyful and filled with love as she took her final breaths and she inspired me to want to teach other people how to die happy too.

Mom was in very frail health for the last 5 years before she died and had become housebound as a result. She only left her home a handful of times during those years, but she received help from a friend with grocery shopping, housework and laundry.

Believing that she was going to die soon, Mom set about to plan and prepare for her own death, though she didn’t realize then that she would live for 5 more years. She created a Living Will (using Five Wishes), planned her funeral and burial (and paid for them), and gathered together all of the financial, insurance, and estate documents that she thought my brother and I might need after her death.

She also talked about her own death, her end-of-life wishes, and how she imagined her own dying process. She made sure that both my brother and I knew what she wanted at the time of her death: to be in her own home, in her own bed, with me at her side providing care. And that is exactly what happened when she died. Her wishes were fulfilled because she had thought about them, planned for them and talked about them.

Mom was happy when she died because she was ready to go. She wasn’t afraid to die and felt that she had lived a full life. There was nothing left undone in her mind and she was looking forward to leaving her tired and painful body behind when the time came. Her death was happy, peaceful and beautiful because of the way she lived her life. Here are some of the lessons I learned from her about how to die happy:

  • Believe in something bigger than yourself. Mom always devoted her time to being of service to others. In her last years of life she spent every afternoon praying for people from the comfort of her reclining chair.
  • Have a daily spiritual practice.
  • Prepare for and talk about death. As already mentioned, Mom was ready in every possible way for her own death.
  • Let go of attachments. She freed herself from some of the burden of material possessions by giving things away to her visitors for 5 years.
  • Make amends with the past and with other people.
  • Be satisfied with life just as it is.
  • Make the most of whatever you have been given.

My Mom is dearly missed but I am comforted by knowing that she was happy when she died. Her beautiful death inspired all of the work I have done in the past 4 years with End-of-Life University, Death Expo and this podcast. I’m passionate about helping everyone find a way to die happy! I wish you could have met her ….

Until next week remember:

Face Your Fears.              BE Ready.                Love Your Life.

 

 

EOLPodcast

Ep. 72 What’s in a Name? Semantics, Euphemisms and Taboos About Death

Let’s talk about HOW we talk about Death!

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In today’s episode we’ll look at some common euphemisms for death and learn how and why they came into use, how to break down our societal taboos against talking about death, and when it might actually be appropriate to use euphemisms.

Remember that this podcast is an offshoot of the End-of-Life University Interview Series, which includes two interviews per month with experts from all aspects of the end-of-life arena. If you are not already registered sign up here to get email notification each time a new interview is posted.

supportonpatreon-e1412764908776Support for the EOLU Series and this podcast comes from your generous donations at Patreon.com/eolu. When you support this show with just a $1 or $2 per month donation I will mention your name and promote your cause on the podcast as a thank-you!

In a new feature for this podcast I will start by highlighting some recent “death-positive” events in the news:

  1.  First a wonderful story appeared in USA Today about Morrie Boogaart, a 91-year 0ld man living out his last days in an assisted living facility in Michigan. While he his mostly bed bound due to his physical health, Morrie spends his days knitting hats for the homeless. So far he has given away over 8,000 hats! Thank you Morrie for being an inspiring example of how to live fully for all your days and use whatever energy and capacity you have to be of loving service to others. You are my hero!
  2. Next a study reported in the Journal of Psychopharmacology and on ScienceMag.org demonstrated that cancer patients who were given the hallucinogen psilocybin experienced a significant decrease in depression and anxiety. According to the author, the patients who had a “mystical experience” while using the hallucinogen were the most likely to have a reduction in fear. This compelling finding supports the data from consciousness studies that show that as consciousness develops there is less and less fear of death at each expanded stage of development, which will be significant later in this discussion.

As we turn to look at the use of euphemisms about death I want to explain why I use the term “end of life” in many of my discussions because some people have accused me of “soft-peddling” death when I use that phrase. But here’s what I mean when I refer to the end of life: I see End of Life as the final stage of human development that incorporates the process of dying, death itself, and the time after death.

For me, End of Life describes the phase on our journey through life when our attention finally turns to the fact that we are mortal and death is inevitable. When we begin to prepare for our eventual death we have entered the End-of-Life Stage in our human development. For some this stage doesn’t start until the process of dying is underway, but for others of us it begins earlier, when death may still be many months or even years in the future. So “end of life” is not a euphemism for death – it is a term that incorporates much more than the moment of death or the dying process.

An interesting article from the Journal in English Lexicology describes the functions of euphemisms throughout human history:

  1. To protect from discomfort over a subject that is “taboo”
  2. To mislead or misrepresent (as in some advertising)
  3. To present in a more positive or “aspirational” light (e.g. using “senior living facility” rather than “old folks’ home”)
  4. To reveal the hidden truth of something or remove a stigma
  5. To bind a group together and create a shared identity
  6. To entertain and lighten the burden of something that is difficult to bear (e.g. medical staffs using humorous references to cope with emotionally heavy situations)

To refer to all euphemisms as dishonest or misleading is to miss the fact that they have had a positive purpose throughout history: they allow people to discuss a taboo subject using terms that are less uncomfortable and triggering for them.

Most euphemisms change over time as taboos are confronted and dismantled. But some of the alternative terms for death have survived for centuries:

  • to “lose” a loved one to death has been in use since the 12th century
  • “pass away” or “pass on” have been commonly substituted for the word “die” since the 14th century
  • “deceased,” “departed” and “no longer with us” have been used since the 15th century

Interestingly not only have those euphemisms survived over hundreds of years they still have exactly the same meaning as they did when they first became popular. This is evidence of the fact that the “death-taboo” has not changed or broken down much during all of those centuries.

But we are part of a pioneering group that is trying to dispel the taboo about death so we freely use the words “dead”, “die”, “death,” and “dying.” But the majority of people in our society are still not comfortable with those words.

In fact, the consciousness of most people in our society has not yet evolved to a level that diminishes the fear of death. So they react to direct language about death with fear and rejection.

To break down a societal taboo there are at least two different approaches:

  • The rebellious approach, where unfair practices are exposed and denounced publicly, while advocating for openness and freedom. This approach brings much-needed attention to the taboo issue and pushes toward change. But it risks triggering resistance and strengthening the taboo for those who are afraid of the issue.
  • The quiet approach involves using positive language and energy to engage conversations that are not too confrontational. This approach also normalizes the taboo subject and even celebrates it with special events (such as Dying to Know Day.)

While the rebellious approach is needed to draw public attention and to shine the light on areas where change is desperately needed, the quiet approach is equally important to draw people closer to the issue by helping them to feel safe and to verbalize their fears.

This “quiet approach” may require us to use euphemisms judiciously so that we don’t repel or frighten away those who want to talk about death but do not yet feel comfortable with the language. Insisting that everyone use our appropriate and preferred terms for death may actually discourage and alienate them from conversation.

So if someone needs to say “My father passed away last year” or “I lost my father last year”, don’t correct them at that moment. Allow the conversation to unfold on that person’s terms because for now it is better to talk about “passing away” than to shut down the discussion altogether. Remember: that person does not yet have the same consciousness, awareness and comfort level with death that you have attained. Have compassion and meet people where they are so that you can gradually encourage and guide them to grow.

Until next week when a brand-new episode will air, remember to:

Face Your Fears.               BE Ready.            Love Your Life.

EOLPodcast

Ep. 71 The Death-Positive Movement: Trends and Goals for 2017

It’s a brand new year! Let’s look ahead and see what’s possible in 2017!

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In today’s episode of the podcast we’ll look ahead at the coming year, study the trends in the death-positive movement and discover where it might be possible to create new volunteer and career opportunities for ourselves and our communities in 2017.

First I’ll share my own goals for the coming year, which include revising, editing and publishing the two books I wrote in 2016. I also plan to release two new training courses this spring and have lined up a fascinating group of speakers for the End-of-Life University Interview Series. To stay up-to-date on all the latest interviews and offering from EOLU, be sure to to sign up for the mailing list here.

Thank you from the bottom of my heart to all the contributors to this podcast on supportonpatreon-e1412764908776Patreon.com/eolu. Your support helps pay for the expenses of creating this podcast and the EOLU Interview Series. If you’d like to become a patron just go to Patreon.com/eolu and sign up to contribute just $1 or $2 per month.

Here are some of the Trends I’ll be watching in 2017:

  1. Increasing number of Palliative Care Programs in hospitals across the country. Though many of the current programs are either understaffed or underfunded, these problems are likely to be corrected in the near future. To meet current standards, each palliative care team must have a chaplain and a social worker so if you have training in either of those fields you might find employment opportunities in a palliative care program in your community.
  2. Need for creative solutions for hospice care. Because for-profit hospices are taking over many of the smaller non-profit hospices there is a risk that uninsured patients or those with needs for expensive care might be turned away. There is a need for social-model hospices (see Episode 23) and possibly for community-based non-profit, non-Medicare-certified organizations that can help bridge gaps in services for hospice patients. Here are some recommended training programs for becoming an end-of-life doula or midwife:
    1. Sebastopol CA: Jerrigrace Lyons http://finalpassages.org
    2. Austin Texas: Donna Belk (Online training program): http://beyondhospice.com
    3. Austin Texas: Deanna Cochran http://www.qualityoflifecare.com
    4. Ann Arbor Michigan: Merrilyn Rush and Patty Brennan http://center4cby.com This training starts right away – Feb. 3-5, 2017
    5. Calgary Canada: Sarah Kerr http://soulpassages.ca/about/
    6. New York and online: Suzanne B. O’Brien RN: http://www.doulagivers.com
  3. Need for more caregivers. As baby boomers age and approach the end-of-life the caregiver shortage will become a much greater issue. Opportunities will exist to create caregiver training and support services in communities and even to start businesses that employ caregivers.
  4. Community outreach can help support the changes that are slowly occurring in the healthcare system. One of the best ways to encourage change in healthcare is to empower consumers to demand changes from their physicians. This will require outreach and education in the community. Here are some ideas for outreach and links to learn more from previous podcasts:
    1. Plan a community end-of-life event.
    2. Start a Death Cafe.
    3. Plan an EOL Film Festival.
    4. Start an EOL Book Club. Get a list of potential books here.
  5. Create an “Inreach” for members of the EOL community by starting a discussion group, networking event or collaboration opportunity for those who are already working in this arena.
  6. Bring volunteer movements to your community. Consider starting a group of volunteer caregivers who can provide respite care for family caregivers or start your own chapter of Threshold Choir, Twilight Brigade, or No One Dies Alone.
  7. Provide education for your community either as a voluntary act of service or as a paid instructor. Here are some possible ideas:
    1. Assist people to correctly complete their advance directives.
    2. Teach a community class on death and dying.
    3. Train caregivers.
    4. Teach about green burial, promote a natural burial ground in your community, help people access green burial supplies
    5. Educate the community about their rights to a home funeral

I hope these ideas inspire your own personal goals for 2017! Stay connected with me and keep tuning in to the podcast. Let me know your own inspirations and plans for the New Year by adding your comments.

Until next week ….

Face Your Fears.              BE Ready.             Love Your Life.

End of Life, EOLPodcast, Hospice

Ep. 70 Looking Back on 2016: A Positive Year for End-of-Life Issues

In this final episode of 2016 Dr. Wyatt thanks all of the patrons who have generously made contributions on Patreon.com/eolu this year! Thank you for offering your support for this podcast and the End-of-Life University interview series!

In this look back at 2016 we talk about the following positive events in the end-of-life arena:

  • In January JAMA dedicated a special issue to “Death, Dying and the End-of-Life”, which represents a positive breakthrough in awareness of EOL issues by the medical profession
  • Medical schools began adopting new training programs for students in pain management, palliative care, and communication skills around advance care planning. There is a college-level program that pairs pre-med students with hospice patients
  • Nursing homes and long-term care facilities are bringing in children and college students to interact with patients
  • Dementia rates in the US  have dropped in the past year
  • Pilot studies are underway involving providing education and training to family caregivers and providing a small stipend to caregivers
  • A demonstration project is underway to study the benefits of providing curative care simultaneously with hospice care
  • Studies showed that palliative care lowers healthcare costs along with providing increased quality of life, improved pain management and fewer hospital days
  • Harvard study of adult development showed that relationships are a key to longevity
  • California and Colorado both passed assisted dying laws in 2016
  • The nation’s first conference on VSED was held this year
  • Conversation Sabbath took place for the first time in November, bringing discussions about death and dying into places of worship
  • Dying to Know Day was held in the US, inspired by the movement in Australia
  • Miss Norma, a 90-year old woman who refused treatment for her cancer, spent most of the year traveling around the country in an RV with her son and daughter-in-law, fully enjoying the last days of her life

Thank you for tuning in to the EOLU Podcast during 2016! I hope this has been a positive and productive year for you. May 2017 be filled with growth, surprises, peace and joy! See you next year and until then …

Face Your Fears.              BE Ready.              Love Your Life.

End of Life, EOLPodcast, Grief, Hospice

Ep. 69 How To Brighten Your Holidays by Making a Difference for Someone Else

 

In this episode Dr. Wyatt shares some ideas for helping others during this holiday season. The best antidote to despair is to care for someone else!

If you’d like to support this podcast and the End-of-Life University Interview Series you can visit our donation page at Patreon.com/eolu.

Here are some suggestions for reaching out to others in need during the holidays:

  • Visit a patient in a nursing home or long-term care facility
  • Bring music to a nursing facility with a choir or band
  • Visit an elderly neighbor in their home
  • Take a meal to a shut-in
  • Help elderly patients address holiday cards
  • Put up holiday decorations for a frail or ill person
  • Care for a pet for a hospice patient
  • Shovel snow for an elderly neighbor
  • Prepare a meal for a grieving family
  • Read holiday stories to patients at a nursing home
  • Help a hospice patient find gifts to give to loved ones
  • Provide childcare for a family dealing with grief or illness

No matter how you spend the upcoming holidays (Winter Solstice, Christmas, Hannukah, Kwanza), or with whom you celebrate, may you have an abundance of light and joy and love in your life. Many blessings to you and those you love!

End of Life, EOLPodcast

Ep. 68 Holiday Gift Guide for Those Coping With Death and Bereavement

 

This week Dr. Wyatt shares ideas for holiday gifts that are appropriate for caregivers, patients, and the bereaved. Those of us who work with dying patients and bereaved families believe it is important to deal with death openly and frankly, rather than trying to hide or deny the reality that we are all going to die some day. By choosing a gift that acknowledges death you can help foster a healthier approach to the end-of-life in our society and provide an opening for your friend to seek you out for support and conversation.

Here are some “death-aware” gifts that you might consider for various individuals grappling with death and loss this holiday season:

  1. Books: As a reader, books are always one of my favorite gifts to give and receive and there are many that can fit the criteria of “death-aware”. Here are just a few of those books:
    1. The Legacy Letters by Carew Papritz consists of a series of letters from a dying father to his unborn children. This small book is profound and impactful but not too confronting about death and dying. Since it has a masculine perspective on life and death this would be a great gift for a man who may not resonate with some of the other books listed here.
    2. A Call from Spooner Street by Carol Ascher is a good read for an adult child dealing with the death of an elderly parent.
    3. Connecting the Dots and Support for Alzheimer’s and Dementia Caregivers by Judith London are wonderful books for caregivers of dementia patients.
    4. The Last Adventure of Life by Rev. Maria Hoaglund is full of helpful tips for families dealing with the dying of a loved one at home.
    5. Final Gifts by Maggie Callanan and Patricia Kelley is another wonderful book for families with a loved one nearing death that deals with unique deathbed experiences and communications.
    6. Safe Passage by Molly Fumia is an inspirational little book of daily devotions for one who is grieving.
    7. Turning the Corner on Grief Street by Rev. Terri Daniel is appropriate for someone in the later stages of grief who is ready for a spiritually transformative look at grief.
    8. Home Funeral Ceremonies by Donna Belk and Kateyanne Unullisi is a beautiful book of rituals and ceremonies for a family comfortable with having their loved one die and receive after-death care at home.
    9. What Really Matters by Karen Wyatt MD is a book of stories about hospice patients, their families and the process of discovering what really matters in death as well as life.
    10. Find additional recommended books in Episode 56.
  1. Music Music is a matter of personal preference but here are some lovely choices for those near the end-of-life:
    1. Walking Each Other Home by The Threshold Choir consists of songs appropriate for the bedside of a dying patient.
    2. Rosa Mystica and The Geography of the Soul by Therese Schroeder-Sheker contain beautiful harp and vocal music for the dying produced by her Chalice of Repose Project.
    3. Graceful Passages by Gary Malkin is a combination CD and Gift book with music and the spoken word for anyone exploring the issues of life and death.
  1. Hello Game (formerly called “My Gift of Grace”) This game is a fun and inspirational tool for creating conversations about death and dying. It would be a great gift for a family facing future loss (which actually describes all of our families) who need some help talking about the end-of-life. The questions contained in the game provide a gentle introduction to a difficult subject.
  1. Memory Quilt or Pillow Favorite clothing items like T-shirts, ties, skirts or dresses can be used to make beautiful memorial quilts or pillows. This might be a thoughtful gift for someone close to you who is grieving a loved one if you have access to those clothing items.
  1. Ceremonial Supplies You might package together one of the suggested books or CD’s along with some of these supplies to help families create rituals for the dying process and for grief:
    1. Incense or sage
    2. Essential oils such as lavender, frankincense, lemon, sandalwood, tea tree. Read about aromatherapy for the dying here.
    3. Candles
    4. Handmade paper for writing notes
    5. Journal
  1. Gifts for Caregivers If you know someone caring for a loved one during this holiday season be sure to offer a little extra TLC or support. Stress levels can increase greatly for caregivers at this time of year with an influx of visitors and extra tasks to perform. Here are some thoughtful ideas:
    1. Gift certificate for a massage or “spa day”
    2. Homemade “coupon” book with redeemable certificates for help with errands, housecleaning, laundry, cooking, or respite care
    3. Gift cards for local restaurants that provide home delivery
    4. Punch card for a local yoga studio or gym along with offers of respite care so the caregiver can get away at least once a week
    5. Provide an outing for the patient including transportation and companionship to give the caregiver a break
    6. “Fidget Blanket” for a dementia patient to keep hands occupied
    7. DVD for the patient of a favorite movie or sporting event (especially old musicals, comedies and TV shows from the 1960’s)
    8. CD for the patient of music from the 1940’s and 50’s
    9. Invitation for a “lunch date” for the caregiver along with respite care for the patient
    10. Create a “Memory Book” for the patient of old photos, newspaper clippings and special documents from the past.

These suggestions are just a beginning to help you start thinking creatively about how to give a meaningful and fitting gift to a loved one facing death, dying or grief this holiday season. Spend some time searching for the perfect present that honors death and supports the one experiencing this difficult path.

But remember, there is no substitute for your presence, which is far more important than any other gift you can give. Be willing to spend time with your friend or loved one, even when you don’t know what to say and can do nothing more than sit in silence. Offering your calm and loving attention in the midst of a busy holiday season can be a gift for you, as well.

Wishing you many blessings this holiday season! Go to Patreon.com/eolu if you’d like to support this podcast and End-of-Life University. Tune in each Monday for a new episode and remember:

Face Your Fears.                BE Ready.                Love Your Life.

 

 

End of Life, EOLPodcast

Ep. 67: Compassion and Choices at the End of Life with Arline Hinckley

 

In honor of the Medical Aid in Dying  Law that passed in the state of Colorado in November, Dr. Karen Wyatt features a interview with special guest Arline Hinckley, Secretary of the Board and Client Support Volunteer for Compassion and Choices of Washington. They will discuss the Death With Dignity laws that are currently in effect in Washington and Oregon and under consideration in several other states across the country.

You will learn:

  • Why physician assisted “suicide” is not considered an accurate term
  • The end-of-life options offered to patients during a consultation with Compassion and Choices
  • The process patients must follow to utilize the Death With Dignity law
  • The statistics for Washington: how many people actually seek assistance with dying and how many follow through
  • How Death With Dignity laws can offer peace and reassurance to dying patients

Until next week remember that you can support this podcast by going to Patreon.com/eolu to contribute $1 or $2 per month AND …

Face Your Fears.                BE Ready.                 Love Your Life.

End of Life, EOLPodcast

Ep. 66: November End of Month Update on the End of Life

In this episode Dr. Wyatt thanks her latest supporter on Patreon.com/eolu, Suzanne O’Brien RN, founder of Doulagivers. If you would like to help support this podcast and End-of-Life University Interview Series for the small contribution of $1 or $2 per month, go to Patreon.com/eolu and sign up to become a supporter!

In other personal news, Dr. Wyatt just reached the 50,000 word goal on her novel-writing challenge for the month of November! Stay tuned for more information on Starry Night,  a novel about living and dying!

Go to DeathExpo.com if you are interested in getting the downloadable filed from Death Expo 2016. Tune in to Episode 65 to hear the highlights and take-aways from this fantastic educational event!

Next Dr. Wyatt shares the latest news and information about end-of-life issues that caught her eye during the month of November:

  • Survey of seniors in the U.S. shows that 27% have done absolutely no planning or preparing for the end of life. Those least likely to have prepared correlate with the following characteristics: age between 65-74, black or Hispanic, low-income, low education level, and diagnosis of Alzheimers.
  • Canadian study shows that for seniors who have completed Advance Directives, Values and Choices do not always align, showing a lack of guidance for choosing end-of-plans and confusion about basing choices on underlying values
  • a paper cited in the Journal of Pain and Symptom Management calls for improved consistency in honoring the EOL choices of patients in nursing homes and hospitals
  • Go Wish Card Game found helpful for patients completing their advance directives; helps them identify their values and priorities
  • Home-based Palliative Care shown to lower healthcare expenses in last year and 3 months of life, decrease hospital admissions and increase hospice utilizations. 87% of patients who receive palliative care at home are able to die at home, compared to only 24% of all Medicare patients who die at home
  • Review  of 43 palliative care clinical studies shows that palliative care improves quality of life but does not extend life
  • UC Santa Cruz has started a program to pair pre-med students with hospice patients
  • Study shows doctors are reluctant to discontinue routine medications that are no longer indicated for their patients at the end of life due to lack of awareness, low priority, and fear of causing patient to feel abandoned
  • Colorado became 6th state in the U.S. to approved medically aided dying during the November election
  • AARP and the National Association of Area Agencies on Aging have a launched a campaign to identify seniors suffering with loneliness and isolation in order to connect them with community resources; 43% of seniors report loneliness which leads to medical consequences
  • new movie Collateral Beauty deals with grief and death and will be released on Dec. 16th
  • Canadian singer-songwriter Leonard Cohen died on November 7th at the age of 82

Tune in every Monday for a new episode! Subscribe and leave reviews on iTunes by going here: https://itunes.apple.com/us/podcast/end-of-life-university/id1033282990 

Until next week remember:

Face Your Fears.                     BE Ready.                       Love Your Life.

End of Life, EOLPodcast, Grief, Hospice

Ep. 65 Changing the Perspective on Death: Highlights from Death Expo 2016

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In this episode Dr. Karen Wyatt shares her favorite “take-aways” from the 12 presentations of the recent Death Expo event. If you missed Death Expo you can still purchase the recordings from the event for just $36 (which is a great price for 12 hours of education.)  Go to this link to learn more. The speakers she highlights are:

Enjoy these highlights! If you feel inspired, consider purchasing the Collection!

Also visit the Patreon.com/eolu page if you’d like to become a supporter! As always:

Face Your Fears.                   BE Ready.                     Love Your Life.

End of Life, EOLPodcast

Ep. 64 It’s Okay to Die with Monica Williams-Murphy MD

 

Join Dr. Karen Wyatt, the host of Death Expo, in this conversation with emeregency room physician Dr. Monica Williams-Murphy, author of the award-winning book It’s OK to Die. They will discuss Dr. Williams-Murphy’s mission “to create conditions in which people: plan ahead, make their peace, understand that it is OK to die naturally, and make educated choices which allow them to pass away peacefully and comfortably surrounded by those who love them most.”

In this interview you will learn:

  • the tragic consequences of being unprepared for the end-of-life
  • the factors that have contributed to our cultural change in attitude toward death and dying
  • how to prepare for the death of a loved one – understanding the physical changes associated with dying
  • how to make peace with death and let go at the end-of-life
  • what doctors need to know in order to offer better care at the end-of-life

Support this podcast and End-of-Life University Interview Series by donating at Patreon.com/eolu!

 

 

EOLPodcast, Spirituality

Ep. 63 What Politics and Death Can Teach Us

Today Dr. Karen Wyatt thanks her supporters on Patreon.com/eolu whose generous donations help keep this podcast on the air!

She talks about the Death Expo 2016 which starts this week on November 10th. You can sign up at DeathExpo.com and read about all 12 of the speaker for this FREE online event.

Next Dr. Wyatt shares some thoughts about the upcoming presidential election here in the U.S. While she doesn’t take sides or share any particular political beliefs she describes the fact that the U.S. electorate seems maximally polarized and divided over this election, with each side predicting “doomsday” if the other side wins. She goes on to say:

  • the day after the election will begin a period of grief for each candidate and their “teams”: the losing candidate will grieve over all the money, time, energy and life force spent in this costly battle; the victor will hardly celebrate the win because the “prize” is to take on responsibility for re-uniting the whole and to embrace those from the opposing side who now must be governed with reason and compassion.
  • the irony of this election process is that no matter how different others appear to be from us, we are actually far more alike that we are different. We are all mortals–human incarnations of Spirit–just trying to survive here on planet Earth. But each of us will ultimately die and that is our most powerful common bond. We each share mortality and an innate fear of death.
  • Death is the most uniting force we have if we look at it from a higher perspective.
  • Sogyal Rinpoche said, “Life is nothing but a continuing dance of birth and death, a dance of change.” Ultimately change is what we seem to be seeking through our political process: we want others to change, the government to change, the system to change–all so that we don’t have to change ourselves. But the only meaningful change is the change we create within ourselves.
  • Here is a recommendation for a daily practice:
    • contemplate your inner landscape and seek out the parts of you that fear change; the parts that harbor anger, hatred, negativity
    • seek to understand your own pain and your wounds that cause you to react with anger and fear; journal about them and spend time contemplating them
    • be aware of your behavior in relationships: what triggers your negative emotions? what causes you to lash out or shut down?
    • embrace the wounded parts of yourself so that they can heal
    • find the still point of equanimity within you and cultivate that; learn to operate from that place so that you can bring peace and healing to volatile situations
  • No matter how different you feel you are from your neighbors, family, and Facebook friends remember that Death ultimately unites us all as one. Contemplate your own death and allow the small deaths, the thousand changes that come to you every day, to move you forward. That’s how you will help the nation and our society heal again.

TaoCheck out the book The Tao of Death which has verses to help you contemplate death every day in your practice!

Sign up for Death Expo 2016 now so you won’t miss a single interview! Tune in every Monday and until next week remember:

Face Your Fears.               BE Ready.               Love Your Life.

End of Life, EOLPodcast, Hospice

Ep. 62 October End-of-Month Update – Halloween Edition

 

Dr. Wyatt thanks her newest Patreon.com supporter Tracy Zagata. You can become a supporter as well by going to Patreon.com/eolu and signing up!

Sign up for Death Expo which will take place Nov. 10-13, and hear 12 speakers on EOL issues. Go to DeathExpo.com to register free to tune in to these excellent presentations.

This episode is taking place on Halloween and the Day of the Dead. Dr. Wyatt includes the following updates:

  • CMS report 52% increase in Medicare spending on hospice between 2007 and 2015 due to 38% increase in the number of patients receiving hospice care, primarily patients with dementia
  • the DEA is mandating 34% decrease in opioid production due to dramatic increase in opioid-related deaths since 1999 – rate has quadrupled during that time frame
  • JAMA Oncology reports that the cost of secobarbital, the drug most frequently prescribed in assisted dying cases, has increased by $25oo; there is no explanation except that drug companies can get away with it
  • California is the first state to require that palliative care teams have a chaplain for those patients who want to receive spiritual care
  • Debra Beaulieu writes in HealthLeaders Media that all clinicians should know the following about palliative care: 1) that it’s not just for dying patients 2) that it is often underutilized and 3) all clinicians should have basic palliative care skills
  • Study in J. Palliative Med showed that home-based palliative care (as opposed to hospital-based care) meets more of patients’ needs in the last 3 months of life and costs $12,000 less per patient
  • Controversial “doll therapy” for dementia patients
  • Study shows that 11% of female caregivers over the age of 50 have to leave their employment to fulfill caregiver duties, costing $300,000 in lost wages, benefits, and Social Security over time
  • Census data reveals that currently 25% of seniors are considered “Elder Orphans,” meaning that they have no children or close family to care for them; these numbers will only grow as Baby Boomers age, reinforcing the need for more caregivers
  • Medicare Care Choice Pilot Program is currently underway; patients can receive home-hospice care while continuing curative treatments if they have a diagnosis of cancer, COPD, CHF, or HIV; there are 140 participating hospices in the program
  • Survey shows that 1/2 of MS patients would consider medically assisted dying in the case of unbearable pain, being a financial burden to others, or if unable to enjoy what makes life worth living
  • Study reveals the 69% of MOLST or POLST forms have incomplete information and 14% have conflicting choices, making them nearly impossible for care providers to follow
  • the nation’s first conference on VSED was held in October at the Seattle U. School of Law and was featured in an article in the NY Times. Phyllis Shacter was a speaker – you can hear her EOLU interview in episode 25
  • Conversation Sabbath will take place November 11-20 with >30 congregations from various faiths participating; the focus will be on EOL conversations and theconversationproject.org will provide tools and resources for the event
  • Andrew Henderson, 28 year old performance artist who is terminally ill has created an art performance called Taking it to the Grave and will tattoo the secrets of his audience on his body before he dies
  • Miss Norma, the 90 year old woman who chose to go on a cross-country RV tour with her son and daughter-in-law rather than undergo treatment for cancer, has died

Have a safe and meaningful Day of the Dead! Tune in every Monday for a new episode and support EOLU at Patreon.com/eolu. Until next week remember to:

Face Your Fears.                 BE Ready.                Love Your Life.

 

EOLPodcast, Tragedy

Ep. 61 Reflections on Mortality From My Travels in France

 

In this episode Dr. Wyatt begins by talking about Death Expo, a free online educational event, which is coming up on November 10-13, 2016! She describes the 12 speakers who will be presenting during the event. To sign up go to:

http://DeathExpo.com

She then thanks her supporters for making donations at Patreon.com/eolu to help keep EOLU Interview Series and Podcast on the air!

Dr. Wyatt describes her recent trip to France and some profound insights that she experienced regarding death and dying:

  • the Battle of Normandy during WW2
  • Omaha Beach and the sacrifices made there
  • the American Cemetery at Omaha Beach
  • Pere Lachaise Cemetery in Paris and thoughts about mortality and legacy

Listen to get inspired!

Sign up for Death Expo, tune in every Monday for a new episode of EOLU Podcast and remember:

Face Your Fears.                   BE Ready.                 Love Your Life.

EOLPodcast

Ep. 60 How to Nourish Yourself While Caring for Someone Else with Nina Manolson

Today Dr. Wyatt shares an interview from the EOLU archives with health and nutrition coach Nina Manolson. She discusses how to eat a healthy diet even when you are super-busy with life and work as a caregiver.

Reminder to sign up for Death Expo which takes place November 10-13, 2016. There will be 12 speakers in 4 days and it’s all free! Go to DeathExpo.com to register so you will receive emails about this event.

In this interview you will learn:

  • how a “green smoothie” can energize your day and change your life
  • healthy, easy snacks for busy caregivers
  • a simple daily strategy for healthy eating
  • how to stock your pantry and refrigerator for quick and healthy meals

Enjoy these tips for healthy eating and take good care of yourself! Until next week remember to:

Face Your Fears.          BE Ready.           Love Your Life.

End of Life, EOLPodcast

Ep. 59 How to Avoid ‘Compassion Fatigue’ for Caregivers and End-of-Life Workers

This week Dr. Karen Wyatt addresses ‘compassion fatigue,’ which is an occupational hazard for those who care for others who are suffering emotionally or physically.

Death Expo is coming up November 10-13, 2016 and you can register by going to DeathExpo.com. There will be 12 speakers on various aspects of death, dying and bereavement, so be sure to sign up for this FREE virtual conference!

You can help support EOLU by going to Patreon.com/eolu and making a donation of $1 or $2 per month to help defray the expenses of creating the interview series and this podcast. Thank you to all of the current “Patrons” who are offering their support – it is much appreciated!

Today’s discussion centers around Compassion Fatigue and you will learn:

  • What is compassion fatigue
  • Who is susceptible to compassion fatigue
  • The signs and symptoms of compassion fatigue
  • Tips to prevent it:
    • Regular exercise
    • Adequate sleep
    • Healthy diet
    • Journaling
    • Deep breathing
    • Mindfulness meditation
    • Witnessing perspective (Galaxy view)
    • Prayer and contemplation
    • Self-love
  • See the links below to get companion resources for this talk

Smoothie recipes: smoothie-recipes

Journaling Starter Kit: journalingstarterkit

Remember to:

Face Your Fears.           BE Ready.             Love Your Life.

End of Life, EOLPodcast

Ep. 58 Why Some Doctors Struggle With the End of Life

Click here to read the companion blog on Huffington Post.

In this episode Dr. Karen Wyatt discusses the fact that according to the Nebraska End-of-Life Survey, even though 70% of patients surveyed want their doctors to discuss their end-of-life options but only 21% of them have actually had those conversations.

In addition, while 86% of doctors agree that they themselves would enroll in hospice if terminally ill, only 27% of them are comfortable discussing hospice as an option with terminally ill patients.

There is a huge disconnect between what patients want from their doctor and what they receive and also what doctors would do for themselves at the end-of-life and what they do for their patients.

Today’s conversation looks at reasons for this disconnect to point the way toward changes that are needed in how medicine approaches the end of life. Here are some of the attitudes and mindsets that make it difficult for some doctors to address death and dying, based on conversations between Dr. Wyatt and her colleagues:

  • “It’s not my job. My passion is for saving lives.” Ideally doctors must maintain their passion for life, but must also make room for death, since every patient will ultimately die. Doctors need to cultivate a view of life that includes the reality of death.
  • “I don’t have enough time and the end of life is less important than other issues I’m expected to discuss with patients.” The average primary care visit with an elderly patient last 15.7 minutes and covers 6 topics. Doctors need to view the end of life as the final stage of development and give it the same attention as the other stages of development.
  • “Death represents failure.” While death in general is a natural process and not a failure, for doctors the death of a patient can be a devastating experience, especially if it is unexpected. Doctors carry an enormous burden of responsibility for the health and wellbeing of their patients and mistakes can lead to complications and death. For doctors it is difficult to carry both responsibilities: to preserve life and promote health while also honoring death in its place.
  • “I don’t want to take away my patient’s hope.” Many doctors recognize that optimism and positivity are essential for a patient’s survival and wellbeing. But they view curative treatments as the source of that hope while failing to recognize that hope has many different meanings for patients. They promote ongoing treatment in order to keep hope alive while failing to offer emotional and spiritual support that can foster hope even in the face of death.

By recognizing the obstacles that keep doctors from engaging in end-of-life interactions with patients we can help overcome them over time. It’s important to have compassion for everyone involved as we try to move forward and evolve care at the end of life in our society.

You can support EOLU by making a small pledge of financial support ($1 or $2 per month) at Patreon.com/eolu. Be sure to tune in every Monday for a new episode, leave comments and write reviews on iTunes! Remember to:

Face Your Fears.           BE Ready.              Love Your Life.

 

 

Aging, End of Life, EOLPodcast, Grief

Ep. 57 September End-of-Month Update and film Extremis

 

In today’s episode Dr. Wyatt thanks 3 new supporters on Patreon.com/eolu:

  • Joan Roellchen-Pfohl, RN
  • Martha Johnson – author of the upcoming book “Take Charge of the Rest of Your Life”; learn more at www.meetmarthajohnson.com
  • Marggie Hatala – author and teacher of a writing class related to end of life; her books are “Sally: A Memoir” and the forthcoming “Life as Prayer”; learn more at www.marggiehatala.com

Next she begins the Update for September by talking about the new documentary film currently streaming on Neflix: Extremis, which won 1st place at the Tribeca Film Festival. Please see this film which takes place in the ICU at Highland Hospital in Oakland and features Dr. Jessica Nutik Zitter. This is a must-see film that brilliantly depicts the conundrum that exists at the end of life when painful decisions must be made. By showing the real-life conversations that take place in the ICU between staff, family members and patients, a case is made for everyone to complete their advance directives and prepare their loved ones to honor their wishes at the end of life. But the painful process of decision-making becomes apparent as each individual struggles with the unknown and the unknowable in these dire situations.

The other topics covered this month include:

  • BMJ Online report that patients who receive hospice care for the last 6 months of life have better pain control, fewer hospital days, and are less likely to die in the hospital or ICU.
  • Researchers at John Hopkins found that their palliative care program led to  savings of ~ $19 million over 5 years in addition to improved quality of care and patient satisfaction.
  • Study originally published in Health Affairs and reported on Reuters online showed gaps in palliative care in the US. Read the article.
  • “What it feels like to die,” an article in The Atlantic discusses the active dying process from the patient’s perspective. Read the article.
  • Friends and Family Letter Project by Dr. VJ Periyakoil at Stanford includes 7 prompts for letter writers to leave messages for their loved ones. Read the article.
  • “7 Songs for a Long Life” documentary from Scotland that depicts how terminally ill patients use singing as therapy. Read the article.
  • The Friendly Atheist Julie Stahl reminds us not to impose our own religious or spiritual beliefs on those who are grieving and may not share your perspective. Read her blog.

Thanks for tuning in to the podcast! I hope you enjoy this information. If you feel inspired to offer a little support go to Patreon.com/eolu to join the community!

Until next week remember:

Face Your Fears.               BE Ready.               Love Your Life!!!

End of Life, EOLPodcast, Grief, Hospice, Spirituality

Ep. 56 End-of-Life Book Showcase!

In this episode Dr. Karen Wyatt highlights several excellent books about the end of life that have been sent to her by their authors. If you have considered starting an end-of-life book club (as mentioned in Episode 33) you’ll find many great books to choose from in this list. Here are the book titles and authors, along with links for learning more or purchasing the books:

  • “My Voice, My Choice: A Practical Guide to Writing a Meaningful Healthcare Directive”; by Anne Elizabeth Denny; www.anneelizabethdenny.com
  • “LastingMatters Organizer: Where Loved Ones Find What Matters Most”; by Barbara Bates Sedoric: www.lastingmatters.com
  • “Caring for Dying Loved Ones: A Helpful Guide for Families and Friends”; by Joanna Lillian Brown; www.caringfordyinglovedones.com
  • “Caregivers: Angels Without Wings”; by Peg Crandall; Link to Amazon.com
  • “Changing the Way We Die: Compassionate End-of-Life Care and the Hospice Movement”; by Fran Smith and Sheila Himmel; Link to Amazon.com
  • “Encountering the Edge: What People Told Me Before They Died”; by Karen B. Kaplan; Link to Amazon.com
  • “Spirit Matters: How to Remain Fully Alive with a Life-Limiting Illness”; by Judy Flickinger; www.judyflickinger.com
  • “Spiritual Perspectives on Death & Dying”; by Bernice H. Hill, PhD; Link to Amazon.com
  • “Living Consciously, Dying Gracefully: A Journey with Cancer and Beyond”; by Nancy Manahan and Becky Bohan; Link to Amazon.com
  • “Daddy this is it. Being-with My Dying Dad”; by Julie Saeger Nierenberg; Link to Amazon.com
  • “Leaning into Love: A Spiritual Journey Through Grief”; by Elaine Mansfield; www.elainemansfield.com
  • “Laughing in a Waterfall: A Mother’s Memoir”; by Marianne Dietzel; Link to Amazon.com
  • “Turn Right, Good Moon: Conversations With a Dying Mother”; by L. E. Moore; www.turnrightgoodmoon.com
  • “She Would Draw Flowers: Poems from a Young Artist Awakening to Life, Love and Death”; by Kirsten Savitri Bergh; Link to Amazon.com
  • “And Now, Still: Grave & Goofy Poems and a Bit of Prose”; by Reggie Marra; www.reggiemarra.com
  • “Facing Darkness, Finding Light: Life After Suicide”; by Steffany Barton, RN; Link to Amazon.com
  • “What to Do When You’re Dead: A Former Atheist Interviews the Source of Infinite Being”; by Sondra Sneed; Link to Amazon.com

I hope you’ll check out these amazing and inspirational books and include some of them in your book club or add them to your library!

 

EOLPodcast

Ep. 55 How to Talk to Your Healthcare Provider About Your End-of-Life Wishes

Today Dr. Karen Wyatt discusses how to start an end-of-life planning conversation with your healthcare provider. She suggests the following:

  • Don’t wait for your provider to bring it up – initiate the conversation yourself
  • Schedule a dedicated appointment for advance care planning rather than trying to add it on to a regular visit or wellness exam
  • Be prepared by completing either The Conversation Starter Kit or the SMART Decisions Challenge before your visit
  • Choose your healthcare proxy in advance and make sure that person is willing to serve this role on your behalf
  • Print your paperwork in advance by going to caring info.org and downloading the forms needed for your state(s) of residence
  • Bring along a list of your questions
  • Return for a follow-up conversation in 2-4 weeks. Then plan to revisit your decisions every 5 years or whenever your health status changes.

Remember to subscribe to End-of-Life University interview series on the website.

If you’d like to support EOLU with a small donation go to Patreon.com/eolu.

Tune in next week and until then:

Face Your Fears.           BE Ready.            Love Your Life.

End of Life, EOLPodcast, Hospice

Ep. 54 Film: Love in Our Own Time with Tom Murray

Join Dr. Karen Wyatt and her guest Tom Murray, director of the beautiful feature-length documentary Love in Our Own TimeThey will discuss the making of this film, which follows the lives of ordinary Australians as they face the big transitions of life: birth and death. “Love in Our Own Time is a film that speaks directly to its audience about the nature of life and death. It is a journey to the heart of what it is to be human that gives us all pause to question the lives we lead.” (from the film’s synopsis) Tom Murray reveals his own inspirations for creating the film and the transformation he experienced during the process.

In this interview you will learn:

  • How Tom Murray was inspired to create this film after living and working amongst the Yolngu Aboriginal people
  • How this film is being used in medical education settings to increase awareness about the end-of-life
  • How you might arrange a screening of Love in Our Own Time for your own community

Subscribe to End-of-Life University at http://www.eoluniversity.com so you can receive notification of all the fantastic new interviews on end-of-life issues.

Become a supporter of this podcast by making a donation of $1 or $2 per month at http://www.patron.com/eolu! Thanks!

Check out Dr. Wyatt’s books on Amazon: