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WHAT TO SAY AND DO AROUND THE DYING

Conversation for family, caregivers, close friends:

  •  Vigil wishes - what will calm the person when he/she is no longer conscious:

    •   music; smells; comforting items near him/her; blanket; things that he/she likes (touch, soft massage of hands or feet or face).

    •   what he/she wants to hear from visitors : memories; stories; poetry; prayers or scripture; what people are grateful for; often no loud crying.

  •  Funeral wishes:

    •   minister; songs; readings; rituals; etc.

Questions to open deeper conversation for family, caregivers, and close friends:

  • What to say to him/her, what to ask:

    • what are your fears?

    • what are your regrets?

    • what are your hopes?

    • what do you love about your life?

    • what are you grateful for?

    • I will be here throughout this time with you.

    • You can share anything you need to with me, I am safe.

    • I am here for whatever you need.
       

  • What to do for him/her:

    • ask her what he/she needs: he/she will tell you: repositioning; wetting his/her lips with the sponge - put the sponge in the mouth against the inside of the cheek and let him/her suck on it (sucking is one of the last reflexes to disappear); brush his/her hair; hold his/her hands; rub his/her forehead, hands, or feet.

    • control the sound and conversation in the room: - conversations that can bring him/her into it (stories and memories); level of sound (not too quiet, not to loud); only positive talk (he/she can hear everything).

    • this is not the viewing/wake: take overt mourning conversations outside the room; he/she is the focus within the room (group conversations not including the patient such as catching up with each other or other personal conversations that you see at a funeral home should be taken out of the room).

What to say and do for visitors:

  • Follow directions from family and caregivers:

    • time limits; conversation topics; behaviors (no loud crying or actions which will disturb the person who is dying).

    • if you are unsure of anything, ask.

  • Follow the lead of the person who is dying:

    • ask the person what they want to talk about; go with conversation the person begins; just sitting in silence is okay; touch their hands if he/she is comfortable with it.

What to say and do with the person’s family:

  •  What to say or do:

    •   never say things platitudes (you'll get thru this or he/she is going to a better place)

    •   say things that honors the family’s experience like (there are no words for this); offer simple condolences; offer help with anything they need; etc.

    •   ask what can help them – meals; cleaning up the house; rides to places; running chores and errands; etc.

    •   for people close to the family - listen, listen, and listen without fixing; touch if accepted; just being or sitting quietly with them; ask them to talk more about their feelings if they share them first (let them take the lead); do not try to fix their feelings (let them feel as bad as they need to).

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