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You Can Give Somebody a "Good Death" -- It's Okay to Talk About It

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Graves beneath tree

My maternal grandparents were both immigrants, and between the two of them, they probably escaped demise at least a dozen times. My grandmother had escaped the pogroms, my grandfather narrowly missed succumbing to tuberculosis. Overcoming mortality most likely contributed to the career paths they each chose to follow -- my grandfather became a physician, my grandmother a social worker. Certainly, one could make a case on how brushes with death reinforced a joie de vivre, however, I'm going to make the case that their experiences also helped form a fairly healthy view of dying. But it took me a few years to figure out my grandparents weren't batshit crazy.

For example, when our family would travel from New York to Colorado for a visit with Baba and Zayda, on the day of our departure, prior to leaving for the Denver airport, my grandmother would make us all drag our suitcases out to the backyard. Rain, snow, it didn't matter, we had to do it. Together -- with our packed bags -- my grandmother would snap a group picture. As we all struck a pose for this peculiar photo op, my grandfather groused audibly about the potential for missing our plane. This goodbye ritual contributed to 20 years worth of tension-filled Kodak moments captured in front of 229 Albion Street by an Instamatic-wielding Ukranian. Oh, but this made perfect sense to my grandmother. Had our plane gone down in flames, she would have a final picture of our last moments together as a family. Natch.

It's not as morbid as it sounds. Truly. I should mention Zayda also had his own schtick. He insisted on taking us right to the airline terminal and walking us up to the gate. As we headed down the jetway to board the aircraft, we could hear him yell after us, "THIS MAY BE THE LAST TIME YOU EVER SEE ME ALIVE!" When I was in college I confronted him about his pessimism, to which he responded, "I'm being a realist." And he was a realist. When I was around seven years old, I admonished my grandfather after he mentioned his wish to be cremated:

Me: It's against Jewish law to be cremated.

Zayda: I'll apologize to my redeemer and I will be forgiven.

Me:(wailing) You'll be a big pile of ash and He won't recognize you!

In my family, death is woven into life, and the dying are inextricably linked to the living, but this isn't the case for every family. I've met lots of people who are uncomfortable when it comes to dealing with illness, death and talking about dying is a taboo. Or for others, it seems like it's such a long way off, why worry?

Years ago, I had a stint as the Director of Volunteer Services for Harry Hines Hospice. When I would tell people that I work for hospice, I would get one of two reactions:

A. Oh, my mother(father,sister, grandmother, teacher, you name it) had hospice care. The experience was amazing!

B. Shit, that must be so depressing.

While I understood and appreciated A, responding to B always seemed like a fabulous way to introduce the idea of how important it is we give others a good death. Working with death is not depressing. At least for me, it was actually quite the opposite. I found helping families and volunteers with their end of life needs utterly life-affirming. Where else would I have learned about the Chalice of Repose; a special program which trains musicians to play the harp to coincide with the breathing patterns of the dying. When one of my co-workers was accepted into their training program, we were all so excited as we recognized the potential of a meaningful and comforting end of life experience for whomever was fortunate to have this musician play.

There is a proverb that goes, "People plan, God laughs." Any one of us may experience a change in the grand master plan, and whether we want to admit it or not, we're all going to die at some point. How about considering what it might take to give a loved one a good death? Admittedly, it's not an easy conversation to get going and you very well might shake up some folks around you, but I promise, it may be one

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Partly Sunny 5 pts

My mom became terminally ill and died shortly after I started my blog (about a year and a half ago). It worked out well because writing turned out to be a safe place for me to "go." Anyway, my entire family spent the last weeks of my mother's life with her, sort of just hanging around her bedside at home. It was kind of like a bizarre family reunion. So my children have seen death up close and have experienced the passing of a very important person in their lives in, I believe, the best way possible. We didn't hide anything from them. They were part of the entire process. They didn't just say goodbye to her in a scary hospital room one night and then wake up to have us tell her that she was "gone." I couldn't have asked for a better gift from their grandma. And I have to thank the hospice people. They are an amazing group of individuals to do that job on a daily basis.

Tammy writes about the funnier and sappier sides of life on the cul-de-sac at Partly Sunny, Chance of Rain ( http://www.partlysunnyblog.com/ ). She also edits World's Worst Moms ( http://www.worldsworstmoms.com ), where good moms come to tell their best "bad mom" stories.

TowandaL 5 pts

Thanks for sharing this.

I recently lost a very close aunt and had to explain to my 4-year-old why "Mommy's sad." It wasn't an easy discussion for me because my emotions were raw, but in the end explaining it to a child made me feel better.

And then I wrote about it, because explaining death to a child is not easy when you're not prepared, but there are resources out there. I found books and chat discussions with valuable info: http://queenocracy.com/2010/03/the-talk/

Authentic Life 6 pts

I too have written a few posts about death, as suddenly at 36 years old, my husbands dearest friend (his Best Man) died - and it ROCKED OUR WORLD.

Not sure we always understand why, but it certainly changed everything about the way I interact with people.

Check the post here - http://www.anauthenticlife.com/?p=323

Thoughtful post.

Katie Walters
www.anauthenticlife.com ( http://www.anauthenticlife.com )

Pat Oaklief 5 pts

My mother, who died this May, had a good death for which I’ll be forever grateful. My brother and I were at her side when she died and were prepared each step of the way by the hospice and assisted living staff where she lived. The last few weeks with my mother, with us both knowing she was dying, were a gift.

When she was classified as hospice in March, she did not need to be moved. From her perspective, life stayed the same. She was in the same facility, same room, with the same staff, same friends and same routine. My parents had prepared a living will so we didn’t have any gut-wrenching decisions to make. She was taken off all meds and orders were that she would not be taken to the hospital if something were to happen. Instead, the nursing staff was authorized to give her what she needed to be comfortable which she didn’t need until the day before she died.

It was a good death. Thank you to Kubler-Ross for enlightening us about dying and to facilities like Angel’s Touch in Green Bay, WI for a caring and educated staff.

Pat Oaklief

Amigram.com Life's Happy Announcements ( http://www.amigram.com/ )
Amigram blog for momma's, nanna's and families ( http://blog.amigram.com/ )

Squashed Mom 5 pts

I started blogging as my 92 year old father was dying, as a way to keep sane through it all. There were better and worse parts to his death, he was a fighter and hung on long past the point it would have done everyone (including him) good to let go. The one thing I can say is that, as incredibly hard as it was, in hindsight, I'm glad I was the local child who was able to be there intensely through it all. Though at the time I couldn't imagine I would feel this way now, a scant 5 months later.

Thank you for writing this post. We don't talk enough about death, make it enough a part of life. I made sure to not make it a mystery to my children, and talked a lot about the process, in an age appropriate way with them as we were going through it. And while my autistic son is still not sure what has happened to Grandpa (death being such an abstract concept) his twin brother and I still talk about missing Grandpa a lot.

Varda (aka Squashed Mom) writes about birth, death, and all the messy stuff in the middle on her blog The Squashed Bologna: a slice of life in the sandwich generation ( http://thesquashedbologna.blogspot.com/ )

Celeste Lindell 5 pts

I wish my sister and I had understood more clearly what hospice care was when our mother was dying. She wanted to go home but kept refusing hospice, probably out of sheer stubbornness and denial. If I'd known then when I know now, I would definitely have gone ahead and arranged for hospice care. It would have been so much better for everyone.

Celeste Lindell
averagejane.blogs.com ( http://averagejane.blogs.com )

suebob 7 pts

When my sis was dying - quadraplegic, intubated, wanting to die - the docs would NOT talk about her dying. I kept trying to get straight answers about quality of life and they just kept talking about all of the extraordinary measures they could take to keep her alive, like putting her in a special nursing facility 2 hours from her home. And this was WITH advance directives on file. They still didn't want to quit treating her. It was awful.

There is a great article on hospice care in the New Yorker:
http://www.newyorker.com/reporting/2010/08/02/1008...

JennaHatfield 10 pts

My grandfather died earlier this year. We (his children and grandchildren) were shocked to find out that he and Grandma had not made any plans and had barely discussed the "what to do with me" question. It seems crazy to both me and my husband as we've got everything worked out mainly because he faces the potential for death any time he goes to work. But, they didn't.

I know his sudden, unexpected death wouldn't have been "better" had they made plans. But, it drove some of the "we should talk about this stuff" home to his children.

As for us, there's been LOTS of talk of death between us (my husband and I) and our oldest son this year as we've had three family deaths and the sad loss of my MIL's dog. I'm glad we have an open house to discuss these things, but, MAN, it's hard to come up with age appropriate answers sometimes. Also, BB thinks that if we're saying goodbye to someone (as our Pastor who moved), that means they are dying.

Jenna Hatfield (@FireMom ( http://twitter.com/FireMom )), from Stop, Drop and Blog ( http://stopdropandblog.com ) and The Chronicles of Munchkin Land ( http://thechroniclesofmunchkinland.com ), is a freelance writer and newspaper photographer.

califmom 5 pts

Thank you for bringing to light the importance of dying. We're all too quick to make it taboo in our culture, and it doesn't have to be that way.

We can learn to talk about it just like we talk about birth. We can plan for it like we plan for our children to come into this world. We don't always know how that will go, either, but we have ideas about what we want, and we talk.