Its been a while since I posted. My wife Gloria's brother died a few days ago, and the dying process extended over about 10 days. We were trying to give attention to weightier matters than blogging. It seems that every experience of life exposes us to new awareness of matters concerning which we thought we were knowledgeable. In Jim's last days I became more aware than I ever had before that a person is aware of his surroundings and what is going on even if he shows little evidence of such by his appearance. Communication and prayer are heard and make a difference.

Also I became aware that hospice is not always helpful when subject to Medicare criteria. I have become somewhat suspicious of how hospice is brought into the picture when one is at a senior care center. Then when they are active I found that according to the hospice representatives their services are for crisis care only. They use the more politically correct terminology of "continuing care" which describes around the clock presence of a nurse in the room of the dying person. However, according to what hospice told us, such care is available only if medication has to be given more frequently than the care facility can provide. Just because a person has only hours to live is not sufficient basis for the presence of a hospice representative. When I asked the hospice representative what the definition of hospice care is, she answered "end of life care". My obvious response was, "isn't Jim dying?". Yes, she said but he's stable and does not appear to be in great pain, so medicare will not provide what they call "a sitter". The hospice provider HOSPICE PLUS in the end did provide continuing care, but they had threatened to discontinue it because "dying" is not a sufficient reason to provide "continuing care" only painful dying is sufficient.

My recommendation is that if you have a loved one who may be entering into a terminal state, you should thoroughly familiarize yourself with the provisions of hospice care. Apparently there will be a difference in the hospice care provided under private insurance and the hospice care provided under Medicare.