About Experts Sitemap - Group 33 - Page 2 2014-07-22

Life & Health Insurance: Variable Annuity, state insurance department, rating insurance companies
state insurance department, rating insurance companies, life insurance policies: A.M. Best and Co. has been rating insurance companies since 1899. Their website is at www.ambest.com. Another rating service is Weiss & Co, who use a more stringent method of rating insurers. It s hard to evaluate a company based on a single letter grade....

Life & Health Insurance: Variable Life Insurance plans, variable life insurance, using life insurance
variable life insurance, using life insurance, term life insurance: Dear Cheryl, Variable Life policies were designed and have been continually marketed for people who naively expect the stock market to always go up over any extended length of time. They have been construed to be a way to accumulate large gains without...

Life & Health Insurance: Variable Universal Life, level term insurance, tax law changes
level term insurance, tax law changes, variable universal life: This will not work since to get any serious money into the policy to be of any value like for college, the death benefit has to be very large and what good is a large death benefit on a child? The reasons are beyond this answer but they have to do with tax...

Life & Health Insurance: Viatical Transactions, mike feinberg, life insurance policies
mike feinberg, life insurance policies, life insurance policy: Hello Brian, viaticals are a very interesting segment of the insurance industry. Basically, when regulated, this practice is currently completely legal and legitimate. There are many funding companies (not the same as insurance companies that offer...

Life & Health Insurance: VUL, life insurance policy, permanent life insurance
life insurance policy, permanent life insurance, variable annuities: Dear Jona, I appreciate your question. If the question was whether it is better to buy term and invest the difference in a mutual fund, then I would say that the VUL was a good purchase. This is because you would be comparing products of comparable...

Life & Health Insurance: value transfer, life insurance policies, life insurance policy
life insurance policies, life insurance policy, accurate answer: Hi Brian, Sorry to say I can only answer part of your question. As far as changing the beneficiary on the life insurance policy that is not hard. You must contact either the agent or the insurance company and request a change. Provided the policy allows...

Life & Health Insurance: value transfer, business life insurance, life insurance policies
business life insurance, life insurance policies, insurance consultant: I honestly don t know the answer to that question. Are the policies cash value type or term policies? If they are term, they have no $ value. Email me back at: jbuob@cox.net and I will forward on your question to a business life insurance consultant who...

Life & Health Insurance: variable annuities, world financial group, indexed annuity
world financial group, indexed annuity, variable annuities: Dear Wayne, Thank you for asking. I am not familiar with World Financial Group, but I certainly understand the concept. Financial products of this type require the suspension of practical skepticism. The only advantage that a variable annuity has...

Life & Health Insurance: Websites or companies that compare insurance rates, term insurance rates, national association of insurance and financial advisors
term insurance rates, national association of insurance and financial advisors, quotesmith: I have used term4sale.com previously. As a broker, I have access to online sites that allow me to compare a large number of companies, including ones such as Quotesmith and InstantQuotes (which I was not aware of). Life insurance is a complex subject, (even...

Life & Health Insurance: Websites or companies that compare insurance rates., term insurance rates, independent agent
term insurance rates, independent agent, medical history: Sallie: Depending on which state you reside, I may be able to help you directly. My direct email address is: ghfinancial@zebra.net Email me w/ the following: Full name date of birth Ht Wt Address Phone 10 year medical history amount of...

Life & Health Insurance: Whole Life 1/3/2004, term life policies, life insurance policies
term life policies, life insurance policies, term life insurance: Kerry: Here s the story on that: In the spring of 1993, Penn State University completed a study regarding the fate of term life insurance policies. The study includes over 20,000 term policies with an aggregate face amount of $4,000,000,000. It includes...

Life & Health Insurance: Whole Life Cash Value Surrender, cash surrender value, lutcf
cash surrender value, lutcf, brumbaugh: Dear Chris, You would be taxed on the difference between the surrender value and the sum of the annual premiums paid. However I am troubled by your decision to surrender the policy. The fact that your policy s surrender value already is significantly...

Life & Health Insurance: Whole Life Insurance, whole life insurance, clu designation
whole life insurance, clu designation, suze orman: With all due respect to Suze Orman, she doesn t have a CLU designation, and her thoughts on whole life are just wrong. Whole Life has been around for at least 300 years. You would think that humanity would have figured out what a bad idea it was by now -...

Life & Health Insurance: Whole Life Insurance Profit, life insurance policies, whole life insurance
life insurance policies, whole life insurance, street journal article: Follow-up information I applied that $100 per month to my primary carrier s Special 11 Whole Life policy and ended up with an age 65 death benefit of $282,926. This is an Internal Rate of Return of 6.07%. The surrender value at 65 currently projects...

Life & Health Insurance: Whole Life Insurance, variable life policy, term life insurance
variable life policy, term life insurance, whole life insurance: Dear Vince, Ms Orman proves that you can t believe everything that you read. It is obvious to me that she has taken a position without fully understanding what she is talking about. Term life insurance is a good product for what it was designed for,...

Life & Health Insurance: Whole Life Policy Cashout, insurance advice, life policies
insurance advice, life policies, financial burden: I would have no idea as I: a - did not write the policy b - do not know when it was taken out c - do not know the interest rate you have been accruing cash on it The loan on it itself could cause your payment ot be lessened quite a bit. Most Whole...

Life & Health Insurance: Whole Life Profit, finance class, death benefit
finance class, death benefit, future value: Hi Carlos If you purchased a whole life policy that pays you dividends then you are o.k. If your policy does not then you are young enough to cancel it and purchase a new one from a mutual company. I suggest a whole life policy when you can afford the premium...

Life & Health Insurance: Whole Life Profit, michael feinberg, permanent insurance
michael feinberg, permanent insurance, finance class: Well, your question is an interesting one, but has a couple of flaws in the figuring, so here are my thoughts. First of all, there s no reason a $100,000 permanent insurance policy for a 20 year old male should cost $100/month. It shouldn t be any more...

Life & Health Insurance: Whole Life Profit, mutual insurance company, astute consumers
mutual insurance company, astute consumers, life insurance industry: The life insurance industry fears people like you, astute consumers. Why do you think one of the largest mutual insurance company s uses the slogan “the quiet company”? Because the industry does not want individuals like you discovering that over paying for...

Life & Health Insurance: Whole Life Profit, finance class, future value
finance class, future value, whole life: Dear Carlos,Please don t forget you may pass away long before 30 years.Big loss for co. U L is better option, you share more of risk, but allso share more of profit.Term is best of deal short term.You refered to6% where do you find 6%?Dan 888-4649 Call if...

Life & Health Insurance: Whole Life vs. Roth IFA, life insurance policy, whole life insurance
life insurance policy, whole life insurance, retirement investment: Hi Lisa Although life insurance has tax-deferred cash on the amount paid over the cost of insurance, it shouldn t be sold as a retirement investment. If you can afford to start a Roth and keep the insurance, that would be the best situation. If you can t...

Life & Health Insurance: Whole Life, market interest rates, universal life policy
market interest rates, universal life policy, life policies: What I would do is find a GOOD independent agent who will give you ALL the options available to you rather than selling you something because that s what THEY think you should have and they make money from you. If you can t find a truely good independent...

Life & Health Insurance: Working for this company, life insurance industry, life insurance company
life insurance industry, life insurance company, orientation programme: Dear Tony Ottaino: Welcome in our Insurance Industry! Please remember, whosoever entered in the Life Insurance Industry as a Life Insurance Company, always starts with the trust. Utmost faith is the basic principle from where journey of life insurance...

Life & Health Insurance: wet paper, wet paper, life settlement
wet paper, life settlement, immediate payment: Mr. Levenstein, this sounds alot like the life settlement you were mentioning in your question yesterday. I think the last sentence you typed says it all.. According to that information my wife and I could earn 2,000,000 without any risk whatsoever....

Life & Health Insurance: whole insurance, life insurance settlements, life insurance policies
life insurance settlements, life insurance policies, whole life insurance: There are companies that will buy life insurance policies from people that need large amounts of funds. The problem here may be the face amount may not be large enough that they would be interested in buying the policy. They usually want the policies to...

Life & Health Insurance: whole life insurance, life insurance policies, life insurance policy
life insurance policies, life insurance policy, whole life insurance: Dear Herb, The answers are yes and yes. However to surrender these policies and replace them with term insurance is not your best option. I don t know what company you have your insurance with, but it is likely that you are just now beginning to reap...

Life & Health Insurance: whole life policy question, life insurance policy, large intestine
life insurance policy, large intestine, history of colon cancer: Hi Betsy. I m an insurance broker in the country of Panama, so I can t really respond to a question from the US. But I ll try my best from what I know in Panama. He needs to call the company he currently has the policy with to see if they can extend the...

Life & Health Insurance: whole life policy, deferred annuity, surrender value
deferred annuity, surrender value, roth ira: It s hard to make a blanket recommendation, but I would say that personally, I m not a big proponent of life insurance being used as an investment vehicle more than for protection purposes. I generally view the investment value of a life policy to be a bonus...

Life & Health Insurance: whole life vs. term, universal life insurance, michael feinberg
universal life insurance, michael feinberg, life insurance policy: Sorry for the delay in getting back in touch with you... I have a followup question that will better help me answer your question, since there is no one size fits all answer. Do you have an expectation that you would have a large insurance need if either...

Life & Health Insurance: written subject matter, professional worth, wills and trusts
professional worth, wills and trusts, professionalism: Dear Chris Lowers: The best book to explore your potentialities and knowledge leadin you to understand professionalism, dedication, devotion and expertness is to meet the people and then send me the questions that you feel difficult to answer. Aye! the...

Life & Health Insurance: -------------------------..., term life insurance, permanent insurance
term life insurance, permanent insurance, rule of thumb: Good answers. I would probably recommend term life insurance of 20-30 years in length. This would be the most cost effective way to protect your income for your son with the most coverage for the least cost. It would cover you for the next 20 years (or 30...

Life & Health Insurance: Which one?, whole life insurance, surrender value
whole life insurance, surrender value, dear james: Dear James, Thank you for your question. I appreciate your confidence in me. It is my judgment that most of the people that get involved with Primerica are sincere in their desire to do right by their friends and clients. Unfortunately, the training...

Life & Health Insurance: How do I go about this?, nerve damage, disc replacement
nerve damage, disc replacement, accident car: Hi Lydia, Since I also live in Western Pa, I am very familiar with the Highmark plans. The insurance you may want to look at is the car insurance depending on who was at fault for the accident. Car insurance does have some liability coverage for bodily...

Life & Health Insurance: -------------------------..., lifetime benefits, alabama resident
lifetime benefits, alabama resident, peter answer: Peter; i have not seen an inflation rider add that much to the premium. I have seen the costs associated w/ long term care escalate. At you age I would be making an error in judgement if i did not encourage you to select inflation riders.When determining...

One Life to Live: Kirsten Alderson Song, soap opera digest, kirsten alderson
soap opera digest, kirsten alderson, lanoue: It was Together , and it was written for their Prom Night Musical that they all sang in last Spring. You can watch the video or download it via iTunes. http://abc.go.com/daytime/onelifetolive/musical.html I could not find out who wrote the specific tune,...

One Life to Live: Song, michael franti, pregnant teenager
michael franti, pregnant teenager, nan: Nan, i m not really sure of the song.. and i have seen the episode yet.. so i goggled the lyrics you gave me and only came up with... why did you have to go away by michael franti and spearhead not sure if this is it.. sorry couldn t be more helpful...

One Life to Live: Nora Gannon, nora buchanan, hank gannon
nora buchanan, hank gannon, tvmegasite: Her maiden name is Hanen. She was married to Hank Gannon for a while and had his daugther, Rachel, so she had his name when she first came on the show. Then she married Bo, so she was Nora Buchanan. Later, after they divorced, she went back to Hanen. So...

One Life to Live: today's song on OLTL, soap opera digest, soap opera weekly
soap opera digest, soap opera weekly, s song: Hi Liz, How are you? The show has not yet aired here today. I have not had much luck with music lately, so you may want to ask someone else or write to Soap Opera Digest or Soap Opera Weekly and they will probably know. They often answer questions like...

One Life to Live: Lyrics to the theme song of One Life to Live, musical interlude, don t cry
One Life to Live: Lyrics to the theme song of One Life to Live, musical interlude, don t cry, one life to live

One Life to Live: Lyrics to the theme song of One Life to Live, don t cry, one life to live
don t cry, one life to live, grateful thanks: Hi Dan, I hope you are doing well. I was able to find some lyrics for you - here they are: Here s what you do when you don t find the rainbow s end This time Here s where you go when it looks like the rain won t end Don t cry I ll give you tomorrow...

One Life to Live: song question, sweetest kiss, song question
sweetest kiss, song question, alison: Hi Alison, I hope you are having a great day. Thanks for choosing me to answer your question! The song is called Sweetest Kiss. It was sung by Michal Towber. She has done a lot of things for the show. You can check out her other music at www.michaltowber.com,...

One Life to Live: layla vincent, love scene, evangeline
love scene, evangeline, layla: Hi Qiana, First off, let me apologize for not getting back to you earlier - I did not receive the question in my inbox. My apologies! I hope that you are having a great day and I do have some answers for you! First, the song for Layla and Vincent...

One Life to Live: Nash falling, long lost friend, slow dissolve
long lost friend, slow dissolve, lyrics slow motion: Hi Kim, Thanks for choosing me! I hope you are doing well. The song is called Slow Motion and is performed by David Gray. This is the song that was playing as Nash fell through the skylight. Here are the lyrics: Slow Motion While I was...

One Life to Live: Song, barley breathing, broken clock
barley breathing, broken clock, song question: Hi Yolanda, I am so glad you sent me some words - thanks! The song is called Broken and is done by Lifehouse. I hope this helps! Here are the lyrics: The broken clock is a comfort, it helps me sleep tonight Maybe it can stop tomorrow from...

One Life to Live: Song played during Nash dying?, haunting song, lifehouse
haunting song, lifehouse, amber pacific: Hi Marla, I remember a couple of songs that were playing - may I ask you for just a few of the words, please? Was it a very slow, haunting song or a faster one? If you remember any words, I can narrow it down and answer this for you - thanks so much!...

One Life to Live: song, soap opera digest, soap opera weekly
soap opera digest, soap opera weekly, song question: Lorie, No, sorry, I don t know, but if you write to Soap Opera Digest or Soap Opera Weekly, they will probably know. They often answer questions like this in their magazines. I have looked at many sites and cannot find it - it may be one that was written...

One Life to Live: OLTL, keith urban, lifetime
One Life to Live: OLTL, keith urban, lifetime, lyrics

One Life to Live: OLTL, soap opera digest, soap opera weekly
soap opera digest, soap opera weekly, darla: Hi Darla, How are you? I have done extensive research this morning and I am sorry but I don t know. If you write to Soap Opera Digest or Soap Opera Weekly, they will probably know. They often answer questions like this in their magazines. I have looked...

One Life to Live: Question about OLTL, soap opera digest, soap opera weekly
soap opera digest, soap opera weekly, oltl: Hi Johnny, How are you doing? I looked through all of my sources and could not find Leo s real name. I will continue to check the credits at the end of each show and will let you know if I can find the answer. In the meantime, you may write to Soap...

One Life to Live: Re: One Life to Live , shown on Monday 9/22, soap opera digest, soap opera weekly
soap opera digest, soap opera weekly, tv megasite: Hi. I don t know, but you might try writing to Soap Opera Digest or Soap Opera Weekly. They often answer these questions in their magazines. To find SOD s info http://tvmegasite.net/day/sodemails.shtml For SOW http://tvmegasite.net/day/sow.shtml ...

One Life to Live: Starr and Cole, ears
ears: Hi Maria, Thank you for choosing me! I have heard of no spoilers/rumors about the baby - I will keep my ears open and if I hear of any, I will follow up with you as soon as I hear. The whole situation is just so sad, huh? Take care, Ka...

One Life to Live: song, apologies, michele
apologies, michele: Hi Michele, I have been researching this for a while and am afraid I cannot come up with an answer for you. I would like to suggest that you contact one of the experts that is more versed in the song area - it is my weakest point on this website. ...

One Life to Live: MUSIC, decyfer down, itunes
One Life to Live: MUSIC, decyfer down, itunes, rhapsody

One Life to Live: MUSIC, lyrics, music
lyrics, music: Hi Annette, How are you doing? I must admit that I have not heard the commercial - if I knew some of the lyrics it may help me to identify it for you. You may want to choose another expert that is more well versed on music as that is not my strongest...

One Life to Live: Song that Blair sang on todays show, friend jaime, jaime kyle
One Life to Live: Song that Blair sang on todays show, friend jaime, jaime kyle, good friend

One Life to Live: Song that Blair sang on todays show, music arena, google
music arena, google, wonderful day: Hi Holly, I hope you are doing well. I have researched this question and I am unable to find an answer. You may want to address another expert who is more well versed in the music arena. The song may be one that was written for the show. I hope you...

One Life to Live: ONE LIFE TO LIVE/ALL MY CHILDREN, AMC, All My Children
AMC, All My Children, Leo: Hi. We don t know who Rex s father is (they haven t told us yet). Leo and Greenlee are dead. Leo died in November, 2002. You can read all about him at http://www.soapcentral.com/amc/whoswho/leo.php Greenlee died in January, 2008. You can read about...

One Life to Live: Theme Song Lyrics, theme song lyrics, don t cry
theme song lyrics, don t cry, one life to live: Hi Bobby, I hope you are doing well. I was able to find some lyrics for you - here they are: Here s what you do when you don t find the rainbow s end This time Here s where you go when it looks like the rain won t end Don t cry I ll give you tomorrow...

One Life to Live: Song Played During Episode, soap opera digest, soap opera weekly
soap opera digest, soap opera weekly, tv megasite: Sorry, I don t know, but you should email Soap Opera Digest or Soap Opera Weekly because they often answer questions like this in their magazines. You can find info about the mags here: http://tvmegasite.net/day/magazines.shtml Good luck! Suzanne...

One Life to Live: song, soap opera digest, soap opera weekly
soap opera digest, soap opera weekly, tv megasite: Sorry, I don t know, but you should email Soap Opera Digest or Soap Opera Weekly because they often answer questions like this in their magazines. You can find info about the mags at: http://tvmegasite.net/day/magazines.shtml Good luck! Suzanne...

One Life to Live: Rex proving his identity, soap opera world, rex
soap opera world, rex, pamela: Thurthfully pamela... i don t know... it s soap opera world. i can t explain alot of the things they do. if he has just showed him is license.. 1. that would be too easy. 2. glen, was it, probably wouldn t have believed him anyway the writers have to come...

One Life to Live: bring back carlo hesser, roger howarth, kevin buchanan
roger howarth, kevin buchanan, trevor st john: As far as I know, there are no plans to bring back Carlo. I doubt if Howarth would leave ATWT because he really likes it there. Not sure if they would have him because Trevor St. John (the new Todd) is pretty popular. The rest of your questions require...

One Life to Live: cristian vega on "one life to live", cristian vega, lanoue
cristian vega, lanoue, john doe: I don t recall them ever giving him another name, but you could go through the transcripts from that year and see if you can find it. http://tvmegasite.net/day/oltl/transcripts/main/2004transcripts.shtml I seem to recall that they didn t give him a name,...

One Life to Live: John's funeral songs, promos, theme song
One Life to Live: John's funeral songs, promos, theme song

One Life to Live: Natalie Buchanan, buchanans, alison
One Life to Live: Natalie Buchanan, buchanans, alison, natalie

One Life to Live: Nick Benedict, bendict, amd
One Life to Live: Nick Benedict, bendict, amd, parents

One Life to Live: SONG TITLE, colors of the rainbow, sky full of stars
One Life to Live: SONG TITLE, colors of the rainbow, sky full of stars, star in my heart

One Life to Live: Song on OLTL
One Life to Live: Song on OLTL

One Life to Live: song from Jen's service, kristin chenowith, song borrowed angels
One Life to Live: song from Jen's service, kristin chenowith, song borrowed angels, kathy brier

One Life to Live: songs, one life to live, general hospital
One Life to Live: songs, one life to live, general hospital

One Life to Live: income tax, lanoue, married person
lanoue, married person, one life to live: Hi, you put this in the One Life to Live section, not the income tax one. Maybe it was allexperts fault and not yours...you want the accounting section at http://www.allexperts.com/browse.asp?Meta=157 Suzanne Lanoue suzanne@tvmegasite.net http://tvmegasite.ne...

One Life to Live: John's funeral songs, soap opera magazine, soap opera digest
soap opera magazine, soap opera digest, park bench: Here is what I m seeing & hearing....I went through the whole thing, scene by scene. Organ music at the beginning when John s grave is being dug outside and everyone files into the church. The Buchanan s welcomed Asa home with a drink (dramatic instrumental...

One Life to Live: jennifer rapport, jessica morris, information question
jessica morris, information question, lanoue: I m not really sure why you re asking me this question because you re not asking an information question, really. I am not affiliated with ABC or OLTL, so I can t make decisions about the storylines. Could the writers do what you re saying? Yes, but they...

One Life to Live: jessica, sheryl crow, copy and paste
sheryl crow, copy and paste, lyrics: First of all I would like to thank you for choosing me to help you. I believe the song is called I Shall Believe and it is sung by Sheryl Crow. Here is a link to the song (as sung by Jessica) and it s lyrics (just copy and paste)song-http://www.geocities.com/vegalandjukebox/erinsings.rm...

One Life to Live: Marcie's song, soap opera digest, lanoue
soap opera digest, lanoue, s song: Sorry, I don t know that. You should write to Soap Opera Digest because they often answer questions like this in their magazine. http://tvmegasite.net/day/sodemails.shtml You can find info at that link for emailing or writing to them. Good luck!...

One Life to Live: Natalie Buchanan, niki smith, tvmegasite
niki smith, tvmegasite, unfit mother: The story goes (and this is all recently concocted) that Mitch raped Viki when she was Niki Smith, then she had twins (which he covered up), and he stole Natalie (with the help of the doctor, whom he later killed). Natalie was not his daughter, but Jessica...

One Life to Live: Nick Benedict, tv megasite, tvmegasite
tv megasite, tvmegasite, days of our lives: Hi. He was not on OLTL as far as I know. You can find his filmography at http://us.imdb.com/name/nm0070798/ It lists Days of Our Lives and other soaps. It doesn t look like he s done much lately. take care, Suzanne Lanoue The TV MegaSite, Inc. http://tvmegasite.net...

One Life to Live: what was the name of the song star Manning sang on one life to live april 19,07, soap opera digest, soap opera weekly
soap opera digest, soap opera weekly, song star: On the show, they called it Together . You can find the lyrics at http://tvmegasite.net/day/oltl/transcripts.shtml just click on that date. I don t think it s out on CD. It s probably one they wrote for the show. You can always write to Soap Opera...

One Life to Live: rape storylines, roger howarth, rape story
roger howarth, rape story, having twins: Yes, there have been many rapes. I have only been watching the show since about 1985 so there were probably many before that. You might want to buy the OLTL book as it has all the details. http://www.tvmegasite.net/day/oltl/oltlbooks.shtml Todd and two...

One Life to Live: Sam Rappaport, sam rappaport, new sam
sam rappaport, new sam, old sam: No, Sam is back on now.. But the role has been recast and the new Sam is here to stay.. I don t know why they recast, I really thought the old Sam did a great job. But he was let go.. I don t know if you have ever watched All My Children, but the new Sam...

One Life to Live: SONG TITLE, n flunders, little star
n flunders, little star, doesnt work: Hi. There are two songs I know of: My Little Star by N. Flunders and Little Star by Madonna. I dont know if either is the one you are looking for but you can start with those. If that doesnt work I recommend trying kassiedepaiva.com and listening to her songs...

One Life to Live: SONG, soap opera digest, soap opera weekly
soap opera digest, soap opera weekly, kristen alderson: It was sung by the actress who plays Starr, Kristen Alderson. I don t know who wrote it. On the show, they called it Together . You can find the lyrics at http://tvmegasite.net/day/oltl/transcripts.shtml just click on that date. I don t think it s...

One Life to Live: Song on OLTL, soap opera digest, soap opera weekly
soap opera digest, soap opera weekly, oltl: On the show, they called it Together . You can find the lyrics at http://tvmegasite.net/day/oltl/transcripts.shtml just click on that date. I don t think it s out on CD. It s probably one they wrote for the show. You can always write to Soap Opera...

One Life to Live: Song, prom nite, song question
prom nite, song question, music questions: i know.. that some soap tunes are available on itunes.. examples.... all of prom nite the musical... again i will keep this question handy if i have any luck.. 2 problems though.. i can t really remember what it sounded like.. and all we have to...

One Life to Live: song from Jen's service, soap opera digest, lanoue
soap opera digest, lanoue, tvmegasite: Sorry, I don t know that. You should write to Soap Opera Digest because they often answer questions like this in their magazine. http://tvmegasite.net/day/sodemails.shtml You can find info at that link for emailing or writing to them. Good luck!...

One Life to Live: song on oltl, soap opera digest, soap opera weekly
soap opera digest, soap opera weekly, oltl: Hi. I don t know the answer to that, but you should send your question to Soap Opera Digest or Soap Opera Weekly because they have sections in their magazines where they answer questions like this. For info on how to contact them, go to http://tvmegasite.net/day/sodemails.shtml...

One Life to Live: songs, soap opera digest, soap opera weekly
soap opera digest, soap opera weekly, lanoue: On the show, they called it Together . You can find the lyrics at http://tvmegasite.net/day/oltl/transcripts.shtml just click on that date. I don t think it s out on CD. It s probably one they wrote for the show. You can always write to Soap Opera...

One Life to Live: Triangle love w/ Christian-OLTL, hit man, bad guys
hit man, bad guys, triangle: Christian and Jessica were a couple but they broke up because Jessica fell in love with Will Rappaport. Christian later fell in love with Jenn Rappaport. He recently broke up with Jenn to protect her because he felt that her life was in danger from a hit man...

One Life to Live: various, lanoue, one life to live
lanoue, one life to live, hime: Hi! Soap writers frequently do that because they don t like to write for young characters (like Starr s age). They would rather have teens and older because then they can have romances etc. I don t think Kevin is supposed to be 45, though, he s in his 30...

Life Support Issues: 13 yr old boy's mother is dying-cancer, paternal grandmother, luekemia
paternal grandmother, luekemia, compassionate person: Dear Pam, I offer my sympathies to you and your family to the illness and decline of your sister-in-law. Going through an illness is difficult for patient and family however when it is a terminal illness the stress of the situation is paramount to the...

Life Support Issues: 93 yr. old mother, hits and kicks, thyroid problems
hits and kicks, thyroid problems, depression drug: Hi Shirley and thanks for writing, I m sorry to read about your Mother s recent struggles, I hope I can answer your questions for you. First it s important to know that Alzheimer s IS Dementia. Dementia is a disease that causes memory loss and cognitive...

Life Support Issues: Death and Dying, medical caregiver, activity tolerance
medical caregiver, activity tolerance, afternoon snooze: Hi Phillip and thanks for writing, I think your gentleman is simply showing his age, but I would not think his decreased activity tolerance is a sign of imminent death. Most 90-somethings I know do need quite a bit of sleep - commonly 12-14 hrs a night...

Life Support Issues: Death Stages, medical emergencies, progressive series
medical emergencies, progressive series, mental plane: Hi Nick and thanks for writing, I m sorryto read about your Dad s imminent passing, I hope it is peaceful. Below is an excerpt which I think should answer all your questions. I hope this helps and I wish you the very best during the coming hours. God Bless....

Life Support Issues: how do you tell a 4 year old about death?, reall
Life Support Issues: how do you tell a 4 year old about death?, reall

Life Support Issues: My Grandad-Mottling, currituck nc, granddad
currituck nc, granddad, grandad: Hi Melanie and thanks for writing, It sounds to me like your Granddad s body is shutting down and he will pass away in the near future. The best thing to do is to talk to him calmly, say things like we re all here and it s ok, you can rest now - we love...

Life Support Issues: My gigi is 84, geriatric pharmacist, xmas day
geriatric pharmacist, xmas day, loss of appetite: Hi Sunni and thanks for writing, I am sorry to read about your Gig [we called my Grandmother “Gog” (short for “goggles” a she wore glasses)]. My advise to you is to ask if there is a Geriatric Pharmacist and/or Gerontologist who you can speak to; have them...

Life Support Issues: Need some help, oxygen saturation level, medication supervision
oxygen saturation level, medication supervision, chain smoke: Hi Lisa and thanks for writing, I am sorry to read about your Dad’s condition. It really is almost impossible to guess how long anyone can last with a specific diagnosis as everyone is an individual. I can tell you however that I have seen people in similar...

Life Support Issues: how do you tell a 4 year old about death?, talking to children about death, dead birds
talking to children about death, dead birds, inescapable fact: Hi Holly and thanks for writing, Talking To Children About Death Introduction If you are concerned about discussing death with your children, you’re not alone. Many of us hesitate to talk about death, particularly with youngsters. But death is an inescapable...

Life Support Issues: father with copd, sharing poor prognosis
sharing poor prognosis: Hi Dale and thanks for writing, If you’re asking me if I agree with the “3 months” prognosis, I really couldn’t comment as I am not familiar with your father’s specific medical history, but COPD is a progressive disease which usually follows pretty standard...

Life Support Issues: Please I need your help, terminal cancer patients, cancer survivor
terminal cancer patients, cancer survivor, internal peace: Hi Sarah and thanks for writing, I am SO sorry to hear about the horrific experience your family has been put through - she sounds like a very cold and unfeeling human being. I have no professional experience with this but I do suggest you, or his children,...

Life Support Issues: COPD and Congestive Heart Failure, congestive heart failure, copd patient
congestive heart failure, copd patient, comfort measures: Hi Kerri and thanks for writing, This is very general and may not be the course your Mom follows, but I can tell you how an average COPD patient may proceed. Basically the COPD deprives the body of oxygen and the patient becomes short of breath, tires...

Life Support Issues: Kennedy skin disorder?, dying process, ethicist
Life Support Issues: Kennedy skin disorder?, dying process, ethicist, ulcers

Life Support Issues: Should she be fed?, oxygen saturations, nippv
oxygen saturations, nippv, head nurse: Hi Clare and thanks for writing, I do apologise for my tardy response, my Laptop froze on me and I had to get it repaired this week. I’m sorry to read about your Mother’s struggle with COPD, it can be a very frightening disease for both its victims and...

Life Support Issues: Kennedy skin disorder?, decubitis ulcer, degenerative brain disease
decubitis ulcer, degenerative brain disease, bony prominence: Cathy, It sounds like you are describing a decubitis ulcer or what is commonly known as a bed sore . This is an indication that your mother has a bony prominence in that area or there is a friction rub on the skin. This often occurs in the bottom of...

Life Support Issues: no life support and in hospice 3wks, brain stem, organ failure
brain stem, organ failure, nutrition food: Brandi, Everybody is different when it comes to this stage so time frames are not always accurate. If hydration (fluids) and nutrition (food) are not being supplied, the body will shut down anywhere from 10 to 30 days. The body is acting autonomically...

Life Support Issues: Pancreatic cancer involving the liver, palliative care team, palliative care program
palliative care team, palliative care program, health declines: Hi Diane and thanks for writing, It will certainly be a lot of work and a full-time commitment, but I believe the time is irreplaceable and you’ll never regret caring for your Mom during her final months – it’s the best thing I ever did and I’d do it again...

Life Support Issues: stage 4 melanoma, local health authority, brain tumours
local health authority, brain tumours, brain tumour: Hi Pamela and thanks for writing, I would guess that your Dad’s brain tumour is causing all the behaviours you have described; it is not uncommon for people to completely change with brain tumours and very gentler and sweet people can become rude., aggressive...

Life Support Issues: last stages of death, oxygen levels, stages of death
oxygen levels, stages of death, dying process: Hello Scott and thank you for writing, Many people see people (or things or spirits or whatever) during their final days - this is not uncommon at all. I cannot tell you what they are exactly (science says delusions caused by chemical imbalances that...

Life Support Issues: 86 y/o father failure to thrive, under hospice care, hello dawn, uncontrollable bowels
hello dawn, uncontrollable bowels, educated guess: Hello Dawn and thank you for writing, I am sorry to hear about your Father s illness, I’m sure this is a very difficult time for you and your family. Generally once we see mottling, we know the end is near – usually less than 72 hours, but individuals...

Life Support Issues: 89 year old grandmother end stages., duo neb, adavant
duo neb, adavant, vitamin c 1000mg: Jamie, There is no way to tell when someone is going to die in the situation you described. It sounds like she is somewhat coherent which does not sound like end-stage Alzheimers or dementia. If she is eating and drinking, her body is telling her she...

Life Support Issues: my brother on life support, phenmonia, positive outlook
phenmonia, positive outlook, blood stream: Brenda, Just because your brother is on life support does not mean he is going to succumb. Life support by way of ventilation, hydration and nutrition are often utilized as an assisted measure while medications are administered to alter a disease process...

Life Support Issues: COPD+end stage, visiting nurse, staff attention
visiting nurse, staff attention, pullup: Hi Jan and thanks for writing, It sounds like you are all trying to do what is best for your Mother and have managed quite well so far, but now her care needs exceed the abilities of the AL home she is in. The simple fact is you need to assess what her...

Life Support Issues: coping with your best friend having cancer, grief counsellor, spinal tumours
grief counsellor, spinal tumours, friend becca: Hi Keighley and thanks for writing, I m so sorry to hear about your friend s diagnosis - cancer is difficult to deal with at any age, but it s always the hardest with young adults just about to start their life. My advice is to speak to the head nurse...

Life Support Issues: Decision Maker, ethical concept, correct decision
ethical concept, correct decision, natural death: Christiane, The right decision is the decision your father would make if he were capable of doing so. This is the ethical concept of substituted judgment . You need to determine if your father would wish to live in that condition. If the response...

Life Support Issues: 89 year old grandmother end stages., stages of colon cancer, colon cancer
Life Support Issues: 89 year old grandmother end stages., stages of colon cancer, colon cancer, blood stream

Life Support Issues: my brother on life support, brenda, brother
Life Support Issues: my brother on life support, brenda, brother, sorry for your loss

Life Support Issues: grandfathers dying, grandmother, jenny
Life Support Issues: grandfathers dying, grandmother, jenny

Life Support Issues: grandfathers dying, vital organs, family peace
vital organs, family peace, grandfathers: Jenny, I am sorry to hear about your grandfather. A prognosis such as this is meaningless as each individual is different. We believe that we have cheated death when the diagnosis is 6 weeks and the person lives for 4 months. Depending on the disease,...

Life Support Issues: mums death, computer challenges, one more christmas
computer challenges, one more christmas, declining health: Hi Claire and thanks for writing, I apologise for my delay in responding, computer challenges! Please do not feel guilty that you were not at the beside when your Mum passed away. You say she had COPD so I imagine she was ill for quite a while and more...

Life Support Issues: My Uncle, copd exacerbation, doctors and nurses
copd exacerbation, doctors and nurses, vascular dementia: Hi Debbi and thanks for writing, Obviously I am not familiar with your uncle s case, but from what you wrote it does sound like they re writing him off due to his age which is a crime if you ask me. My advice is to do as much of the following as plausible:...

Life Support Issues: Grandfather - end stage renal failure, end stage renal failure, charge nurse
end stage renal failure, charge nurse, painless death: Hi Michelle and thanks for writing, I am so sorry to hear about your Grandfather’s struggle and obvious discomfort. There should be no reason for pain during a person’s passing and I highly recommend you make noise and speak to whoever you need to so your...

Life Support Issues: kidney failure, kidney failure, desition
kidney failure, desition, bowel cancer: Hi Catherine and thanks for writing, This is a very difficult position for anyone to make but you have to base your decision on QUALITY of life and not keep someone alive to suffer. It sounds to me like the healthcare professionals al agree your Dad...

Life Support Issues: COPD, fluid retention, blood work
fluid retention, blood work, difficulty breathing: Sandra, I am sorry to hear about your husband. It is not possible to say without examining your husband whether he is entering the final stages of his life. His appetite may not be good because of the difficulty breathing and/or other problems associated...

Life Support Issues: Fathers Death, Death, Dying
Death, Dying, PCA: Hi Soni and thanks for writing, I am sorry to read about your father’s passing; I know how painful it is to lose both parents at such a young age and so close together. I hope you can understand that it is very difficult to comment on a case when we were...

Life Support Issues: Fathers Death, last hours, freind
Life Support Issues: Fathers Death, last hours, freind, answers to questions

Life Support Issues: mom has end stage copd, narcotics, mom
Life Support Issues: mom has end stage copd, narcotics, mom, brink of death

Life Support Issues: Hospice, Death, Dying
Death, Dying, Palliative: Hi Elaine and thanks for writing, Generally “Palliative” patients are those who have been assessed to have less than three months to live and/or score in the bottom twentieth percentile in a Palliative Assessment tool (which is a person who is quite ill...

Life Support Issues: Liver Cancer, cancer, bioethics
cancer, bioethics, bioethicist: Winnie, I am not an oncologist and suggest your family listen to the treating doctor regarding potential treatments. From your description, his cancer is stage IV in that it is present in 2 separate organs. Clinical trials are probably the only alternative...

Life Support Issues: mom has end stage copd, COPD, end of life
COPD, end of life, palliiative care: Hi Lynn and thanks for writing, As you are no doubt well aware, COPD is a progressive condition which slowly worsens year after year until the patient is extremely weak. I have seen many patients with COPD and other major illnesses peak and valley as their...

Life Support Issues: Removing Life Support, lung biopsy, heavy drinker
lung biopsy, heavy drinker, brain function: Kitty, Sorry to hear about your mother s condition. The first thing you need to do is find out if your mother had a living will or a DNR (Do Not Resuscitate) directive. Prior hospital or doctor visits may shed some light on her desires should she...

Life Support Issues: kidney and respitory failure, DNR, Do Not Resuscitate order
DNR, Do Not Resuscitate order, palliative care: Hi Denise and thanks for writing, I’m so sorry to hear about your Mother s poor health. The first thing you need to do is find out if your Mother had any Living Will, Healthcare Proxy Agreement or DNR (a Do Not Resuscitate order) or any other form of advanced...

Life Support Issues: Looking after my Mother, food chocolate, chocolate bar
food chocolate, chocolate bar, kit kats: Chris, You provided quite an expressive narrative of your mother, however, I am not exactly certain what you are asking. The will to live is often as important as the health of the person. It sounds like your mother s will to live is departing. I suggest...

Life Support Issues: Mother in-law dying, cancer colon, medical emergencies
cancer colon, medical emergencies, progressive series: Hi Lindsey and thanks for writing, Below is an excerpt which I think should answer all your questions. I hope this helps and I wish you the very best during the coming days and weeks. God Bless. Preparing for Approaching Death When a person enters...

Life Support Issues: rectal cancer, Hospice, Cancer care
Hospice, Cancer care: Sandee I think you need to request a family Care Conference asap so you, and any other interested family members, can sit with the healthcare team involed in your Grandmother s care and get all your questions answered .. -what is is diagnosi? -what is...

Life Support Issues: Dying, temporary confusion, sudden onset Dementia
temporary confusion, sudden onset Dementia: Hi Lynda and thanks for writing, Dementia is a slow, progressive disease and does not suddenly occur so I doubt your Mother has Dementia. She may have confusion or delusions due to treatable causes (simple dehydration or medications could cause them). Your...

Life Support Issues: Lung Cancer, stage 4 lung cancer, upper legs
Life Support Issues: Lung Cancer, stage 4 lung cancer, upper legs, case workers

Life Support Issues: my grandmother is sick and has 2 options related to life support, death, medical directives
death, medical directives, living will: Bethany, I cannot answer your question as no ethicist could answer it. The first thing that must be considered is whether your grandmother had a directive regarding her wishes as to nutrition and hydration or other life support measures. This type of...

Life Support Issues: Lung Cancer, Cancer diagnosis
Cancer diagnosis: Hi Rhonda and thanks for writing, I am sorry to read about your husband’s diagnosis; the time after the diagnosis is a very scary time. You and your husband will go through normal stages of shock, bargaining, anger and acceptance. The first thing you’ll...

Life Support Issues: DNR, DNR
DNR: Karen, I am going to answer your question from an ethics standpoint and not give legal advice. From an ethics standpoint, the decision to have a medical procedure does not revoke a DNR (Do Not Resuscitate) Order. A DNR is an expression of the desires...

Life Support Issues: Friend dealing with life support issue on adult child, quardian, adult child
quardian, adult child, medical provider: Mindi, Her mother needs to speak to an attorney immediately to determine her rights. She can also contact the medical provider to let them know her view of the withdrawal of life support. Very truly yours, Paul D. Friedman, M.A., Ph.D., J.D...

Life Support Issues: Mother is in end-stage COPD, early grave, bug spray
Life Support Issues: Mother is in end-stage COPD, early grave, bug spray, pests

Life Support Issues: Morphine, narcotic tolerance
narcotic tolerance: Hi Don and thanks for writing, I think your wife has built up tolerance and her current medication regime is simply not working so you need to talk to her family doctor or oncologist about switching to another medication – no one should be in pain with...

Life Support Issues: Mother is in end-stage COPD, CHF & COPD and won't slow down
CHF & COPD and won't slow down: Hi Belinda and thanks for writing, It sounds to me like your Mother has prided herself on being an active and contributing member of the family all of her life and she’s not going to change now. The CHF &COPD will make her wear out faster and should slow...

Life Support Issues: my son has kidney failure, substituted judgment, best interests
substituted judgment, best interests, conservator: Sandra, I strongly suggest you see a lawyer. If your son does not have decision making capacity, you may wish to become his conservator to make decisions on his behalf. If it is not his wish to become hospitalized and he does have the capacity to make...

Life Support Issues: Cadaver Donation, specified institution, columbia pres, physicians and surgeons
columbia pres, physicians and surgeons, alzheimers society: Hi Marilyn and thanks for writing, I would contact the medical school as they no doubt have forms they use for people who donate their brains or bodies to the medical school for research. Maybe contact the local Alzheimer’s Society as I know many Alzheimer...

Life Support Issues: Failure to Thrive, Advanced Directives
Advanced Directives: Hi Sue and thanks for writing, My first question is what does your Mother want ? Can she not be consulted and participate in the decision making process? Has she never signed a Living Will or Advanced Directives - at 96 I would wonder how this topic...

Life Support Issues: My Grandmother has Cirrhosis of the Liver, Endstage Liver and Renal Failure
Endstage Liver and Renal Failure: Hi Amber and thanks for writing, I am so sorry to read about your Grandmother’s condition – she is obviously very ill and is close to the end. My personal and professional advice is to sit and talk to her doctors and discuss what the kindest treatment...

Life Support Issues: HOME CARE VS. INPATIENT, Hospice Care at Home
Hospice Care at Home: Hi Lyndsie and thanks for writing, It will certainly be a lot of work and a full-time commitment, but I believe the time is irreplaceable and you’ll never regret caring for your Dad during his final months/weeks – it’s the best thing I ever did and I’d...

Life Support Issues: How do we actually die?, Death, Dying
Death, Dying, Palliative: Hi Melissa and thanks for writing, Below is an excerpt which I think should answer all your questions. I hope this helps and I wish you the very best during the coming days and weeks. God Bless. Preparing for Approaching Death When a person enters...

Life Support Issues: bowel problems, Constipation, Constipation in seniors
Constipation, Constipation in seniors: Hi Lori and thanks for writing, Constipation is a common challenge with older adults and it helps to understand what it is to help treat it. Constipation is simply dehydrated stools which are difficult and often painful to pass as they are dry and hard;...

Life Support Issues: Concerned about 92 year old mother, poor intake, poor appetite
poor intake, poor appetite: Hi Carol and thanks for writing, I suggest trying frequent, small portions of her favourites foods (don’t worry about health at this point so it doesn’t matter if she’ll only eat ie cream 4-5 times a day). You can always supplement less nutritious foods...

Life Support Issues: Dad, mental health unit, perforated ulcer
mental health unit, perforated ulcer, psa levels: Sue, I am sorry to hear about your father and wish your mother a speedy recovery. Nobody can answer your question completely but your family can and should act as your father s advocate. His PSA increasing is a sign that his cancer is becoming more...

Life Support Issues: Dying with CHF, Endstage CHF
Endstage CHF: Hi Jean and thanks for writing, This is very general and may not be the course your Mother follows, but I can tell you how an average CHF patient may proceed. Congestive heart failure (CHF), or heart failure, is a condition in which the heart can t pump...

Life Support Issues: Dying with CHF, congestive heart failure, heart failure
Life Support Issues: Dying with CHF, congestive heart failure, heart failure, time frames

Life Support Issues: Quick question, Advanced Directives
Advanced Directives: Hi Skyler and thanks for writing, Advance Directives and Do Not Resuscitate Orders What is an advance directive? An advance directive tells your doctor what kind of care you would like to have if you become unable to make medical decisions (if you are...

Life Support Issues: Bone Cancer, The last good-bye
The last good-bye: Hi Melissa and thanks for writing, You’re right that no one can guess “how long”, really her oncologist would be the best person to give an accurate prognosis. I can suggest that if she makes Thanksgiving it will be her last and Christmas is doubtful....

Life Support Issues: death, How much time?
How much time?: Hello Pennie, I am sorry to read about your Grandmother. Generally someone in hospice has been assessed to have less than three months to live but if she s not opening her eyes or eating than obviously the en is near. There is no accurate formula as there...

Life Support Issues: My father dealing with Prostate cancer, prognosis of time of death
prognosis of time of death: Hi Tanesha and thanks for writing, My advice is to go now if it s important for you to say goodbye so you ll feel you did what you could, but in all honesty if he s not aware of his surroundings (as your Aunt s husband said) then be prepared that he may...

Life Support Issues: My Grandmother, Time left?
Time left?: Hi Lisa and thanks for writing, It sounds like your Grandmother is showing signs of slowing down and that s what the nurses and your sister are commenting on, but it certainly doesn’t mean you need to panic. If she has no serious health issues (heart,...

Life Support Issues: metastatic colon cancer, Hospice care
Hospice care: Hello Irene, I am so sorry to read about your ordeal, how very sad for both of you! “End of life” care is recommended when it’s felt a person will not live more than three months, and from what you’ve described I’d guess he won’t eve survive that long....

Life Support Issues: COPD and Nursing Home, COPD at home
COPD at home: Hello Em and thanks for writing, As you are well aware, COPD is a long, progressive disease so your Mom likely has many years ahead of her. I would suggest looking into having someone sleep in the house overnight just so you have the peace of mind of knowing...

Life Support Issues: COPD and Nursing Home, home heathcare, skilled nursing facility
Life Support Issues: COPD and Nursing Home, home heathcare, skilled nursing facility, short term memory

Life Support Issues: lifesupportformother, Death and dehydration
Death and dehydration: Hello Janet and thanks for writing, I apologize for my tardy response, I was not well myself this past week. I am so very sorry to read about your Mother’s sad condition, this must be tearing you and your family apart emotionally. I can tell that you are...

Life Support Issues: cirrhosis of the liver--end of life, terminal care, end stage liver disease
terminal care, end stage liver disease, cirrhosis: Carole, I am so sorry about your brother. When a family member is dying from cirrhosis of the liver it causes their loved ones to feel both a deep sadness and a sense of powerlessness over this terrible disease. Your brother s disease sounds very advanced...

Life Support Issues: eyes after death, human eyes
human eyes: Hi Phillip, I’m not sure how long after death you are referring to, but I can tell you it certainly does not happen within a few hours. Having been with lots of deceased bodies waiting for loved ones to visit before we remove the remains, the eyes are...

Life Support Issues: cirrhosis of the liver--end of life, cirrhosis of the liver, final stages of cirrhosis
Life Support Issues: cirrhosis of the liver--end of life, cirrhosis of the liver, final stages of cirrhosis, stages of cirrhosis of the liver

Life Support Issues: eyes after death, appearance, passing
Life Support Issues: eyes after death, appearance, passing

Life Support Issues: late stage lung/liver cancer, experimental surgeries, heavy drinker
Life Support Issues: late stage lung/liver cancer, experimental surgeries, heavy drinker, frozen lemonade

Life Support Issues: late stage lung/liver cancer, cancer question, liver cancer
cancer question, liver cancer, healthcare team: For the family t really comes down to when you no longer feel he is SAFE to live alone and the risk of injury is too high to continue respecting his desire to be left alone. Although we d have the right to live at risk, if we have advanced disease and/or...

Life Support Issues: nurse refusal, Palliative Care at home
Palliative Care at home: Hi Jen and thanks for writing, You are experiencing the same stressful challenges many of us in the ‘sandwich generation’ are facing – meeting the needs of our family without neglecting the growing needs of our parents. Obviously we always want to support...

Life Support Issues: father- copd final days?, hot water bottles, mom and dad
hot water bottles, mom and dad, question karen: Karen, I really cannot answer your question. Once your father stops eating and drinking, his time is limited. The body is starting to shut down and the body cannot exist without hydration and nutrition. I do not know if hospice is involved but this...

Life Support Issues: peg feeding, PEG Tube
PEG Tube: Hi Gretta and thanks for writing, It is really hard for me to guess why they are putting in a PEG tube, but from what you describe I think it will probably be there forever. I recommend you simply askthe doctors, you are the family and have the right...

Life Support Issues: Quick Question, hospice
hospice: Skyler, I suggest you contact your state s department of health services and/or adult protective services. I also suggest you find another hospice organization in your area. They are highly competitive and most provide excellent care. It sounds as...

Life Support Issues: SMALL CELL Lung Cancer -What happens at the end when death is eminant and hospice has been called, COPD, end of life
COPD, end of life, palliiative care: Hi Pat and thanks for writing, This is very general and may not be the course your 2nd Mother follows, but I can tell you how an average CHF patient may proceed. Congestive heart failure (CHF), or heart failure, is a condition in which the heart can...

Life Support Issues: end stage liver cancer, perkacet, end stage liver cancer
perkacet, end stage liver cancer, stage liver cancer: Melody, It is hard to say over the internet what is causing your significant other s sleep. Certainly, the medications could cause sleepiness. Also, the body starts to shut down and demands more sleep to preserve the functioning of the organs. It is...

Life Support Issues: grandmother dying, Long Term Care
Long Term Care: Hi Michelle and thanks for writing, Obviously I am not familiar with the details, but from what you tell me it does sound like the home is doing the bare minimum in regards to care and pretty much nothing in the way of rehab. An IV can put her into Heart...

Life Support Issues: Living Will, bioethics, ethics
bioethics, ethics, medical ethics: Evalyn, I cannot answer this from a legal perspective since I don t know where the events occurred, if real, and cannot give legal advice if I am not licensed in that jurisdiction. From an ethics standpoint, a surrogate should not be able to override...

Life Support Issues: Breathing at the end of life, Cheyne Stokes
Cheyne Stokes: Hi Jim and thanks for writing, What you describe sounds like Cheyne Stokes which is an abnormal pattern of breathing, in which breathing is rapid for a period and then absent for a period, can be seen in patients with heart failure, strokes, traumatic...

Life Support Issues: Final Transition Time for 98-year-old Mother, Close to death, time left
Close to death, time left: Hi Karen and thanks for writing, Below is an excerpt which I think should answer all your questions. I cannot accurately guess “how long”, but I can tell you that it is common for people experiencing your Mother’s symptoms to pass on within a few days, but...

Life Support Issues: Pneumonia versus UTI, Antibiotics for UTIs vs Pneumonia
Antibiotics for UTIs vs Pneumonia: The uses of antibiotics in palliative situations is often misunderstood. In my experience we do use them for UTIs as a comfort measure, but not with respiratory infections which would prolong life. UTIs often recur due to reduced fluid intake or catheterizations;...

Life Support Issues: Artificial nutrition at end of life, Demenita, Alzheimer's care
Demenita, Alzheimer's care, Dementia Care at home: Hi Lisa and thanks for writing, I am sorry but I really cannot guess how long your mother may last in her current condition - I have seen too many patients linger for years despite end stage Alzheimer s and no quality of life - they sometimes live for years...

Life Support Issues: CHF Patient with Pacemaker, Death with a Pacemaker
Death with a Pacemaker: Hi Sandra and thanks for writing, I m a nurse and I used to wonder this myself. Basically a pacemaker just sends a signal to the heart either continuously or occasionally, if the beats are too slow or irregular, but it cannot jump start or defibrillate...

Life Support Issues: COPD, Endstage COPD
Endstage COPD: Hi Morag and thanks for writing, This is very general and may not be the course your Mom follows, but I can tell you how an average COPD patient may proceed. Basically the COPD deprives the body of oxygen and the patient becomes short of breath, tires...

Life Support Issues: Having a few second thoughts, Grief
Grief: Hi Emily, I m sorry to hear about your Mother’s recent passing but I do not think aggressive treatments like dialysis would have been appropriate or even successful. It sounds like she was fortunate enough to have a peaceful passing and you are experiencing...

Life Support Issues: hearing voices when terminally ill, Delusions close to death
Delusions close to death: Hi Kylie and thanks for writing, I am sorry to read about your Grandfather s illness, he is lucky to have you there with him. Delusions are not uncommon with people who are close to passing, and there can be several causes. The person may seem to be confused...

Life Support Issues: Late-Stage Alzheimer's Symptoms, Alzheimer's care at home
Alzheimer's care at home: Hi Lisa and thanks for writing, I am sorry but I really cannot guess how long your mother may last in her current condition - I have seen too many patients linger for years despite end stage Alzheimer s and no quality of life - they sometimes live for years...

Life Support Issues: lung cancer stage four, Lung Cancer stage four
Lung Cancer stage four: Hi Adrienne and thanks for writing, I am sorry to read about your friend. Sometimes medical professionals do what they can and not necessarily what they should, but it’s difficult to guess without being familiar with your friend’s medical history. I...

Life Support Issues: ovarian cancer spread to liver, Death, Dying
Death, Dying, Hospice Care: Hi Jenniferl and thanks for writing, Below is an excerpt which I think should answer all your questions. I hope this helps and I wish you the very best during the coming weeks. God Bless. Preparing for Approaching Death When a person enters the final...

Life Support Issues: Stage 4 lung cancer w/mets to liver, kidney & Bone, Death, Dying
Death, Dying, Hospice Care: Below is an excerpt which I think should answer all your questions. I hope this helps and I wish you the very best during the coming days and weeks. God Bless. Preparing for Approaching Death When a person enters the final stage of the dying process,...

Life Support Issues: stages of COPD, COPD
COPD: Hi Pat and thanks for writing, I m afraid COPD is a progressive disease which continually declines; there may be some fluctuations, but the road does go down lower and lower. Anyone in advanced COPD will never be normal again, even during a temporary...

Life Support Issues: My Dying father and my brother who doesn't want to let go, Palliative Care
Palliative Care: Hi Monique, It sounds like your brother is in denial and hoping for a miracle. I suggest rather tan trying to argue and tell him he’s wrong, try to guide him towards palliative care by telling him it offers far more care services and would help your Dad...

Life Support Issues: CHF, Grandmother, CHF
CHF: Hi Stacey, I’m sorry to hear about your Grandmother’s condition, this must be very difficult for you to watch. This is very general and may not be the course your Grandmother follows, but I can tell you how an average CHF patient may proceed. Congestive...

Life Support Issues: COPD, Endstage COPD
Endstage COPD: Hi Julie and thanks for writing, This is very general and may not be the course your Mom follows, but I can tell you how an average COPD patient may proceed. Basically the COPD deprives the body of oxygen and the patient becomes short of breath, tires...

Life Support Issues: copd end of life, Endstage COPD
Endstage COPD: Hi Sandy and thanks for writing, I m sorry to read about your Mom, COPD can be a very frightening disease for those that have and for family watching their loved-struggle to get their breathe. There is no guaranteed prognosis, we can t say If you re...

Life Support Issues: Responses to being taken of life support, lack of oxygen, autonomic response
lack of oxygen, autonomic response, brain stem: Lisa, I am sorry you had that experience and I know that no parent should ever have to bury a child. Although it looked like your son was in pain and struggling for breath, you should feel comforted that this is a normal response for the body when there...

Life Support Issues: advice, Care for terminal patient at home
Care for terminal patient at home: Hi Amanda and thanks for writing, It will certainly be a lot of work and a full-time commitment, but I believe the time is irreplaceable and you’ll never regret caring for your Gran during her final months – it’s the best thing I ever did and I’d do it...

Life Support Issues: COPD End stages, Confusion in the elderly
Confusion in the elderly: Hi Betty and thanks for writing, It sounds like your mother is having Delusions or Hallucinations, and these can caused by many things. The most common cause in older people is a Urinary Tract Infection (UTI) due to decreased fluid intake, dehydrating medications...

Life Support Issues: End Stage COPD/CHF/AFIB, registered respiratory therapist, oral morphine
registered respiratory therapist, oral morphine, hospice care: Julie, There is no easy answer. The question you have to ask yourself is how would your mother like to live. If you feel she would wish to be treated palliatively, then you are doing the right things even if it hastens her death. If you think she would...

Life Support Issues: advice, little water, meds
Life Support Issues: advice, little water, meds, job

Life Support Issues: COPD End stages, carbon dioxide buildup, sodium level
Life Support Issues: COPD End stages, carbon dioxide buildup, sodium level, low sodium

Life Support Issues: 95 yr old grandma, terminal care, dying
terminal care, dying: I would gather the family very soon. Pretty soon she won t be recognizing people. Confusion and hallucinations are an ominous sign that her organs are failing. Although confused, her removal of the IV is her way of stating that she is ready to go. Research...

Life Support Issues: copd, end stage COPD
end stage COPD: Hi Dawn and thanks for writing, This is very general and may not be the course your Mom follows, but I can tell you how an average COPD patient may proceed. Basically the COPD deprives the body of oxygen and the patient becomes short of breath, tires...

Life Support Issues: Dying in Nursing Home/, hospice, terminal care
hospice, terminal care, death and dying: Linda, I am sorry that your father-in-law is so ill. Some nursing facilities have contracts with hospice companies which allow the hospice team to make visits and assure comfort. This is all covered at 100% under Medicare Part A. If the nursing home has...

Life Support Issues: My dad - final stages of COPD, terminal lung cancer, ventalin
terminal lung cancer, ventalin, mom and dad: Hey Michelle, Obviously I have very little info here, but I would guess that yes your Dad likely has only a few weeks left, if that, but you should really speak to one of the regular community nurses as they will be much more familiar with hisexact condition....

Life Support Issues: doctor assisted suicide, terminal care, artificial hydration
terminal care, artificial hydration, artificial feeding: Kim, These are good questions that you ask and ones that medical providers struggle with. I am hopeful that by using the basic values in medical ethics to answer the questions , it will be the most help to you. How can it be legal to administer medication...

Life Support Issues: End Stage Renal Failure, dialysis, end stage kidney disease
dialysis, end stage kidney disease, hospice: Liz, I am so sorry about you and your husband s situation. It sounds like his providers are offering the option of daily dialysis or stopping dialysis. That is an indication to me that he is getting less benefit from the dialysis. Dialysis is the only...

Life Support Issues: End Stage Renal Failure, blood type, dialysis
Life Support Issues: End Stage Renal Failure, blood type, dialysis, kidney

Life Support Issues: Gullet Cancer/Liver Mets, Preparing fo death
Preparing fo death: Hello Julie. It does sound very much like your father is close to passing on; below is an excerpt which I think should answer all your questions. I hope this helps and I wish you the very best during the coming days and weeks. God Bless. Preparing for...

Life Support Issues: Mom final days at home with COPD, end stage COPD
end stage COPD: Hi Tabatha and thanks for writing, I am sorry to read about your Mom’ struggle with COPD, this must be a very difficult time for you and your Dad. I nursed my own Mother at home just as she had nursed her Mother, my Grandmother, a home when I was younger,...

Life Support Issues: Does my Mom have much time left with COPD?, COPD endstage
COPD endstage: Hi Julie and thanks for writing, I apologise for my slow response, I have been ill all week myself with a stubborn virus. As you are well aware, the COPD deprives the body of oxygen and the patient becomes short of breath, tires easily and will rest more...

Life Support Issues: Morphine, pain, cancer
pain, cancer, terminal care: Carol, The expected course of late stage lung/liver cancer entails a lot of sleeping. Most likely he is sleeping because the liver is not working properly. It is very important to stay on top of the pain. Sometimes in the final days, it comes down to a choice...

Life Support Issues: Pending Death from CHF, When should I visit?
When should I visit?: Hi Sandra and thanks for writing, I m sorry to hear about your Mother, CHF is a slow, frightening disease. I m sorry but it s impossible for me to guess how long she may last as there are so many factors that effect prognosis – I have seen people with...

Life Support Issues: POSSIBLE END STAGE ALZHEIMERS, terminal care, death and dying
terminal care, death and dying, alzheimer's association: It sounds like you are doing a wonderful job advocating for and caring for your aunt. You have observed correctly that at some point she does not benefit from the trips to the hospital or the emergency room. Patients like her who are confused, suffer both...

Life Support Issues: behavior prior todying, electrolyte imbalance, electrolyte
electrolyte imbalance, electrolyte, delusions: Hi Debbie, I truly believe this was just a sign that your Aunt was experiencing delusions and/or hallucinations that often accompany the electrolyte imbalance that naturally occurs during one s passing. Some people see other people or things, some talk...

Life Support Issues: death from kidney failure, kidney failure, dying from kidney disease
kidney failure, dying from kidney disease: Ana, I don t really know anything about kidney transplants and the criteria for being on the transplant list. My experience with patients who were dying of kidney failure was that their deaths were very comfortable. Far more comfortable than patients...

Life Support Issues: Glioblastmoma, hopeful attitude, nursing services
hopeful attitude, nursing services, hospice: Avinash, I am not sure what you are asking me. If you are asking how to prolong your life, the best way is to follow the advice of you doctor, maintain a hopeful attitude and take good care of yourself which means allow yourself to take medications that...

Life Support Issues: Hemorrhagic Stroke/ruptured aneurysm, aneurysm, stroke
aneurysm, stroke, end of life care: Jaime, I am sorry about your aunt. Sudden events like this are so difficult for families. Here is a summary of how hospice works and what they can provide. Hospices have contracts with hospitals and skilled nursing facilities to provide hospice inpatient...

Life Support Issues: husband with severe copd ,chronic broncitis, COPD, end of life
COPD, end of life, terminal care: Carol, It sounds like he needs additional moisture to liquify his secretions so he can cough them up. Sometimes a humidifier in the room will help. It also helps that he drink enough fluids during the day to keep those secretions thin. Some people find...

Life Support Issues: Parkinson's, suicide, terminal care
suicide, terminal care, hospice: Shannon, In my years of hospice nursing I had many patients ask this same question. Every patient with a terminal condition wants to spare their loved one the financial and emotional hardship of having to care for them. Being both a hospice nurse and also...

Life Support Issues: Do Not Resuscitate, CPR, DNR
CPR, DNR, terminal end: Khatrina, I am not a doctor but I am trained as a nurse practitioner and worked with hospice patients for 25 years. The most important thing you need to know about DNR s and CPR is that resuscitative efforts for most patients at end of life do not work....

Life Support Issues: Last stages of upper intestinal cancer and kidney failure, kidney failure, hospice
kidney failure, hospice, terminal care: Brenda, I am sorry for your brother in law illness. I am not familiar with that kind of cancer but I can speak to someone having kidney failure. From your description of his uncontrolled symptoms it sounds like he could die very quickly. Days, rather than...

Life Support Issues: copd with congestive heart failure, congestive heart failure, COPD
congestive heart failure, COPD, Hospice care: Sarah, I am sorry about your father s deteriorating health. My experience with patients who have both COPD and Congestive Heart Failure is that they become progressively disabled. They are weaker, less able to walk and increasingly short of breath. Each bout...

Life Support Issues: Dying Process, Tears at time of death, hospice
Tears at time of death, hospice, end of life care: Becky, That was so wonderful that you were able to be with your father in his final hours. I am sure he knew that you were there. Patients usually are not able to see at that point but they can hear. We cannot know for sure what his tears meant and my...

Life Support Issues: My sister has cancer, what to look for, melanoma, liver metastasis
melanoma, liver metastasis, hospice : Emily, I am so sorry about your sister. It is so hard to watch someone that you care about be in pain. First, hospice is an excellent idea. They will have the best ideas about controlling her pain. Once controlled she may be more awake during the day. ...

Life Support Issues: BC liver & bone mets, hospice, end stage cancer
hospice, end stage cancer, pain: Marla, I would then suggest to her to have a Palliative Care consult. They are experts in pain management and can make sure she is on the right medications to control her worsening pain. Having them on board will make having the future conversation about...

Life Support Issues: C&D, life support, death and dying
life support, death and dying : Zach, That depends on their chance of survival. People who are doing fine, then who have a serious illness that can be treated. They would benefit from life support as they will probably survive their illness. For example, the healthy patient who gets pneumonia....

Life Support Issues: Cirrhosis of the Liver, liver injury, throwing up blood
liver injury, throwing up blood, scar tissue: Danielle, I am sorry to hear about your mother. I would suggest you get a second opinion since it is vital that your mother have a true indication of what is happening. If the ER physicians had permission to discuss the matter with the family, they...

Life Support Issues: cancer, hospice care, lung cancer
hospice care, lung cancer, chemotherapy: Gerald, Sorry to hear about your mother s condition. The next step may be chemotherapy. If she is not eligible or does not want chemotherapy, then the providers will treat her palliatively to keep her pain under control. If you live in the United States,...

Life Support Issues: Withholding of food or feeding tube, universal health care, death by dehydration
Life Support Issues: Withholding of food or feeding tube, universal health care, death by dehydration, benefit ratio

Life Support Issues: Kidney Failure / Death, kidney failure, end of life
kidney failure, end of life, terminal care: Ashwati, It sounds like you all are doing an excellent job caring for him. With a Creatinine of almost 5, I don t believe it will be a very long time. At some point, the insulin will do more harm than good with his diminished appetite and at some point he...

Life Support Issues: Withholding of food or feeding tube, stage IV cancer, hospice
stage IV cancer, hospice, end of life care: Gloria, I am glad that you are asking this question. The research on feeding end stage cancer patients artificially at end of life does not show much benefit for the patients. There are some theories that show that there may be an increase in the size of...

Life Support Issues: 4 stage lung & bone cancer/pain, lung cancer, terminal care
lung cancer, terminal care, pain: Debbie, I am so sorry that this is happening to your father. Increased weakness and increased pain are ominous signs in cancer patients so you are very right in being upset. It can be difficult to be 100% sure of the status of his cancer as the scans and...

Life Support Issues: Cancer, death and dying, hospice
death and dying, hospice, end of life: Catherine, I am so sorry about your father. It sounds like his lung cancer has spread to his bones and his liver. His weight loss is very significant. The overall prognosis for lung cancer is poor with only 16% of patients surviving 5 years. It is good that...

Life Support Issues: END STAGE COPD Medications, Hospice Care
Hospice Care: Hi Patti, I am sorry to read about your Mom s struggles with COPD, but I am glad to hear that you both stand up for what you want and refuse medications you re not comfortable with. Some Hospice nurses do, in my opinion, push Morphine (or other narcotics)...

Life Support Issues: Frontal Lobe Dementia and a Peg Feeding Tube, Feeding tubes with dementia
Feeding tubes with dementia: Hi Tracy and thanks for writing, I am so very sorry to read about your Uncle’s sad condition, this must be tearing you and your family apart emotionally. I can tell that you are doing everything in your power to make “the right” decision - has he ever...

Life Support Issues: END STAGE COPD Medications, hospice nurse, morphine sulfate
Life Support Issues: END STAGE COPD Medications, hospice nurse, morphine sulfate, hospice care

Life Support Issues: My Mom is so ill with severe copd., Advanced COPD
Advanced COPD: Hi Julie and thanks for writing Prognosis is really difficult as different people respond differently to the same disease - some pass through the stages quickly and don t live long at all while others exist for years in the advanced stage often due to a...

Life Support Issues: major brain stem stroke, brain stem stroke, cardiovascular disease
brain stem stroke, cardiovascular disease, terminal care: Matias, I am so sorry that you and your family are faced with such a sudden and difficult situation. Let me speak a little bit about brain stem strokes: Strokes that occur in the brain stem are especially devastating. The brain stem is the area of the...

Life Support Issues: acceptance of impending death, palliative chemotherapy, liver cancer
palliative chemotherapy, liver cancer, impending death: Karyn, I am sorry to hear about your mother. Everybody deals with tragedies like this in their own way. Sometimes people are in denial until they can come to terms with their disease. Other times, people set goals to keep themselves alive. I would...

Life Support Issues: bioethics, bioethics, substitute judgment
bioethics, substitute judgment, substituted judgment: Diana, First you try and determine what the wishes of the patient would have been. This can be done through expressed written wishes in a living will or comments made to the surrogates. This is referred to as substituted judgment . If you cannot...

Life Support Issues: copd/morphine, COPD & pain
COPD & pain: Hi Jackie, COPD itself does not cause pain and most patients are not on narcotics like Morphine which also causes shallow breathing. COPD can cause anxiety however which is why many patients take anti-anxiety medications like Ativan. I hope this helps,...

Life Support Issues: Life expectancy of friend currently hospitalised, terminal care, death and dying
terminal care, death and dying, advanced cancer: Priscilla, I am so sorry about your friend. Increased weakness and increasing symptoms (such as shortness of breath) are ominous signs in an advanced cancer patient. As you already know, we are powerless over the course of her disease but the Morphine and...

Life Support Issues: Life Support, life support, death and dying
life support, death and dying: Veronica, This is an interesting question and I am sure that the numbers would be quite large. I did some looking around and I believe the answer is no , that there is no such data. First of all the death certificate would be the source of the data. It...

Life Support Issues: Live cancer -hospice care, liver metastasis, hospice
liver metastasis, hospice, end of life care: Carl. I am sorry about your father. Bladder cancer most commonly spreads to lymph nodes, bones, lungs, skin and the liver. The prognosis is generally poor when it has spread to the liver or bones. It can sometimes be difficult to prove that it has...

Life Support Issues: *-10 Qs., oxygen tubing, oxygen levels
oxygen tubing, oxygen levels, addition comments: Try adding a thickener to the fluids - she may not feel them, or they may not trigger her swallow reflex so if you thicken all her liquids this should help. The sitting up and pulling on tubes sounds like restlessness to me which often accompanies lower...

Life Support Issues: 5th & 6th Qs., dementia, terminal care
dementia, terminal care, hospice: Hi Janet, It sounds like the hospice nurse was concerned that your mother may have pulled the catheter out because she was agitated. Its entirely possible and she may have benefited from the Xanax. The causes of agitation can be multiple. It could be the...

Life Support Issues: 82yo Grandfather with COPD, CHF, and Diabetes, end stage COPD
end stage COPD: Hi Jennifer and thanks for writing, This is very general and may not be the course your Grandfather follows, but I can tell you how an average COPD patient may proceed. Basically the COPD deprives the body of oxygen and the patient becomes short of breath,...

Life Support Issues: 8th - 10th Qs, dementia, terminal care
dementia, terminal care, hospice: Hi Janet You are doing the feeding part perfectly. They simply forget to swallow. Try once or twice to offer food and then stop. Rubbing her cheek or neck is a good idea. There is a point where she won’t take it. Remember that more food will not make her...

Life Support Issues: cardiac pacemaker in 85 yr old PD patient, Parkinson's disease, pacemakers
Parkinson's disease, pacemakers, hospice: Pat, These are very good questions. Let us start with talking about how a pacemaker works. The pacemaker fires an electrical impulse when the heart rate drops below a set rate and this causes the heart muscle to contract creating a heartbeat. Some patients...

Life Support Issues: Dementia, exelon patch, mini strokes
exelon patch, mini strokes, serum levels: Hello Sharon and thanks for writing, I have never seen a dementia come on so quickly, it is a slow, progressive disease that generally deteriorates over years, not weeks! It sounds like your husband is having Delusions or Hallucinations, and these can caused...

Life Support Issues: dying thru starvation, Hospice - how long?
Hospice - how long?: Hi Jennifer and thanks for writing, I m sorry to hear about your Father. but it s almost impossible for me or even his hospice nurses to guess how long your Father may last as there are so many factors that effect prognosis. I can however share with you...

Life Support Issues: End Stage COPD, COPD, hospice
COPD, hospice, terminal care: Janet, Your mother is very end stage in her disease. There is really no life saving treatments that will benefit her. I would not hospitalize her. If she were to go on a ventilator, it would more likely prolong her dying rather than her living. Moving her...

Life Support Issues: End stage COPD, Palliative Care - pain control
Palliative Care - pain control: All good questions ... Constipation - if your Mother is still eating solid food I would give her 1 or 2 LBT3 tablets with her next meal. Give them mid-meal so you re sure her swallowing is okay, and they can have a bitter after-taste so you always want...

Life Support Issues: 82yo Grandfather with COPD, CHF, and Diabetes, air hunger, bipap machine
Life Support Issues: 82yo Grandfather with COPD, CHF, and Diabetes, air hunger, bipap machine, steady decline

Life Support Issues: cardiac pacemaker in 85 yr old PD patient, pacemaker, caregiver
Life Support Issues: cardiac pacemaker in 85 yr old PD patient, pacemaker, caregiver, hospice

Life Support Issues: dying thru starvation, brain surgery, parkinson s disease
Life Support Issues: dying thru starvation, brain surgery, parkinson s disease, friday evening

Life Support Issues: End Stage COPD, hospise, jerks
Life Support Issues: End Stage COPD, hospise, jerks, doctors

Life Support Issues: final stages of congestive heart failure, physical decline, emotional support
Life Support Issues: final stages of congestive heart failure, physical decline, emotional support, hospice

Life Support Issues: toes curling before dying, death rattle, savages
Life Support Issues: toes curling before dying, death rattle, savages, sorry for your loss

Life Support Issues: final stages of congestive heart failure, congestive heart failure, stages of congestive heart failure
congestive heart failure, stages of congestive heart failure, living with congestive heart failure: Hi Tammi and thanks for writing, This is very general and may not be the course your Step-Dad follows, but I can tell you how an average CHF patient may proceed. Congestive heart failure (CHF), or heart failure, is a condition in which the heart can...

Life Support Issues: Kidney failer, kidney failure
kidney failure: Amber, I am sorry about your mother. How long she will live is a difficult question to answer. If her kidney failure is chronic (and not acute) it may be for years. Many patients with diabetes are offered dialysis when they have acute kidney failure. Since...

Life Support Issues: Stage IV prostate cancer, death and dying, end stage cancer
death and dying, end stage cancer, hospice: Jessica, Watching someone decline can be emotionally very difficult. It is out of love for them that we wish their dying could be over. It can be very frustrating when it continues and it is very normal to feel upset. We have so much control over so many...

Life Support Issues: terminal thyroid cancer, terminal cancer, end stage thyroid cancer
terminal cancer, end stage thyroid cancer: Deb, I am very sorry about your sister. Sleeping a lot is expected. She is weak and responding to care givers takes a lot of energy. I am concerned about her agitation. It may be related to pain so she should be assessed for pain and treated to see if the...

Life Support Issues: toes curling before dying, dying, terminal care
dying, terminal care, stroke: Rachel, I am sorry about your grandmother. No, I have never heard nor experienced a situation where someone s toes curled under. What does often happen to the feet and legs is that they become mottled and bluish looking in the final hours of life. People...

Life Support Issues: Advanced Directive and MPOA, living will, bioethics
living will, bioethics, bioethicist: Sandy, I do not know where this occurred and cannot ethically or legally give legal advice. As a bioethicist, I would be highly critical of a facility acting in this manner. I strongly suggest you call Adult Protective Services in your state. If there...

Life Support Issues: Breathing problems, ventilator, death and dying, intensive care
death and dying, intensive care, end stage heart disease: Sherri, I am so sorry about your father s extended illness. The combination of his lungs failing and his getting infections and skin breakdown is a bad one. His bedsore is an indication that his body is unable to heal. He may never get off the vent and if...

Life Support Issues: Chf and copd, heart failure, hospice care
heart failure, hospice care, pacemaker: Shelley, I am sorry about your mother and her recent sad news. A pacemaker is inserted to restore a heartbeat that is slow or irregular. If your mother has fatigue, dizziness, low blood pressure or episodes where she loses consciousness, a pacemaker may be...

Life Support Issues: COPD and what to expect from here, end stage lung disease, COPD
end stage lung disease, COPD, hospice: Lisa, I am sorry about your mother s downhill decline. This condition can be difficult with its periods of acute illness followed by periods of looking better making it difficult for families to know when to switch to comfort care and a home based focus...

Life Support Issues: Congestive Heart Failure, heart failure, hospice
heart failure, hospice: Susan, I am so sorry about your husband. It sounds like he is very ill. When the brain is affected, the whole body is affected. Although fluid has been a problem in the past, his heart is weak and compromised. I would expect the weakness to continue. His...

Life Support Issues: End Stage Radiation Sarcoma, end stage sarcoma, terminal care
end stage sarcoma, terminal care, hydration: Maryann, I am sorry about your niece. Predicting the exact time of death with someone so young can be difficult. Here are some thoughts that I hope will help. If the fluid accumulation is caused by TPN (intravenous feeding) then she may last a while. There...

Life Support Issues: Life Support, brain thinking process, breathing mask
Life Support Issues: Life Support, brain thinking process, breathing mask, muscle problems

Life Support Issues: Life Support, hospice, ventilator
hospice, ventilator, life support: Amy, First, I would research what being on life support is. Life support is uncomfortable so patients need to be medicated and the medication often makes they drowsy. Another fact is that they cannot speak while on a ventilator so if they want to communicate,...

Life Support Issues: life support, family hope, money life
family hope, money life, health insurance: Shelby, You seem to be asking two different questions. If someone is on life support and in intensive care, their bill is payed for by their health insurance (not their life insurance). Medicare will cover the cost of intensive care. Many other health insurances...

Life Support Issues: mother/alzheimers/food intake/dying, foot massages, bladder control
foot massages, bladder control, fecal material: Milla, Most living wills indicate that the patient does not want to be artificially fed. To not be fed usually refers to not be artificially fed via feeding tube. The reason is because artificial feeding is done routinely and whether the person is hungry...

Life Support Issues: Primary Liver Cancer (HCC) - Terminally ill, end stage liver cancer, hospice
end stage liver cancer, hospice: I am so sorry about your father. It sounds like you all are doing a great job caring for him. Sleeping most of the time is normal and eventually his sleeping turns to coma. I would allow him to choose the food and fluids that he wants. Most patients have anorexia...

Life Support Issues: Pulling the catheter out, end stage dementia, foley catheters
end stage dementia, foley catheters: Hello Janet, The larger balloon makes sense if changing her is going to be difficult. I wonder if she is pulling out the catheter because it is uncomfortable? One idea would be to remove the catheter for a couple of days and to see how she does with the...

Life Support Issues: Stage IV Prostate Cancer, peaceful comfort, radiation treatments
peaceful comfort, radiation treatments, lumbar region: Hello George and thanks for writing, I don t know what I said to Lilli (I ve answered thousands of questions over the years), but I am pleased it helped you. I am not a big fan of radiation in advanced cancers unless it is for comfort (which is sounds...

Life Support Issues: 3 serious health issues, non hodgkins lymphoma, hospice care
non hodgkins lymphoma, hospice care, physician internist: Cindy, I suggest you find a primary care physician (internist or family specialist) who you can trust and who will form a relationship with your husband to assist both of you. If appropriate, you should ask the physician if your husband would be a good...

Life Support Issues: COPD, COPD, hospice
COPD, hospice, terminal care: Paula, I am sorry about your mother s worsening illness. COPD is a progressive condition which ultimately leads to respiratory failure. Four episodes of pneumonia is an ominous sign that her lungs are less able to recover from infection. When a breathing...

Life Support Issues: Brain Damage, brain damage, terminal care
brain damage, terminal care, life support : Crystal, I am so sorry about your mother. The damage to her brain is devastating as the brain regulates all the body processes and therefore the rest of her body will be affected by the damage. That is so sad in light of the fact that she was doing so well....

Life Support Issues: final stages liver/lung cancer, lung cancer, hospice
lung cancer, hospice, terminal care: Peggy, I am sorry about your friend s illness. People can live a long time without food. Research has shown that a healthy person can live about 60 days without food if they continue to drink water. When patients completely stop drinking fluids, if they...

Life Support Issues: Liver & Lung Cancer, limited resources, rationing
limited resources, rationing, liver transplant: Zac, The answers to your questions are probably more complex than I can write in this limited arena. The first issue is limited resources. Medicine, like most disciplines, has limited resources. There is a limitation in the amount that can be spent,...

Life Support Issues: Stage IV oral cancer, oral cancer, hospice
oral cancer, hospice, pain management: I am so sorry about your aunt s reoccurring cancer. Her mouth will need time to heal after radiation. After the healing phase has ended she may continue to have a dry mouth but she should be able to enjoy food. During the healing phase she probably has on...

Life Support Issues: chf, emphysema, and lukemia...care at home, blood transfusion, professional nurse
blood transfusion, professional nurse, water pills: Hi Sharon, If the fluid can be managed with oral medication like Lasix, then this can obviously be managed at home if someone in the family is comfortable speaking to his doctor to increase/decrease the water pills as necessary, but transfusions cannot...

Life Support Issues: End of Life Answer for Dierdre and anyone else who is interested, hospice, end of life care
hospice, end of life care, dying: Michael, I am sorry that you are going through this terribly difficult time. It is hard to be in a situation where you have so little control and to be dependent on the assistance of others. You seem to be asking how much longer do you have and what will...

Life Support Issues: Kidney failure- end of life, stages of kidney failure, camode
stages of kidney failure, camode, sensible option: Hello Julie, If getting your Mom up is unsafe then a catheter is very sensible option you should discuss with her doctor. Wishing you all the best, Margot PS: My apologies for my very tardy response – I just moved and I’ve had a heck of a time getting...

Life Support Issues: Catheter Removal, stroke, end of life
stroke, end of life, dying: Stephen, It is good that your family is beginning to prepare for a comfortable death for your mother. That is a valid goal for elderly patients approaching the end of life. It is hard to watch someone that you love decline and hard to understand when decline...

Life Support Issues: copd, clogged artery, current health
clogged artery, current health, health status: Hi Anna, As I m not familiar with your current health status it s very difficult to guess with any accuracy how long you could survive with COPD even with O2, but I would guess that you will not be able to function in the very near future and without intervention...

Life Support Issues: copd end stage, control population, kidneys
control population, kidneys, transplants: Judy, It sounds like things are very difficult for you and I am sorry about that. I have no expertise in transplants. My knowledge relates to making patients more comfortable at the end of their life. I have seen that COPD is a very hard disease to live...

Life Support Issues: dad suffering from liver ca, primary liver cancer, sepsis
primary liver cancer, sepsis, extremities: Hello Michelle, I am so sorry to read about your Father s condition. I would think he will slip away within a few days. If his feet are already cool and dusky, it sounds like his body is shutting down now and the end is near, perhaps with 48-72 hours....

Life Support Issues: Financial trouble during end of life, terminal cancer, dying at home
terminal cancer, dying at home, hospice: Susanne, I am sorry about your friend and her increased stress due to financial troubles. I don t have expertise in this financial area, but my first thought is for her to get a reverse mortgage. The definition of a reverse mortgage (or lifetime mortgage)...

Life Support Issues: Tired of this, puncture wounds, negative cultures
puncture wounds, negative cultures, gram positive rods: Emily, I believe your question was submitted to the wrong expert. My expertise in in end of life and hospice care It sounds like you are dealing with a very difficult situation so I want you to have the benefit of the correct expert. Can you resubmit...

Life Support Issues: End Stage Liver Cancer/Hepatic Encephalopathy, liver cancer, encephalopathy
liver cancer, encephalopathy: Vanessa, I am sorry about your father. His confusion, progressive weakness and increased sleeping are all signs of liver failure. Taking the fluid off will help him stay comfortable but it also causes him to lose protein which accelerates his decline. The...

Life Support Issues: End Stage Liver Disease, aspiration pneumonia, ammonia levels
aspiration pneumonia, ammonia levels, best guess: Nicole, I am sorry to hear about your brother s condition and I am sure it is hard on him as well as the family. There is no way to know how long your brother will survive. It sounds encouraging that they are able to get your brother off of ventilation...

Life Support Issues: End Stage Liver Cancer/Hepatic Encephalopathy, toxicity level, lactulose
Life Support Issues: End Stage Liver Cancer/Hepatic Encephalopathy, toxicity level, lactulose, quick response

Life Support Issues: Follow Up on Liver/Hepatic Encephalapathy, calm before the storm, comas
Life Support Issues: Follow Up on Liver/Hepatic Encephalapathy, calm before the storm, comas, last sunday

Life Support Issues: Follow Up on Liver/Hepatic Encephalapathy, liver metastasis, liver failure
liver metastasis, liver failure, encephalopathy: Vanessa, That sounds like a very good plan. Having him home is best for all of you and the help of hospice will make sure that he is kept comfortable. You are to be applauded for taking on the task of caregiving. With help and support you will have no difficulty...

Life Support Issues: How Does Having Heart Pacer Affect Dying from CHF?, pacer machine, heart pacer
pacer machine, heart pacer, heart pacemaker: Hi Suzanne, Many people ask this question: how can you die with a Pacemaker, do we have to turn it off? Patients and their families often make assumptions that pacemakers prolong the dying process and thus prolong suffering. However, a pacemaker is not...

Life Support Issues: pallative care vs hospice, end stage heart disease, hospice
end stage heart disease, hospice, palliative care: Barb, Your mother would really benefit from hospice care. A Medicare beneficiary is entitled to receive hospice care when the physician s best guess is that her prognosis is less than 6 months. That being said,some patients who receive hospice care actually...

Life Support Issues: is this a recovery?, storm before the calm, family strength
storm before the calm, family strength, comatose state: Hi Stephanie, Although there are some common routes most terminal patients follow, there is no usual and many patients have periods of increased strength - kind of like the storm before the calm . I have seen people who haven t eaten or spoken in many...

Life Support Issues: Confused?, liver cancer, hospice
liver cancer, hospice, coma: Vanessa, It sounds to me like the medications he is taking may build up in his body because his liver cannot process them. His liver (and kidneys) have to work hard to clear the medications from his body. When they cannot, he becomes toxic and loses consciousness....

Life Support Issues: hospice care for father with copd chf dm2, chronic pain patient, hospice nurses
chronic pain patient, hospice nurses, hospice nurse: Rhonda, I am sorry for the loss of your father. If it was your father s wish to be put on a DNR, then your mother did the right thing. If your father never expressed his feelings and your mother felt it would decrease your father s pain, she did the...

Life Support Issues: My Dad with COPD severe stage, copd patient, comfort measures
copd patient, comfort measures, oxygen levels: Hi Sylvie and thanks for writing, This is very general and may not be the course your Dad follows, but I can tell you how an average COPD patient may proceed. Basically the COPD deprives the body of oxygen and the patient becomes short of breath, tires...

Life Support Issues: my mom, pallative care, hospice team
pallative care, hospice team, emphazema: Hello Tina and thank you for writing, I am sorry to hear about your Mother s condition and for the loss you face in the near future. These are all valid questions and should be discussed with the Palliative/Hospice Team to ensure you re aware of their...

Life Support Issues: End Stage Cancer - caregiver, dry itchy skin, cancer caregiver
dry itchy skin, cancer caregiver, stage cancer: Hello Irene. Don t worry, Jaundice is not contagious but it can cause dry/itchy skin as the toxins build up and if your Aunt scratches too much it can cause skin irritations and infection so you ll want to ask her physician about a corticosteroid cream to...

Life Support Issues: GBM, glioblastoma, end of life
glioblastoma, end of life, radiation therapy: Avinash, I answered this question earlier. You will need to ask your doctor some questions directly in order to determine if RT is right for you. Since I don t know the specifics of your condition or have specialized training in your condition, there...

Life Support Issues: hospice, dying by starvation & the stages, hospice, IV fluids
hospice, IV fluids, terminal care: Alice, I am so sorry about your grandmother. I know that you are concerned for her welfare and your questions are important. There has been a lot written about artificial hydration and dying patients. Observations by hospice physicians and nurses show that...

Life Support Issues: ocpd, lb weight loss, medical emergencies
lb weight loss, medical emergencies, dying process: Hello Kathy, It does sound very much like your mother is close to passing on; below is an excerpt which I think should answer all your questions. I hope this helps and I wish you the very best during the coming days and weeks. God Bless. Preparing for...

Life Support Issues: Sense of Smell on Life Support, ICU, ventilator
ICU, ventilator, death and dying: Pamela, You are kind to help your friend in her grief. There is a great deal of anecdotal reporting of smells surrounding patients who are dying. Infected bedsores can smell, the patient s breath can have a characteristic odor as their organs fail and cleaning...

Life Support Issues: Stage 4 Liver Cancer Just DX, stage 4 liver cancer, nexavar
stage 4 liver cancer, nexavar, high blood pressure: Hello Janet and thank you for writing, I m sorry to hear about your Mother s prognosis. As I’m sure people have tod you, each person’s experience with cancer is individual and different, but there are some common routes most people follow, some faster...

Life Support Issues: COPD/emphysema--hospice or intervention?, worse case scenario, mucous production
worse case scenario, mucous production, voice of experience: Hello Julie and thanks for writing, I really cannot comment on your Dad s case as I am not familiar with his medical history. I strongly recommend you request a Care Conference with the primary physician, nurse, Pharmacist, etc and have you and the appropriate...

Life Support Issues: Complications fro surgery, ICU, post op
ICU, post op, respiratory failure: Janine, I think there are some patients that it can take more than one attempt to wean them. It will be a matter of time before it is clear if the future is grim. If he gets infections or develops problems with heart or kidney failure that will make recovery...

Life Support Issues: copd, COPD, pneumonia
COPD, pneumonia, death and dying: Nikki, I agree that it sounds like another infection. She was at high risk for one with her history. In light of her confusion, it may be best for her that she go somewhere like a nursing home because she will need a lot of care and she may decline rapidly....

Life Support Issues: End of life question, brain cancer, medical emergencies
brain cancer, medical emergencies, progressive series: Hello Remy, It does sound very much like your Grandma is close to passing on; below is an excerpt which I think should answer all your questions. I hope this helps and I wish you the very best during the coming days and weeks. God Bless. Preparing for...

Life Support Issues: Grandmother won't eat or drink, frontal lobe dementia, pureed foods
frontal lobe dementia, pureed foods, adequate fluid intake: Hello Nadine, It sounds like your Grandmother is a challenge to care for, but it also sounds like you are doing a great job and she’s lucky to have someone who cares for her as you do. I have know patients over the years with frontal-lobe dementia who...

Life Support Issues: Life Support, life support, death and dying
life support, death and dying, dialysis: Lakia, Yes, many people die while on life support. Life support for terminal patients may prolong their dying process. Yes, patients can receive dialysis while on life support. But consider that the number of failing organs in the body greatly increases...

Life Support Issues: lung=bone cancer 4th stage: further stages of deterioration, stage IV cancer, radiation therapy
stage IV cancer, radiation therapy, end of life care : Yogesh, I am sorry to hear of your father s declining condition. Adenocarcinoma is a type of lung cancer. In the early phase patients can have discomfort, fatigue and shortness of breath. Later they can have cough and increased pain. Your father has stage...

Life Support Issues: COPD, COPD, end of life
COPD, end of life, terminal care: Angie, It sounds like you and your family are doing an excellent job. Patients become so fatigued in the final days and hours that they lack the energy to speak. So she won t be able to communicate verbally. She will be able to communicate nonverbally however....

Life Support Issues: COPD/ Cogestive Heart Failure, end stage heart disease, renal disease
end stage heart disease, renal disease, hospice: Tracy, Your mother sounds very ill. First, she may qualify for hospice care. The criteria for hospice is that the patient is short of breath at rest. If she is accepted into hospice, they can provide her with oxygen and she won t have to meet the Medicare...

Life Support Issues: differentiating copd from lung cancer, lung cancer, COPD
lung cancer, COPD, end stage disease: Elmira, I am glad that you are feeling better about this. I wanted to say first that I am not a physician but have been trained as a Nurse Practitioner. I am not in a position to make a diagnosis. My specialty is hospice care. I agree that if it is important...

Life Support Issues: End of life questions, end of life, hospice
end of life, hospice, weight loss: Janet, It sounds like you have done a very good job with your mother-in-law. Her weight loss is profound and ruling out depression as the cause is important. In my experience with elderly patients the anti-depressants take a few weeks to start working. The...

Life Support Issues: COPD/ Cogestive Heart Failure, congestive heart failure, heart failure
Life Support Issues: COPD/ Cogestive Heart Failure, congestive heart failure, heart failure, live forever

Life Support Issues: Life support, negligent infliction of emotional distress, infliction of emotional distress
negligent infliction of emotional distress, infliction of emotional distress, organ harvest: James, I can answer the first question but the second question asks for legal advice which I cannot give since it depends on state laws and I may not be licensed where this occurred. If a patient is not a registered organ donor and has a DNR, it would...

Life Support Issues: Malnutrition, end stage dementia, fractured hip
end stage dementia, fractured hip, hospice care: Martha, Sometimes patients with dementia refuse to eat because they are in pain. This vulnerable population is often under-medicated for their pain because they do not complain. Signs of pain are: facial grimacing (worse when she is moved)and resisting caregiving...

Life Support Issues: Do I really want hospice involved?, metastatic colon cancer, metastasis to liver
metastatic colon cancer, metastasis to liver, hospice: Teresa, I am so glad that you were able to say all of that. I agree that we all have limits in providing care and that those limits need to be respected. There is no reason that you should have to do more of her care (than others)at the expense of the other...

Life Support Issues: Liver Cancer, end stage liver disease
end stage liver disease: Alexis, When he no longer can swallow fluids, he will die within a few days. If he drinks less than 8 oz or one juice glass of fluids per day he will die within a week or two. He has all the signs of advanced liver disease. His liver is failing. I hope that...

Life Support Issues: are we nearing the end, end stage liver disease, cirrhosis
end stage liver disease, cirrhosis, hospice: Dorris, I am so sorry. This is such a difficult disease for families to cope with. Its also hard to predict when someone will die. Although alcohol inflicts continuous injury to the liver, the progression to liver failure can be slow. If he stops his spironolactone,...

Life Support Issues: Prostate Cancer, medical emergencies, progressive series
medical emergencies, progressive series, mental plane: Hello Regis, It does sound very much like your father is slowing down and likely terminal (probably has less than six months to live in stage 4); below is an excerpt which I think should answer all your questions. I hope this helps and I wish you the very...

Life Support Issues: Terminal Cancer, terminal cancer, hospice
terminal cancer, hospice, lung cancer: Martin, My apologies for getting to this so late. I was away all day yesterday. In the US, the research shows that doctors are overly optimistic about a patient s prognosis. It has been suggested that to determine the correct prognosis (at least in the...

Life Support Issues: Desperately ill Brother, korsakoff syndrome, lymphatic cancer
korsakoff syndrome, lymphatic cancer: I am so sorry about your brother. He sounds very seriously ill to me. My experience in the US is that he will be treated as long as there are treatments available. A definition of Wernicke-Korsakoff syndrome is: It is a two-stage brain disorder caused...

Life Support Issues: fathers illness, prostrate cancer, terminal patients
prostrate cancer, terminal patients, healthcare team: Hello Oliver and thank you for writing, I m sorry to hear about your father s prognosis. I will try to share some brief details about what to expect as his condition worsen. He will continue to grow weaker, have less energy to do things, eat and drink...

Life Support Issues: My Grandmother, renal failure, dying
renal failure, dying, hydration: Sarah, I am sorry about your grandmothers illness. Patients can live without food but not without water. Many patients can take sips of water for a number of days but when they stop swallowing completely, they ususally die within a day or two. Most patients...

Life Support Issues: Husband Terminal - Making Decisions - Family, Medical Team, peritoneal carcinomatosis, pulmonary embolism
peritoneal carcinomatosis, pulmonary embolism, bali indonesia: Hi Susi and thanks for writing, I’m sorry to read about your struggle – unfortunately I see this type of thing happen quite often when different family members don’t communicate or agree on what’s best for the patient and its usually the patient himself...

Life Support Issues: Stage 4 metatastic bone cancer, stages of bone cancer, nerve compression
stages of bone cancer, nerve compression, palliative surgery: Hello Mary. When a person enters the final stage of the dying process, two different dynamics are at work which are closely interrelated and interdependent. On the physical plane, the body begins the final process of shutting down, which will end when all...

Life Support Issues: Mom dying of Liver CA, liver cancer, restlessness
liver cancer, restlessness, terminal care : Vincent, You come from a place of love when you want a loved one s suffering to end. It is selfish when you want them to stay here with you in spite of their suffering. Sometimes when they are totally unresponsive, they still can live for a few days. Patients...

Life Support Issues: COPD, COPD, hospice care
COPD, hospice care, palliative care: Kelle, You mother sounds fragile to me. Most patients with COPD are oxygen dependent and spend most of their day in chair or bed in the final weeks of life. They can feel very short of breath but the oxygen level is pretty good. Oxygen levels below 94% are...

Life Support Issues: end stage facial cancer, terminal cancer, hospice
terminal cancer, hospice: Sharyn, I am glad to hear that he is in hospice care because the hospice team should anticipate everything that he may need as he declines. Most patients with cancer stop eating in the final weeks of life for a variety of reasons. So allow him to pick and...

Life Support Issues: Is giving Megase for Alzheimer's, late stage alzheimer's disease, hospice care
late stage alzheimer's disease, hospice care, megace: Bernice, It sounds like you and your family have done a wonderful job caring for your mother. I will answer your questions but will start by reviewing what we know about Alzheimers Disease. In 1999, the American Medical Association declared that Alzheimer...

Life Support Issues: life support/aunt, respiratory failure, Palliative Care
respiratory failure, Palliative Care: Sandy, That is a very good question. It sounds like your friend has a very serious illness.Recovery often depends on the patients medical condition before they became seriously ill. If he was completely healthy before, he has a greater chance of survival...

Life Support Issues: mom dying, cancer, grief
cancer, grief: Ralphie, It sounds like you have started to grieve for the impending loss of the mother who gave you birth and that same mother who you never really got to know. Your feelings sounds very normal to me. Grief is a lot more complicated when there are some ambivalent...

Life Support Issues: nearing the end of life with prostate cancer, stage IV prostate cancer, metastasis to liver
stage IV prostate cancer, metastasis to liver, metastasis to bone: Charlotte, Thank you for all that information. It sounds like your husband has received the best possible course of medications. There is usually more than one hospice company to choose from. I would start with your husband s physician and ask him if...

Life Support Issues: End of live stages in Lymphoma, stage IV lymphoma, hospice care
stage IV lymphoma, hospice care: Judy, You are correct, the situation can be confusing. There are different cell types which affects the aggressiveness of disease. The symptoms of Lymphoma depend on the locations of the tumor. Stage IV disease means that the disease has spread far from where...

Life Support Issues: 60min. rule after life support is shut down, kidney transplant
kidney transplant: I am so sorry to hear about your disappointment. It must be so difficult to have your hopes raised and then to hear that the transplant is not possible. My expertise is in end of life care so I know nothing about protocols for transplants. I did a search...

Life Support Issues: DNR, heart disease and diabetes, miracles happen every day
heart disease and diabetes, miracles happen every day, bioethicist: Joyce, His stating I want my wife to make all the decisions is not the same as I want/do not want a DNR . You are imposing your value system for your husband but he should be making his value system for his own health care. Medicare, Medicaid, VA,...

Life Support Issues: ADR's, hospice additional development request, hospice eligibility
hospice additional development request, hospice eligibility, terminal care : Hello Carol, It is so nice for me to see someone wanting to improve in this area. Yes indeed, ADRs are here to stay and they serve as a wake-up call for hospices to mindfully consider what it is exactly that makes a patient eligible for hospice. I don’t really...

Life Support Issues: Life support, stage IV pancreatic cancer, terminal care
stage IV pancreatic cancer, terminal care: Espie, I am sorry about your father. The suddenness of his decline must be very hard for your family. Survival under these circumstances relates to his overall health and hydration. People can live without food but not water. In my experience without...

Life Support Issues: Last Days of Life, copd, terminal care
copd, terminal care, hospice: Leslie, I am so sorry this took so long. My internet connectivity has not been good. I am sorry about your father.He sounds like he is truly in respiratory failure. I would plan according to hours or just a day or so. He urinates minimally because he is...

Life Support Issues: Mom with small cell cancer diag beginning year, ventilator, small cell lung cancer
ventilator, small cell lung cancer, hospice: Michelle, I sounds like it has been very difficult for your mother and her family. Many elderly patients fail to seek treatment when they have symptoms. Parents sometimes don t accept our suggestions that they seek treatment. There is nothing that you could...

Life Support Issues: mum,stomach cancer
Life Support Issues: mum,stomach cancer

Life Support Issues: What happens between now and final stage of dying?, signs of approaching death, spinal stenosis
signs of approaching death, spinal stenosis, rheumatoid arthritis: I m afraid not, I have seen people who should live another 3-4 months slip away during a nap after lunch, and I ve seen others who should have passed on 2-3 weeks ago hang on for weeks for no apparent reason. This is why most people with experience in palliative...

Life Support Issues: mum,stomach cancer, hospice, gastric cancer
hospice, gastric cancer, terminal care: Diane, I am sorry about your mother. How much time will depend on several things such as the tumor type, where the cancer has spread to etc. Some patients can die rapidly from failure of an organ or from an infection. Most patients will decline gradually....

Life Support Issues: 57 year old father with liver cirrhosis, alcohalic cirrhosis, end stage disease
alcohalic cirrhosis, end stage disease, hospice: Nicola, I am sorry about your father. He sounds acutely ill to me. You are kind to agree to care for him. My experience with end stage liver disease is that it can be unpredictable. I have seen people linger for months and some that died quickly. His inability...

Life Support Issues: infomation, longevity research, human longevity
longevity research, human longevity, dying process: Waqas, My expertise is in the dying process. What that looks like in the months leading up to one s death. What you are looking for is information on longevity. There is a lot of information out there on that. I suggest you google Human longevity research...

Life Support Issues: End stage COPD and Morphine risk, end stage COPD, hospice care
end stage COPD, hospice care : Lori, Our medical system seems to have failed both you and your mother. Your mother was clearly approaching the end of life and she was hospice appropriate before her last ICU admission. Had she been offered hospice care earlier, the course of her illness...

Life Support Issues: C.O.P.D. final stage, copd patient, home health care
copd patient, home health care, oxygen levels: Hi Barb and thanks for writing, It certainly sounds like your husband is in a very advanced stage of COPD and may be nearing the final stage, although everyone’s experience is different and some folks remain in the ‘final stage’ for many years while others...

Life Support Issues: End of life for Alzheimer's patients, alzheimer's disease, terminal illness
alzheimer's disease, terminal illness, hospice: Wendi, Difficulty swallowing is an expected part of the final stage of Alzheimer s disease. Many people do not realize that Alzheimer s disease is a degenerative disease of the brain that is incurable and not reversible no matter what treatments the patient...

Life Support Issues: Bronchietasis and severe copd and CHF, COPD, Congestive heart failure
COPD, Congestive heart failure, kidney failure: Hi Sylvie, I am sorry about your father s decline. I am glad that you contacted Palliative Care. He seems very appropriate for hospice also and you would receive more hands on care if you went that route. Palliative care will get him on some pain medications...

Life Support Issues: The progression of Liver Failure., Liver failure
Liver failure: Hello Lou and thanks for writing, I am sorry to read about your sister’s struggle with alcohol. The liver is the largest glandular organ of the body. The liver receives 30% of the resting cardiac output and acts as a giant chemical processing plant in the...

Life Support Issues: end stage liver cirrhosis, end stage liver disease, cirrhosis
end stage liver disease, cirrhosis, hospice: Deebee, This must be so difficult for you. Having to watch your father decline so terribly but not really being able to help. It sounds like he is slowly deteriorating from liver failure. He is losing weight but retaining fluid all of which is expected...

Life Support Issues: Removal of Life Support, irreversible brain damage, conscious response
irreversible brain damage, conscious response, spirirt: Hello Jan, I am so sorry to read about the loss of your son. I also apologize for my delayed response - computer issues .. I can tell you with confidence that any reaction you may have observed was the body itself reacting and was not a conscious response...

Life Support Issues: Secondary Liver CA Mets, liver metastasis, hospice
liver metastasis, hospice, pain: Nicole, I am sorry about your mother.The swelling that you are seeing is happening as a result of her liver failure.You are correct that she will get weaker and weaker. Food will not interest her very much and she will have nausea. So you can offer small...

Life Support Issues: Stage IV kidney cancer with liver failure, stage IV kidney disease, metastasis to liver
stage IV kidney disease, metastasis to liver, hypercalcemia: Michelle, I am so sorry about your friend. She sounds very ill. When someone with her cancer gets hypercalcemia (high calcium levels) it is a poor prognostic sign. It only happens with 10-30% of patients like herself and it is associated with disseminated...

Life Support Issues: congestive heart failure, congestive heart failure, swollen ankles and feet
congestive heart failure, swollen ankles and feet, heart failure: Hello MacGregor and thank you for writing, I apologise for my very tardy response but my laptop was acting up and I have had a heck of a time getting on-line for the past 2-3 weeks. Before I answer your question, may I ask what medications and at what...

Life Support Issues: Congestive Heart Failure, End-stage CHF
End-stage CHF: Hi Brooke and thanks for writing, I apologise for my very tardy response but my laptop was acting up and I have had a heck of a time getting online for the past 2-3 weeks. Your questions are very common, a lot of people worry that having a pacemaker will...

Life Support Issues: Ready to let my father go..., gradual weight loss, loss of appetite
gradual weight loss, loss of appetite, medical options: Kate, Yes the research is clear that there is no real benefit to tube feeding. The Alzheimer s association recommends a program of careful hand feeding with foods the patient will enjoy. The Alzheimers association has their recommendations for end stage...

Life Support Issues: Cirrhosis - Lethargy, Cirrhosis, Alzheimers Disease
Cirrhosis, Alzheimers Disease, hospice: Teresa, I am sorry about your father. Let me give you a short list of possibilities for his increasing somnolence. You have already noted that it could be related to his ammonia level. Another possibility is that he may be taking medications that can...

Life Support Issues: life support/ brain dead, drunk driving, traumatic grief
drunk driving, traumatic grief: Megan, I am so sorry for your family to have to endure such a terrible accident and the sudden loss of a family member. When patients are in ICU on life support they are rarely aware of what is going on. They are kept on strong medications and their...

Life Support Issues: Worried that my dad was on BIPAP too long, bi-PAP, end atage heart disease
bi-PAP, end atage heart disease, aspiration : Adam, There is always a process when medical staff in a hospital reverse gears and change the goal of care. It seems when cure is the goal, patients get machine assisted breathing but they sometimes don t get adequate comfort medications (although they...

Life Support Issues: Cirrhosis, cirrhosis, end stage liver disease
cirrhosis, end stage liver disease : Sandra, Your situation sounds very difficult having to watch someone each day choose to destroy their health. It is difficult to say when the end will happen. Vomiting blood is a very bad sign because alcoholics develop esophageal varices and because...

Life Support Issues: lymphoma, end stages, lymphoma, hospice
lymphoma, hospice, pain management : Mary, You are very brave. Let me answer your questions one at a time. If he is able to get up and sit on the sofa, he is not likely in his final days. Most patients in the final days are so weak that they are unable to swallow or get out of bed. Weight...

Life Support Issues: mother, vascular dementia, COPD
vascular dementia, COPD: Deborah, I am sorry about your mother. The link from the Alzheimer s association is below that provides information on vascular dementia. Because your mother has both COPD and vascular dementia her life will be shortened. Many patients refuse to stop smoking...

Life Support Issues: my mother COPD Emphysema, constant cough, copd patient
constant cough, copd patient, vascular dementia: Ensure & Boost etc have a consistency that many people do not enjoy and it turns a lot of people off the supplements all together. I have found that most clients actually enjoy Ensure/Boost when it s frozen as it s both refreshing and tastes good. I would...

Life Support Issues: Taking away life support, experience hunger, hospice patients
experience hunger, hospice patients, pneumonias: Bonnie, The nursing home should do a find job. Ask them if hospice services are available as the hospice team could be a very good support to you. They could also support her ex-husband and help him understand why decisions were made and they will provide...

Life Support Issues: Ability to hear while on Life Support, coma
coma: Valerie, I am so sorry about your father and the tasks that await your family. Letting go of a loved one who has no chance of meaningful recovery takes a great deal of courage and love. Regarding the hearing. There have been accounts of people in a...

Life Support Issues: my mom 85 yr old end stage, copd and emphysema, copd patient
copd and emphysema, copd patient, diarheea: Hi Morgan and thank you for writing, This is very general and may not be the course your Mom follows, but I can tell you how an average COPD patient may proceed. Basically the COPD deprives the body of oxygen and the patient becomes short of breath,...

Life Support Issues: hospice care / stomach tube, dementia, feeding tube
dementia, feeding tube, hospice: Alison, I am sorry about your father. I tried to answer your questions in groups below He had a stomach tube put in place that I now wonder if that was a mistake. There is a lot of research now regarding Dementia. What we now know is that feeding...

Life Support Issues: COPD, COPD, palliative care
COPD, palliative care: Brandy, It must be so hard to watch her suffer like this. I don t know why she does not want hospice but hospice is the key to keeping her out of the hospital and to improving her suffering. What happens with COPD is that as her lungs fail, it causes her...

Life Support Issues: father, failure to thrive, hospice care
failure to thrive, hospice care: Gail, The VA doctor is incorrect.Only 1/2 of hospice patients have cancer. Many patients have what is called failure to thrive and they meet hospice criteria. If your father has lost 10% of his body weight in 6- months (and it sounds like he has) he probably...

Life Support Issues: Cause of Death?
Hello Trudy and thank you for writing, I am sorry to read of your Mother s passing. Obviously I am only speculating based on the information you shared with me so my opinion may not be accurate as without access to your Mother s medical records I am only...

Life Support Issues: I have about a year and want to know how it will end so I can cope, hospice, terminal care
hospice, terminal care: Jackie, I am so sorry about this. What is ahead of you is a period of relative health following by increasing debility. Every cancer is a bit different but they all share the common signs of decline with weight loss and increasing weakness which will limit...

Life Support Issues: Medically Dead?, brain death, harvard definition
brain death, harvard definition, medical death: Sullivan, Medical or Clinical Death is defined as There is no pulse, no respiratory movement and no corneal reflex. Legal Death is defined by each state, however, the Harvard Criteria is utilized by a majority of states and is defined as: 1) Unreceptivity...

Life Support Issues: Liver function
Hello J and thank you for writing, Obviously I strongly advise you do go see your doctor as soon as you can manage it to have a thorough examination and run some tests to confirm a proper diagnosis. Ignorance is not bliss, knowledge is power – only by knowing...

Life Support Issues: Primary CNS Lymphoma, Hospice, CNS Lymphoma
Hospice, CNS Lymphoma: Rachel, I am so sorry about your mother. This site is not really a forum where you can get collaboration with other family members of cancer patients. I am a hospice nurse and can only share my 25 years of experience with you. I see there are forums on...

Life Support Issues: I have a 76 year old mother..., belifes, organ failure
belifes, organ failure, life trust: Hello Marilyn, I m sorry to hear your mother is doing so poorly, It s really hard to give you an exact time period in this case, even if i was able to look at her medical chart it would be hard. it does sound like she has a lot going against her, if the...

Life Support Issues: Affiliations, support conferences, type members
support conferences, type members, experinces: John; Yes, International Near Death Assn. is an organization which gives support, conferences,speakers, sharing with the other 8.5? million NDE rs.They are a non-profit organization with a board of medical and other type members. NDERF is a site which...

Life Support Issues: ALS, referral order, home health care
referral order, home health care, hospice services: Ouch! You have a rocky road ahead of you, and you have my sympathy and my prayers. I am not a doctor, so I can t give you any real medical information, but I will share what ideas I can. First, I would make an appointment with your husband...

Life Support Issues: Alzheimers, dying and bowel problems, health food store, natural laxative
health food store, natural laxative, glycolax: Hi Sherrye and thanks for writing, I tend to agree with you that your Mother is constipated as happens to the majority of immobile seniors. I would suggest going to the health food store and finding a natural laxative she can take daily, I like LBT3 if...

Life Support Issues: Alzheimers and dying, live in caregiver, natures way
live in caregiver, natures way, carehome: Hi Michelle and thanks for writing, Below is an excerpt whioch I think should answer all your questions. I hope this helps and I wish you the very best during the coming days and weeks. God Bless. Preparing for Approaching Death When a person enters...

Life Support Issues: Alzheimers, sole care, skilled individuals
sole care, skilled individuals, terminal condition: NJERI, I am sorry to hear about your husband s condition and your role as his sole caregiver. Alzheimers is a debilitating and escalating chronic and terminal condition. The duration of the disease depends on each individual patient. However, as the...

Life Support Issues: Appearance as death approaches, liver cancer, death approaches
liver cancer, death approaches, medical explanation: Dear Denny The darkening of skin can be seen near death. The circulation to the skin, hands. and feet are decreasing causing the darkening. The exact color has to do with the skin color at the time. If the person dying has a fever the darkening of skin...

Life Support Issues: abusive parent dies ???mixed feelings, old coot, mixed feelings
old coot, mixed feelings, abusive parent: I can feel the mixed feelings in your message. ANGER that your mother was not the type of mother you wante. You do not feel she was loving and not supportive. You were raised by others and she had only negative things to say to you, did she view life as...

Life Support Issues: Not sure you can answer this, simple tests, young person
simple tests, young person, blood tests: Hi R, All patients admitted to hospital have basic blood tests done and these simple tests identify contagious agents (ie: bacteria or virus). People with any kind of infection are quickly isolated if there s any danger to others. Hospitals have review...

Life Support Issues: ards, emphesemia, oxygen levels
emphesemia, oxygen levels, breathing machine: Joanna, I am sorry to hear about your sister and this situation. I cannot answer some of your questions because I have no idea where your sister lives and I do not give legal advice over the internet. Also, I cannot give legal advice if I am not licensed...

Life Support Issues: assisted suicide ???, ethical dilemma, assisted suicide
ethical dilemma, assisted suicide, fifth vital sign: Tracy, Yes I have been ask to be a part of assisted suicide. When ask I ask the patient what knd of pain they were feelinmg. This includes physical, social, emotional and spiritual. Any one of these pains or a combination will compound the suffering...

Life Support Issues: Bedridden, dementia mother won't eat, range of motion exercises, signs of a stroke
range of motion exercises, signs of a stroke, polycose: Hi Denise and thanks for writing, You obviously love your Mother very much and are willing to do anything to keep her comfortable and safe, she is very lucky to have you. If your Mom can only drink fluids (I assume you ve gone from solids, to cut-up,...

Life Support Issues: Bereaved Families, symptom of stress, term depression
symptom of stress, term depression, mental attention: I do not know of any studies that would give a national break down for this subject. And even if there were, it would probably be inaccurate due to the nature of the patient doctor privilege, at best it would have a rate of inaccuracy of 15-20% in either...

Life Support Issues: My Best Friend is Dying, firendship, facility members
firendship, facility members, health care facility: Good luck with the higher ups at the hospital, it s a crime you have to go to such lengths to be with your friend. Bob knows you were a good friend and he is most likely semi-conscious if he s close to death, perhaps you could send him flowers and a card...

Life Support Issues: Brain death, brain death, congenital defect
brain death, congenital defect, vital functions: Oh,okay, Well, it would be very hard to do, even for a doctor. I guess one way to do it would be to give yourself Meningitis which is basically a bacterial or viral infection which crosses the Blood Brain Barrier and causes inflammation in the skull thereby...

Life Support Issues: My best friend has cancer., small cell carcinoma, cancer specialist
small cell carcinoma, cancer specialist, life transition: Hi Bobby and thanks for writing, I m so sorry to hear about your friends traumatic diagnosis and poor prognosis. It always seems so unfair when a young person just at the start of their life is handed such a bad hand. Dealing with people 17-21 is always...

Life Support Issues: breathing at the end, terminally ill patients, human voices
terminally ill patients, human voices, unnecessary stress: Hi Georgia and thanks for writing, I m sorry to hear about your Mother s passing. Obviously I can not guess without being familiar with her case, but I can give your some general information which I hope helps. We do believe that hearing is the last...

Life Support Issues: brother's terminal illness, stages of liver failure, large intestine
stages of liver failure, large intestine, small intestine: Hi Holly and thanks for writing, I m sorry to read about your brother, this is obviously a very stressful time for your family. I was lucky as I never had to face similar discussions with any of my family, we always knew that we would nurse everybody...

Life Support Issues: C O P D, copd patient, home nurses
copd patient, home nurses, comfort measures: Hi Cloyce Jo and thanks for writing, I am sorry to read about your condition, and I will share as much as I can.Please do not fear choking as this is not part of COPD. This is very general and may not be the course your follows, but I can tell you how an...

Life Support Issues: Cancer, cancer girl, grand parents
cancer girl, grand parents, onces: Hello Donna, Firstly i think it s great you came to talk about this. Listen to me, cancer is not a swearing word in any part of the world. The fact that it is hardly ever talked about is what makes it so scary. NO-ONE has the right to call you cancer-girl...

Life Support Issues: Cause of death, exact cause, causes of death
exact cause, causes of death, blood clots: Hi Brent and thanks for writing, I m sorry but I really can t guess as to the cause of your brothers death as I am not familiar with his medical history. Some of the more common causes of death post-CVA include Pnuemonia, Blood Clots and Infection; of course...

Life Support Issues: CLL tx and diagnosis, chest xray, few glitches
chest xray, few glitches, racing heart: Dear Cindy, I would like to begin with an apology. Apparently the system has a few glitches and the response I sent to you did not get sent out. Please do not judge what a wonderful service Allexpert.com offers for this glitch. I praise you for wanting...

Life Support Issues: COPD, skoal bandits, air hunger
skoal bandits, air hunger, little differences: Dear Amy, Your frustration and love for your mother shows your caring nature. Advanced COPD becomes about quality of life and only your mother can determine quality of life. It would appear that a main quality of life issue for her is her smoking. It is...

Life Support Issues: COPD, obstructive pulmonary disease, chronic obstructive pulmonary disease
obstructive pulmonary disease, chronic obstructive pulmonary disease, donna donna: Donna, I am very sorry to hear about your mother s condition. I can answer your question best by giving you a personal story. My mother had lung cancer and had one lung (2 lobes) removed. She quickly developed Chronic Obstructive Pulmonary Disease...

Life Support Issues: COPD, copd patient, short of breath
copd patient, short of breath, grace of god: Hi Donna and thanks for writing, This is very general and may not be the course your Mom follows, but I can tell you how an average COPD patient may proceed. Basically the COPD deprives the body of oxygen and the patient becomes short of breath, tires...

Life Support Issues: COPD, not eating, bleeding ulcer, calories per day
bleeding ulcer, calories per day, urinary tract infections: Hello Kay and thanks for writing, I m sorry to read bout your Mother s struggle with COPD, it is a very difficult and exhausting disease to live with. Your Mother may be close to the end of her life, but I would first want to ensure that her current...

Life Support Issues: COPD last stages, congestive heart disease, hospice care
congestive heart disease, hospice care, stages of death: Hi Regina and thanks for writing, Normally mottling is a sign of the final stages of death, but it can also occur in people with severely compromised circulation and/or oxygen levels. What you want to ask the nurses is: -are there signs that she is...

Life Support Issues: COPD and truth, copd patients, stress level
copd patients, stress level, medical directives: Hi Virgina and thanks for writing, Obviously I do not have a Crystal Ball and have no way of knowing exactly how long you may live; and obvioulsy there are so many other factors on top of the COPD that affect one s lifespan (genetics, historical personal...

Life Support Issues: COPD, congestive heart failure, pulmonary function test
congestive heart failure, pulmonary function test, swollen ankles: Hi Charlotte and thanks for writing, Your husband has two diseases that have similar symptoms which can be confusing. Obviously COPD causes Shortness of Breath (SOB) but so can Congestive Heart Failure (CHF). You need to learn to watch for signs of the...

Life Support Issues: COPING/I HAVE TWO LOVED ONES WITH TERMINAL CANCER, stage 3a, mom talks
stage 3a, mom talks, dizzy spells: Dear Rose, If your mother s doctors have NOT done a ct-scan of the brain, they need to do one to see if the lung cancer has spread to the brain... This may be one of the reasons she is having memory loss and dizzy spells and if it has spread to the brain,...

Life Support Issues: Coma, brain death, brain function
brain death, brain function, brain damage: Dear Meg, Your loss and need to understand is normal. As a friend you may not have been given details and perhaps feel uncomfortable talking to the family regarding details associated with the death. I will attempt to give you some general information....

Life Support Issues: Controlling pain from bone cancer, painful diseases, breakthrough pain
painful diseases, breakthrough pain, hospice care: Hi Lela and thaks for writing, Ca of the Bone is one of the more painful diseases, but no one should be in pain today. I suggest that someone speak to his physician asap and discuss pain relief; get a referral to a Pain Specialist or Hospice for a short-term...

Life Support Issues: Critically ill brother-in-law, stages of prostate cancer, heroic measures
stages of prostate cancer, heroic measures, radiation treatments: Dear San How complex life can be when a person chooses to go it alone and then finally needs help and of course the complexity of life is for those who are permitted to help. In this case it is you and your husband. 1. Rage because he cannot breath....

Life Support Issues: cadaver/organ donation, organ tissue, tissue donation
organ tissue, tissue donation, living will: Michelle, Make your wishes part of a living will. Also, make it a part of your will. Make sure you put your express desires in writing. I applaud you for your insight and desire to express your wishes. Very truly yours, Paul D. Friedman, M.A.,...

Life Support Issues: colon cancer and family, small bowel obstruction, stage 4 colon cancer
small bowel obstruction, stage 4 colon cancer, hospice nurse: Dear Sarah It seems as if life does not deal us a good lot, and so we hear about and in your family live with the end of life at a young age. My sympathy to you and your family. Bowel obstruction can cause pain depending on the location of the obstruction....

Life Support Issues: colon cancer, secondary liver cancer, colon cancer
secondary liver cancer, colon cancer, thoughts and prayers: Hi Jeanette and thanks for writing, I m sorry to read about your Dad. Yes it is very hard to guess at a prognosis as I know so little about him. Generally someone with mets to the liver doesn t last much more than 3-6 months, but older people sometimes...

Life Support Issues: coma, cardiac arrythmia, external stimuli
cardiac arrythmia, external stimuli, brain infection: Dear Daughn, My thoughts are of you and your family while you are in this period of waiting. A coma is a deep type of sleep resulting from an injury. The person does not respond to external stimuli. In the case of your uncle, an injury resulted from...

Life Support Issues: copd and dying, copd patient, comfort measures
copd patient, comfort measures, oxygen levels: Hi Barbara and thanks for writing, This is very general and may not be the course your Mom follows, but I can tell you how an average COPD patient may proceed. Basically the COPD deprives the body of oxygen and the patient becomes short of breath, tires...

Life Support Issues: copd, hospice service, homecare options
hospice service, homecare options, nurses aide: Hello and thank you for writing, I m sorry your Mother is having such a tough time of it, but there is no reason she HAS TO go into a home . She can go back to her own home, or to your home, and be nursed as well as (usually better in fact) than in hospital....

Life Support Issues: How to cope, security death benefits, financial burdens
security death benefits, financial burdens, income situations: Dear Debbie, You MUST draw on your inner strength and most important get a grip on reality and realize that he is going to die and make sure everything is taken care of in advance... This will allow you to spend the guality time you need with him during...

Life Support Issues: cremation, final resting place, crematories
final resting place, crematories, government guidelines: Dear Ed, Cremation is definately one choice for final resting place..... As to what your wife has heard, I have never heard of more than one body being cremated at one time.... Crematories and Funeral Homes have governmental guidelines they MUST follow......

Life Support Issues: Dad dying of Prostate Cancer, kidney problems, family decision
kidney problems, family decision, terminal patients: Hello Sean and thank you for writing, I m sorry to hear about your father s prognosis. I will try to share some brief details about what to expect as your father s condition worsen. He will gradually grow weaker, have less energy to do things, eat and...

Life Support Issues: DEATH & DYING, advanced directive form, health care proxy
advanced directive form, health care proxy, health proxies: Advanced directives and health proxies vary state to state, depending on the state law. I would advise you to seek out a local hospice social worker. Further direction from there would be more helpful. As for your request for pictures, I would assume pictures...

Life Support Issues: Dealing with Death after cancer, grief support group, grief counseling
grief support group, grief counseling, terminal cancer: Dear Brittany, I apolgize for the late response, I have had computer problems. The sadness you feel is normal. It sounds as if yu may even feel close to your mother when you go into her closet of clothes. Her scent may even be there. and may bring you...

Life Support Issues: Death / Blood / Colour, body cavity, dear sally
body cavity, dear sally, lack of oxygen: Dear Sally, This is a frequently ask question and you are on the right path of thinking. The blood no longer circulates and the skin looses its tone as these small blood vessels drain of existing blood into the body cavity. Hope this is helpful ...

Life Support Issues: Death and denial, hospice team, sensitive question
hospice team, sensitive question, own pace: Dear Wendy, PLease accept my apology for the delay in answering your sensitive question about your friend. Even the best of technology does not respond as programmed. Some people do not accept an end of life prognosis or may the last 2-3 days. This...

Life Support Issues: Death from kidney failure, kidney failure, medical emergencies
kidney failure, medical emergencies, progressive series: Hi Angela and thanks for writing, I apologise for my delay in responding but I had to leave the country unexpected for a urgent family matter. Below is an excerpt which I think should answer all your questions. I hope this helps and I wish you the very best...

Life Support Issues: Death and needing to vent, good byes, brain tumor
good byes, brain tumor, bone cancer: Hi Wendy, Please feel free to vent any time - it can be very over-whelming when life hands us so many losses too close together. I was lucky enough to grow up in a fairly large (11 people) and happy family, but from the time I was 16 until I as 24 I lost...

Life Support Issues: Death, hospice nurses, terminal illnesses
hospice nurses, terminal illnesses, colon cancer: Hi Karen and thanks for writing, As you are no doubt aware, there are so many different factors that affect how long we linger with terminal illnesses - apparently healthy people can go in days, and extremely frail people can linger for months - there...

Life Support Issues: Define Life Support measures, dpoa, dr friedman
dpoa, dr friedman, hospice care: Rick, Normally, non-artificial feeding such as manual feeding is comfort care and is not contrary to a DPOA. Artificial feeding through a tube may be considered a life support measure and contrary to a DPOA or DNR. The same is true for oxygen. If he...

Life Support Issues: Died while on life support, open heart surgery, body organs
open heart surgery, body organs, face of the death: Dear Shelby, This is not a stupid question. I applaud you in your desire to understand. Life support is an option when the body systems such as lungs, cannot work as they normally would. An IV sytsem is placed so the patient can receive medications...

Life Support Issues: Dying with cancer, small cell carcinoma, home care nursing services
small cell carcinoma, home care nursing services, massive tumor: Hi Nicole and thanks for writing, I m sorry to hear about your Mother s situation. You might want to contact the Social Worker s at the general hosptial in your Mother s area and ask about services available for palliative patients. Tell them that you don...

Life Support Issues: Dying From Liver Cancer, primary liver cancer, enlarged liver
primary liver cancer, enlarged liver, extreme weakness: Hello Candy and thank you for writing, I m sorry to hear about your Dad s prognosis. I will try to share some brief details about what to expect as your Dad s condition worsen. He will gradually grow weaker, have less energy to do things, eat and drink...

Life Support Issues: Dying And Morphine, poor eye sight, cancer colon
poor eye sight, cancer colon, hi art: Hi Art and thanks for writing, i m sorry to hear about your Mother s condition. Morphine usually does indicate the end is near when dealing with elderly pallitaive clients, but not always. Morphine is an excellent pain killer and can be used loong term...

Life Support Issues: Dying from oral cancer, natural laxative, pain meds
natural laxative, pain meds, tumor size: Hi Margie and tanks for writing, Oral Cancer can be quite painful depending on the exact tumor size and location. Your FIL should not be afriad of analgesics due to constipation and that s so easy to prevent and he must control his pain to maintain quality...

Life Support Issues: Dying Process in the elderly, loss of consciousness, dying process
loss of consciousness, dying process, last breath: Hi Sandt and thanks for writing, I m so sorry to hear about your Mother s condition. Each death can be individual and circumstances will depend on many factors, but most deaths are peaceful events. Although she may not be able to communicate any pain in...

Life Support Issues: Dying, seizure medications, purple appearance
seizure medications, purple appearance, seizure disorder: Dear Lori, Unanswered questions are distressing and sometimes there are no answers. I will attempt to provide some answers based on my experience. Mottling is a great decrease of blood supply to an area of the body. Usually this is seen in the feet, legs...

Life Support Issues: dad dying of aggresive rare liver cancer, rare liver cancer, secondary liver cancer
rare liver cancer, secondary liver cancer, white blood count: Hello Jade and thank you for writing, I am so sorry to read about your Dad s illness. It is very difficult for anyone to guess over the Internet but based on the details you shared with me I would say your Dad s system has very little left to fight with...

Life Support Issues: dad, hospice staff, kidney failure
hospice staff, kidney failure, story question: Nichole, I am so sorry hospice was not of support to you. Please do not judge all hospices as providing this type of service. This has not been the function of the two hospices I where I have worked. What is normal at death? There is not a set way of...

Life Support Issues: death, family memebers, aggressive measures
family memebers, aggressive measures, mother and grandmother: Hi Angela and thanks for writing, For me it was an easy decision as it s family tradition to nurse our loved-ones at home. Both my Mother and Grandmother were Nurses and as far as I know every family member had always stayed at home. As far as making...

Life Support Issues: death, precious time, andrea
precious time, andrea: Dear Andrea, Yes, I agree this seems to happen sometimes. Better does not always mean a great improvement but better than they have been. I have viewed this as a gift of precious time to be used by pt and family. Neither pt or family may recognize the...

Life Support Issues: death, steady decline, calm before the storm
steady decline, calm before the storm, warning sign: Hi Andrea and thanks for writing, I researched to see if I could any information on this topic, but I could not. I can however share my personal experience as a nurse who s worked with palliative patients for 20 years. I have seen the calm before the...

Life Support Issues: What is death?, definition of death, personal quest
definition of death, personal quest, death death: Dear David, Your quest for a definition indicates you may be searching for the meaning of life. I may have misread your search but will give you the basic definition of death. Death occurs when the body systems have ceased to function, with the last being...

Life Support Issues: death and dying, grief work, grief and loss
grief work, grief and loss, old grandmother: Hi Paul and thanks for writing, I have speant my career workign with seniors so i had to do a little reasearch into loss and toddlers and found an excellent article by David A Crenshaw PhD from which i will quote below: Many parents are perplexed about...

Life Support Issues: death and dying, stage 4 cancer, cerebral edema
stage 4 cancer, cerebral edema, optic atrophy: Hi Ashley and thanks for writing, The median survival time from the time of diagnosis without any treatment is 3 months. Increasing age ( 60 years of age) carries a worse prognostic risk. Death is usually due to cerebral edema or increased intracranial...

Life Support Issues: death and dying, stage 4 lung cancer, cancer doctors
stage 4 lung cancer, cancer doctors, arms and legs: Dear Cheryl, The estimate of time remaining is the most ask question related to end of life care. Your report of alternating days of energy versus increased pain and increased sleeping is not one I often observe or hear reported with lung cancer. However...

Life Support Issues: death of father, dear annie, vital organs
dear annie, vital organs, death of father: Dear Annie, I am so sorry to hear about your Dad s experience, dying does not have to be a struggle. Obviosuly i do not know a lot about his condition or situation, but I comment on what you have told me. Part of what you describe is a normal part of...

Life Support Issues: death/signs/nutrition, unwanted chemicals, tea color
unwanted chemicals, tea color, hr period: Dear Tudie, It must be very difficult to watch your mother live this type of life. From the information you have provided it sounds as if your mother has made choices about her method of treatment for her illness as evidenced by her refusal to take medications....

Life Support Issues: death by starvation, congestive heart failure, care for congestive heart failure
congestive heart failure, care for congestive heart failure, hospice care: Hello James and thank you for writing, I am sorry to read about your wife s condition, I hope she has a peaceful passing when is happens. It s really difficult to guess how long anyone will last as each person s passing is different. It depends on many...

Life Support Issues: death, grief counselors, grief process
grief counselors, grief process, pervasive effect: Big question! I could do a doctoral thesis and a lifetime of post-doc research and only begin to answer that. I suspect that lots of people have, in fact, done just that, and you might be able to find this literature at a university library. You could...

Life Support Issues: diagnosis, massive stroke, body organ
massive stroke, body organ, exact system: The event of dying results in multi system failure for various reasons. There is not an exact system that begins to fail but rather a struggle to preserve the main organ (the heart) for sustaining life. Ultimately with the other organs in failure the heart...

Life Support Issues: discussion about impending death, stages of liver failure, illeostomy
stages of liver failure, illeostomy, pain medication: Dear Holly, I want to apologize for the lateness of this answer. My computer has been down for nearly 2 weeks. I am so very sorry. ?To address your question is determine if he knows that his life has limited time. Then proceed to ask him his wishes....

Life Support Issues: Does a dnr stop care for even infections, family hospice, artificial breathing
family hospice, artificial breathing, chest compression: Dear Sharon DNR means do not resuscitate. This further means use of chest compression and artificial breathing to maintain life. Fever does not fall into this definition and is usually is treated and is considered a comfort measure. Treatment of infections...

Life Support Issues: dying, hospice nurse, dying process
hospice nurse, dying process, valid question: Hi Deborah and thanks for writing, It s a valid question, but no, the route does not affect the medication, it only speeds or slows the rate at which it can be absorbed and therefore work. IV is the fastest route, followed by muscular injections, followed...

Life Support Issues: dying from COPD, smooth transition, morphine
smooth transition, morphine, catheter: Clare, I am sorry to hear about your mother s condition and wish her and you my best. Unfortunately, my mother died in a similar fashion after she had a lung removed due to lung cancer. I suggest you speak to your mother s physician or nurse about the...

Life Support Issues: dying WITHOUT dignity, primary cns lymphoma, brain radiation
primary cns lymphoma, brain radiation, generalized anxiety: Dear Kelly, Your pain of seeing your mother in this time of her illness is well stated. Cancer and its treatments include complex issues that involve the dyanmics of not only the physical state and disease process but also the psychosocial, cultural and...

Life Support Issues: dying/ the elderly, local support group, selective choice
local support group, selective choice, mac and cheese: Dear Robin, I know your heart is breaking about the helpless situation you see. First does she have a health power of attorney--someone who makes decisions for her. The medications she takes indicate she has some form of dementia. Dementia is often...

Life Support Issues: dying how long, suffering from dementia, dementia
suffering from dementia, dementia, few days: Hi Patti and thanks for writing, I m sorry to hear about your father s condition. It s really very difficult to estimate how long he may linger as every case is different. If he is receiving an IV with Sugar and Vitamins he could hang on for weeks. If...

Life Support Issues: dying mother??, hospic care, mini strokes
hospic care, mini strokes, mother margot: Hi Linda and thanks for writing, Yes it is very difficult to guess without knowing your Mother s medical history and her current test results, but I can share some general information. It sounds like your Mother is having Delusions or Hallucinations,...

Life Support Issues: dying of old age, brain stem stroke, cva stroke
brain stem stroke, cva stroke, vascular dementia: Hello SK and thanks for writing, I m sorry to hear about what you and your family has been through watching your Grandmother deteriorate over the past few years. She is not experiencing a typical disease process for either CVA (stroke) or Dementia which...

Life Support Issues: Should dying people be put on life support, chris answer, time doctors
chris answer, time doctors, brain dead: Dear Chris, In MY opinion, the only time a dying person should be put on life support is IF they are an ORGAN DONOR and the doctors/family are keeping them alive inorder to get ready to harvest the person s organs... This applies ONLY to people who are...

Life Support Issues: dying process of Parkinson patient, hospice nurse, hospice care
hospice nurse, hospice care, medical emergencies: Hi Kay and thanks for writing, I apologise for my delay in responding but I had to leave the country unexpected for a urgent family matter. All of what you are describing is normal for someonewhose body is starting ti shut down - each person s experience...

Life Support Issues: dying from renal failure, renal failure, scary word
renal failure, scary word, kidney disease: Hello Jeanne and thanks for writing, You are correct, no one can guess but I can tell you that I would expect a frail 80 year old with health issues to not last too long without dialysis. I would guess that if she is in acute failure she would not last...

Life Support Issues: dying from renal failure, chronic kidney disease, physician assisted suicide
chronic kidney disease, physician assisted suicide, end stage renal failure: Dear Matt, This is certainly a difficult time when a pet (has become family). Seeking information to make an informed decision is admirable as many fail to set aside emotion. You are a guy after my own heart. End stage renal failure for people usually...

Life Support Issues: dying, signs of, dying of lung cancer, death approaches
dying of lung cancer, death approaches, time of life: Dear Emilia, Your willinginess to care for your father is to be admired. Your question about what to expect as death approaches indicates your concern for awareness. In addition to sleeping more he will loose control of his bowel and bladder, difficulty...

Life Support Issues: dying stage 4 lung/bone cancer, stage 4 cancer, lung cancer stage 4
stage 4 cancer, lung cancer stage 4, profit hospice: Hi Kim and thanks for writing, It is difficult to be too sure when answering what the discoloration is due to. Swelling and lack of Oxygen certainly can cause bluish discoloration, but it s generally more evenly spread. Motteling realted to death usually...

Life Support Issues: dying, exact moments, three kids
exact moments, three kids, time one: Hi Josette and thanks for writing, I m sorry to hear about your Grandmother. Yes I have seen people hang on for various reasons, make it to Christmas or a special birthday or anniversary, wait for a favourite niece/son to visit from out of town, and...

Life Support Issues: End of life care, cell lung cancer, small cell lung cancer
cell lung cancer, small cell lung cancer, cardiopulmonary exercise: Hi Jayne and thanks for writing, I m sorry to hear about your father s condition, it does sound quite grave. As for ‘end of life care that is also known as Palliative Care or Respite Care, basically care for the terminally ill. This is care focused...

Life Support Issues: End Stage Alzheimers; Swallowing Reflex gone, thyroid replacement hormone, skilled nursing facility
thyroid replacement hormone, skilled nursing facility, dementia unit: Hi Carm and thanks for writing, I m sorry to hear about your Mom s struggle, but it does sound like she s in a good place. You do have the right to have your questions answered and I would persue it if i was you. I ve worked with Palliative clients for...

Life Support Issues: End Stage Information, rn friends, specifc areas
rn friends, specifc areas, third spacing: Dear Amanda, End of life symptoms are very overwhelming. The usual way of understanding our body does not apply since most of us think and often compare to a healthy body. Symptoms of end of life indicate the body systems are shutting down. Your...

Life Support Issues: End Stage Renal Failure Death, end stage renal failure, heroic measures
end stage renal failure, heroic measures, pain meds: Dear Marcia, Renal failure alone is not usually painful. Often the other diagnosis and complications can lead to pain. Most certainly morphine/pain meds should be available to keep you father comfortable. If you find this is not happening talk directly...

Life Support Issues: Eye color at death, milky color, eye color
milky color, eye color, circulation: Hi San and thanks for writings, Eyes can go a milky color near/after death; I have seen this many times - it is not uncommon but I am afraid I do not know exactly why it happens, although I guess it s probably due to decreased circulation. I hope this...

Life Support Issues: end stadges of copd, best intrest, ventalator
best intrest, ventalator, clock care: Dear Chrissy, Your mother s lungs are not able to breath without the help of the machines. A trach will make it possible to continue on the machines comfortably. As for going home,She will require 24 hour care (around the clock care) The question becomes...

Life Support Issues: end-stage lymphoma, cancerous tumor, hospice care
cancerous tumor, hospice care, medical emergencies: Hi Brandy and thanks for writing, Below is an excerpt which I think should answer your questions. I hope this helps and I wish you the very best during the coming months. God Bless. Preparing for Approaching Death When a person enters the final...

Life Support Issues: end-stage non-hodgkins lymphoma, non hodgkins lymphoma, bottom line question
non hodgkins lymphoma, bottom line question, hospice care: Please forgive the delay in a reply. Apparently the reply did not make it to you and I received this notifaction this am. It is difficult to go against your parents wishes such as not contacting the doctor. Sometimes there is a time in life when the...

Life Support Issues: What to expect.........?, gall bladder cancer, hospice nurse
gall bladder cancer, hospice nurse, mother natures: Dear Kathryn S: I am indeed sorry to hear of your mothers illness, and I hope that I can help. SOme of the signs of irreversible decline, are no appetite, more desire to sleep, either more pain, or a decrease in pain, failure to recognize family and friends....

Life Support Issues: What should we expect?, lucky enought, chest consultant
lucky enought, chest consultant, best case scenario: Dear James, I can read the broken heart you carry. Searching out information to help see what maybe next is so very wise. Your mother s disease process seems to be advanced. The issue with knowledge as of this writing is comfort. To focus on the quality...

Life Support Issues: What to expect, fingers and toes, breakthrough pain
fingers and toes, breakthrough pain, soft diet: Hi Jayne and thanks for writing, I am very concerned about your Dad scondition, especially the ack of BMs - this needs to be assessed and treated immediately. You should have him admitted to hospital for pain, medication, neurological and dietary assessment....

Life Support Issues: what can I expect, stage cancer, dying of cancer
stage cancer, dying of cancer, high fever: Hello Julie and thanks for writing, I m so sorry to hear about your nephew. Obviously I am not familiar with his medical case, but from what you have shared I would guess the end is very near. Once the kidney s and/or liver shut down, then the body is not...

Life Support Issues: what can we expect?, cell lung cancer, small cell lung cancer
cell lung cancer, small cell lung cancer, difficult death: Dear Judy, Lung cancer is not always a difficult death. Much depends on other conditions. Call hospice now. The sooner she can get in the program the more all of you will have questions answered that are specific to her and her medical conditions....

Life Support Issues: When can i expect to die?, long and happy life, average lifespan
long and happy life, average lifespan, life expentancy: Hello Lachlan, In Australia, the average lifespan of men ranges from about 75.2 to about 78 or so. If you were born in 1988 you have about 60 years left of the average australian lifespan left. This is a very long time! Many people live long and rewarding...

Life Support Issues: What can I expect from Hospice, home health aide, home health aide service
home health aide, home health aide service, hospice care: Dear Fran, This is a difficult time in your you and your husband s life. What you are both experiencing is foreign territory. I have a motto, you don t know if you do not ask. Thank you for daring to ask. You have not indicated the functional level...

Life Support Issues: What to expect with sick elderly mom, palliative care unit, spinal fracture
palliative care unit, spinal fracture, breast ca: Hello Patti and thanks for writing, Believe it or not, she could go on for many years in her condition - I have seen it many times! Obviously she has many risk factors and may develop a terminal condition any time, but she may also go on and on defying...

Life Support Issues: What to expect with stage IV prostate cancer when treatments have failed, computer challenges, transfusion therapy
computer challenges, transfusion therapy, pelvic bones: Hi Lilli and thanks for writing, I apologise for my delay in responding but I had computer challenges. Below is an excerpt which I think should answer all your questions. I hope this helps and I wish you the very best during the coming months and weeks. God...

Life Support Issues: what to expect, liver failure, liver function
liver failure, liver function, catastrophic event: Hello and thank you for writing, Your Step-father is in the End Stage of his disease process and the end is not far away as I m sure you re no doubt aware. He will retain water (hence the bloating) and will be quite yellow (as the Jaundice increases) due...

Life Support Issues: Father is ill with Lung/Bone Cancer, chronic back pain, radiation treatments
chronic back pain, radiation treatments, bone cancer: Dear Scott, Your concerns are not premature and a focus of pain control and comfort are for realisitic. Your father s symptoms are classic for advanced cancer. The big question is what does your father see as his care goals. Pain of the bone...

Life Support Issues: Fear of death and dying, elizabeth kubler ross, tiny blessing
elizabeth kubler ross, tiny blessing, irrational fear: Marj; Yes, my first was in 1965 from cancer, the second in 1989 from stomach bleedout, and the third in 1993 from a heart attack. I BRGGED the LIGHT to let me stay each time but you are slammed back into your body after the Universal light says your...

Life Support Issues: The Final Process, grief counseling, grief support
grief counseling, grief support, nurses station: Dear Holly, How caring and compassionate you are. Your concern for your grandmother is more support than you may realize. At this point those who care about your grandmother are her gift from each of you. At this time that life support is ended it...

Life Support Issues: Friend with Cancer, end of life decisions, fitness age
end of life decisions, fitness age, glossectomy: Hi Debbie and thanks for writing, It s really hard for me to say as I am not familiar with the case but I would imagine if he is sedated around the clock that he would probably not live more than a few months, eventually he ll probably get pneumonia and...

Life Support Issues: abusive parent dies ???mixed feelings, trusting god, character qualities
Life Support Issues: abusive parent dies ???mixed feelings, trusting god, character qualities, unloved

Life Support Issues: Bedridden, dementia mother won't eat, dementia, drinks
Life Support Issues: Bedridden, dementia mother won't eat, dementia, drinks, fructose corn syrup

Life Support Issues: My best friend has cancer., encouragment, best friend
Life Support Issues: My best friend has cancer., encouragment, best friend, cancer

Life Support Issues: brother's terminal illness, liver failure, hepatic coma
Life Support Issues: brother's terminal illness, liver failure, hepatic coma, ivs

Life Support Issues: COPD, morphine, ativan
Life Support Issues: COPD, morphine, ativan, grandma

Life Support Issues: COPD and truth, diease, copd
Life Support Issues: COPD and truth, diease, copd, mom

Life Support Issues: Critically ill brother-in-law, living wills, dnr orders
Life Support Issues: Critically ill brother-in-law, living wills, dnr orders, pain medication

Life Support Issues: copd and dying, anxiety medications, thoughts and prayers
Life Support Issues: copd and dying, anxiety medications, thoughts and prayers, old mother