End of Life

Physician-Assisted Death: What California's New PAD Laws Means for Older Adults

The legend of Prometheus is — as most ancient legends are — somewhat confusing. We all know the basic story, that Prometheus stole fire from the gods and was punished for doing so, but one little detail that’s often forgotten is why he stole the fire: he did so to give it to mankind. As a god, Prometheus had given undue knowledge and power to mortals, and for that, he was chained to a mountain to be tormented for eternity.

Why Older Adults Should Embrace Discussing End-of-Life Regrets

Earl had been diagnosed with cancer. It was late—Stage 4—and as he joked, “There is no Stage 5.” The dark humor he showed masked the sadness he felt at his own passing, because there was still so much he wanted to do. It wasn’t the future that bothered him the most in our conversation, though — it was the past. He expressed a lifetime of regrets. He avoided interesting job opportunities because of the risk involved; he didn’t want to give up the security of what he already had. Trips he had always wanted to take never happened because of his commitment to his daily routine. He said that regrets about the past bothered him, even situations from high school, and he now wished he would have taken more chances.

Traumatic Grief: Our Feelings After the Sudden Death of an Aging Loved One

The McPherson kids, all grown up with kids of their own, always described their dad as someone who would be there forever. He was, as Thomas (the oldest son) told me in a session, “an old-fashioned tough SOB” with warm love for his family and friends and the kind of flinty health that seemed like a permanent rebuke to sickness, even death. He was the kind of guy who, even in his late 70s, was always happily fixing things in and around his house (and those of his children). It’s why no one would have been surprised when he went out on the roof to fix an attic window that was letting in an uncomfortable draft. But something happened. He must have slipped and toppled off the roof; he died instantly. No one saw it, no one was there, and a man who seemed indestructible was suddenly gone.  

Helping Your Aging Loved One Cope with the Anxiety of End-of-Life Planning

While they had caught Ruth’s esophageal cancer fairly early, her chances were slim. There was roughly a 40% chance of survival over five years, and she had turned down any treatment beyond palliative. She told her children that if she had been younger she might have tried to fight it, but the chances were too long, and she didn’t want to live like that. Ruth was 78. She was tired, and she had known a long time ago that she was going to die. That didn’t mean, however, that she was at peace with it.

Preparing End-of-Life Paperwork: 4 Legal Documents That Every Older Adult Needs

The end of life, that final journey for every one of us, is a time for solemnity, grief, reflection, and joy. Because death has always been a tricky area for us, it may be hard for many to imagine that one can feel a sense of joy in end-of-life planning. Yet Irvin Yalom, a renowned therapist and author, suggests that facing death can enrich our lives by allowing us to live more purposefully and to appreciate the life we have more deeply.

How Grief Counseling Can Help Older Adults After the Loss of a Spouse or Partner

Elsa felt that she had never actually been alone before the day that Thomas was buried. They had been married for over 40 years, together even longer, and even through his sickness over the last five years, she felt that closeness, that bond with her husband. He had been dying for a long time, but then suddenly it was all at once, and leaving the church, she felt the unfamiliar and choking weight of loneliness. Their adult children tried to comfort her, but they were wrapped in the cloaks of their own sorrow, and she felt isolated. She felt true loss.  

When Families Disagree About an Aging Loved One’s Advance Directive

My friend’s grandmother had always lived a purposeful life. She often said that she intended to approach the end of her life with as much control and purpose as she could. There were certain circumstances where Rachel knew exactly what kind of medical care she wanted. She didn’t want to undergo prolonged suffering with risky or aggressive treatment, or to be kept on life support when death was inevitable. When she was diagnosed with metastatic cancer, a terminal illness, in her mid-80’s, Rachel felt strongly that she’d prefer to die peacefully rather than fight a difficult battle to potentially buy herself a few weeks or months. She wanted to use the time she had left to say goodbye to family and friends, without having to endure painful side effects from drugs or treatments that may cause mental confusion, fatigue, and more suffering. Rachel is among the growing number of older adults who are not interested in only the number of years of life that we have; Rachel is interested in the years of healthy aging. She wants to end the story of her life in a conscious way, rather than spending precious time in an acute hospital attached to medical equipment, separated from family and friends. Rachel believes that endings matter.

Grief and Recovery: Overcoming Guilt and Loss After the Death of an Adult Child

As we go through life, we imagine that there is a natural order to things. We are born and raised by our parents, who seem to stay the same age while we are young, until we suddenly realize they’re aging, just like we are. Then we progress together until, one day, we have to say goodbye to them. In turn, our own children are growing, and are fully awakening to our own mortality. We expect that they will one day say goodbye to us and live out the rest of their lives after we’re gone. The idea of that natural order is so ingrained that we have trouble comprehending the possibility of a disruption. In fact, the thought of outliving a child seems truly impossible. So when it happens and we’re forced to face the death of an adult child, it is a searing tragedy that is marked by guilt, loss, isolation, and grief.