I work hopsice. Yesterday one of our patients was actively dying. Let me give you a little background on the patient. 42 years old, Downs Syndrome, lives in institution. Mom and brother visit infrequently. Ok so when I got there yesterday this little guy was obviously not long for this world. His mom and brother came after several phone calls. After I assessed him I went over to his mom and in a low voice I said. Your son isn't doing well. I went through the signs of impending death, verbalized he was peaceful and wasn't suffering. And then I said. "He can still here you, so if you want go over and speak to him." She then said to me. "Oh, I have never spoke to him. I don't think he understands me" :uhoh21: Broke my heart. How can you not speak to this little guy. He had the sweetest face. He may not understand you, but what about a familar, kind voice? A living human being not spoke to by his mother. Then I tried to see her side. I know I have never dealt with a mentally ill child so maybe this was her defense mechanism. But I can't see myself not talking to my child. I mean, as soon as my children were born I was talking to them. Newborns that maybe couldn't understand the words coming from my mouth, but could sense the love. Am I being unreasonable? Sorry I am rambling but this has really bothered me.