Reflections on Caring for the Dying: A Hospice Nurse's Perspective

It is a deeply spiritual experience to be present with a patient as they pass away, especially as a hospice nurse with decades of experience. Over the course of eleven years, I have witnessed numerous instances of death while supporting both the patient and their families. Each experience has been profoundly moving, yet equally challenging.

role of hospice nursing in end-of-life care

Hospice nurses play a crucial role in end-of-life care. They provide comfort, support, and assistance to both the patient and their loved ones during this difficult time. My role has evolved significantly since beginning as a Paramedic and transitioning to a Critical Care RN, and later becoming a Physician Assistant. The experiences I have had have shown me the importance of preparing both the patient and their families for the process of dying.

The Forgotten Art of Dying

Historically, death was a more accepted part of life. People often knew for days before passing away, allowing them to prepare emotionally and spiritually. Modern medicine, however, has led to patients being 'resuscitated' multiple times. This can leave both the patient and their families unprepared for the actual moment of death. I have developed a 'personal very unscientific' study over the years, observing and understanding the impact of modern medical interventions on the dying experience.

Navigating the Journey with Cancer Patients

Working in ER, ICU, CCU, and as a hospice nurse, I have seen the intricate ways in which a patient's journey with cancer unfolds over months and years. This requires patience, emotional support, and knowledge about the treatment process. Many patients and their families arrive at this situation feeling overwhelmed. Thus, I found myself preparing both patients and their families for what was to come, often arranging private sessions to address their fears and insecurities.

Preparing Families and Providing Peace of Mind

My approach was to create environments where these issues could be discussed openly. Whether it was arranging a private room in the hospital or a family member's home, the outcome was often a cathartic and enriching experience for everyone involved. Expressions of love and resolution of important issues often transpired in these sessions. The whole family was equipped with the tools to navigate the dying process together, much like the days of old.

Ensuring Cultural and Spiritual Needs are Addressed

To complete this journey with dignity and respect, we also addressed cultural and spiritual needs. This might include the presence of a priest, shaman, or specific burial rites. Adapting to these cultural differences contributed to a more comfortable and peaceful passing.

Embracing the Final Chapter with Dignity

Seeing patients and families through the final moments of life brought immense joy and purpose to my work. Knowing that the end was near and that all that could be said and felt had been shared, the passing could occur with less regret and more peace. The process often included both grief and acceptance, emphasizing the importance of expressing love and ensuring that no moment was wasted.

Gratitude and Reflection

While my career in medicine had its challenges, the ability to witness and support families through these critical moments was an honor. I am profoundly grateful to have been able to walk alongside patients and their families through these challenging times and to know that we were cared for not just by medical professionals, but by the divine.

Thank you, Lord, for your tender mercies and endless love, allowing me to be a witness to the beauty and dignity of the dying process.