Learn about Molly’s innovative workshops on end-of-life planning that utilize art projects to inspire deep conversations.
In this episode I share an interview with Molly Stuart who is a lawyer, artist, chaplain and hospice volunteer. She teaches a wonderful workshop on end-of-life planning that includes art to help people uncover their deepest values and concerns.
Watch this episode on YouTube to view Molly’s slides:
The month of April features National Healthcare Decisions Day and in honor of that event I am sharing the 10-day S.M.A.R.T. Decisions Challenge – a free challenge that will help you get your end-of-life planning done with guidance along the way by email.
You can still sign up for A Year of Reading Dangerously if you’d like to read one book a month with us about death and dying! Sign up here.
Get the Teaching Guidelines for a Death & Dying Class and you’ll be on the list to hear about upcoming Work Groups and a Mastermind Group for Death and Dying Class teachers. Download the guidelines here.
Thank you to my latest supporter on Patreon.com/eolu: Kathy Lynch and thanks also to Cathy Duke for increasing your pledge! I’m so grateful for your contributions!
My guest Molly Stuart shares information about her innovative end-of-life planning workshops. We discuss:
How she got interested in teaching about end of life issues
The complicated nature of advance care planning
The 3-part workshop she designed, which includes:
Practical end-of-life medical and legal issues
Emotional aspects of living while knowing you’re going to die
Transformation and legacy
How Molly uses art to address:
The creative projects her students create as part of her workshops
How to create a legacy art project after the death of a loved one
Remember to tune in every Monday for a new episode and if you enjoy this content please subscribe and leave a review on iTunes!
Learn how a minimalist lifestyle can help you find more joy and meaning as you approach the later days of life.
In this episode I share my thoughts on why the minimalist lifestyle could help us avoid excessive and unnecessary medical treatment at the end of life. In addition there are many other benefits to living simply and with “less is more” as our goal when we get older.
You can still join A Year of Reading Dangerously and confront your own discomfort about death, dying and the afterlife by reading one “dangerous” book each month in 2018! Sign up here!
Get the Teaching Guidelines for a Death & Dying Class and you’ll be on the mailing list to learn about the next class on creating your own course in death and dying coming up soon! Sign up and download here!
I’m so grateful this week to my latest supporters on Patreon.com/eolu! Thank you so much to Glenda Myles, Malynda Cress, Karen Britton, Mila Martin, and Tami Yinger! Your generosity means so much to me! If you want to join them go to Patreon.com/eolu to learn more about the bonuses you’ll receive for signing up!
The minimalist movement is all the rage right now among millennials and it has a lot of positive aspects we can learn from. The emphasis is on living simply, with less material possessions in order to have more joy and freedom in life. This lifestyle could serve us well as we approach our own end of life. Here are some ways to live more simply:
Clear out possessions that you no longer use or cherish. This idea has been described in a recent blog and book about the Swedish practice of “death-cleaning.”
Comes to terms with mortality. Recognize that life is finite and death is inevitable, therefore it is important to be intentional about how you live each moment in every day, including what kind of healthcare you choose.
Take control over your healthcare – be proactive and question recommendations in these areas:
Medications – Ask if the drugs you are taking are still necessary, if they could be causing side effects or creating negative interactions with one another. Ask if you can try reducing dosages or the number of medications you are being prescribed. Many seniors are taking at least 5 prescription medications according to studies.
Annual exam – studies show that the annual physical exam wastes money and time and might even be harmful. Ask if you can decrease to one physical every 3 yeats.
Health screenings – Over age 70 it is no longer recommended that you have the following screening tests: colonoscopy, mammogram, PSA, pap smear. Studies show that excessive screening can lead to false positive results, over-diagnosis and harmful over-treatment.
Plan aheadand be prepared in order to minimize complications in these areas:
Aging – How will you manage the physical changes of later life? Who will help you?
Housing – Where will you live if you can’t stay in your own home?
Terminal care – What type of treatment do you want to receive at the end of life and for how long?
After-death care – What type of funeral and burial do you want to have?
Learn to live in the moment – so you can enjoy all of life.
Learn why the Death Education movement is vitally important right now for our society and get inspired to teach your own class about death and dying!
This week I’m continuing my focus on death education by discussing some important reasons why right now we desperately need more death-ed in every aspect of our society. Learn how you might become a death educator in your own community and start to share your knowledge to help others become aware of death.
You can still join A Year of Reading Dangerously and start reading books about death and dying with 700 other people around the globe! You’ll get to take part in live Q&A discussions with the authors of many of the books we are reading. For February we are reading Smoke Gets in Your Eyes by Caitlin Doughty–and she’ll be joining our discussion at the end of the month! Sign up now by clicking here!
Thanks again to all of my supporters at Patreon.com/eolu! Your generosity and encouragement mean everything to me! Become a patron for as little as $1 per month–where else can you do so much good with just $1? Go to Patreon.com/eolu to learn more.
Today I’m discussing why we need death education everywhere in our society and here are some of the places where it should take place:
Home – parents need to learn how to talk about death and dying with their children rather than shielding them from the reality of death
Schools – high school and college classes are a perfect place to introduce death and dying to young, curious students who can only benefit from learning more about death. (Next week I’ll share an interview on this podcast with Stacy Smith who teaches The Psychology of Death & Dying to college students, and on EOLU at the end of February I’ll present an interview about a high school elective on Death and the Meaning of Life with the teacher and 3 of his students.
Churches – clergy of all faiths need to be educated about death and dying so that they can better support their congregants on end-of-life issues within their belief system
Workplaces – employers need to understand the impact of death and grief on their employees in order to create supportive policies for bereavement leave; workers need to know how to interact with co-workers who are suffering with illness and grief
Medical system – doctors, nurses, and all other providers of healthcare need education in how to get comfortable with death, talk about it with patients and families, guide decision-making, initiate conversations with patients
Hospitals and nursing homes – need education to create sacred spaces for dying, to support patients and families at the end of life and honor patients’ wishes
Some of the reasons why death education is so important right now are:
We are living longer and the incidence of complex diseases like Alzheimer’s is increasing which creates a need for better advance planning. Patients and families need to prepare for the type of medical care and caregiving that may become necessary and understand how they can provide for those possibilities in the future.
Medical technology continues to advance at a rapid rate. Our ability to forestall death and keep a body alive has far outstripped our willingness to grapple with difficult end-of-life decisions. We need education to help people plan and prepare for the future and be pro-active about the care they receive. Studies show that those who think and talk about death are more likely to put their wishes in writing, to talk with others about their wishes, and to stop medical treatment when it is no longer helping.
Ethical and moral dilemmas about end-of-life issuesare splitting our society and families. Debates over physician-assisted dying and discontinuing medical care when it is not helping are going to increase with the aging of the Baby Boom generation. According to Pew Research Center surveys: 47% of Americans favor assisted-dying laws and 49% are opposed; 66% believe that there are times when doctors should stop treatment and allow patients to die a natural death, but 31% believe that doctors should always do everything possible to prolong life. These opposing perspectives are likely to be present in families too, especially if no advance planning has been done.
The high cost of being unprepared for death. Lack of advance care planning can lead to higher medical expenses, especially if the patient receive extreme care that was not actually warranted or wanted. Families unprepared for funeral planning are more likely to choose higher cost options and be vulnerable to unscrupulous marketing practices when they are grieving. Failure to plan ahead and put wishes in writing can cause increased stress and guilt for family members who must make decisions without any guidance.
The emotional and spiritual cost of ignoring death. As described in episode 127, death is our greatest teacher about life. Those who fail to recognize the inevitability of death are less likely to live to the fullest and appreciate the moment because they think they have plenty of time.
If you care about any of these issues and have been learning about death and dying by listening to this podcast and the End-of-Life University Interview Series, you are the perfect person to become a “death educator.” Start by sharing what you’ve learned with family and friends and consider putting together your own class in your community to help educate others.
You can download my free pdf: Teaching Guidelines for a Death & Dying Class and get some tips and tactics for starting your own community death-ed class! When you download the handout you’ll receive an invitation to a special work group I’m putting together in March on brainstorming your class.
Stay tuned to future episodes of this podcast to get more information about death education: next week I’ll share an interview with Stacy Smith about teaching college students about death and dying. On February 22nd I’ll present an interview on End-of-Life University with the teacher and students from a high school death-ed elective.
I hope you feel inspired to become a “death educator” in whatever capacity suits you, whether you simply share your knowledge with family and friends or start a class in your community!
If you enjoy this podcast please consider leaving a review on iTunes – it will be greatly appreciated!
Learn some steps you can take NOW to ensure that you will be at peace when you reach the end of life.
This week I’m sharing with you my reflections on what it takes to be at peace when you die. I just observed the 5th anniversary of my Mom’s death and I was inspired to create this podcast by thinking about the peace she experienced at the time of her death and how she was able to achieve that!
Thanks to my latest supporter on Patreon.com/eolu: Cheryl Durden! Your contribution to this podcast and to the End-of-Life University Interview Series is greatly appreciated!
After writing a blog this week called “Why Some People Don’t Die in Peace” I decided that I should go further and address HOW to actually be more at peace when the end of life arrives. So here are my thoughts! These are all things to start working on now in order to be at peace in the end:
Plan ahead for your time of dying: What type of care do you want to receive? Where do you want to be when you die?
Hear my far-reaching dreams and ideas for changing the way people die in the U.S. in 2018.
In this episode I talk about some of my own personal goals for the New Year and then discuss a list of ideas for ways in which we need to improve all aspects of the end of life. Get some inspiration for steps you can take within your own community and in your own personal life to “Be Good at Death.”
I’ve started a new year-long reading group called A Year of Reading Dangerously for 2018! We’ll be exploring death and the afterlife through books that hopefully will inspire us and stretch our boundaries. Sign up to receive a monthly email with the book selection for the month and a downloadable reader’s discussion guide. Join the fun!
A HUGE thank-you to my latest supporters: Claire Turner and Dr. Leslie Robinson. Your contribution is greatly appreciated as it helps defray the costs of producing and broadcasting this podcast and the End-of-Life University Interview Series, but it also provides me with much-needed emotional and spiritual support! To donate as little as $1 per month go to Patreon.com/eolu.
There is a new pledge level on Patreon-the Platinum level-where for a donation of $5 per month you’ll receive replays of ALL of the End-of-Life University Interviews for 2018. So check it out now!
What we need to do to “Be Good at Death” in 2018″:
Policy Level changes needed:
Improve reimbursement for Palliative Care
Stabilize and improve reimbursement for Hospice Care
Establish a system for paying family caregivers
Medical System changes needed
Integrate Palliative Care into Primary Care and therefore …
Increase home-based palliative services
Rank hospitals according to the quality of end-of-life care provided (based on an article by Dr. Haider Warraich from Duke University). Dr. Warraich’s criteria for this ranking include:
“percentage of patients with a documented health care proxy
percentage of patients who receive heroic measures like cardiopulmonary resuscitation or cardiac defibrillation
appropriate use of hospice and palliative care
the likelihood of a family recommending the hospital for end-of-life care
whether patients’ location of death was concordant with the place in which they had wanted to die
availability of around-the-clock spiritual resources
the training the medical team receives for dealing with the medical and psychosocial issues that arise when death is imminent” ((Thank you Dr. Warraich for this fabulous idea!))
Medical Education changes needed
Train all medical providers in palliative care (at least a one-month rotation) regardless of specialty
All medical students work with dying patients in at least one rotation
Teach better conversational and listening skills to medical providers
Help medical providers process their own fears and biases toward death and their repressed grief
Learn how to make the best choice for an advocate for your end-of-life wishes.
In this episode I discuss the importance of choosing the right person to be your healthcare advocate. This might be the most important decision you will make regarding your end-of-life wishes, so choose wisely!
Learn the myths and facts about Cardiopulmonary Resuscitation.
In this episode I’ll discuss the misunderstandings that exist in our society about CPR, primarily due to the way it is portrayed in movies and on television programs, like House and ER. It’s important to know the truth about CPR in order to make the best decisions for our future healthcare.
Be sure to sign up for “An Evening with Ira Byock, MD” on August 21st. Help us celebrate the 20th Anniversary of his book Dying Well. You’ll receive the replay if you can’t attend live.
You can help support this podcast by making a small donation ($1 or $2 per month) at Patreon.com/eolu. Thank you to my latest contributors Karen Greer and Barbara Richardson. I really appreciate your support and it helps me keep the podcast and the End-of-Life University Interview Series on the air! Check out Patreon.com/eolu.
This is a follow-up to the latest interview on EOL University Interview Series with Dr. Fred Mirarchi, and ER physician who has conducted the TRIAD Studies (The Realistic Interpretation of Advance Directives.) In that presentation Dr. Mirarchi shared how advance directives like Living Wills and POLST forms are often misinterpreted by healthcare providers, resulting in patients receiving less or more intervention than they specified in their paperwork. You can listen to Dr. Mirarchi’s talk here.
three myths about CPR that are commonly believed
the true statistics about the outcome of CPR
the difference between CPR and the use of AED’s (automated external defibrillator)
when CPR might be called for and when it is likely to cause more harm than good
issues to consider when completing your CPR or DNR directive
You can download the handout “Facts About CPR” from the Colorado Advance Directives Consortium by clicking below: