National Healthcare Decisions Day

National Healthcare Decisions Day is today!  This day is on the calendar to educate the public and the healthcare community about, well, their healthcare decisions.  So many people avoid the conversation and the decision-making process because they are not sure what they want or what the future might hold.  I advise my clients to plan for the ‘now’.  You can always update it later.  Maybe your circumstances change and you need to assign a different healthcare agent.  Maybe you realize you don’t want a ventilator – especially now in light of the Covid-19 pandemic; or maybe you want one!  Chances are you don’t understand the CPR procedure and the risks, so you avoid making decisions.

Starting isn’t as scary as it sounds.  Have a conversation with your loved one(s) and let them know what your wishes mean to you.  Create an Advance Care Directive, documenting those wishes.  If you are frail or have a serious illness, speak with your physician about a POLST (Provider Orders for Life-Sustaining Treatment).  Not everyone needs a POLST form.  Advance Care planning visits are reimbursable by Medicare.

There are tools available for you.  I am here to assist in this process.  Now is not the time to leave anything to chance.

I recommend (and use) the following tools:  Honoring Choices, The Conversation Project, Five Wishes, and End in Mind Project.

You have some time on your hands; call me and we can start the conversation.

I wish you peace and health in these uncertain times.

Loving, Living, and Dying During Covid 19

A group of end of life professionals gathered over Zoom (following our guidelines, right?) and created a resource guide on grief and loss during the Covid 19 pandemic.  These are times like no other, so it is a time to find new ways to do almost everything.  We aren’t able to be at our loved ones’ bedside when they die of this horrible virus.  This is a different kind of loss.  It requires a different kind of touch.

I am available 24/7 if you have questions, or don’t even know what questions to ask.  I will hold that sacred space for you.  The link below will bring up the one-page resource.  Please feel free to share far and wide.  It is our intention to help calm the storm.

Loving, Living, and Dying during COVID-19





Peace in a Time of Chaos

We are facing unprecedented times right now (at least for my generation).  I am shocked at the empty shelves in the grocery store.  I have never seen a line in Target waiting for the toilet paper to be unloaded from a truck that hasn’t even arrived yet.  Even my own pantry – more beans and rice than ever before.

When will this end?  When will we be able to share a cup of coffee at a small table or go to the movies together?  When will we do our normal grocery store run and not have to wonder if there is hand sanitizer available?

We don’t know.

Listening to the news nonstop can make matters worse.  Isolating from our friends and family creates more loneliness.  Worrying about our next paycheck or life without our tips can cause sleepless nights.  Maybe you have a friend or family member who is in panic-mode right now.  These are just a few of the things that will steal our peace.

If possible, turn off the TV for awhile.  Unplug your devices.  Take time to be still and find the quiet.  Breathe.  Focus.  Find that calm within.  Pray.  Meditate.  Hold your puppy close.  Take a walk outside – in your neighborhood or a park.  Nature is a great remedy for many things.  Take the time to be gentle with yourself.  When you turn your phone on again, call a friend or a neighbor – they might need to hear your friendly voice.

This will pass.  We can do this.  Breathe, and hold your loved ones close.  Stay well, my friends.


National Caregiver Day ~ Show the Love

Today we celebrate the caregivers ~ the paid caregivers and the volunteers who give their time and talents to make life just a bit more comfortable for our loved ones.  Although you don’t have to wait for an official ‘day’ to show appreciation, it helps to have a reminder.

With families spread out across the country, many seniors are relying on outside help with household chores, errands, and healthcare.  Maybe you are the caregiver for a loved one and with time as a precious commodity, you find a way to make sure your parent/friend/family member is comfortable and safe.

Thank you for the long hours you give; making sure your family member or clients are safe, clean, and happy.  Thank you to your own family when they miss you during an extra long shift.  Thank you to the agencies who carefully screen their staff to ensure quality care.

Do you have a caregiver?  You can show them the love in a note and tell them how they make your life easier.  If writing is difficult for you, a simple verbal ‘thank you’ will go a long way.

Have you hired a caregiver for a family member?  A short thank-you note will make their day.  If the caregiver is with an agency, call their manager to let them know how important they are in your loved ones’ life.  Many agencies discourage employees from accepting gifts; if you choose to give them a small token of appreciation, check with their manager to see if this is acceptable per company policy.

Are you the caregiver?  Treat yourself to a massage or a touch-up manicure if time allows.  If not,  a cup of tea and a little down time might be enough to recharge you.  You are managing a crazy balancing act between your family at home and your loved ones’ or clients.

You are doing important work every day in every interaction with your client, patient, or loved one.  I salute you and the kindness you bring each day when you show up and do the caring.

Thank you!



Step up to the (dinner) Plate

With the holidays approaching at the speed of light, it is easy to get caught up in our to-do lists, gift shopping, decorating…. and let’s not forget the holiday baking! While many of us are surrounded by family and friends year-round, there is a large population of older adults who are alone in this world and holidays can be very painful. In a study by the University of Michigan and AARP, 1 in 3 adults say they lack regular companionship. (AARP 4 March 2019).

Look around your neighborhood, check your address book; any solos who could use a friend? A recent widow or widower? Who sits next to you in church, alone, week after week? Let your family and friends know there is an extra dinner plate at the table this year. Not cooking this year? No one expects a gourmet meal – a friendly face and a simple cup of coffee can go a long way to ease someone’s loneliness.

See Synergy Home Care’s newsletter to read my original article about isolation around the holidays. Contact Synergy Home Care for more information on their services.

Frequently Asked Questions

How will a doula help me? Your doula will listen and give you the space to process what is happening to you and around you. Deep in your soul, you know how to leave your earthly body when the time comes, but it can be unsettling for you and your loved ones. Your doula will companion you and your family through these last days. Your doula will walk with you during the end of life process, for as much or as little time as you desire.

Do I need a doula if I have hospice care? Doulas do not replace hospice; a doula is an excellent addition to the care team. Your doula does not make decisions that would conflict with hospice orders or treatment plans.

When is the best time to start with a doula? This is entirely up to you and depends on the services the doula will provide based on your needs and wishes. Your doula can be involved as soon as you hear a terminal diagnosis. For some, a doula will be called when death is imminent. The decision is up to you and what you feel will be most helpful during this final journey.

Do doulas have medical training? Some doulas have medical background, but the role of a doula is non-medical. Medical training can be helpful, but it is not required.

How are doulas trained? There are many programs available for training doulas and most have incorporated an internal certification process.

Are doulas nationally certified or licensed? At this time, there is not a governing body to certify or license end of life doulas. There is voluntary competency badge that is awarded upon completion of a comprehensive test by an independent group.

Are doulas paid by insurance? Because doula work is non-medical, it is not covered by health insurance or Medicare. Every doula offers unique services and will discuss fees with you in advance.

Please feel free to call me at 612-499-4155 with your questions. There is no charge for an initial phone consult to determine if doula services would be helpful.

If you are wondering if the time is right, it probably is.

Flame or Water? You Choose!

Flame or Water? Now you have a choice with cremation. A water, or ‘Green Cremation’, is done using water and potassium hydroxide, that reduces the body to the bone ash similar to flame-based cremation with much less impact to the environment.

I recently toured Bradsaw Funeral and Cremation Services in Stillwater, MN and was able to see their Green Cremation machine during my tour of the beautiful building and serene location. Michael Sorrell, one of the funeral directors at Bradshaw, explained the benefits of the eco-friendly Green Cremation.

The carbon footprint is what impressed me the most. The Green Cremation is 75.72% less carbon impact on the environment than traditional flame-based cremation and it uses 1/8 the amount of energy of other death preparation practices (Green Cremation brochure, Bradshaw Funeral and Cremation Services). Mercury and other particulates are not emitted into the environment during the water cremation. You still get ashes as you would with flame-based cremation; in fact, you get a bit more!

The process follows stringent guidelines, including the type of shroud you use (if you choose). The shroud must be 100% organic so it will decompose in the process. The photo below is a raw silk shroud. Funeral homes can guide you in this choice.

There is a peaceful viewing room adjacent to the cremation area. The water feature, soft lighting, and calm setting makes it a perfect place to say your final words to your loved one.

The grounds are in a prairie-like location and I was fortunate to have a bright blue sky above. I walked the labyrinth on site, and communed with the friends and family who have gone before me, then I sat awhile near one of the Columbariums. I took my time, soaking in the peaceful setting.

You have choices. You have traditional methods of burying your loved one, green burials, flame-based or water-based cremation, and in the state of Washington, you can even become compost. More on that later….

As with any service, it is wise to visit with funeral directors, tour their facilities, and become educated to your options. Your family will appreciate your forethought and it will save them the stress of making decisions in a time of mourning.

The labyrinth at Bradshaw (available to the public to walk)~

Get to Know You

You heard from me and my passion to assist at end of life. To sit with you as you face your last days. To offer assistance to your family and caregivers as they circle your bed or recliner wondering what to do next. They anxiously hold their breath when your breath slows down. Do you hear them? They might be whispering so they don’t disturb you, or maybe they are talking about the every day stuff because they think you don’t hear them. Maybe they are finally telling you they are sorry, or that you are forgiven/loved/missed.

What about you? Do you have a plan? Have you told your friends and family what they need to know? What is important to you? Have you spent time getting to know ‘you’ and what your relationship priorities are at end of life?

Ira Byock, M.D. wrote a wonderful book, The Four Things That Matter Most – A Book About Living. Dr. Byock speaks from his world as a palliative care physician and advocate for better end of life care. He shares four simple (but don’t confuse with ‘easy’) and powerful phrases we should all consider.

“Please forgive me.” “I forgive you.” “Thank you.” “I love you.”

Spend some time getting to know ‘you’ and who needs to hear these words. Yes, they are simple statements, and only 2-3 words each, but they carry enormous power for healing.

Knowing our days are numbered can create an urgency to say these words to our loved ones. Why do we wait? Wouldn’t it be freeing to say them now, so everyone can move forward without that heavy burden?

Take time to get to know you. What part of your heart remains broken because of a misunderstanding? What grudge is so old you cannot even remember how it started? Whose feelings did you hurt years ago? Maybe you aren’t comfortable saying ‘I love you’, but your words might work magic in your loved ones’ heart.

Take time to get to know you. Think about those four things….

Get to Know Me

Choosing an end of life doula can be overwhelming. You have heard of a birth doula, but a death doula? Why do you need a death doula? Why would someone want to do this work?

I have worked in the healthcare industry for most of my life. A love for aging and dying people started even before I had my drivers license as I volunteered in the local nursing home in high school.

After graduation, I attended a hospital-based program for radiologic technologists (x-ray). Over the course of a few decades, I worked in various capacities in hospitals, clinics, private offices, and an imaging center. Nothing touched my heart like the job I had in a large hospice in Colorado. The mission of the work and the passion of the teams touched me deeply.

Returning to Minnesota (home at last!), I realized my heart for hospice was even greater than before. I found a volunteer opportunity with a local hospice. Then I heard Jane.

I heard Death Doula Jane speak at an event one morning. She told of tending to patients at end of life, and being able to bring presence and clarity to the process of dying, as well as support to the family. I finally found the name for what I felt I was supposed to do with my life. Death Doula! I had a deep down response to what I was hearing; something I never felt before. The universe smacked me alongside the head…I had to heed that call.

Meeting a person who is facing death is a place of awe and respect. They have lived their life and they (usually) know it is soon ending. I bring what is often called presence or ‘holding space’; allowing the patient and their families/caregivers the emotional and spiritual room they need to process the events surrounding them at this time. I assist where you need me; and I am there if you don’t even know what you need. I will walk alongside you during this journey, whether it is the first time you lost someone, or the tenth time.

It is my honor to attend to a dying person and their family. It is my honor to witness the last breath of your loved one. It is my honor to walk alongside you.

It’s Just Stuff…or is it?

As a member of MNDC (Minnesota Death Collaborative, a group of end of life professionals), I had the opportunity to hear a professional organizer, Su-Yoon Ko recently. Su-Yoon discussed the clutter in our own lives, lives of those facing death, and our loved ones who died leaving behind their legacy of ‘stuff’.

For some, clutter goes beyond the junk drawer but might not reach official hoarder proportions. There are many reasons we hold on to our stuff, from emotional attachment to time management, indecision, and everything in between.

Let’s unpack (pun intended) this a little. But first…full transparency here. I am of the time management AND indecision camp; paper clutter can breed on my desk. There are a few boxes in the attic – a permanent home for the contents still in question. There might be a collection or two that no longer seems worthy of dusting. A cookbook or twenty…I can find anything online these days with the exception of some of the little church cookbooks but I am not ready to part with them yet! There just might be a bag or two of clothing for donation, waiting for the ‘right time’ to run that errand.

What if I become unable to tend to my ‘treasures’ and purge my papers? I plan on living to a ripe old age, but what if that doesn’t happen? We are not guaranteed tomorrow. Time to tend and purge! Since I heard Su-Yoon Ko’s talk, I have cleaned the kitchen pantry, sorted random boxes of costume jewelry (there’s that necklace!), and this week, the office got my undivided attention. Shredding and dusting and pitching, oh my! I can find my desk and have space to write again! I have more energy for work now that the piles of papers aren’t taunting me. I won’t have a random can of tomato paste drop on my toe, and my husband can reclaim the floor of his side of the closet.

What about our loved ones and their lifelong ‘collections’? If she is ready, offer to help your granny go through her treasures. Bless someone else with your children’s toys and clothes. Find a library (or an aunty who reads) for your gently-used books. Offer useful items for free or have a garage sale and donate the rest. As for yourself, conquer the clutter while you can. Do you really want to leave this task to your family or friends if you suddenly become incapacitated?

If you are helping someone clear the clutter, be gentle with them. Getting rid of ‘stuff’ can be hard and emotional attachments run deep. It can be a daunting task for many, and for some it is downright overwhelming. What you see as junk-ready-for-the-trash-heap, might have sentimental meaning for your loved one. Now is not the time to judge; be present, be helpful, and offer suggestions when asked. And don’t forget the boxes, tape, markers, and trash bags.

If you lose someone dear to you, take your time sorting through their belongings. You don’t have to get this done all at once. It might take you five months or five years. Some things, you won’t ever let go. That’s ok. There are good reasons to keep a few treasured items. A dear friend has some of her parents’ clothes zipped into bags. Occasionally, she will open the bags and savor their scent. Some things are too precious to your heart. I get that. You can, however, make it easier on your loved ones by tending and purging your own clutter now. And who knows, you might find a $20 bill hiding in a pocket.

If you need professional assistance, I suggest you call Su-Yoon at 612-578-2031 or email her at