[marachne]

Just one last thought from my own experience of very religious patients who do not want symptom relief: As the disease progresses and physical distress becomes worse, yes, patients will sometimes revisit their beliefs and change their mind about what approach works best for them. When that happens, the family is often several steps behind in seeing what "makes sense" at that point for their loved one.

None of this really adds anything to what has been said before -- i.e. make sure you're getting the patient's view and not the family's, continue to offer options and explain consequences, but it may help to frame what is unfolding

[weavrvirgorising]

Thank you for your quick reply. This is a very strong of faith and kind-hearted woman of 88yr old. I could communicate more about what may happen in the disease process but she always refuses meds and says "I'm alright, Maggie." Her daughter just wants to respect her wishes also but wants the best for her Mom. Our founder compares the dying process as being as difficult as the birthing process and it may be that people just don't realize how long it takes. Luckily, the mother and one daughter are very close and can talk about what is happening. Thanks again for your kind words. Maggie

[weavrvirgorising]

Thanks so much, what you have shared has helped immensely. Maggie