2.  Hospice-a facility or program that provides physical, emotional, and spiritual care for dying people and support for their families.  Terminal Illness- an illness where there is no chance or recovery

3.  Part of the normal cycle that all living things go through  Past People died in their homes  Present People die in the hospital or nursing home  Some people choose to be taken care of in a hospice.

4.  Own Facilities  Visit home or hospital  Hospice should be used at an earlier stage of the illness.

5.  Hospice involves a team approach using the following providers.  Family caregivers;  The patient' s personal physician;  Hospice physician (or medical director);  Nurses;  Home health aides;  Social workers;  Clergy or other counselors;  Trained volunteers; and  Speech, physical, and occupational therapists, if needed

6.  The purpose of hospice is the following:  Manages the patient's pain and symptoms;  Assists the patient with the emotional and psychosocial and spiritual aspects of dying;  Provides needed medications, medical supplies, and equipment;  Coaches the family on how to care for the patient;  Delivers special services like speech and physical therapy when needed;  Makes short-term inpatient care available when pain or symptoms become too difficult to manage at home, or the caregiver needs respite time; and  Provides bereavement care and counseling to surviving family and friends. Facts on last two slides provided by: http://www.longtermcarelink.net/about_hospice_care.htm

7. 1. Denial 2. Anger 3. Bargaining 4. Depression 5. Acceptance http://oldfashionedliving.com/dying.html

8.  Uncomfortable  Cover up grief by false cheer  Refusal to talk about grief  Keep away from dying person

9.  Visit the person as often as possible  Let the dying person direct the conversation  Try not to be shy about discussing death  Talk about your long term goals

10. http://www.hns.org/CenterforGriefHealing/TheGrievingPro cess/tabid/90/Default.aspx

11.  http://helpguide.org/mental/helping_grievin g.htm http://helpguide.org/mental/helping_grievin g.htm  Be a good listener  Write a sympathy note or purchase a sympathy card  Help with everyday errands  If necessary, help your friend get counseling.