A good life to the very end
Atul Gawande’s acclaimed book, “Being Mortal“ opened our eyes to the medical way of death. He showed millions of readers how the quality of life and human interaction while dying trump the number of years gained through questionable painful procedures and dying in an institution.
He tells us that “our ultimate, goal, after, is not a good death but a good life to the very end
Quality of Life Can Be There to the End of Life
GCM Nina Herndon brings you that same quality of life message- about dying –where an elder can still live the end of life with joy. Her new chapter “Supporting Clients’ Quality of Life: Drawing on Community, Informal Networks, and Care Manager Creativity” in the Handbook of Geriatric Care Management 4th edition is a geriatric care management Nina has devoted her career to giving elders a care plan for a happy life and a happy life to the very end.
Bringing Joy in the here and now of Dying
Bringing joy in the here and now of dying can be done through using quality of life tools- Spiritual, emotional, intellectual, creative, and physical quality of life. Increasing the spiritual quality of life can mean for a person is dying and wishes to return to a spiritual group she knew before, connecting them to the faith they are familiar with. Even homebound clients can have visits from members of a religious community or a prelate. They can have hymns sung, prayers said or whatever religious ritual their spiritual group follows, like communion, at home. Care providers can be trained to engage them by reading religious texts or playing hymns.
The Power Reminiscence at End of Life
Spirituality can be the environment. I once had a client who was in a nursing home dying of cancer and wanted to go home to die with hospice and 24-hour care. His spirituality was the environment and he had been a lead volunteer to build a trail in Santa Clara California from Los Gatos up the steep winding highway 17 over the Santa Cruz mountains to the Lexington Reservoir. He had no family so the care manager asked the volunteers he had worked with if they would visit him at his home. They happily agreed and 300 volunteers took shifts, 24 hours a day to sit with him reminisce, tell stories and sing while he died over several weeks. This is what joy that bringing a spiritual quality of life can offer in dying.
Tools for Reminicance at End of Life
Friends emailing short personal videos with good wishes and memories, that a family member can show on a phone or computer- can bring emotional joy at end of life. Sending notes, not of condolences but great memories can be a salve to dying. Volunteering to give respite to family members, if visiting is allowed during COVID or post the pandemic, can give an opportunity to share old memories or look at old photos and give family respite. You may have thought those old photo albums should be dumped but they can bring the joy of reminiscence if shared at end of life or with seniors at any time.
Serve Your Client until Death Do You Part
Join me Thursday March 11 and learn why End of Life Services Are a perfect new service for care managers
In this 1 ½ -hour webinar you will learn how to
1.Transition the patient/family through the five stages of death
2.Help clients be active participants in their care
3.Give the family/caregiver tools to manage care
4 Provide family center care to caregiver and family
5 Choose the right support services through all stages of death
6.Introduce Hospice and Palliative care and work with their team
7 Use ALCA End of Life Benefits During COVID
8.Use COVID -19 Family Coaching for GCM