Palace of Care – Fields of Gold

Photo by Lars Schneider on Unsplash

I heard that he actually had children but there had been a falling out some years ago. I never found out what the details were but it sounded as if there was no way to mend these relationships. It was as if he no longer had children, it was something that we couldn’t talk about. His speech became less easily understood if the topic was raised at all. The closest family he had was his niece. She was devoted to his care and visited regularly, as she had done when he was at home.

Everything had become a struggle before his admission to our inpatient unit. We provided basic nursing care with only a small amount of medical support and he had responded well to being looked after. He accepted he could no longer live alone and his family found him a hospital-level care facility close to where they lived so they could easily visit. On the day he left our hospice for his new home, I wished him well.

Just over a month later he came back for a visit. This time he brought his closest friends and family, including his two children. I’m not sure what had happened but they were all there together. There was warm friendly chattering going on in the lounge. Food was being shared while he held court. He was in fine voice and he enjoyed entertaining everyone who had gathered. Many of his guests said thanks to him for all that he had taught them over many years, in some cases a lifetime.

His daughter had prepared a song, and decided to sing it to him while he could still hear it. She played backing music with her smartphone and sang “Fields of Gold” the Eva Cassidy version. Everyone in the room was moved by her song, as her father sang along. Sometimes healing can occur at the end of life.

I think therefore I am? – Blessing the Room

I had a conversation with our spiritual care advisor today about blessing the room after a patient has died. It would have to be done in a way that would be respectful of people’s belief systems, even if they have a non-belief. Why are we thinking of doing it? A chance for final closure. A way of saying goodbye. Rituals are important in life and this gives us something that we could do in a meaningful fashion. This is part of what we do after someone has died. We remember the person and their loved ones. We give permission for whatever energies have been left in the room to move on. To clear the room out, ready and waiting to help the next person and their family. A time to farewell a patient and their family whom we might never see again.

We want to do things right, in a first do no harm manner, we don’t want to cause any offence. The blessings are not intended to be from any particular belief system. The staff providing the room blessing need to do so in a compassionate manner. They might have a personal spiritual belief of their own, but in this instance I want them to put that aside briefly, to present as their best professional self a generic blessing that would cover things at a bare minimum. People would be trained to give this blessing to allow the room to be put back into use again quickly. This would allow the cleaners to go in and prepare the room for the next person who will occupy the room.

Letting out the sad, angry energy that might still be there. Allowing the person’s spirit to move to where it needs to go. Spiritually resetting the room to be a blank canvas again. To allow the next person and their family to make their imprint on the room. To clean the silk screen before the next print is made. Is there something missing? Someone missing? A chance to air out the room and freshen it up for the next guests. In an acceptable fashion for all. People need to be empowered to do the right thing.

Palace of Care – Apology

Photo by Brett Jordan on Unsplash

“Ma’am if I had known that your husband would die within three days I wouldn’t have sent him anywhere. I would’ve kept him in hospice and looked after him. I’m sorry we decided to transfer him as we thought he still had weeks left to live.”

“It was hard to understand after all he’d done for hospice.”

“I am so sorry, I wish I could’ve known exactly how long he had left. We could only make the best decision we could with the information we had at the time.”

“We found a place for him and they admitted him into the hospital section. They didn’t have a bed for him, only a mattress on the floor. He went in on Friday, and he died on Monday, still on the floor. A horrible place. I’m not surprised they are not doing well.”

“I’m very sorry.”

“It’s not your fault.”

“He was a lovely man. During his first admission, I thanked him for what he had done for hospice.”

“He was the loveliest man. He wanted to help out our community.”

“He certainly did that. Thank you for your ongoing support over the many years.”

I think therefore I am? – Gratitude Exercise

Photo by KT Likes Coffee on Unsplash

Here’s something you could try doing that my writing in community friend Martha shared with me this week:

An assignment that literally changed my students’ lives. Extra credit (optional, and adds points to overall score). Make a list of 50 things you are grateful for in your life. Must use following format:

I am grateful for _________________ because __________________________.

One pt. for each line. Must complete 50. 49 won’t do. Must fill BOTH blanks for each line. You will get 50 points added to your grade.

Example: I am grateful for my grandma, because she makes me breakfast every morning.

I could tell you so many stories about this assignment! Not everyone chooses to do it. And sadly, not everyone is able to think of 50. If not being able to complete the assignment is perceived by the student as a problem, I see that as a good thing. I love coaching them to see things in their life to be grateful for. I can tell when a student has stretched and really starts to “get it.”

At the time I was in Phoenix, AZ, and I often got this response (one of my favorites) included in the list.

I’m grateful for my shoes, because without them I couldn’t walk anywhere when the sidewalk is so hot.

The last question of the assignment: Now that you’ve completed your list, look inside yourself. How do you feel? Has anything shifted?

Once in a while I would get a “no.” But of the 70% who actually answered the last question, almost everyone said that they experienced a shift. Some said they felt happier or more positive, while others said they realized they had so many good things in their lives that they hadn’t actually realized.