Hospice, Funerals, Cremation and Saying Goodbye

By Katana Abbott
My mother was diagnosed with Dementia in May 2006 while my step-father was dying of lung cancer.  Hospice was our saving grace.  I had no idea how wonderful their support and advise would be during Dad’s last few months of death.  He died on my birthday, October 24, 2006.

My mother lived at Sunrise Assisted Living and enjoyed her life very much.  In fact, I just received a copy of the last letter her friend, Norio, of Japan received from her.  Here is a quote from her note, “I don’t have much to say since I don’t do anything except play cards anymore.  I hope you are enjoying every day of life.  I sure am.”

On December 8th, 2009, Hospice was called in to help my mother since her health had deteriated so bad.  I knew the routine and went through mourning on my way home from her place that day.  Between Hospice and Sunrise her last month was very pleasant and I enjoyed every moment with her.  She passed away peacefully on Thursday, January 14th.  I had a traditional funeral with a cremation immediately following the service.  I was told that 50% of families are now choosing cremation.

Since my mom’s name is Rose, I am planting a gorgeous Rose Garden with her ashes this spring right in the middle of our circular brick paver drive.  There is a huge stone there already, so I will have it inscribed with her name.

After the service, my loved ones and I had the pleasure of going through the dozens of photo albums, scrapbooks, and letters she and my father exchanged when he first went into the army.  I also came across a stack of poems written by my godmother’s husband, George Richardson, a distinquished poet and one of her best friends since high school.  I would like to share it with you now…I promise you will read it twice and it will bring tears to your eyes…

My dear I lay awake last nigh

Till you were by my side -

The lights were out, the dog was gone

My God I almost cried

I heard your voice as you came in

The first time late for bed –

I thought at first it may bave been

Just something I had said

Twas then I made my mind up dear

I’d be a better mate -

And rid myself of all the doubt

The years of jealous hate

And as you stood beside my love

The scent, it filled the room -

So like the smell that meant so much

When we first bride and groom

The song you picked to play that night

My eyes I kept them shut -

How wrong I’d been through all these years

Within my stubborn rut

I tried to raise my hand to you

With ring that we had wed-

But that’s when you apologized

For all that you had said

I guess that’s when I first felt good

Our friends were all around -

I knew I couldn’t reach you now

And Where that I was bound

The kiss you placed upon my lips

AS though it dealt by fate –

Within my coffin I did lay

Your kiss was two days late

~George Richardson

About the author:  Katana helps women ages 43-60 create lives of abundance, joy and financial freedom while following their passions.  She is a Certified Financial Planner and Caregiving Expert.  You can contact her at katana@designateddaughter.com

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Hospice, Funerals, Cremation and Saying Goodbye

Caregivers and When to Bring in Hospice?

Thanksgiving with mom

Thanksgiving with mom

What do you do when the doctor recommends calling Hospice for your loved one?  After visiting my mom on Thanksgiving and watching her finish her entire dinner, it was shocking to visit her just a week later to find her on oxygen.  My daughters were in tears as we played a couple hands of rummy with her while I held her cards and played for her.  Just weeks ago, she had been able to play independently…plus she actually beat me at a few hands.  How does this happen so quickly?  I called her doctor, and he recommended that we contact Hospice for a consultation.

I am very familiar with Hospice.  My step-father was diagnosed with lung cancer at 86 in October 2005.  We managed to keep dad healthy and enjoying life (beating all odd, the doctor said) and finally called in Hospice in June.  Hospice was our saving grace until he died on October 24, 2006 on my birthday.  I love Hospice.  I’ll share that story with you one day…now back to mom.

Yesterday, I surprised mom on her birthday.  She is just 76 and suffering from dementia and a series of unexpected falls that have caused this sudden change in health.  She was very excited to see me with her gift and cards in hand.  She was just finishing up with her last therapy session that was related to her hospital stay and subsequent rehab stay at Fox Run.  It gets complicated, doesn’t it?

I have been crying on and off every day and feeling this pit inside my stomach since I realized that my mom really is declining.  I have been asking myself did we do all that we could have, did I choose the right doctors, what chould I have done differently?  It’s funny how we do this to ourselves.  I am sure I am not alone with these types of feelings, right?

When I look into my mom’s eyes now she seems to be telling me all is fine and she is ready to go and be with Dale (my step father), and her mom, dad, bothers, and Aunt Madge.  She smiles all the time and is just happy to be with me and grateful for the moments of time we have together right now.

I am calling Hospice tomorrow as her doctor has recommended.  It seems so final, but I know it’s the right thing to do.  What are your feelings about Hospice?  Thank you for your support right now…and I send my love to all of those who are going through this same process right now.  Feel free to share your thoughts…

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Caregivers and When to Bring in Hospice?

Caregiving and Gratitude

Yesterday I visited my mother at Sunrise Assisted Living.  She had just moved over to their Reminiscence – dementia section.  At first I was worried that she would not like it, but after visiting, I found that the homey setting which resembles a very large open kitchen, dinning and living area was perfect for individuals at this level of need.

Mother's Day with Mom in Chicago

About six weeks ago, my mom had a short stay in the hospital and than spent three weeks in rehab at Fox Run, an Ericson Facility, my mother spent her days in bed, often in a hospital gown.  Although their nurses and care was excellent, my mom was bored and sleep most of the time.  At Sunrise, she is up and dressed, her hair and nails are done every Thursday.  They even gave her a pedicure.

I visited mom yesterday, and she looked beautiful…she could not get the smile off her face.  She loves her new room and we even played a game of cards.  It’s amazing how lucid she was after my experience last week when she barely recognized me.

Today while I was preparing turkey dinner, my brother ran over to see mom and had a Thanksgiving lunch with her.  I even received a call from her nurse giving me an update on her condition.  She said mom would not be able to travel to our home today, but she was doing much better after the “house call” from the Sunrise physician.

My heart goes out to all these wonderful caregivers.  Thankyou for giving your lives in the service of others so our loved ones can maintain their dignity and quality of life.

Reminiscence

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Caregiving and Gratitude

Caregiving Dilemma: dehydration, over medication or what?

As a caregiver to my mom, I am forced with a huge dilemma right now.  A week ago, I went to visit my mom at Sunrises Assisted Living.  She was still in bed at 10 am.  Recently, she has been wanting to sleep.  She was excited to see me when I woke her up, so I helped her with her shower, and then helped her get dressed.  I was shocked to see how much she deteriorated in her abilities to manage on her own and it puzzled me.

Mom and DadMom and Dad

 

How could my mom be experiencing such huge changes in her physcial and mental abilities so quickly and what could I do about it.  I decided to spend a few hours with her to see how she was managing her daily activities.

I took her to the dinning room and asked the chef to prepare scrambled eggs, toast, OJ and coffee.  When it came out, not only was it delicious, but I was thrilled too see my mom devour every last bite.  She had no problem managing her breakfast independently and we had a great time together.

Next, I invited her to play rummy and she was thrilled.  We started playing in the bistro, and soon we had a full table of other players.  Mom played quite well.  The only issue was that I had to remind here when it was her turn.

One week later, last Saturday evening, I stopped over to say goodnight and to my horror, my mother was in here wheel chair, looking off into space with a dazed look.  She did not recognize me, and could not speak or move her legs.  What was going on?  I pulled out one of her photo albums, and began to show her pictures asking her who these people were.  When I showed her a picture of herself, she replied, “Mum-ma”, like a talking doll.  When I asked her to identify her recently deceased husband — my stepfather –she  replied, “Pa-pa”.

I called the attendants in to help my mom to bed…and left in tears.  What was going on?  One thing I noticed is that my mother seemed very dehydrated, so I called the nurse and requested that they monitor her food andn water intake and make sure she is given water regularly with a straw as if she was in a hospital.

I noticed that she even had a problem swallowing the water and pills that night…and I was told that she has lost interest in eating.

What does a daughter do at this point?  What do you do when a loved one is unable or unwilling to feed themselves and begins to refuses food?

Please share your stories and experiences with me for my upcoming book with co-author and Legacy Expert, Meredith Bromfield called, The Designated Daughter:  Caregiving and Legacy Planning.   Thank you.

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Caregiving Dilemma: dehydration, over medication or what?

Caregiving and Aging

July 10, 2008

As you know, I have been a caregiver to my parents. I am thankful I was able to communicate early with my folks, in fact, 15 years ago we had the conversation and I am able to enjoy time with my mother, without the stress of being the day-to-day caregiver. She lives at Sunrise Assisted Living 10 minutes away and is enjoying her security and comfort brought on by good planning. The planning we did as a family has allowed her to have plenty of income and security for the rest of her life. It also allows me to follow my dreams of writing, speaking and traveling. If you want to learn how to be prepared for caregiving with your loved ones, please feel free to visit www.DesignatedDaughter.com and download your free copy of our Caregiver’s Manual which will take you through the steps I took 15 years ago, as well as our Designated Daughter ezine. No matter where you are in the process there is a plan and help that’s perfect for you and your loved ones caregiving needs. Please let us know how we can support you. If you are a caregiver for a loved one, please be part of our survey and tell us, “What is the single biggest challenge you are facing today as a caregiver?” You can submit your response simply by filling in the comment box below under “Leave a Reply”. We also would like to hear your questions on our blog.

When Parents Need Caregiving: How to Prepare for that Call in the Night

Pat Samplesby Katana Abbott
Founder, Smart Women’s Coaching

As women, we are often expected to fill multiple roles: loving mother, career woman, supportive wife or partner and for many, a new role – that of a caregiver to aging parents or disabled loved ones. For the last 20 years, I have helped clients create financial plans for their “golden years,” and address issues of aging and remaining independent.

We all dread the idea of that “call in the night” – the one that means we must step into the “Designated Daughter” role, manage our parent’s lives and make tough decisions about their care and welfare. But for many of us, that call will come, and it pays to have everything in place in advance. Here are five steps that you can take now to get prepared:

Step 1 – Get Organized
Before attempting to discuss financial, tax and estate planning issues with your loved ones, be sure to sit down with a financial advisor and get your own life plan in order.

Step 2 – Initiate “The Discovery Conversation” with Your Loved Ones
One way to initiate this conversation is to ask them what they would do if something happened to you. Do they know the names and contact information of your advisors? Your doctors? Do they know where to find documents such as your will, or medical forms? This may help lead the conversation into what your role would be for them. Are you needed as a caregiver, a trustee, or a personal representative? Who else might be involved? Knowing this up front will help you plan for your own future.

Step 3 – Start Planning as Early as Possible Don’t wait until the unexpected happens. It’s never too early to start planning for the unexpected. Meeting with an attorney, financial planner and insurance agent to create the proper planning may be all it takes to make sure your needs are met. Planning early when your have the most options makes sense – being proactive rather than reactive. Step 4 – Consider Purchasing Long Term Care Insurance
Start the conversation when your parents or loved ones are young and healthy and then suggest that they apply for long term care insurance as early as possible. We are living much longer and the need for healthcare and related services is exploding. In fact, seriously consider purchasing your own policy now while you are still healthy and the premiums are affordable!

Step 5 – Create a Team of Trusted Advisors This is not the time for-do-it-yourself-planning. Find a “key advisor” who is an eldercare expert and have them manage the team with you based on your loved ones goals, values and objectives. The final product should enable your loved ones to maintain their dignity, lifestyle and assets. It should also meet the needs of the caregiver. The end result: everyone involved should be able to sleep better at night knowing all concerns have been addressed and that a team and a plan is in place to meet the unexpected.


Katana Abbott is currently writing, “Secrets from a Midlife Millionaire – Create Your Perfect Life”. After a 20-year career, she left her $100 million investment management and financial planning practice to follow her dream of helping women find their passion, be financially aware and prepared, have access to the right resources and meet some of the top business-building experts in the country. Visit www.smartwomenscoaching.com to sign up for her free 7-part audio mini course, “Your Perfect Life Focus” and to access her other programs!
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