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Life-Threatening Illness: What to Tell Family, Friends

Talking to Children continued...

Once a child has been told this news, expect him or her to have questions -- but not necessarily right away. Sometimes, a child may say nothing and turn right back to playing, only to ask about Grandma dying while driving home from school the next day or the next week. Here are some tips to help you with these conversations:

  • Let children know it's OK to ask questions whenever they have them. You might say, "You're probably going to wonder about what's happening to Grandma, and it's OK to keep asking me when you have questions."
  • If your child says that she feels sad or scared, let her know that it's OK. Tell children that you have feelings like that too. If they catch you crying, there's nothing wrong with telling them that you're feeling sad or scared.
  • Let the child's primary caregivers at school, day care, or church know what he or she is going through, and make sure children know who they can talk to at school.
  • Give them the opportunity to express their feelings through writing or drawing.
  • Depending on how old the child is, you can explain the treatments the person that is dying is going through.
  • Don't ever compare sleep and death ("Grandma will just go to sleep") -- that can make a child afraid of going to sleep.

This is another area in which your palliative care team can be a very important resource. The team has the expertise to tell a 6- or 7-year-old what is going on.


Sharing Your Last Wishes

At some point, there will come a time when you will want to share with your loved ones how you would like things to go at the end of your life: what kind of treatments you do and do not want and how you would like things handled once you have died. Actually, these are conversations that many people should be having with their families even when they are healthy, experts say, but many do not.

You can express your wishes using advance directives such as a living will or a medical power of attorney, but it's also important to talk directly with your closest loved ones about what you want. 

People, though, are often afraid to say anything about these matters, and family members often don't want to be the first one to bring them up. That's where a social worker can help. A social worker knows how to ask the hard questions in a gentle way.

So if you're thinking about these things and struggling with how to talk about them, ask your hospital or hospice social worker for help.

Saying Good-bye

When you know that death is near, just how do you say good-bye?

Some people hold big parties or gatherings, or have their families host them. Often the gatherings occur around holidays, and the significance of the gathering, even if not stated, is implicitly understood. 

Other people prefer more intimate good-byes. You may want to set aside time to speak with each of your closest family members and friends individually, or give them a gift or letter. Or you may prefer to be more informal and just ask loved ones to visit more often, and be sure to say "I love you" more frequently at each visit.

You may also want to leave something behind for your loved ones: a video, a scrapbook, letters, or photos. Ask your hospital, hospice, or palliative care program if they have volunteers who can work on putting something together with you.

When people are very near death, they are often no longer able to speak or communicate with those around them. That's why it's important to make sure that you've said your good-byes and had any other conversations you want to have with the people you love sooner, rather than later.



WebMD Medical Reference

Reviewed by Melinda Ratini, DO, MS on June 30, 2013

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