Great blog going on here. I've worked so many hospice cases and I feel so very blessed being able to take this walk with patients and families. I've had family members say "What should we/can I do NOW?", looking for some guidance for medical interventions......I always say "Talk to her/him. Even if you don't think they can't hear or understand. Talk about shared experiences/memories. Tell them things you never felt comfortable about saying, like what he/she has meant to you in your life. Tell them you love them. Tell them you'll miss them, but that you will be okay and that it's OK to let go." At first, they may be dismayed when you say that to a family member; but I can't tell you how many people have told me later they were so thankful for that advice.If they are religious it's okay to remind both patient and family that Jesus is standing beside the still waters and He is holding out His hand, and it's likely that_________(previously deceased loved one) is there with Him. I also will sometimes say that dying is the easiest thing they will ever do, it's just getting there that is difficult. I'll tell the family that our bodies are built to try to survive and that what might be seen from the outside as suffering is the body doing what it is supposed to do, but there is at some point for the patient a kind of mental disconnect from what the body is going through as it is winding down and shutting down. Since I live in the Bible-belt, there isn't alot of resistance to spiritual stuff, and I have a little ritual I do with a patient going through the bodily struggle of fighting to keep living; I say the Lord"s Prayer and the Twenty-third Psalm into the patient's ear, and sing a verse, quietly, of "I Come To The Garden Alone". Believe it or not the patient passes within 5-10 minutes of that! Some of my co-workers say they hope I will be on-duty when "the time comes". I sometimes tell the patient that I will hold their hand on this side until Jesus takes their hand on the other side. I am so blessed by this work and I know some folks would think I'm nuts to say this, but I love that God has given me such inner peace about death and dying, and I love when I can be the one to accompany someone on this part of their lifes journey..................For myself, I'm with mariehas4kids; I want to tatoo DNR on my chest along wiyh a notary-public's seal and my doc's signature!!and the words:" I MEAN IT!"