Dying Well

Posted by edsutton @edsutton, May 4 12:07pm

Dying well is (hopefully) the last part of our efforts to age well.

As part of our life planning, we need to think about what dying well means for each of us.

And it is not easy to distinguish clearly between reasonably hopeful planning for our dying days and what is just “hoping for the best” while avoiding real preparation.

We need to recognize that at some point dying becomes something we cannot bargain with. It will eventually happen on its own terms.

It is reasonable to think about what we hope for, but then we need to ask “What can I do to increase my chances of dying as I hope?” and “What should I do to prepare for the possibility that things may not go as I hope?”

For those of us who are planning and making life/home adjustments to age in place, do we also hope to die in place? Do we also have plans if it turns out that dying in place is not possible? What are these plans?

I’ll share some personal things later, but will stop here for open ended responses.

Interested in more discussions like this? Go to the Aging Well Support Group.

Reading everyone's posts, two things stand out for me : first, coming to terms with death and dying, and second, making sure you don't leave a mess behind. I was diagnosed with ALS last year, and so far am still independent and leading a full life, but I know that my time is limited. When my late husband died six years ago, he left behind an incredible mess. The children and I didn't even know what bank accounts he had! My husband had been a banker, so he handled all our finances - big mistake! It took my lovely adult daughter six months to sort everything out, and have the household functioning smoothly. When I was diagnosd with ALS, one of the first things I did was get all my paperwork done. First, of course, I updated my will. Then I put together the following legal documents : an Enduring Power of Attorney, an Advanced Care Directive, appointment of a Medical Decision Maker (which are legally binding) , and a list of My Wishes (which is not legally binding, but indicates things which are important to me, such as charitable donations and indicating which of my posessions
I would like to go to particular people.) I put all the original documents in a file - all my children know where it
is, so when things start to get serious all they have to do is pick up the file and all the informaion is there. I live in Australia, so some of these documents might have different names in other countries - ask your GP. It is NEVER too early to have your paperwork sorted - two months ago, my 36 year-old son had a stroke! Can you believe that? To cut a long story short, he recovered very quickly, and with follow-up treatment he has made a full recovery, and is already back at work.
As to coming to terms with dying yourself, that is something each of us has to come to terms with in our own way. If you follow a religion, then you will know what to expect. If not, then it is up to us individuals to think about our lives and come to understand that death is an inescapable part of life. Personally, I believe that each life has meaning, but we can't know more because we are only human beings, and we do not have the caacity to understand. We have to trust that we are part of an immense cycle of life, and we live on in our good acts and the genes we pass on to our children.
There is a koan (learned saying) which monks in the Rinzai sect of Zen Buddhism use for meditation :
"What was your original face, before your parents were born?" I am not at all worried about dying, only about suffering, and we now have VAD (Voluntary Assisted Dying) in all States of Australia, so that anyone with less than 12 months to live and suffering terrible symtoms from cancer, ALS and other life-ending conditions can ask for a medically assisted peaceful death if and when the time comes.
I believe that the thing we need to focus on when thinking about death is other people and our relatonships.
We can't take material things with us, but we can work on our relationships with partners, children, family and friends so that we can leave behind a legacy of love, to pass on to the next generation. Sorry if I have trod on any toes, @ellu

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Profile picture for Jayhart @jayhart

@kjoed53 You are so very fortunate that your mom thought ahead. I ask my 89-year-old mom to get her things in order and make a list of who gets what when she passes. Not only does she not want to talk about it, but she wants my siblings to come by her home after her funeral to "pick what they want". As a meticulous planner, this whole scenario drives me crazy, and I know how badly things can unravel when it comes to going through "possessions." Mom lives 4 miles from me and the rest of the kids are thousands of miles away.

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@jayhart
My mom was special, even more special than any of us realized until she was gone. Regretfully, she celebrated her 100th and 101st birthday during the covid lockdown.
Maybe the next time you're all together, try to get everyone to talk about it. I'm not sure how to put this the right way, but maybe talk to mom about what would remind them of her when she is gone. Maybe wording it like I always remember you wearing that necklace/bracelet/ring for family occasions and every time I see that necklace/bracelet/ring I think of you and how special you are to all of us. Jewelry should be cherished for the memory it brings back rather than the monetary value. The same with other things. Maybe that would work but maybe not. I gave my mom a pearl necklace one Christmas and she left that to my daughter. If anyone gave your mom something, maybe leaving it to them makes sense. Sorry for the long comment. Hopefully you'll figure out something before you have to.

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Profile picture for kjoed53 @kjoed53

@jayhart
My mom was special, even more special than any of us realized until she was gone. Regretfully, she celebrated her 100th and 101st birthday during the covid lockdown.
Maybe the next time you're all together, try to get everyone to talk about it. I'm not sure how to put this the right way, but maybe talk to mom about what would remind them of her when she is gone. Maybe wording it like I always remember you wearing that necklace/bracelet/ring for family occasions and every time I see that necklace/bracelet/ring I think of you and how special you are to all of us. Jewelry should be cherished for the memory it brings back rather than the monetary value. The same with other things. Maybe that would work but maybe not. I gave my mom a pearl necklace one Christmas and she left that to my daughter. If anyone gave your mom something, maybe leaving it to them makes sense. Sorry for the long comment. Hopefully you'll figure out something before you have to.

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@kjoed53 Thank you for your helpful suggestions. I think my mom would love hearing the memories we share!

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Profile picture for Jayhart @jayhart

@kjoed53 Thank you for your helpful suggestions. I think my mom would love hearing the memories we share!

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@jayhart
When the frail body is gone, the Spirit (it's a "real" thing) remains. We have receivers for it, if we recognize there is transmission, and "turn our receivers on."
When everyone gets together and "remembers" MANY receivers are turned on, and the "signal" becomes clearer and amplified.
Unfortunately, charlatans have corrupted this into money making bilking schemes. Think whoopi goldberg in Ghost.
(They did this too with our spiritual connection to God. Steve Martin in Leap of Faith)
If the Spirit we call on is loving and adoring, we feel it when we are "done." The Spirit "diffuses," but is not gone. Sometimes it blesses us on it's own, and we know it.
If we receive a Spirit who is hateful, (sometimes they intrude on their own!) , we feel it.
I am a skeptic stoic, but I have had too many of these experiences to ignore them.

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Profile picture for kjoed53 @kjoed53

@jayhart
My mom was special, even more special than any of us realized until she was gone. Regretfully, she celebrated her 100th and 101st birthday during the covid lockdown.
Maybe the next time you're all together, try to get everyone to talk about it. I'm not sure how to put this the right way, but maybe talk to mom about what would remind them of her when she is gone. Maybe wording it like I always remember you wearing that necklace/bracelet/ring for family occasions and every time I see that necklace/bracelet/ring I think of you and how special you are to all of us. Jewelry should be cherished for the memory it brings back rather than the monetary value. The same with other things. Maybe that would work but maybe not. I gave my mom a pearl necklace one Christmas and she left that to my daughter. If anyone gave your mom something, maybe leaving it to them makes sense. Sorry for the long comment. Hopefully you'll figure out something before you have to.

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@kjoed53 Yes, I believe that those things others gave us should go back to those who gave them to us. Let them do what they want with it.
Sharing stories is so important for those of us that are left behind and find ourselves saying to ourself 'I wish I knew this or that" or "wonder why they did this or that". Further it helps us to understand so many things better about their reasons and the person.
Great suggestion.
Barbara

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Yesterday we buried Cathy.
It was a “green” burial in the middle of a grassy field.
We finished her grave with handfuls of native seeds so that next spring her grave will blend in with all nature around her.
It was one of the most beautiful mornings of my life.
Family and closest friends gathered, ages 4 to 80+ years old.
Cathy was wrapped in a beautiful, simple shroud.
We told stories and sang songs, we cried and laughed, took turns holding a hand on her and saying good-bye, dropping flowers and love notes into the grave.
When it was time her family lowered her and we all worked hard shoveling the soil back into her grave.
It was unlike any other funeral I’ve attended.
We were all there, honestly, fully there.
We cried freely when we needed to cry, held hands and held each other.
And we sang and told stories and laughed.
There was something so good about shoveling the soil together, knowing we were putting her to her final rest.
Cathy faced her death honestly. Her concern was to leave the loves of her life in good order, taking good care of themselves.
Her death was beautiful.
She gave me something I can aspire toward.

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Profile picture for ellu @ellu

Reading everyone's posts, two things stand out for me : first, coming to terms with death and dying, and second, making sure you don't leave a mess behind. I was diagnosed with ALS last year, and so far am still independent and leading a full life, but I know that my time is limited. When my late husband died six years ago, he left behind an incredible mess. The children and I didn't even know what bank accounts he had! My husband had been a banker, so he handled all our finances - big mistake! It took my lovely adult daughter six months to sort everything out, and have the household functioning smoothly. When I was diagnosd with ALS, one of the first things I did was get all my paperwork done. First, of course, I updated my will. Then I put together the following legal documents : an Enduring Power of Attorney, an Advanced Care Directive, appointment of a Medical Decision Maker (which are legally binding) , and a list of My Wishes (which is not legally binding, but indicates things which are important to me, such as charitable donations and indicating which of my posessions
I would like to go to particular people.) I put all the original documents in a file - all my children know where it
is, so when things start to get serious all they have to do is pick up the file and all the informaion is there. I live in Australia, so some of these documents might have different names in other countries - ask your GP. It is NEVER too early to have your paperwork sorted - two months ago, my 36 year-old son had a stroke! Can you believe that? To cut a long story short, he recovered very quickly, and with follow-up treatment he has made a full recovery, and is already back at work.
As to coming to terms with dying yourself, that is something each of us has to come to terms with in our own way. If you follow a religion, then you will know what to expect. If not, then it is up to us individuals to think about our lives and come to understand that death is an inescapable part of life. Personally, I believe that each life has meaning, but we can't know more because we are only human beings, and we do not have the caacity to understand. We have to trust that we are part of an immense cycle of life, and we live on in our good acts and the genes we pass on to our children.
There is a koan (learned saying) which monks in the Rinzai sect of Zen Buddhism use for meditation :
"What was your original face, before your parents were born?" I am not at all worried about dying, only about suffering, and we now have VAD (Voluntary Assisted Dying) in all States of Australia, so that anyone with less than 12 months to live and suffering terrible symtoms from cancer, ALS and other life-ending conditions can ask for a medically assisted peaceful death if and when the time comes.
I believe that the thing we need to focus on when thinking about death is other people and our relatonships.
We can't take material things with us, but we can work on our relationships with partners, children, family and friends so that we can leave behind a legacy of love, to pass on to the next generation. Sorry if I have trod on any toes, @ellu

Jump to this post

@ellu Thank you for your incredible summary you have captured for end of life planning and organization.

REPLY
Profile picture for edsutton @edsutton

Yesterday we buried Cathy.
It was a “green” burial in the middle of a grassy field.
We finished her grave with handfuls of native seeds so that next spring her grave will blend in with all nature around her.
It was one of the most beautiful mornings of my life.
Family and closest friends gathered, ages 4 to 80+ years old.
Cathy was wrapped in a beautiful, simple shroud.
We told stories and sang songs, we cried and laughed, took turns holding a hand on her and saying good-bye, dropping flowers and love notes into the grave.
When it was time her family lowered her and we all worked hard shoveling the soil back into her grave.
It was unlike any other funeral I’ve attended.
We were all there, honestly, fully there.
We cried freely when we needed to cry, held hands and held each other.
And we sang and told stories and laughed.
There was something so good about shoveling the soil together, knowing we were putting her to her final rest.
Cathy faced her death honestly. Her concern was to leave the loves of her life in good order, taking good care of themselves.
Her death was beautiful.
She gave me something I can aspire toward.

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@edsutton
I'm so sorry, Ed, for the emptiness that you are likely feeling with the earthly loss of this special person.
You don't indicate who planned this beautiful time of sharing of grief and love, but this was truly a gift to you and to all on her behalf and in her honor. It's the kind of gift that God gives and doesn't always receive the credit for. May all of you also receive His comfort and care.
Barb

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Profile picture for ess77 - Elizabeth @ess77

@edsutton,@grammato3, and all... I began this thought process several years ago after receiving a diagnosis that shook me deeply, pushing me into a different reality. I thought I had dealt with my mortality fairly well during and after caring for 12+ years for my mother who suffered greatly from Altzheimer's. I was the only family member who helped her during those years, so there were many years of deep searching dealing with emotional family and personal relationships as well as mortality itself.

I found after receiving the diagnosis and prognosis of my own new illness, there was more internal work to be done. I withdrew peacefully into my thoughts, sitting in my home quitely, thoughtfully working through the disease information and prognosis, and moving into the practical aspects of ending life.

My son is now 57 years old, only child and I am now single for many years, living alone. My son is 100% disabled for over 25 years and deteriorating fairly quickly now. If I survive him, I am determined to leave him with a minimum of turmoil, decisions and issues to face.

I spent the last several years clearing out my home, completely. I alone cleared my mother's home after her move into assisted living and was devastated by that experience. She was not prepared for living at that point, surely not for dying. I had her entire life's belongings to go through - papers, photos, clothing, shoes... she loved gorgeous shoes... furnishings, antiques, paintings, and of course the normal kitchen and living stuff. I did it all by myself. Alone.

My business suffered for a couple of months during that time, as I was not available and had to hire more help. Decisions are overwhelming... a decision on each piece of paper I picked up, each piece of jewelry and every full drawer. It was devastating for me emotionally, physically, financially, in every aspect of my life.

At that moment, I made a clear decision that would not be my legacy for my son. In 2025, I cleared my home, completely. I hired an estate sale company and sold everything I didn't love in some special way and want to keep until my death. I sold many dear collection, furniture - even family pieces that were hard to let go, but my son will not want nor use any of that and other family had everything they could need. So, I mourned and went through quite a time letting go of my life other than necessities and the most dear items I own. It continues to be hard at times, remembering and missing some things, but I am relieved, unburdened by things now and have a lightness about my shoulders. It's done. It feels excellent.

I gave my dear son the best, kindest, most loving gift a mother can give. Peace.

Then, I had lawyers complete the paperwork you've discussed, after working the particulars with my son. It made him deal clearly with my mortality as well. That isn't easy for our children. But, necessary.

Left to accomplish are the final financial issues of final planning, cemetary and such. I wrote my obituary, my celebration of life or memorial preferences, even the hymns and music I would love at any service. All up to my son or whomever is planning. No service is necessary at my age and situation. Many of my friends are gone now, unable or unwilling to attend such services, and it may simply be an unnecessary expense and a lot of work. I don't truly care at this point. Do what is best for him.

I am now working on my son to get the paperwork completed and decisions made for his last wishes. I may deal with that depending on his health, but someone will need this completed, so I must help him deal with his reality.

I also had my home renovated a bit for more comfort and ease of aging... large walk-in shower, new flooring and painting, easy decorating for my comfort and simplicity. I have a small kitchenette in an upstairs bedroom so I can live comfortably upstairs, safely avoiding the stairs if I need. It is a good situation for my life at this moment.

After experiencing 2 different month long NH rehab visits last year learning to walk again, regaining limited mobility and strength from serious hospitalization, I made a firm decision and made it well known I do not intend to move into a NH if I am able to make my own decisions. I learned a lot and am quite determined to not be in that situation again.

So, there you go, folks. I'm here for however long I am here... until my lord and I come face to face. I am attempting to live these months, years with clarity and have some control and peace over my life. I enjoy being alone now, enjoy my 'new' home and my situation, enjoy my scaled down lifestyle. I have a lovely peace knowing the junky stuff is completed.

May you take the steps you choose to walk as you choose this last journey in life. We have no control over the method or timing we leave this life, but we can and I think we should do our best to leave is as orderly as possible. No, I'm not a control freak, but it does feel wonderful knowing I am leaving my son with as clear a path as I can. I faced reality and moved ahead. Lovely!
Blessings, Elizabeth

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@ess77 I am your son's age. My stepfather has recently had to go into longterm care and I completely understand your desire to remain in your home. Care is not what it used to be in most places.

I've also been helping my mother with the end of life planning that my stepfather refused to do for years because mortality was too much for him to face. I have big feelings around that refusal that I am still processing now that I fully understand the fallout.

The good news is that, because I am helping my mother, it just seems easier to get our own end of life legal planning done at the same time.

I keep telling her she's a great influence on us (my husband and I) and we're getting a lot of information and motivation we're using to get our own affairs in order . I know she feels bad that my stepfather left things so long.

I've bookmarked your post for motivation along the lines of streamlining my life, my possessions, and my living space. 🙂

We purchased our ranch home with an eye toward aging in place. Relatively minor modifications would make it wheelchair accessible.

But we still have too many possessions taking up space and requiring maintenance. I'm pretty sure our son (25) doesn't want 99% of it.

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Profile picture for 1995victoria @1995victoria

@ellu Thank you for your incredible summary you have captured for end of life planning and organization.

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@1995victoria

Is creatine proven to help muscle strength. I am 85!

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