What Is A Live-In Caregiver?

A simple checklist for making sure your obituary honors and informs.When a loved one has passed away, writing an obituary that honors their life can seem overwhelming. Dont worry - your obituary will honor their life simply by the act of you writing it. You want to celebrate your loved ones life and offer happy and enjoyable memories. You are helping to ease the pain of others simply by telling a story about your loved one.We hope that this checklist will take the stress and pressure off of you and allow you to honor your loved one. Remember, your funeral arranger is an experienced professional and is a valuable resource for writing the obituary.Include basic details about the persons lifeYou dont have to include all of this information, but here are the basics that are often included in an obituary. Choose the elements that are most relevant to your loved one: Age Any familial survivors Education Vocation When the person retired, if relevant Any military affiliations Any volunteer affiliations Include funeral informationFamily and friends often rely on an obituary for information on when and where a persons life will be celebrated, so your obituary will make it very simple for them to get that information (and will save you the hassle of having to answer lots of questions at a time when you would prefer not to be bothered with small details). You can include: Date and time of the funeral Place the funeral is being held Any viewing details Request for donations in lieu of flowers

Losing a loved one is a deeply emotional and challenging experience, and sometimes, it's not easy to find the right words to express sympathy when the loss occurs. If you didn't offer your condolences at the time, you may wonder if it's too late to do so now. In this guide, we'll explore the importance of expressing sympathy, even if some time has passed, and offer guidance on how to approach this sensitive situation.1. It's Never Too Late for SympathyGrief is a long and evolving journey. While immediate condolences are appreciated, sympathy can be meaningful and comforting at any stage of the grieving process. It's never too late to reach out and offer your support.2. Acknowledge Your DelayIf you feel uncomfortable about the time that has passed, it's perfectly acceptable to acknowledge it in your message. A simple phrase like, "I'm sorry I didn't reach out sooner," can convey your genuine intentions.3. Choose a Thoughtful MediumConsider how you want to express your sympathy. A handwritten letter, an email, a heartfelt message, or even a phone call can all be appropriate ways to offer your condolences.4. Be Sincere and CompassionateWhen you reach out, express your sympathy with sincerity and empathy. Use kind and understanding language, and let the grieving person know that you care about their well-being.5. Keep It SimpleYou don't need to offer long explanations or profound insights. A heartfelt "I'm sorry for your loss," or "I'm thinking of you during this difficult time," can convey your sympathy effectively.6. Offer Specific HelpIf you are genuinely willing and able to assist, consider offering specific help, such as running errands, providing a meal, or simply being available to listen if they want to talk.7. Respect Their SpaceGrief can be a highly personal experience, and some individuals may not be ready to engage in conversation. Respect their boundaries and allow them to respond or not respond as they feel comfortable.8. Follow UpAfter expressing your sympathy, follow up with a message or gesture of support in the coming weeks or months. Grief can be isolating, and knowing that someone cares can make a significant difference.9. Accept Their ResponseUnderstand that the grieving person may respond in various ways. Some may appreciate your message immediately, while others may need more time to process it. Your intentions matter, even if the response is not immediate. Expressing sympathy, even after some time has passed since a loved one's death, can offer comfort and support to those who are grieving. It's a compassionate gesture that shows you care about their well-being and acknowledge their pain. Remember that grief has no set timeline, and your sympathy can be a source of solace during a challenging journey. Reach out with sincerity, offer your support, and be open to their response, respecting their pace and feelings as they navigate their grief. Your gesture of sympathy can make a meaningful difference in their healing process.

By Faith Protsman, MD, Regional Medical Director, VITAS HealthcareTwo recent studies highlight how sepsis impact often extends well beyond the acute event that led to a patients hospitalization. The studies emphasize two particular points that should inform physicians and clinicians as they consider referring these patients to specialized care: Medicare patient data gathered between 2012-2017 shows that sepsis patients face considerably poorer health outcomes following hospital discharge when compared to non-sepsis patients, including elevated risk for death and increased use of advanced healthcare services. Sepsis survivors exhibit strong indicators of persistent inflammation and immunosuppression for up to a year after hospital discharge, increasing their risk of readmission or death. Both studies indicate a significantly elevated risk of death among sepsis patients after they have been discharged and ostensibly cured. Of course, sepsis patientsparticularly those of the Medicare cohort, who are largely of advanced agerarely leave the hospital in better condition than they entered.The Yende study, in particular, shows that neuroendocrine and inflammatory responses to sepsis can continue long after the patient survives a septic episode. For patients with advanced or chronic diseasesas was the case with nearly 78% of participants in the studythese biomarkers are associated with decline.Post-sepsis Discharge: A Critical JunctureIn many cases, these individuals life expectancies upon discharge will be less than six months. This is a critical juncture: While comfort-focused hospice care could provide an ideal source of support for the eligible patient, their family, and their caregiver(s), most sepsis patients are simply sent home without even a discussion about palliative end-of-life care and its benefits.Frankly, such an oversight is a disservice to everyone involved. The sepsis patient is left with physical and/or cognitive dysfunction, often without significant options for symptom management. Their partner or family will either need to assume caregiving duties or turn to costly private services. And the physician and hospital staff will likely see the patient again following another acute event, a readmission that impacts performance scores, strains resources, and unnecessarily fills beds.By no means do I intend to lay the blame for these unfortunate circumstances on physicians. Timely hospice referrals require ongoing education about end-of-life care, and open, ongoing communication between hospice providers and referral sources.More Help: How to Talk About Hospice Care >Those of us in hospice are working hard to bridge the gap, but even as our healthcare system transitions to a value-based model, the mentality of fee-for-service still permeates our nations acute-care facilities, and many hospitalists see a discharge home as a success.Hospice: A New Way Of Judging SuccessIn hospice, we judge our successes on the patients quality of life and the fulfillment of their goals and wishes near lifes end. Usually, that means going home with 24/7 support from an interdisciplinary hospice team. Whether home is a traditional residence, an assisted living facility, or nursing home, the hospice team will assist caregivers (and/or facility staff) with direct clinical care and education, integrative services, bereavement support, and delivery of medication, equipment, and supplies.In other cases, improving quality of life means remaining in a general inpatient setting with hospice support, taking the burden off hospital staff until the patient is able to transition home or until the patient dies. Hospice offers complex modalities in any setting, so patients who would otherwise be confined to an ICU can usually return home to be among loved ones.With support from hospice, a sepsis patient and their family are more likely to report higher satisfaction of care and greater quality of life. The patients emotional and spiritual needs can be met alongside their physical needs, thanks to care from chaplains, social workers, music and massage therapists, and other integrative specialists. Finally, the patient is more likely to die at home, surrounded by loved ones, rather than in the hospital.Because sepsis is most common in patients with advanced or chronic diseases that indicate hospice eligibility, acute incidences of sepsis should always trigger a hospice eligibility assessment. We owe it to our patients, their loved ones, and our colleagues in healthcare, all of whom can benefit from the support that timely end-of-life care offers.